Based on staff interview and clinical record review the facility staff failed to obtain medical provider ordered laboratory tests for one of seven residents in the survey sample, resident #2.The findings included:For Resident #2 the facility failed to obtain a BNP (B-type natriuretic peptide test) and a TSH (thyroid stimulating hormone) level ordered by the medical provider.An admission Record revealed the facility admitted Resident #2 on 04/17/2025. According to the admission Record Resident #2 had a medical history that included acute on chronic congestive heart failure, chronic obstructive pulmonary disease, hypertension, coronary artery disease with a history of myocardial infarction and moderate protein-calorie malnutrition.The admission minimum data set (MDS) with an assessment… …
F773 citations in Virginia
Administration Deficiencies
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Virginia cites F773 more often than its own record predicts
2.34 times the share F773 takes of citations nationally.
Of every deficiency written in Virginia in 2025, this is the portion that was F773.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Virginia surveyors wrote
F773 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, interview, clinical record review and facility documentation the facility staff failed to obtain physician orders [REDACTED].#'s 1-#16) in a survey sample of 16 Residents. The findings included: For all residents in the sample (#'s 1-2-3-4-5-6-7-8-9-10-11-12-13-14-15 and 16) the facility staff failed to obtain physicians orders prior to performing routine weekly Covid testing for facility Residents. On 12/3/20 during clinical record reviews it was noted that the Residents did not have orders for Covid testing on their physician order [REDACTED]. On 12/4/20 at approximately 10:00 AM the DON was asked to provide proof of physician orders [REDACTED]. …
The short window
Recent years
| Year | Share of Virginia citations | vs expected |
|---|---|---|
| 2023 | 0.26% | 2.30× |
| 2024 | 0.16% | 1.46× |
| 2025 | 0.31% | 2.34× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Virginia surveyors cite →
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