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Williamsburg Post Acute: Notification Failures - VA
The facility was cited for four deficiencies during the inspection and has not submitted a plan of correction....
Latest reports, citations, and penalties from CMS data
The facility was cited for four deficiencies during the inspection and has not submitted a plan of correction....
Improper medication storage can lead to several dangerous outcomes....
According to federal regulations, facilities are required to maintain systems that minimize the risk of medication errors....
A Level E designation means the problem was not an isolated incident....
Instead of writing morphine sulfate as an as-needed medication, staff scheduled it for regular administration....
Staff at Agility Health and Rehabilitation were giving Resident 9 oxygen at 4.5 liters per minute when the doctor had ordered 2 liters per minute....
Federal regulations set the five percent medication error threshold as a critical safety benchmark....
Inspectors determined that Polaris Rehabilitation failed to meet this standard....
When serious bodily injury is involved, reporting must occur **within 2 hours**....
Perhaps most concerning: the facility has **not submitted a plan of correction** for the cited deficiencies....
This regulation is one of the most fundamental protections afforded to nursing home residents under federal law....
The facility has since reported a correction date of **December 9, 2025**....
The regulation mandates that each plan include specific timetables and measurable actions to track progress and ensure accountability....
For context, the **national average** for deficiencies cited per nursing home inspection cycle is approximately **7 to 8 deficiencies**....
The facility has not submitted a plan of correction for the cited deficiencies....
Inspectors determined that the facility had not met this standard....
The F0658 tag is significant because it serves as a benchmark for whether a facility delivers care consistent with accepted clinical practices....
## Why Proper Drug Storage Protocols Exist Medication storage requirements in nursing homes are not administrative formalities....
The deficiency was classified at **Scope/Severity Level D**, meaning the issue was isolated in nature and did not result in documented actual harm....
The facility, located in Orangeburg, South Carolina, was directed to correct the reporting violation and confirmed a correction date of **October 15, 2025**....