Williamsburg Post Acute: Medication Error Pattern - VA
The facility failed to designate a trained infection preventionist from May through August, violating federal requirements designed to prevent disease outbreaks in nursing homes. During that gap, infection tracking logs sat incomplete for multiple residents, missing critical details like onset dates, diagnostic test results, and whether infections were healthcare-associated.
The Interim Director of Nursing and Regional Director of Clinical Services told inspectors they had "several people overseeing the facility's infection control program" after the Assistant Director of Nursing left in April. But none had completed specialized infection prevention training.
Inspectors reviewed the facility's infection control binder and found surveillance logs from July were incomplete for five residents. The tracking missed essential information including infection sites, culture results, organisms identified, antibiotics prescribed, isolation status, and resolution dates.
From May through the inspection date, numerous months of infection control reports, McGeer's criteria documentation, facility mapping, and monthly summaries remained incomplete or missing entirely.
The facility's own policies require the infection control program to be "overseen by the Infection Preventionist" and specify that qualified candidates must have "Certification in Infection Control and Epidemiology" or complete training before employment.
Inspectors found evidence of CDC nursing home infection prevention training certificates for two interim directors of nursing - one covering August through October, another from October forward. But no documentation showed anyone was designated as the qualified infection preventionist during the critical May through August period.
The Administrator, nursing directors, and regional officials were notified of the violations during the inspection's final meeting but provided no additional information to address the concerns.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Williamsburg Post Acute & Rehabilitation from 2025-11-14 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 22, 2026 · Our methodology
WILLIAMSBURG POST ACUTE & REHABILITATION in WILLIAMSBURG, VA was cited for violations during a health inspection on November 14, 2025.
But none had completed specialized infection prevention training.
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.