Based on staff interview, facility document review, and clinical record review, the facility staff failed to provide 24 hour on-call physician services for one of eight residents in the survey sample, Resident #3.The findings include:For Resident #3 (R3), the facility staff failed to provide on-call physician services on 10/21/25 when a critical laboratory test result was communicated to the nursing staff.A review of R3's clinical record revealed the following progress note dated 10/21/25 at 1:10 a.m Critical lab called in from lab. Potassium 2.9 (1). Contacted on call physician to make aware. No call returned. 0145AM (1:45 a.m.) Contacted on call physician again, no returned call. …
F713 citations in Virginia
Nursing and Physician Services Deficiencies
Provide or arrange emergency care by a doctor 24 hours a day.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Virginia cites F713 more often than its own record predicts
5.92 times the share F713 takes of citations nationally.
Of every deficiency written in Virginia in 2025, this is the portion that was F713.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Virginia surveyors wrote
F713 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.
The short window
Recent years
| Year | Share of Virginia citations | vs expected |
|---|---|---|
| 2023 | 0.07% | 8.91× |
| 2025 | 0.08% | 5.92× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Virginia surveyors cite →
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