Based on interview, record review and facility document review, the facility staff failed to complete a discharge summary including a recapitulation of resident's stay and final summary of resident's status, to the continuing care provider and other authorized persons at the time of discharge for one of 14 residents reviewed, resident # 454 (R454). The findings included: R454's diagnoses included but were not limited to, R454's diagnoses according to the facility diagnoses sheet included but were not limited to other seizures, chronic obstructive pulmonary disease, hypertension, anxiety, heart failure, personal history of suicidal behavior, traumatic brain injury, major depressive disorder, and vascular dementia with psychotic disturbance. …
F661 citations in Virginia
Resident Assessment and Care Planning Deficiencies
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Virginia cites F661 more often than its own record predicts
1.20 times the share F661 takes of citations nationally.
Of every deficiency written in Virginia in 2025, this is the portion that was F661.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Virginia surveyors wrote
F661 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.
The short window
Recent years
| Year | Share of Virginia citations | vs expected |
|---|---|---|
| 2023 | 0.40% | 1.53× |
| 2024 | 0.32% | 1.40× |
| 2025 | 0.08% | 1.20× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Virginia surveyors cite →
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