Based on observation, resident interview, staff interview, clinical record review, and facility documentation review, the facility staff failed to implement interventions to ensure that 4 residents (Resident #14, Resident #13, Resident #3, and Resident #12), in a survey sample of 48 residents, maintained an acceptable parameter of nutritional status and as a result, all 4 experienced insidious, severe weight loss that was unplanned resulting in immediate jeopardy being identified. The findings included: On 3/19/24 at approximately 12:05 p.m., an interview was conducted with the Registered Dietician (RD), who was in the dining room. The RD reported that he comes weekly and is at the facility for 8 hours. …
F692 citations in Virginia
Nutrition and hydration · Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Virginia cites F692 less often than its own record predicts
0.81 times the national share — cited less often here than elsewhere.
Of every deficiency written in Virginia in 2025, this is the portion that was F692.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Virginia surveyors wrote
F692 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 staff interview and clinical record review, the facility staff failed to maintain acceptable levels of nutritional status resulting in a significant 16-pound weight loss for 1 of 7 residents in the survey sample, Resident #2. The findings included: The admission Record for Resident #2 revealed the facility admitted the resident on 04/17/2025. According to the admission Record Resident #2 had a medical history that included acute on chronic congestive heart failure (CHF), chronic obstructive pulmonary disease (COPD), muscle weakness, shortness of breath, moderate protein calorie malnutrition, hypertension, lower back pain, depression and anxiety.The admission minimum data set (MDS) assessment with an assessment reference date (ARD) of 04/23/2025 assigned the resident a brief… …
Based on observation, resident interview, staff interviews, clinical record review, and facility documentation review, the facility staff failed to address and implement interventions for significant weight loss for one Resident (Resident #1) in a survey sample of 26 residents. The findings included:Resident #1 was admitted on [DATE] after a hospitalization for a fractured left humerus and left hip with surgical repair of both. The Resident's diagnoses included but were not limited to: Diabetes, lupus, dysphagia with peg [per endoscopic gastrostomy feeding] tube insertion, bolus feeding, malnutrition, anemia, and right lung cancer. …
The short window
Recent years
| Year | Share of Virginia citations | vs expected |
|---|---|---|
| 2023 | 1.05% | 0.83× |
| 2024 | 1.23% | 1.04× |
| 2025 | 0.92% | 0.81× |
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