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Glenwood Healthcare Center

1924 Glen Wood Park Road, Princeton, WV 24739 · For profit - Limited Liability company · 100 certified beds · (304) 425-8128 Medicare & Medicaid certified

Call the home — (304) 425-8128 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Behavioral-health or dementia-care citation — no harm found (F0758)
Insights

On the public record, this home looks stronger than most — but visit before you decide.

In its favor
  • a strong health-inspection score (4/5) — the hardest rating to game (though it’s ranked within its own state, not nationally)
  • no federal fines or payment denials on record
  • a high payroll-based staffing rating (4/5)
Worth asking about
  • a high number of inspection citations overall (25) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags

One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.

A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.

4/5
CMS overall
4 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 4 of 5
StaffingFrom payroll records (PBJ) 4 of 5
Quality measuresSelf-reported by the facility 4 of 5

Location & what’s nearby

Hospital
★★ 2/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
405 12th Street Ext · (304) 425-7243 · Call to confirm hours
Pharmacy
200 12th Street Ext · (304) 487-6337 · Call to confirm hours
Grocery
Kroger3.6 mi
1229 Stafford Dr · (304) 487-6136 · Call to confirm hours
Park
1823 Glenwood Park Rd · (304) 425-1681 · Typically dawn to dusk
Place of worship
1661 Glenwood Park Rd

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

Overall quality measures 4 of 5
Long-stay residentspeople who live here 4 of 5

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.

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating held steady at 4 stars. From monthly CMS archive snapshots.

Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.

Overall rating4★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased16.8%14.7%15.4%typical
Long-stay residents who lose too much weight6.8%6.3%5.4%worse
Long-stay residents with a catheter left in their bladder0.0%0.4%0.9%better than state — see note marked double-dagger below the table
Long-stay residents with a urinary tract infection1.4%1.6%2.0%better
Long-stay residents with depressive symptoms9.2%7.6%6.5%worse
Long-stay residents who were physically restrained0.0%0.2%0.1%better
Long-stay residents with falls causing major injury3.1%4.4%3.3%typical
Long-stay residents whose ability to walk worsened24.2%15.9%16.1%worse
Long-stay residents on antianxiety or hypnotic medication30.7%27.0%18.9%worse
Long-stay residents given the seasonal flu vaccine100.0%97.6%95.3%typical
Long-stay residents with pressure ulcers2.7%4.2%4.7%better
Long-stay residents with worsening bladder/bowel control25.3%22.1%21.2%worse
Long-stay residents who got an antipsychotic medication — see the note below the table13.8%13.4%17.1%better
Short-stay residents who newly got an antipsychotic medication3.4%1.0%1.4%worse
Short-stay residents given the seasonal flu vaccine75.0%79.4%79.4%typical

‡ On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.

§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.

CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.

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.

40.9% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 63 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

40.9%U.S. median 51.5%
Got home and stayed home
11.4%U.S. median 10.7%
Went back to hospital
0.30U.S. median 0.30
Therapy hours / resident / day
0.10hours / resident / day
Physical therapy
0.13hours / resident / day
Occupational therapy
0.07hours / resident / day
Speech therapy

Therapy staffing: this home’s payroll records show 0.30 therapist hours per resident per day in 2025Q4 — more than 49% of the 13,714 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 10% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 14% — 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.

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF40.9%CMS range 31.4–54.251.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF11.4%CMS range 8.5–16.610.7%Oct 2022–Sep 2024no different from U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.—
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.—
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.—
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identifiednot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.—
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care settingnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.—
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.—
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF staynot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.—
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsenednot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.—
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization8.6%CMS range 4.3–13.17.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.071.02Oct 2022–Sep 2024CMS makes no comparison for this measure

From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.

Staffing

0.87
RN hours/ resident / day
1.11
LPN hours/ resident / day
2.46
Aide hours/ resident / day
4.45
Total nurse hours/ resident / day
0.43
RN hoursweekends
44.2%
Total nursing turnover
35.7%
RN turnover

How full it usually is: this home is certified for 100 beds and averages 77.6 residents a day — about 78% occupied, or roughly 22 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 4.45 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.87 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.46 is at or above 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 3.43 hrs/resident/day on weekends vs 4.23 on weekdays — 19% thinner on weekends. RN hours go from 1.00 to 0.36 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 44% is about the same as the national median of 45%.

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

8 →
deficiencies at the latest standard inspection (2026-06-18)
8
at the previous standard inspection (2025-02-13)

Deficiencies are unchanged from the previous inspection. 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.

ABCDEFGHIJKL

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.

25 citations, most serious first. The 10 most serious are shown; the remaining 15 are one tap away and print in full.

