Based on staff interviews, facility document review and clinical record review, it was determined that the facility staff failed to provide RN (registered nurse) coverage for eight hours per day, seven days a week for two of 30 days reviewed, which had the potential to affect all residents. The findings include:The facility staff failed to provide RN (registered nurse) coverage for eight hours per day, seven days a week for two of 30 days reviewed, May 17, 2026 and May 22, 2026.During the facility task Sufficient and Competent Staffing and review of the 30 days as worked schedule, it was noted that two dates 5/17/26 and 5/22/26 had no RN coverage.On 6/16/26 at approximately 3:00 PM the Regional Director of Clinical Services was asked to provide timecard detail of RN coverage for those… …
F727 citations in Virginia
Registered nurse coverage · Nursing and Physician Services Deficiencies
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Virginia cites F727 less often than its own record predicts
0.89 times the national share — cited less often here than elsewhere.
Of every deficiency written in Virginia in 2025, this is the portion that was F727.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Virginia surveyors wrote
F727 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 facility document review, the facility staff failed to have an registered nurse (RN), other than the director of nursing, on duty on 4/2/2022. The findings include: The as-worked schedules for the past 30 days were reviewed. On 4/2/2022, there was no documentation of an RN on duty throughout the entire day. On 4/19/2020 at 4:08 p.m. ASM (administrative staff member) #2, the director of nursing, was asked to provide evidence that an RN was on duty on 4/2/2022. On 4/19/2022 at 4:17 p.m. ASM #2 presented timecard documentation for herself, that she was the RN on duty for the day. When asked if the census in the building was less than 60 residents on that day, ASM #2 stated, no. …
The short window
Recent years
| Year | Share of Virginia citations | vs expected |
|---|---|---|
| 2023 | 0.79% | 1.16× |
| 2024 | 0.43% | 0.80× |
| 2025 | 0.38% | 0.89× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Virginia surveyors cite →
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