Based on staff interviews and facility document review, the facility staff failed to follow state regulations at the time of hire for four of five staff records reviewed, LPN (licensed practical nurse) #8, LPN #9, CNA (certified nursing assistant) #10, and CNA #11.The findings include: For LPNs #8 and #9, and for CNAs #10 and #11, the facility staff failed to follow state regulations to verify professional licensure at the time of hire.According to Virginia state regulation 12VAC5-371-210 Nurse staffing, Before allowing a nurse aide to perform resident care duties, the nursing facility shall verify that the individual is.A certified nurse aide in good standing.On 2/23/26 at 9:00 a.m., facility staff were requested to provide evidence that licensure was verified at the time of hire for LPN… …
F836 citations in Virginia
Administration Deficiencies
Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Virginia cites F836 more often than its own record predicts
3.41 times the share F836 takes of citations nationally.
Of every deficiency written in Virginia in 2025, this is the portion that was F836.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Virginia surveyors wrote
F836 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, staff interviews, and facility documentation review, the facility staff failed to maintain compliance with the Code of Virginia Regulations for the Licensure of Nursing Facilities, 12VAC5-371-140. Policies and Procedures, section H. Policies and procedures were not readily available for staff use at all times, to direct care and services for all 69 residents in the facility. The findings included: On 5/5/21 at 3:45 PM, an interview was conducted with Employee E, the Social Worker. Employee E stated, We are getting new policy and procedures [parent company/owner name] hasn't gotten them to us yet. I'm still operating as I have for [AGE] years I don't have a policy for admissions, I have no access to any policies at this point, I'm sorry. …
The short window
Recent years
| Year | Share of Virginia citations | vs expected |
|---|---|---|
| 2024 | 0.16% | 1.74× |
| 2025 | 0.23% | 3.41× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Virginia surveyors cite →
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