F805 in Virginia. Pick another state for the same tag.
Against expectation — 2025
Virginia cites F805 more often than its own record predicts
Versus expected share1.25×
1.25 times the share F805 takes of citations nationally.
Share of Virginia citations0.38%
Of every deficiency written in Virginia in 2025, this is the portion that was F805.
Virginia0.38%
National0.31%
Share of all citations that were F805.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Virginia surveyors wrote
F805 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.
J · Immediate jeopardy, isolatedDecember 1, 2023
Based on observation, staff interview, facility document review, and clinical record review, the facility staff failed to prepare and serve food and liquids to residents with orders for modified consistency diets for two of 41 residents in the survey sample, Residents #80 and #8. For Resident #8, the facility staff failed to serve pureed foods as ordered by the physician. For Resident #80, the facility staff served the incorrect food and fluid consistency which resulted in Resident #80 coughing and a nosebleed. The facility's deficient practice placed the resident at risk of infection, lack of oxygen to the brain, or death. This resulted in a determination of Immediate Jeopardy (IJ). …
Based on observation, family interview, staff interviews, and clinical record review, the facility staff failed to provide a provider ordered mechanically altered diet for one of forty-three sampled residents (R)119 resulting in harm. R119 developed pneumonia and required antibiotic treatment.The findings included:R119's diagnoses included dysphagia, vascular dementia, stridor, and cerebral infarction.R119's hospital Discharge summary dated [DATE] included dietary orders for a pureed diet.Section C (cognitive patterns) of R119's admission minimum data set (MDS) assessment with an assessment reference date (ARD) of 12/26/25 included a brief interview for mental status (BIMS) score of 2 out of a possible 15 points, indicating R119 was severely impaired in cognitive skills for daily decision… …
D · No harm, potential for more than minimal, isolatedJune 12, 2025
Based on observation, staff interviews, clinical record review, and facility document review, the facility staff failed to provide a resident with food prepared in a form designed to meet the individual needs for 1 of 6 sampled residents. (Resident #3)
The findings include:
For Resident #3, the facility staff failed to ensure meat was ground as indicated for a mechanical soft diet as ordered by a medical provider to meet the resident's dietary needs.
Resident #3's diagnosis list indicated diagnoses that included, but were not limited to, Congestive Heart Failure, Dysphagia, Transient Cerebral Ischemic Attack, Glaucoma, Anemia, Peripheral Vascular Disease, Chronic Kidney Disease-Stage 3, Unspecified Dementia, and History of Falling. …
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