  • Potential for harm · E2026-06-18 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — pattern
    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

    Based on resident interview, staff interview, record review and observation, the facility failed to ensure an environment that was free from accident hazards over which the facility has control. This failed practice had the potential to affect more than a limited number of residents. Resident Identifiers: #1, #7, #64, #72, #79 and #42. Facility Census: 90. Findings included: a) Resident #42 On 06/16/2026 at 9:50 am, Resident #42 was observed in bed with fall mat propped up against the opposite wall of her room. At 10:03 AM during an interview with Licensed Practical Nurse (LPN) #62, entered the room and was asked about the fall mat. She stated she did not think it was permitted to be in use with the table. She moved the resident's bed to the lowest position and left the room to get her some medication. When she returned she stated she had asked her superior and was wrong, then proceeded to put the resident's fall mat to the right side of her bed. Review of Resident #42's care plan page 1 and 2 revealed the following: Focus The resident has had multiple falls related to poor…

    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 · E2026-06-18 · 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 and staff interview the facility failed to ensure proper handwashing and glove use was being utilized during meal service. This was found during the annual survey process. This failed practice had the potential to affect more than a limited number of residents. Facility census: 91. Findings include:a) Review of policy for Food preparationPolicy statement- All foods are prepared in accordance with the FDA Food CodeProcedures reads in part:All staff will practice proper handwashing techniques and glove use.Dining Services staff will be responsible for food preparation procedures that avoid contamination by potentially harmful physical, biological, and chemical contaminationReview of policy for Meal DistributionPolicy Statement: Meals are transported to the dining locations in a manner that ensures proper temperature maintenance, protects against contamination, and are delivered in a timely and accurate manner.Procedures read in part:Proper food handling techniques to prevent contamination and temperature maintenance controls will be used for point-of-service…

    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
  • Potential for harm · D2026-06-18 · tag F0550 — failed to protect resident dignity and rights — isolated
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review, staff interview and observation, the facility failed to ensure residents' dignity and respect were maintained during meal service in the dining room. This failed practice had the potential to affect a limited number of residents. Resident Identifiers: #88 and #77. Facility Census: 90. Findings included: a) Resident #88 On 06/15/26 at 12:20 PM, during observation of the dining room, Resident #88 was observed at a table with a visitor eating his lunch meal. The resident's catheter bag was hanging from the bottom of his wheelchair uncovered. At 12:10, Nurse Aide #119 confirmed the catheter was not covered and stated, Yes ma'am. The facility's policy and procedure for Catheter Drainage Bag and Tube Maintenance stated, g. Drainage bags will be covered when the resident is out of the room for dignity and infection prevention. b) Resident #77 On 06/15/26 at 12:20 PM, during observation of the dining room, Resident #77 was observed being assisted by Activities Leader #78 with her meal. The resident's plate of food and drinks were left on the serving tray and the lid…

    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 · D2026-06-18 · tag F0628 — isolated
    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
    What the surveyor found here — the official record, unedited, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on document review and staff interview, the facility failed to notify the Ombudsman of a Resident's discharge from the facility and return to home. This was true for Resident #97. Resident identifier: #97. Facility Census: 90. Findings included: Findings inclueded: a) Resident #97 Resident #97 was discharged to home on [DATE]. On 06/16/26 a review of resident's medical chart showed no documentation of notification of discharge to Ombudsman for Resident #97. b) During an interview with the facility Administrator on 06/17/26 at 12:51 PM, she acknowledged that the social worker did not complete a notification to the ombudsman for the resident at that time. She stated the social worker was unaware the ombudsman needed to be notified and that they subsequently received in-service training.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-06-18 · 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 a Preadmission Screening and Resident Review (PASARR) was updated for a resident with a new diagnosis of dementia after admission to the facility. This failed practice had the potential to affect a limited number of residents. Resident Identifier: #8. Facility Census: 90.Findings included: a) Resident #8 On 06/15/26, during Resident #8's initial record review, the Preadmission Screening and Resident Review (PASRR) was reviewed. The resident's admission date to the facility was 10/11/25. The resident's primary diagnosis listed in the medical chart was Sjogren syndrome, Unspecified. A diagnosis of Dementia in other Diseases Classified Elsewhere, Unspecified Severity, With Other Behavioral Disturbance was added to the medical record on 10/24/25. Dementia was not marked on the resident's most recent PASRR dated 10/28/25. On 06/16/26 at 2:15 PM, the Interim Director of Nursing reviewed the PASRR and confirmed dementia was not indicated on the PASRR and stated that she would check for an updated PASRR. No additional…

    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 · D2026-06-18 · tag F0645 — isolated
    PASARR screening for Mental disorders or Intellectual Disabilities
    What the surveyor found here — the official record, unedited, may be distressing

