Based on observation, resident interview, staff interview, clinical record review, and facility document review, the facility staff failed to assess the resident for risk of entrapment and attempt to use appropriate alternatives prior to the installation of a side rail and failed to ensure correct installation to assess for the seven zones of entrapment when side rails were added and/or bed components were changed for 6 of 26 sampled residents (Resident #41, Resident #5, Resident #1, Resident #3, Resident #25, and Resident #57). At the time of the survey, the facility staff member responsible for the installation and maintenance of side rails did not have the knowledge to ensure appropriate safety measurements of the seven zones of entrapment risk. …
F700 citations in Virginia
Bed rails · Quality of Life and Care Deficiencies
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Virginia cites F700 less often than its own record predicts
0.98 times the national share — cited less often here than elsewhere.
Of every deficiency written in Virginia in 2025, this is the portion that was F700.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Virginia surveyors wrote
F700 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 implement bed rail requirements for three of 35 residents in the survey sample, Residents #14, #17, and #5. The findings include:1. For Resident #14 (R14), the facility staff failed to attempt appropriate alternatives prior to the resident's use of bed rails (grab bars) and failed to review the risks and benefits/obtain informed consent for the use of bed rails. A review of R14's clinical record failed to reveal a physician's order for bed rails. …
The short window
Recent years
| Year | Share of Virginia citations | vs expected |
|---|---|---|
| 2023 | 1.12% | 3.01× |
| 2024 | 0.69% | 1.62× |
| 2025 | 0.38% | 0.98× |
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