Based on interview, record review, and review of facility policy, the facility failed to timely notify the families of two (Resident (R) 63 and R73) of 57 sampled residents by 5:00 PM the following day when the residents tested positive for COVID-19. Findings include: Review of the facility policy titled, Coronavirus Prevention and Response revised 07/18/22, stated, Notify physician, Director of Nursing, Infection Preventionist, and family. Review of the facility's document titled COVID-19 Action Plan revised 02/15/22. stated, Facility will notify and document Medical Director, attending physician, resident and family of positive COVID-19 case/s in the facility as well as emergency plans initiated. …
F885 citations in Virginia
Infection Control Deficiencies
Report COVID19 data to residents and families.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2023
Virginia cites F885 more often than its own record predicts
3.82 times the share F885 takes of citations nationally.
Of every deficiency written in Virginia in 2023, this is the portion that was F885.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Virginia surveyors wrote
F885 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 facility documentation review, the facility staff failed to notify Residents and families when new cases of COVID-19 were identified in the facility, affecting all 49 Residents residing in the facility. The findings included: On 4/12/23, during an entrance conference held with the facility's assistant administrator, a request for evidence of Resident and family notifications of COVID cases for the year of 2023 was made. On 4/12/23, the facility Administrator stated that the facility had been posting a notice on the front door if they had active COVID in the facility and had no evidence that calls, or any other form of notification was made. …
What else Virginia surveyors cite →
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