Based on resident interview, staff interview and clinical record review, facility staff failed to notify the state mental health authority following a significant change in the mental condition of a resident who has mental illness for review for 1 of 27 residents, Resident #121. The findings included: For Resident #121, the facility staff failed to refer the resident to the state mental health authority for a Level II PASARR screening following expression of [CONDITION(S)] resulting in three separate suicide attempts requiring transfer to a higher level of care following each incident. Resident #121's diagnosis [MEDICAL RECORD OR PHYSICIAN ORDER] . …
F646 citations in Virginia
Resident Assessment and Care Planning Deficiencies
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
No F646 citations were recorded in Virginia for 2025. That means none appear in the CMS file for that year — not that the requirement does not apply.
In the surveyor’s words
What Virginia surveyors wrote
F646 findings written in Virginia, one from each severity band recorded here, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
What else Virginia surveyors cite →
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