Based on staff interview and facility document review, the facility staff failed to evidence agreements for contractual services for one of one facility. The findings include:The facility staff failed to maintain agreements for services with the contracted wound care company. On 01/09/2026 at approximately 11:00 a.m., a request was made for the facility's contracts for hospice, dialysis, mobile X-ray, mobile laboratory, dental, podiatry, ophthalmology/optometry wound care and psych (psychiatric/psychological) service. On 01/12/2026 at approximately 1:00 p.m. a review of the facility contracts failed to reveal agreements for services with the contracted wound care company. On 01/12/2026 at approximately 4:28 p.m. an interview was conducted with ASM # 4, regional director of operations. …
F840 citations in Virginia
Administration Deficiencies
Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Virginia cites F840 more often than its own record predicts
7.40 times the share F840 takes of citations nationally.
Of every deficiency written in Virginia in 2025, this is the portion that was F840.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Virginia surveyors wrote
F840 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 staff interviews and facility documentation review, the facility staff failed to obtain written agreements with outside resources to ensure timely provision of services. Specifically, the facility staff failed to arrange written agreements for the following services (including but were not limited to) since assuming ownership of the facility on 02/01/2021: dental, podiatry, audiology, optometry, radiology, and [CONDITION(S)] services. The findings include: On 05/06/2021, a copy of facility contracts was requested. At 1:17 P.M. Employee I, the Regional Nurse Consultant, Employee I stated that the contracts were not at the facility and that the corporate office was faxing over the contracts. …
The short window
Recent years
| Year | Share of Virginia citations | vs expected |
|---|---|---|
| 2023 | 0.46% | 15.59× |
| 2024 | 0.37% | 7.84× |
| 2025 | 0.38% | 7.40× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Virginia surveyors cite →
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