F656 in Virginia. Pick another state for the same tag.
Against expectation — 2025
Virginia cites F656 more often than its own record predicts
Versus expected share1.00×
1.00 times the share F656 takes of citations nationally.
Share of Virginia citations3.44%
Of every deficiency written in Virginia in 2025, this is the portion that was F656.
Virginia3.44%
National3.44%
Share of all citations that were F656.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Virginia surveyors wrote
F656 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.
G · Actual harm, isolatedJuly 9, 2021
Based on staff interview, clinical record review, and facility documentation review, the facility staff failed to implement the comprehensive care plan for 1 resident (Resident #54) in a survey sample of 31 residents.
For Resident #54, the facility staff failed to implement resuscitation interventions as indicated on his comprehensive care plan when he was found unresponsive and not breathing, resulting in harm at past non-compliance.
The findings include:
Resident #54 was admitted to the facility on [DATE] for long term care due to increasing confusion and decline in cognitive and physical function. …
E · No harm, potential for more than minimal, patternJuly 27, 2026
Based on staff interview, facility document review, and clinical record review, the facility staff failed to develop and/or implement the comprehensive care plan for three of 52 residents in the survey sample, Residents #9, #13, and #20.The findings include:
1. For Resident #9 (R9), the facility staff failed to monitor the resident for side effects (bleeding) from the anticoagulant (blood thinning) medication Eliquis.
R9's comprehensive care plan dated 7/16/25 documented, ANTICOAGULANTS: the resident is at risk for bleeding and bruising related to use of an anticoagulant for diagnosis of Atrial Fibrillation (a heart condition). …
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