Based on observation, staff interviews, clinical record review, and review of facility documents, the facility staff failed to ensure a resident received emergency dental services promptly after referrals were made adequately while experiencing the acute dental problem for 1 of 1 resident (Resident #190), with dental concerns in the survey sample. The STAT (now) dental appointment ordered 3/1/22, was scheduled on behalf of Resident #190 on 3/10/22, with a local general practice dentistry office for 3/23/22, which was 22 days after the STAT order. …
F791 citations in Virginia
Dental services · Quality of Life and Care Deficiencies
Provide or obtain dental services for each resident.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Virginia cites F791 less often than its own record predicts
0.28 times the national share — cited less often here than elsewhere.
Of every deficiency written in Virginia in 2025, this is the portion that was F791.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Virginia surveyors wrote
F791 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, resident interview, staff interview, resident record review, the facility staff failed to obtain dental services for two (2) of 63 residents (Resident #27 and 96), in the survey sample. The findings included: 1. Resident #27 was originally admitted to the facility 01/30/2015 and readmitted [DATE] after an acute care hospital stay. The current diagnoses included COPD and a major depressive disorder. The quarterly Minimum Data Set (MDS) assessment with an assessment reference date (ARD) of 11/2/24 coded the resident as completing the Brief Interview for Mental Status (BIMS) and scoring 13 out of a possible 15. This indicated Resident #27's cognitive abilities for daily decision making were intact. …
The short window
Recent years
| Year | Share of Virginia citations | vs expected |
|---|---|---|
| 2023 | 0.26% | 0.90× |
| 2024 | 0.37% | 1.34× |
| 2025 | 0.08% | 0.28× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Virginia surveyors cite →
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction