Mansfield Place

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

Therapy staffing: this home’s payroll records show 0.18 therapist hours per resident per day in 2026Q1 — more than 18% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 2% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 60 beds and averages 50.6 residents a day — about 84% occupied, or roughly 9 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.97 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.67 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.32 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.51 hrs/resident/day on weekends vs 4.15 on weekdays — 15% thinner on weekends. RN hours go from 0.80 to 0.34 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 48% is about the same as the national median of 45%. 1 administrator has left in the past year.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

23 citations, most serious first. The 11 most serious are shown; the remaining 12 are one tap away and print in full.

• Immediate jeopardy · Jcited before2025-07-24 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, observation, and staff interviews, the facility failed to ensure that each resident received adequate supervision and was protected from avoidable accident hazards. Specifically, the facility failed to prevent a resident (Resident #58) from being struck by a tray cart pushed by a CNA, which caused the resident to fall, sustain multiple traumatic brain injuries, require emergency medical intervention, and ultimately resulted in the resident's death. Resident identifier: #58 Facility Census:56 This failure placed all residents who ambulate or are present in high-traffic hallways at risk for serious harm, injury, or death due to unsafe transportation of tray carts. Findings Include:Record Review of Incident on [DATE]:On [DATE] at 6:17 PM, Resident #58 was observed via camera footage sitting in a chair at the nurse's station.At 6:22 PM, Resident #58 stood and was facing the dining room with his back to NA #1, who was pushing a tall tray cart.CNA #1 struck Resident #58 in the back with the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Past Non-Compliance
• Potential for harm · E2025-07-24 · tag F0609 — failed to report abuse allegations — pattern
  Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY 609 Based on staff Interviews, Record review and Policy review the facility failed to report possible abuse allegations to state agencies within the two hours time frame. This failed practice was a random opportunity for discovery, and had the potential to affect all residents residing in the long term care facility. Resident Identifier: #1 Facility Census: 56 This standard was NOT MET as evidenced by: Based upon Staff and Resident Interviews, Record review and Policy review the facility failed to notify State Agencies of the abuse allegation with in the two hours times frame per the CMS guidelines.Findings include: 07/21/2025 1156:InterviewSpoke with resident #1 during interview and she stated there was no issues and everything was good. 07/21/2025 12:47 PM Record reviewDuring record review there was a note placed by SW #17 stating an incident took place that the resident was reluctant to come forward with.attached is the note from the patient chart. Entry was made on 7/21/2025 @ 12:21pm by Social Worker…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-07-24 · tag F0880 — failed to prevent and control infections — pattern
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  F0880S483.80 Infection Control The facility must establish and maintain an infection prevention and control program designed to provide a safe, sanitary and comfortable environment and to help prevent the development and transmission of communicable diseases and infections. This Standard is NOT MET as evidenced by: Based upon Random observation of lunch cart and Staff Interview, the facility failed to maintain a clean and sanitary transportation of resident meals on tray carts. During lunch service Tall food cart was delivered into main dining hall with a dirty spoon on top of cart. There was also a Styrofoam cup on top of cart that was next to the spoon, intended for a resident meal. Census:56Finding include: 07/22/2025 12:40 PM Observations:During lunch service Tall food cart was delivered into main dining hall with a dirty spoon on top of cart. There was also a Styrofoam cup on top of cart that was next to the spoon, intended for a resident meal. 07/22/2025 12:50 PMInterview:Dietary Supervisor #67 was questioned and she stated that the cup was for a resident and that it was…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-07-24 · tag F0604 — failed to not use physical restraints improperly — isolated
  Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and staff interviews, the facility failed to follow orders to release Resident #7 from the seat belt every two (2) hours. This was a random opportunity for discovery during the Long Term Care Survey. Resident identifier: #7 Facility Census: 56 Findings include:Record review:07/23/2025 10:00 AM Orders placed on 2/3/25Release seatbelt every two hours, reposition, skin checks, proper attachment of seat belt and pericare.Special Instructions: prevent skin breakdown.Every 2 Hours07:00, 09:00, 11:00, 13:00, 15:00, 17:00no documentation showing release belt and checking of resident every two hours as per orderresident #7 unable to self release belts due medical conditions. This is considered a restraint when a patient can not release belt by themselves.Don #102 stated that she would look into the matter and bring me any documentation they find.Interviews:7/23/2025 @1030 Interview with Nurse Aide (NA) and nurse on hall with residentNA #101 stated when he is up we check on him every 2 hours, but CNA's don't have a place to chart it. CNA #101 also stated the resident is…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-07-24 · tag F0637 — isolated
  Assess the resident when there is a significant change in condition
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY 637 Based on record review and staff interview, the facility failed to do a change in condition Minimum [NAME] Set (MDS) after resident #9 developed a pressure ulcer, and correctly documented on the MDS from 6/26/25 the status of Resident #9's injuries. This failed practice was a random opportunity for discovery and had the potential to affect more than a minimal number of residents residing in the Long Term Care Facility. Resident Identifier: #9 Facility Census: 56Findings include: 7/22/2025 3:27 PM Record Review MDS on 6/29/25 -section m0210 states that there is an unhealed Pressure Ulcer (PU) / injury section M0300does not state PU stg(stage) 4 or unstageable on left 4th toe, or that it is resolvedwas not resolved until 6/30 according to charting States there is a deep tissue injury (no location given) Section M1040 stated there were no other wounds (Z) is markedL(left) foot 3rd toe abrasion was not resolved until 6/30 Wound note review6/6/25 there was a wound found on L 4th toe found by Registered Nurse (RN…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-07-24 · tag F0644 — isolated
  Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and staff interview the facility failed to ensure Preadmission Screening and Resident Review (PASRR) was completed accurately . This failed practice was found true for 2 of 5 residents reviewed for the PASRR care area during the Long Term Care Survey. Resident Identifier: #2 and #23 Facility Census: 56 Findings include: a) Resident #2 During Record review on 07/22/25 of Resident #2's most recent PASRR completed on 02/17/25 which revealed no diagnosis were checked. Further record review of Resident#2's medical diagnosis revealed they were diagnosed with Bipolar Disorder on 04/21/25 as Primary DiagnosisAn interview with the Social Worker on 07/27/25 at 11:30 am was completed and confirmed Bipolar Disorder was not marked on Resident #2's PASRR. b) Resident #23During Record review on 07/23/25 of resident #23's medical diagnosis revealed the following diagnoses Anxiety disorderSchizoaffective disorderDepression, unspecifiedFurther record review on 07/23/25 of resident #23's PASRR revealed Major Depression was checked. Further research regarding Major Depression and…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-07-24 · tag F0657 — failed to keep the care plan current — isolated
  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  657 Based on staff Interviews, Record review and Policy review the facility failed to follow established care plan and order of the resident and ensure they were checked on every two hours . This failed practice was a random opportunity for discovery, and had the potential to affect all residents residing in the long term care facility. Resident Identifier: #7 Facility Census: 56This standard of care was NOT MET as evidenced by:Findings include:Record review:07/23/2025 10:00 AM Orders placed on 2/3/25Release seatbelt every two hours, reposition, skin checks, proper attachment of seat belt and pericare.Special Instructions: prevent skin breakdown.Every 2 Hours07:00, 09:00, 11:00, 13:00, 15:00, 17:00no documentation showing release belt and checking of resident every two hours as per orderresident #7 unable to self release belts due medical conditions. This is considered a restraint when a patient can not release belt by themselves.Don #102 stated that she would look into the matter and bring me any documentation they find.Interviews:7/23/2025 @1030 Interview with CNA and nurse on…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-07-24 · tag F0842 — failed to keep accurate, complete medical records — isolated
  Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on Record review and Staff interview, the facility failed to maintain medical records on each resident by not noting residents received Pharmacy Reviews/ Recommendations for the month of June, 2024. This was a random opportunity for discovery and had the potential to affect more than a limited number of residents residing in the long term care facility. Facility Census: 56 Findings Include: During Record review on 07/23/25 it showed residents did not have a Pharmacy Recommendation or review for the month of June, 2024. for Resident's #2, #6, and #18.During an interview with the Director of Nursing (DON) on 07/23/24 at 10:00 AM who stated ( I think that was around the time i took this position and they were done i have the list, i just did not note it in the resident's chart. At this time the DON provided surveyors with a list of residents who had Pharmacy reviews/Recommendations for the month of June, 2025. The report was from the Pharmacy and showed residents #2. #6. and #18 did actually have Pharmacy Reviews/ Recommendations done for the month in question. At this time the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2023-10-04 · tag F0561 — failed to honor residents' choices — pattern
  Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, resident interviews and staff interviews, the facility failed to promote and facilitate resident self-determination through support of resident choice regarding having access to the dining room during meals and activities. This failed practice had the potential to affect an unlimited number of residents currently residing in the facility. Facility census: 45. Findings included: A review of the Centers for Medicare and Medicaid Services (CMS) Nursing Home Visitation- COVID-19 with a revision date of 05/08/23 read as follows. .Communal Activities, Dining and Resident Outings: While adhering to the core principles of COVID-19 infection prevention, communal activities and dining may occur. a) Resident #11 During an interview, on 10/02/23 at 11:52 AM, Resident #11 stated, I always eat in the dining rooms, but we have to eat in our rooms since COVID. During an observation on 10/02/23 at 12:00 PM residents were not in the dining rooms for the noon meal. b) Interviews During an interview on 10/03/23 at 11:39 AM, the Activity Volunteer Coordinator (AVC) #68 stated the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2023-10-04 · tag F0679 — failed to provide activities — pattern
  Provide activities to meet all resident's needs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, record review, resident interview and staff interview, the facility failed to implement an ongoing resident centered activities program designed to meet the interest of and support the physical, mental and psychosocial well-being of each resident. This failed practice had the potential to affect an unlimited amount of residents residing in the facility. Resident Identifiers: Resident #11. Facility census: 64. Findings included: A review of the Centers for Medicare and Medicaid Services (CMS) Nursing Home Visitation- COVID-19 with a revision date of 05/08/23 read as follows. .Communal Activities, Dining and Resident Outings: While adhering to the core principles of COVID-19 infection prevention, communal activities and dining may occur. a) Resident #11 During an interview on 10/02/23 at 11:52 AM, Resident #11 stated I usually attend all the activities but since COVID we have not had any in a long time. I am so bored in my room. During a record review on 10/03/23 at 7:59 PM, Resident #11's medical record revealed an activity participation record with the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2023-10-04 · tag F0812 — failed to store, cook, and serve food safely — pattern
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, policy review and staff interview, the facility failed to store food in accordance with professional standards for food safety. The facility failed to dispose of expired food items. The facility also failed to accurately document the nourishment room refrigerator temperature log. This failed practice had the potential to affect all residents currently receiving nourishment from the nourishment room and the Resident's food storage refrigerator. Facility census: 45. Findings included: A review of the facility policy titled Temperature Control with a revision date of 01/17 read as follows: .Procedure: Proper temperature control is a necessary practice to prevent possible food spoilage or bacterial growth, which could result in a food-borne illness. 1. Temperature records are maintained for all refrigeration and freezer units both in the Dietary Department and on patient care areas (Diet Kitchens). The Dietary Department personnel are responsible for checking and recording temperatures daily. a) Nourishment Room During a tour of the nourishment room on 10/03/23 at…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

$17,345 in federal fines across 1 penalty.

• $17,345 — penalty dated 2025-07-24

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Who owns this facility

The source lists no ownership percentage for any party here — PECOS records a share only for equity interests, not for board or management roles.

What families pay in WV