Based on observation, Resident interview, staff interview, clinical record review, and facility documentation review, the facility has failed to ensure the Medical Director has coordinated medical care in the facility and implemented resident care policies for one resident (Resident #5) in a survey sample of 46 Residents, resulting in harm for Resident #5. Immediate Jeopardy was identified on 8/6/19 at 6:17pm and the facility was notified. After verification, Immediate Jeopardy was abated on 8/7/19 at 6:55pm and the scope and severity was lowered to level three, isolated. The findings included; 1. For Resident #5, the facility staff failed to ensure the Medical Director has coordinated medical care, resulting in harm. Resident #5 was admitted to the facility on [DATE]. …
F841 citations in Virginia
Nursing and Physician Services Deficiencies
Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Virginia cites F841 more often than its own record predicts
2.30 times the share F841 takes of citations nationally.
Of every deficiency written in Virginia in 2025, this is the portion that was F841.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Virginia surveyors wrote
F841 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 clinical record review, the facility staff failed to obtain the Medical Director's assistance when having trouble scheduling a surgical consult/appointment for one (1) of 55 sampled residents (Resident #55). The findings include: The facility staff failed to have the Medical Director assist with obtaining Resident #55's surgical consult to address a rectal prolapse. Resident #55's diagnoses included, but were not limited to: rectal prolapse, Barrett's Esophagus, Gastro-Esophageal Reflux Disease, and dementia. Resident #55's minimum data set (MDS), with an assessment reference date (ARD) of 12/20/24, had the resident's brief interview for mental status (BIMS) summary score documented as a 15 out of 15 (this indicated intact or borderline cognition). …
What else Virginia surveyors cite →
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