Based on staff interview, clinical record review, and facility document review, the facility staff failed to obtain lab testing as ordered by the medical provider for 8 of 51 sampled residents, Resident #94, Resident #2, Resident #3, Resident #5, Resident #7, Resident #8, Resident #12, and Resident #6. For Resident #94, the facility staff failed to obtain PT/INR results as ordered following the transition of Eliquis to Coumadin using a limited Lovenox bridge on four separate occasions from [DATE] through [DATE]. Lab results obtained on [DATE] and received by the lab on [DATE] resulted in a PT greater than 90 (reference range 9.60-11.33) and INR results that could not be calculated as the result greater than linearity. Resident #94 began showing signs of active bleeding on [DATE]. …
F770 citations in Virginia
Administration Deficiencies
Provide timely, quality laboratory services/tests to meet the needs of residents.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Virginia cites F770 more often than its own record predicts
3.32 times the share F770 takes of citations nationally.
Of every deficiency written in Virginia in 2025, this is the portion that was F770.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Virginia surveyors wrote
F770 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, clinical record review and facility documentation review and in the course of a complaint investigation, the facility staff failed to ensure Laboratory services were provided to meet the needs of one resident (Resident # 128) in a survey sample of 41 residents resulting in harm. The Findings Included: 1. For Resident # 128, the facility staff failed to obtain a Complete Blood Count, Basic Metabolic Profile as ordered to be drawn on 8/28/2021. The labs were not drawn prior to Resident # 128 being hospitalized on [DATE] for [CONDITION(S)] (low blood pressure), increased confusion and dysphagia (difficulty swallowing). When the labs were checked in the emergency room , there were several values at Critical levels. …
Based on staff interview, facility document review and clinical record review, the facility staff failed to obtain laboratory tests per the physician orders for three of 26 residents in the survey sample, Residents #4, #6 and #7.The findings include: 1. For Resident #4 (R4), the facility staff failed to obtain physician ordered laboratory tests, a complete blood count (CBC) (1). Resident #4 was admitted to the facility on [DATE] with diagnoses that included but were not limited to: diabetes, aftercare following joint replacement surgery, diabetes, and anemia. …
The short window
Recent years
| Year | Share of Virginia citations | vs expected |
|---|---|---|
| 2023 | 0.53% | 2.39× |
| 2024 | 0.75% | 3.53× |
| 2025 | 0.69% | 3.32× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Virginia surveyors cite →
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