Based on clinical record review and staff interview, the facility staff failed to prevent an allergic reaction to a documented food allergy which resulted in the resident requiring emergency medical treatment, thus resulting in a determination of Jeopardy (IJ) for one of 36 residents in the survey sample, Resident #43. After IJ was removed, the scope and severity was lowered to a level 3 (three), isolated, harm. The findings include: For Resident 43 (R43), facility staff served the resident lobster ravioli when he had a documented shellfish allergy which resulted in IJ and harm. R43 was admitted to the facility with diagnoses that included but were not limited to cognitive communication deficit (1). …
F806 citations in Virginia
Allergies and food preferences · Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Virginia cites F806 more often than its own record predicts
1.74 times the share F806 takes of citations nationally.
Of every deficiency written in Virginia in 2025, this is the portion that was F806.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Virginia surveyors wrote
F806 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 resident interview, staff interview, facility document review, and clinical record review, the facility staff failed to provide food that accommodated a resident's food allergies, resulting in harm for one of 35 residents in the survey sample, Resident #5, and failed to provide food that accommodated a resident's food preferences for one of 35 residents in the survey sample, Resident #51. The findings include: 1. For Resident #5 (R5), the facility staff provided fish, a food the resident was allergic to, resulting in the resident's tongue swelling and requiring the use of emergent allergy medications. …
Based on observation, resident interview, clinical record review and facility document review, the facility staff failed to honor resident's food preferences for (1) one of (13) thirteen residents in the survey sample (Resident #8).Findings included:Resident #8 was originally admitted to the facility 11/25/25 and re-admitted after a hospitalization from 4/26/26 to 5/1/26 for a GI bleed (gastro-intestinal, bleeding in the stomach). Other diagnoses included but are not limited to diabetes mellitus type 2, (GERD) gastroesophageal reflux disease, anemia, atrial fibrillation (irregular heart rate), hypertension, asthma, hemiparesis and hemiplegia following a cerebral infarction (reduced strength in extremities following a stroke), and memory deficit following stroke.Resident #8's most recent… …
The short window
Recent years
| Year | Share of Virginia citations | vs expected |
|---|---|---|
| 2023 | 0.72% | 1.79× |
| 2024 | 0.64% | 1.64× |
| 2025 | 0.69% | 1.74× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Virginia surveyors cite →
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