Based on staff interviews, clinical record review, and facility documentation, the facility staff failed to ensure a Resident who required dialysis received scheduled dialysis treatments as ordered by the physician for 1 Resident (Resident #1) in a survey sample of 3 dialysis Residents reviewed. Resident #1 (R1) was hospitalized 4 times during a 3-month period due to missed dialysis treatments, requiring hospitalization for urgent dialysis due to being symptomatic of fluid overload, this constituted harm. The findings included: According to the clinical record R1, was initially admitted to the facility on [DATE]. Diagnoses for R1 included but were not limited to end stage renal disease and legal blindness. On [DATE] and [DATE], a closed record review was conducted of R1's chart. …
F698 citations in Virginia
Dialysis · Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Virginia cites F698 less often than its own record predicts
0.72 times the national share — cited less often here than elsewhere.
Of every deficiency written in Virginia in 2025, this is the portion that was F698.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Virginia surveyors wrote
F698 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, staff interview and clinical record review, the facility staff failed to follow physicians' orders for one of 42 residents in a survey sample, Resident #8. The Findings Include: Resident #8 (R8) did not have pressure dressing supplies in place as ordered for dialysis access port. Diagnoses for R8 included diabetes, congestive heart failure, chronic pain, and end stage renal disease on dialysis. The most current MDS (minimum data set) was a quarterly assessment with an ARD (assessment reference date) of 4/16/26. R8 was assessed with a cognitive score of 15 indicating cognitively intact. Review of R8's physician orders documented Keep pressure dressing supplies at bedside. The order was dated 5/19/26. On 5/20/2026 at 10:32 a.m. …
The short window
Recent years
| Year | Share of Virginia citations | vs expected |
|---|---|---|
| 2023 | 1.65% | 2.02× |
| 2024 | 0.96% | 1.27× |
| 2025 | 0.54% | 0.72× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Virginia surveyors cite →
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