Based on staff interview and facility documentation review, the facility staff failed to develop, implement, and maintain an effective training program for all staff, including training on behavioral health care and services for 5 (RN #2, RN # 3, LPN # 7, CNA # 6, CNA #7) of 5 staff records reviewed. Registered Nurse (RN), Licensed Practical Nurses (LPN) and Certified Nursing Assistant (CNA)The Findings included:Substandard Quality of Care was identified by the survey team on resulting in extended survey from 04/24/2026-04/28/2026.During the end of day debriefing on 04/24/2026, the Facility Administrator, the Regional [NAME] President of Operations, Assistant Administrator, Regional Nurse Consultants and Director of Nursing were informed of the findings of the substandard quality of care… …
F949 citations in Virginia
Administration Deficiencies
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Virginia cites F949 more often than its own record predicts
5.32 times the share F949 takes of citations nationally.
Of every deficiency written in Virginia in 2025, this is the portion that was F949.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Virginia surveyors wrote
F949 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% | 1.22× |
| 2024 | 0.43% | 5.25× |
| 2025 | 0.38% | 5.32× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Virginia surveyors cite →
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