Dinwiddie Health And Rehab Center
Inspection Findings
F-Tag F0689
F 0689 Level of Harm - Actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
of left shoulder and wrist. Orders were implemented for wrist splint, immobilization with sling, ice/elevation, pain management and orthopedic referral. 7/9/25 - The mechanical lift used at the time of the incident was removed from service and inspected by maintenance with no malfunctions identified. All mechanical lifts in
the facility were inspected by maintenance with no identified problems. All lift slings were inspected with five removed from use.7/9/25 - Statements were obtained from staff involved. A re-enactment of the incident was conducted with CNAs involved with the incident. Re-enactment of the incident revealed that the lift sling straps were not crossed as required for safety. Education was immediately provided to the CNAs involved with the incident including procedure for crossing sling straps between the resident's legs. CNA #4 went home after the incident due to being upset about the incident. Care plans were reviewed for all residents with need for 2-person assistance for accuracy and current competencies were reviewed for accuracy.7/10/25 - 7/12/25 - CNA competencies regarding proper use of the mechanical lift, sling straps and plans of care for transfers were conducted with all CNAs. This was documented on a form titled Skills Checklist Using a Mechanical Lift with observations and sign-off of demonstrated proper procedures.7/16/25 - DON conducted in-service education with all CNAs and nurses regarding residents' transfer status and following the plan of care/kardex for proper transfer status.7/21/25 - DON or designee began random observations of five mechanical lift transfers weekly for four weeks with report of findings presented to the quality assurance committee. Weekly audits were ongoing and to be reviewed by the quality assurance committee.Date of compliance was listed as 8/5/25.The education, competency checklists and lift transfer monitoring were documented as listed with weekly monitoring of lift transfers continuing during the current survey. The audits since 8/5/25 indicated compliance with proper lift procedures including proper sling strap positioning. There were no falls/incidents involving a mechanical lift since the correction date of 8/5/25. There were six residents that had experienced a fall in the facility since 8/5/25. These residents (Resident R3, Resident R4, Resident R5, Resident R6, Resident R7 and Resident R8) were included in the survey sample with no deficiencies identified related to falls/accidents. On 9/3/25 at 8:00 a.m., accompanied by CNA #2 and CNA #3, a mechanical lift/transfer with use of the U-shaped sling was observed with Resident #2. Proper sling and strap positioning was observed along with proper lift operation for a safe transfer. Twelve CNAs were interviewed on different shifts regarding education and competencies with all interviewed verifying the education provided and verbalizing knowledge about crossing the bottom straps when using the U-shaped sling. The plan of correction was deemed acceptable and implemented as listed with no non-compliance identified regarding falls/accidents since the correction date of 8/5/25.This finding was reviewed with the administrator, DON, clinical service specialist and director of quality assurance on 9/2/25 at 2:50 p.m. and
on 9/3/25 at 11:40 a.m. with no further information presented prior to the end of the survey.This deficiency was cited as past non-compliance.
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DINWIDDIE HEALTH AND REHAB CENTER in PETERSBURG, VA inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in PETERSBURG, VA, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from DINWIDDIE HEALTH AND REHAB CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.