Based on staff interview, facility document review, and clinical record review, the facility staff failed to provide physician services for one of 35 residents in the survey sample, Resident #5. The findings include: For Resident #5 (R5), the on-call nurse practitioner failed to verify medication orders when the resident was readmitted on [DATE]. This resulted in harm: on 5/13/24 at approximately 1:15 a.m., R5 was transferred to the hospital for inadequate pain control. Also, the R5's blood sugar was documented as 579 (1), the resident was diagnosed with diabetic ketoacidosis (2), and the resident required an insulin drip (insulin that is intravenously infused). …
F710 citations in Virginia
Nursing and Physician Services Deficiencies
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Virginia cites F710 more often than its own record predicts
4.54 times the share F710 takes of citations nationally.
Of every deficiency written in Virginia in 2025, this is the portion that was F710.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Virginia surveyors wrote
F710 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, facility document review, and clinical record review, the facility staff failed to provide physician supervision for one of 12 residents in the survey sample, Resident #1. The findings include:For Resident #1 (R1), the facility physician failed to provide adequate physician oversight and direction related to a significant change in condition on 9/1/24.R1 was admitted to the facility on [DATE] with diagnoses that included surgical repair of a hip fracture. On the admission MDS (minimum) assessment with an ARD (assessment reference date) of 8/16/24, he was coded as having no cognitive impairment, having scored 15 out of 15 on the BIMS (Brief Interview for Mental Status). He was coded as having no concerns with making his needs known or communicating. …
The short window
Recent years
| Year | Share of Virginia citations | vs expected |
|---|---|---|
| 2023 | 0.33% | 3.56× |
| 2024 | 0.32% | 3.94× |
| 2025 | 0.31% | 4.54× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Virginia surveyors cite →
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