Based on observation, Resident family interview, staff interview, clinical record review and facility documentation review, the facility staff failed to prevent the development of a contracture resulting in limited range of motion, which constituted harm, for one Resident (Resident #14) in a survey sample of 60 Residents. The findings included: For Resident #14 who was admitted without any contractures of her hand and arm, the facility staff failed to implement therapeutic interventions to prevent the development of contractures. As a result, Resident #14 developed contractures of her fingers, wrist and elbow, and therapeutic interventions were not initiated for over three months following the identification, this constitutes harm for Resident #14. …
F688 citations in Virginia
Mobility and range of motion · Quality of Life and Care Deficiencies
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Virginia cites F688 less often than its own record predicts
0.58 times the national share — cited less often here than elsewhere.
Of every deficiency written in Virginia in 2025, this is the portion that was F688.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Virginia surveyors wrote
F688 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 record review, interviews, and facility policy review, the facility failed to ensure a restorative program recommended upon discharge from physical therapy was initiated and implemented for one of one resident (Resident (R) 58) reviewed for Restorative Program and Rehabilitation. This failure had the potential to cause a decrease in mobility and strength. Findings include: 1. Review of R58's Resident Face Sheet, located in the electronic medical record (EMR) under the Resident tab, revealed R58 was admitted to the facility on [DATE] with diagnoses of schizoaffective disorder, bipolar type and schizophrenia. …
The short window
Recent years
| Year | Share of Virginia citations | vs expected |
|---|---|---|
| 2023 | 0.59% | 0.64× |
| 2024 | 0.64% | 0.72× |
| 2025 | 0.46% | 0.58× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Virginia surveyors cite →
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction