Cherrydale Health & Rehab: Medication Errors - VA
Federal inspectors documented the November incident at Cherrydale Health & Rehabilitation Center during a complaint investigation. The therapist had been treating a resident under enhanced barrier precautions, which require fresh protective equipment for each room entry to prevent infection spread.
Staff also administered eye drops to a resident in the hallway without wearing gloves or performing hand hygiene. A licensed practical nurse then removed contaminated gloves, skipped hand washing, and immediately began using a computer and handling medication cards before finally using hand sanitizer.
The violations occurred despite facility policies requiring gowns and gloves during high-contact patient care activities including dressing, bathing, transferring, changing linens, providing hygiene, changing briefs, device care, and wound care for chronic wounds.
LPN #3 told inspectors that protective equipment "is important to protect yourself and also protect the patient whose immune system has been compromised, and we don't want to spread infection around."
The Director of Nursing acknowledged the problems during her interview. "We have plenty of PPE to get a new set if you exit and re-enter the room. It still puts the patient at risk," she said. "I always tell them no gloves or gowns in the hall."
Regarding the hallway medication administration, she was direct: "No, they shouldn't be administering medications in the hallway."
The facility's enhanced barrier precautions policy, effective since March 2024, specifically requires posting signs outside patient rooms and ensuring protective equipment availability. Standard precautions treat all body fluids as potentially infectious and require protective measures during care of all patients.
Inspectors presented their findings to the administrator, assistant administrator, director of nursing, and regional director of clinical services. No additional information was provided.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Cherrydale Health & Rehabilitation Center from 2025-11-13 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: June 20, 2026 · Our methodology
CHERRYDALE HEALTH & REHABILITATION CENTER in ARLINGTON, VA was cited for violations during a health inspection on November 13, 2025.
Federal inspectors documented the November incident at Cherrydale Health & Rehabilitation Center during a complaint investigation.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.