Based on observations and interviews, the facility failed to lock the front doors to prevent unauthorized individuals from entering the facility and residents from exiting the facility without staff's knowledge during the night shift. The facility also failed to store items including cleaners, air fresheners, disposable razors, shaving cream, foot spray, baby oil, and staff food where it was not accessible to residents. This failure to maintain a safe environment had the potential to place the 114 residents who resided in the facility at risk for elopement, injury, ingestion of hazardous substances, and exposure to unsafe environmental conditions. …
F921 citations in Virginia
Safe, clean, comfortable environment · Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Virginia cites F921 less often than its own record predicts
0.90 times the national share — cited less often here than elsewhere.
Of every deficiency written in Virginia in 2025, this is the portion that was F921.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Virginia surveyors wrote
F921 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 and in the course of a complaint investigation, the facility staff failed to maintain a functional and comfortable environment. The findings included; During 4 days of observation, the facility was not dirty, however, it was found to be in general disrepair with black scuff marks on the base boards, and walls. Walls had peeling paint, scraped off paint, metal picture hangers without pictures on the walls. Hand rails had been screwed into the walls with large unsightly bolted heads, and the furnishings were worn with threads broken on couches and chairs, and cushions on the furniture had large dips in the centers of them from use. Complaint Deficiency
The short window
Recent years
| Year | Share of Virginia citations | vs expected |
|---|---|---|
| 2023 | 0.40% | 0.46× |
| 2024 | 0.80% | 1.01× |
| 2025 | 0.77% | 0.90× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Virginia surveyors cite →
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction