Based on resident interviews, staff interviews, observations and facility documentation reviews, facility staff failed to provide routinely available snacks to residents on one of three units. The findings include: The staff failed to provide snacks for residents at bedtime.On 6/2/26 at 2:00 pm, a resident council meeting was conducted with approximately 15 people in attendance. During the meeting, several residents expressed that they do not receive snacks throughout the day and especially at night. Several residents stated that they go to bed hungry at night.On 6/2/26 at approximately 3:13 pm, an interview was conducted with the Dietary Manager. The Dietary Manager stated, I take snacks to the nourishment rooms at 10 am, 3 pm and 8pm. …
F809 citations in Virginia
Nutrition and Dietary Deficiencies
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Virginia cites F809 more often than its own record predicts
2.40 times the share F809 takes of citations nationally.
Of every deficiency written in Virginia in 2025, this is the portion that was F809.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Virginia surveyors wrote
F809 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 group interview and staff interview, the facility staff failed to ensure snacks were provided. Findings include: A group meeting was conducted on 03/28/18 at 11:00 a.m., eight residents from both units were represented. The group was asked about snack availability in the facility. The group agreed that snacks are not given out to residents on a regular basis. The group stated that if you are a diabetic and ask for a snack that you may get one, but that is not always a guarantee and that they are usually never passed out and offered on a regular basis. One resident stated that they have never been offered, and it is a standard for residents to have ask and they may or may not get one. …
The short window
Recent years
| Year | Share of Virginia citations | vs expected |
|---|---|---|
| 2023 | 0.26% | 1.20× |
| 2024 | 0.37% | 1.76× |
| 2025 | 0.46% | 2.40× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Virginia surveyors cite →
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