Based on staff interview and facility documentation review, the facility staff failed to ensure there was a written transfer agreement with a local hospital which had the potential to affect all residents residing on 3 of 3 units. Findings included:On 1/21/2026 at 1:15 p.m. as a part of the extended survey, an interview was conducted with the Administrator who was asked provide evidence of a transfer agreement with the hospital. The Administrator stated he would look for a copy of the agreement. On 1/22/2026 at 9:20 a.m., the Administrator stated he could not find any evidence of a transfer agreement with the hospital. He stated he was sure the facility would have an agreement but could not find it. …
F843 citations in Virginia
Administration Deficiencies
Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Virginia cites F843 more often than its own record predicts
9.76 times the share F843 takes of citations nationally.
Of every deficiency written in Virginia in 2025, this is the portion that was F843.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Virginia surveyors wrote
F843 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.
The short window
Recent years
| Year | Share of Virginia citations | vs expected |
|---|---|---|
| 2023 | 0.07% | 4.46× |
| 2024 | 0.11% | 6.19× |
| 2025 | 0.15% | 9.76× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Virginia surveyors cite →
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