Maimonides Health Center of Virginia Beach

In the surveyor’s words

From the most serious findings on record at Maimonides Health Center of Virginia Beach, in the surveyor’s own words.

• Actual harm, isolatedF580Nov 17, 2025

  Based on family interview, staff interview, facility documentation review, and clinical record review, the facility staff failed to inform the the resident's representative and Nurse Practitioner of a change in condition for 2 of 10 residents (Resident #4, and #2) which resulted in harm at Past Non-Compliance, for Resident #4 in the survey sample.The findings included: 1.Resident #2 was admitted to the facility on [DATE] with diagnoses including nephrostomy tubes for urine excretion, chronic heart failure and chronic heart disease with 3 cardiac arterial bypass grafts, an artificial heart valve, and a left ventricular ejection fraction of only 26% revealing a severely weakened heart muscle. […]

• Actual harm, isolatedF600Nov 17, 2025

  Based on staff interview, clinical record review, secure text messaging, family interviews and review of facility documents, the facility's staff neglected to ensure a resident who was in severe abdominal pain received care and treatment in a timely for 2 of 10 residents (Resident #2 and Resident #4) in the survey sample which resulted in Harm for Resident #4. Past Non-Compliance was issued for this deficient practice.The findings include:1. 1.Resident #2 was admitted to the facility on [DATE] with diagnoses including nephrostomy tubes for urine excretion, chronic heart failure and chronic heart disease with 3 cardiac arterial bypass grafts, an artificial heart valve, and a left ventricular ejection fraction of only 26% revealing a severely weakened heart muscle. […]

• No harm, potential for more than minimal, patternF761Jul 17, 2026

  Based on observation, record review, and facility policy review, the facility failed to ensure two medications were not left on top of a medication cart unsecured. The facility further failed to ensure three of five medication carts observed were locked when not in sight of staff. This had the potential for the misappropriation of medications. Findings include: 1. During medication administration observation and interview on the 100 hall on 07/15/26 from 9:10 AM to 9:51 AM, a Lovenox (an anticoagulant) 40 microgram (mcg) syringe was observed sitting out on top of the medication cart, unsecured. One resident was observed wheeling past the cart in his wheelchair. The Licensed Practical Nurse (LPN)8 was in an out of sight of the medication cart at this time. […]

• No harm, potential for more than minimal, patternF684Apr 10, 2025

  Based on observations, resident interviews, staff interviews, and a clinical record review, the facility staff failed to recognize and act on symptoms of an exacebation of heart failure for 1 of 20 residents (Resident #10), in the survey sample. The findings included: Resident #10 was originally admitted to the facility 3/6/2025 after an acute care hospital stay. The current diagnoses included chronic non-occlusive DVT and congestive heart failure with a reduced ejection factor of 30 percent. The admission Minimum Data Set (MDS) assessment with an assessment reference date (ARD) of 3/12/2025 coded the resident as completing the Brief Interview for Mental Status (BIMS) and scoring 5 out of a possible 15. […]

• No harm, potential for more than minimal, patternF686Apr 10, 2025

  Based on observations, resident interviews, staff interviews, and a clinical record review, the facility staff failed to prevent a pressure ulcer and manage care of an avoidable pressure ulcer after it was acquired for 1 of 20 residents (Resident #10), in the survey sample. The findings included: Resident #10 was originally admitted to the facility 3/6/2025 after an acute care hospital stay. The current diagnoses included chronic non-occlusive DVT and congestive heart failure with a reduced ejection factor of 30 percent. The admission Minimum Data Set (MDS) assessment with an assessment reference date (ARD) of 3/12/2025 coded the resident as completing the Brief Interview for Mental Status (BIMS) and scoring 5 out of a possible 15. […]