Based on observation, resident interview, staff interview, facility documentation review, and clinical record review the facility staff failed, for 3 residents (Resident #112, Resident #20, Resident #107) of the survey sample of 44 residents, to ensure that hot liquids were served at a safe temperature, resulting in Immediate Jeopardy. On 6/27/18 at 10:10 A.M., Immediate Jeopardy was called at a level 4 isolated. The Immediate Jeopardy was abated on 6/27/18 at 1:25 P.M. and lowered to a level 2 pattern. 1. For Resident #107, the facility staff to provide hot liquids at a safe temperature to prevent a burn injury from hot liquid. 2. For Resident #20, the facility staff to provide hot liquids at a safe temperature to prevent a burn injury from hot liquid. 3. …
F804 citations in Virginia
Food palatability and temperature · Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Virginia cites F804 more often than its own record predicts
1.41 times the share F804 takes of citations nationally.
Of every deficiency written in Virginia in 2025, this is the portion that was F804.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Virginia surveyors wrote
F804 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 interviews, clinical record review, and facility documentation review, the facility staff failed to provide beverages at a safe temperature to prevent injury, which resulted in harm for two residents (Resident #4 - R4 and Resident #2 - R2) in a survey sample of five residents. The findings included: 1. For Resident #4 (R4), the facility staff served coffee at a temperature that resulted in significant burns and scalding, which developed into a life-threatening injury that required hospitalization and the surgical placement of a feeding tube. …
Based on observation, staff interview, and facility document review, the facility staff failed to serve palatable pureed food in one of one kitchen during lunch on 8/10/2026. The findings include:On 8/10/2026 at 1:10 PM, a test tray was requested in the main kitchen. A sample of all foods served to residents at lunchtime was requested. At 1:28 PM, the final tray from the final lunch cart was served and the Regional Dietary Manager accompanied two surveyors to taste all the food on the test tray. The pureed mixed vegetables, pureed bread and pureed turkey were tasted by all three individuals; both surveyors agreed that the pureed turkey, pureed mixed vegetables and pureed bread were starchy, bland and unidentifiable in taste to what they were supposed to be. …
The short window
Recent years
| Year | Share of Virginia citations | vs expected |
|---|---|---|
| 2023 | 0.66% | 0.67× |
| 2024 | 0.80% | 0.84× |
| 2025 | 1.30% | 1.41× |
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