Deficiency Index

F868 citations in Virginia

Quality assurance committee · Administration Deficiencies

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

F868 in Virginia. Pick another state for the same tag.

Against expectation — 2025

Virginia cites F868 less often than its own record predicts

Versus expected share0.99×

0.99 times the national share — cited less often here than elsewhere.

Share of Virginia citations0.23%

Of every deficiency written in Virginia in 2025, this is the portion that was F868.

Each state is measured against its own expected share, not against other states.

In the surveyor’s words

What Virginia surveyors wrote

F868 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.

E · No harm, potential for more than minimal, patternApril 28, 2026

Based on staff interview and facility documentation review, the facility staff failed to ensure QAPI (Quality Assurance Performance Improvement) meetings were conducted quarterly for 3 of 4 quarters sampled.The Findings included:Throughout the survey conducted 04/21/2026 - 04/28/2026, the survey team inspected and investigated the facility's systems and processes regarding correcting previously cited deficiencies and resident care concerns. It was noted the facility had failures and remained out of compliance in areas that had previously been cited as deficient during previous abbreviated surveys. The Maintenance logs and Pest control logs were reviewed by the survey team. …

Thalia Gardens Rehabilitation and Nursing

C · No harm, potential for minimal, widespreadMarch 3, 2022

Based on staff interview and review of facility documents, the facility staff failed to maintain a quality assessment and assurance committee which meets at least quarterly. The findings included: On 3/3/22 at approximately 9:00 p.m., a Quality assessment and assurance (QA&A) interview was conducted with the Administrator. The Administrator stated there had been no QA&A meeting since she arrived 2/7/22 and she was unable to provide documentation of previous QA&A meetings because she was unable to locate the QA&A note book. The Administrator further stated a QA&A meeting had not not scheduled. The Administrator also stated staffing is a system failures and it hadn't been addressed with the Medical Director. …

Old Dominion Rehabilitation and Nursing

The short window

Recent years

YearShare of Virginia citationsvs expected
20230.26%1.03×
20240.21%0.88×
20250.23%0.99×

Shares of citations, not counts: earlier years hold fewer inspections.

What else Virginia surveyors cite →

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