Based on resident interview, staff interview, clinical record review and facility documentation review, the facility staff failed to provide care and services to ensure residents attain or maintain the highest practicable physical, mental, and psychosocial well-being, which resulted in psychosocial harm for five residents (Resident #7- R7, Resident #8- R8, Resident #12- R12, Resident #13- R13, and Resident #15- R15). The resident who was the known aggressor, was targeting female residents. Therefore 59 of the 98 residents residing in the facility who were female, had the potential to be affected. This deficient practice resulted in immediate jeopardy. The findings included: 1. …
F675 citations in Virginia
Quality of Life and Care Deficiencies
Honor each resident's preferences, choices, values and beliefs.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Virginia cites F675 more often than its own record predicts
1.59 times the share F675 takes of citations nationally.
Of every deficiency written in Virginia in 2025, this is the portion that was F675.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Virginia surveyors wrote
F675 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.
Based on observation, family interview, resident interview, staff interviews, clinical record review, and facility document review, the facility staff failed to provide the necessary care and services to attain and/or maintain the highest practicable physical, mental, and psychosocial well-being for two (2) of fifty-five (55) sampled residents, (Resident #454 and Resident #13). The findings include: 1.For Resident #454, the facility staff failed to provide the necessary care and services for the resident to attain or maintain the highest practicable physical, mental and psychosocial well-being during an incident that occurred on 8/30/24 between the resident and a nurse. …
Based on interview, clinical record review and facility documentation the facility staff failed to ensure that each resident receives care and services to attain or maintain the highest practicable physical, mental, and psychosocial well-being for 1 resident in a survey sample of 16 Residents. The findings included: For Resident #6, the facility staff failed to speak with the Resident in a manner that preserved dignity and respect. On 3/27/24 at approximately 3PM an interview was conducted with Resident #6 who stated that she felt that staff were uncaring. She stated that she felt that some staff were rude to Residents without provocation. When asked if she knew of any specific staff members, she declined to give names. She stated, You know I ' m not the only one who has seen this. …
The short window
Recent years
| Year | Share of Virginia citations | vs expected |
|---|---|---|
| 2024 | 0.16% | 4.33× |
| 2025 | 0.08% | 1.59× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Virginia surveyors cite →
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