Based on observations, Resident/family interview, staff interview, clinical record review, facility documentation review and in the course of a complaint investigation, the facility staff failed to provide specialized rehabilitative services to prevent the functional decline for two Residents (Resident #14 and #68), resulting in harm for Resident #14, in a survey sample of 60 Residents. The findings included: 1. For Resident #14, who developed a hand/wrist contracture while a Resident of the facility, the facility staff failed to provide specialized rehabilitative services as ordered by the physician, to prevent the worsening of the contracture for a period of two months resulting in harm. …
F825 citations in Virginia
Quality of Life and Care Deficiencies
Provide or get specialized rehabilitative services as required for a resident.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Virginia cites F825 more often than its own record predicts
1.02 times the share F825 takes of citations nationally.
Of every deficiency written in Virginia in 2025, this is the portion that was F825.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Virginia surveyors wrote
F825 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, clinical record review, and review of facility documents, the facility's staff failed to provide a specialized therapy evaluation resulting in delayed treatment in services which placed the resident in higher risk for decline for 1 of 4 residents (Resident #3), in the survey sample.Resident #3 was originally admitted to the facility 8/24/25 and readmitted [DATE] after an acute care hospital stay. The current diagnoses included; Cerebral Infarction Due to Unspecified Occlusion or Stenosis. Hemiplegia and Hemiparesis Following Cerebral Infarction. …
The short window
Recent years
| Year | Share of Virginia citations | vs expected |
|---|---|---|
| 2023 | 0.20% | 1.60× |
| 2024 | 0.11% | 0.92× |
| 2025 | 0.15% | 1.02× |
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