Based on staff interview and facility documentation review, the facility failed to ensure the implementation of policies regarding the management and operations of the facility potentially affecting all residents in the facility.The findings included:For all residents in the facility, the governing body failed to ensure that the facility had an effective QAPI Quality Assurance Performance Improvement program. The facility had multiple areas in which deficient practices were identified, including environmental services, sanitary, clean-and-safe building, infection control practices, medication storage, and administration. These issues affected the residents' quality of life in the facility.During the survey, investigations revealed the facility had issues involving multiple systems. …
F837 citations in Virginia
Administration Deficiencies
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
No F837 citations were recorded in Virginia for 2025. That means none appear in the CMS file for that year — not that the requirement does not apply.
In the surveyor’s words
What Virginia surveyors wrote
F837 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.
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