Based on observations, resident interviews, staff interviews and review of facility documentation, the facility's staff failed to adhere to the following Centers for Disease Control and Prevention (CDC) guidance to have an established and effective COVID-19 testing program in place during a major [CONDITION(S)]-CoV-2 outbreak and to prevent further transmission, severe infections, hospitalization s and deaths which constituted Immediate Jeapardy at a scope and severity level of 4 widespread (L): The facility failed to ascertain the vaccination status of all Healthcare Personnel (HCP) to determine who was unvaccinated and required expanded screening testing and the facility failed to conduct unvaccinated HCP testing for [CONDITION(S)]-CoV-2 infection based on the level of community… …
F886 citations in Virginia
Infection Control Deficiencies
Perform COVID19 testing on residents and staff.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2023
Virginia cites F886 more often than its own record predicts
2.51 times the share F886 takes of citations nationally.
Of every deficiency written in Virginia in 2023, this is the portion that was F886.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Virginia surveyors wrote
F886 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 observation, staff interview, and facility documentation review, the facility staff failed to conduct COVID-19 testing in accordance with CDC (Centers for Disease Control) and CMS (Centers for Medicare & Medicaid Services) guidance/requirements during a COVID-19 Outbreak within the facility for 2 out of 3 residential nursing units. The findings included: The facility staff failed to conduct COVID-19 testing on 1/11/23 and 1/13/23 on Nursing Units A and B, following the identification of a COVID-19 Outbreak on 1/9/23. All residents located on Nursing Unit C had tested positive for COVID-19 on 1/9/23. On 5/3/23, a group interview was conducted with the Director of Nursing (DON) and the Infection Preventionist (IP). …
Based on staff interview and facility document review, it was determined the facility staff failed to evidence COVID-19 testing of staff during an outbreak of active COVID-19 cases confirmed in the facility from 1/4/2023-1/31/2023 for one of four staff sampled, RN (registered nurse) #1. The findings include: The facility staff failed to evidence COVID-19 testing of staff following confirmed resident and staff infections of COVID-19 (1) on 1/4/2023, 1/6/2023, 1/18/2023, 1/19/2023, 1/22/2023, 1/24/2023, 1/26/2023, 1/27/2023, and 1/31/2023. …
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