Based on observation, staff interview, clinical record review, and facility document review, the facility staff failed to ensure the accurate representation of the resident experiences were documented in the clinical record for 1 out of 30 sampled residents, Resident #2 (R2). The findings included:The facility staff failed to accurately document R2's behaviors in the medical record.On 8/18/26 at 4:00 pm, an observation made of R2 in her room yelling and cursing at the staff. R2 was yelling out in the hallway at visitors, staff, and other residents and using profanity. The staff had one staff member to stay with her in her room.On 8/19/26 at 3:30 pm, there was an observation of R2 out in the hallway on the unit yelling at staff and other residents as the residents walked by her. …
F842 citations in Virginia
Medical records · Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Virginia cites F842 more often than its own record predicts
1.64 times the share F842 takes of citations nationally.
Of every deficiency written in Virginia in 2025, this is the portion that was F842.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Virginia surveyors wrote
F842 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 interview and clinical record review, the facility staff failed to ensure a complete and accurate clinical record for 6 of 23 residents, Residents #100, 101, 115, 263, 36, and 57. The findings include: 1. For Resident #100, the facility staff failed to complete a preliminary consent to treat form in the residents clinical record. Resident #100's diagnoses included muscle wasting/atrophy and diabetes. Section C (cognitive patterns) of Resident #100's quarterly minimum data set (MDS) assessment with an assessment reference date (ARD) of 05/06/24 included a brief interview for mental status (BIMS) score of 15 out of a possible 15 points. The clinical record included the following documents. Provider order dated 01/30/24 for a full code. …
The short window
Recent years
| Year | Share of Virginia citations | vs expected |
|---|---|---|
| 2023 | 3.09% | 1.91× |
| 2024 | 3.63% | 1.93× |
| 2025 | 3.67% | 1.64× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Virginia surveyors cite →
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