F686 in Virginia. Pick another state for the same tag.
Against expectation — 2025
Virginia cites F686 more often than its own record predicts
Versus expected share1.01×
1.01 times the share F686 takes of citations nationally.
Share of Virginia citations1.99%
Of every deficiency written in Virginia in 2025, this is the portion that was F686.
Virginia1.99%
National1.97%
Share of all citations that were F686.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Virginia surveyors wrote
F686 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.
J · Immediate jeopardy, isolatedNovember 3, 2023
Based on observation, staff interview, clinical record review, and facility documentation review, the facility staff failed to provide care consistent with standards of practice to promote the healing of and prevent infection of pressure ulcers for one Resident (Resident #214) in a survey sample of four Residents reviewed for pressure ulcers, resulting in harm for Resident #214.
Immediate Jeopardy (IJ) was identified on 10/31/23 at 3:10 PM, at which time the facility Administrator and Director of Nursing were made aware. Following verification of the removal of immediacy the facility abated the IJ on 11/3/23 at 3:15 PM. The scope and severity was lowered to a level 3, isolated. …
Based on observations, clinical record reviews, staff interviews, resident interview, and facility documentation the facility staff failed to ensure adequate interventions were implemented and followed to prevent the development and or worsening of pressure ulcers for one resident, resident #2 (R2) out of a survey sample of nine residents This failure resulted in harm as R2 developed in house acquired pressure ulcers. The findings include: The facility failed to provide preventative skin interventions for R2 who was at moderate risk for pressure ulcer development, which resulted in the resident developing an in-house acquired pressure ulcer, which constituted harm. On 5/12/26, a clinical record review was conducted. …
D · No harm, potential for more than minimal, isolatedJuly 9, 2026
Based on clinical record review, staff interview and facility document review, it was determined that the facility staff failed to provide pressure injury treatment per the physician's order for one of 26 residents in the survey sample, Resident #6. The findings include:For Resident #6 (R6), the facility staff failed to provide pressure injury (1) treatment per the physicians order when the wound vac (2) was not functioning on 3/22/2026-2/23/2026. On the most recent minimum data set (MDS), an admission assessment with an assessment reference date (ARD) of 1/19/2026, the resident was assessed as having one Stage II pressure injury and one Stage IV pressure injury, both of which were present on admission. …
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