    Based on record review and staff interview, the facility failed to ensure a Preadmission Screening and Resident Review (PASRR) was accurately completed on admission to the facility for a resident with a diagnosis of Post-Traumatic Stress Disorder (PTSD). Resident Identifier: #8. Facility Census: 90. Findings included: a) Resident #8 a) On 06/15/2026, during Resident #8's initial record review, the Preadmission Screening and Resident Review (PASRR) was reviewed. The resident's admission date to the facility was 10/11/25. The resident's medical record documented a diagnosis of Post-Traumatic Stress Disorder (PTSD) on 10/11/25. b) PTSD was not marked on the resident's most recent PASRR dated 10/28/25. On 06/16/26 at 2:15 PM, the Interim Director of Nursing reviewed the PASRR and confirmed PTSD was not indicated on the PASRR and stated that she would see if there was an updated PASRR. No additional information was given to the state surveyor.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2026-06-18 · 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

    Based on record review and staff interview, the facility failed to ensure care plans were reviewed and revised for three (3) residents. The issues included resident's a resident receiving a thirty (30) day notice of discharge, a resident's dialysis weight being documented in the medical record and a resident receiving tube feedings. Resident identifiers: #2, #8 and #59. Facility Census: 90. Findings included: a) Resident #59 An interview with the resident on 06/15/26 at 3:37 PM revealed Resident #59 had capacity to make her own medical decisions and reported that she would like to discuss the possibility of a discharge home. Resident #59 reported she had never attended a care plan meeting and stated that she was unsure as to what it was of if she had been invited. Review of the resident's records showed a copy of an invitation to a care plan meeting dated 05/13/26 in the chart. There is no evidence in the chart that a care plan meeting was held that day. Interview with Social Worker #12 on 06/17/26 at approximately 11:30 AM revealed there was no note written on the day of the care…

    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 · D2026-06-18 · tag F0810 — isolated
    Provide special eating equipment and utensils for residents who need them and appropriate assistance.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review, staff interview, resident interview and observation, the facility failed to ensure a resident was able to utilize adaptive equipment for safe fluid intake appropriately. This failed practice had the potential to affect a limited number of residents. Resident Identifier: #51. Facility Census: 90.Findings included:a) Resident #51 On 06/15/26 at 12:25 PM, during the dining room observation, Resident #51 had a two-handled cup with a lid and could not get his thickened drink to come out. The hole in the adaptive cup was located on the top side of the cup instead of the bottom. The hole in the cup was not positioned where the resident could get a drink. The resident attempted several times to get a drink. Nurse Aide #119 confirmed the resident was unable to get a drink and turned the cup around so the resident could get a drink following state surveyor intervention. On 06/16/26 at 12:10 PM, Resident #51 was observed in the dining room attempting to get a drink. When the state surveyor asked the resident what was wrong, Resident #51 answered, Can't drink. 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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2025-02-13 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record review, and staff interview, the facility failed to ensure a safe, clean, comfortable, home-like environment. Packaged terminal air conditioner (PTAC) units contained dirt and debris. These were random opportunities for discovery. Resident identifiers: #1, #57, #23. Facility census: 80. Findings included: a) PTAC units On 02/10/25 at 11:44 PM, the packaged terminal air conditioner (PTAC) unit in Resident #57's room was observed to have debris, including an adhesive bandage, in it. On 02/10/25 at 12:04 PM, the PTAC unit in Resident #23's room was observed to have debris in it. On 02/10/25 at 12:07 PM, the PTAC unit in Resident #1's room was observed to have dirt in it. On 02/11/25 at 10:35 AM, the Housekeeping Manager and Regional Manager confirmed the dirt and debris in the PTAC units for Residents #57, #23, and #1. They stated PTAC units are cleaned by the Maintenance Department. On 02/11/25 at 10:50 AM, the Maintenance Director stated the PTAC units are cleaned every three (3) months. He confirmed the dirt and debris in the PTAC units for Residents…

    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 · Dcited before2025-02-13 · 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 — the official record, unedited, may be distressing

    Based on record review and staff Interview, the facility failed to revise the care plan for Resident #49 in the area of weight management. Resident identifier: #49. Facility census: 80. Findings included: a) Resident #49 Multiple care areas in the care plan had interventions that included weight management and monitoring 02/12/25 9:20 PM, the Director of Nursing (DON) confirmed Resident #49 had an order for no weights in February. The DON confirmed there was no documented weight for January and there were multiple areas in the care plan for weights to be obtained and monitored. The DON stated, Just about every care plan. The DON reported the patient had multiple refusals for weights to be obtained and had requested no weights.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
Show the remaining 15 citations
  • Potential for harm · D2025-02-13 · tag F0676 — failed to keep up residents' daily-living abilities — isolated
    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations and staff interview, the facility failed to appropriately dispose of a soiled brief for #46. This was a random opportunity for discovery during the Long - Term Care Survey process. Facility Census: 80 Resident identifier: #46 Findings included: a) Resident #46 02/10/25 11:32 AM the surveyor observed Resident #46 being provided ADL care by Nurse Aide (NA) #75 behind the curtain. The surveyor waited outside the doorway and noticed a soiled brief was placed on the fall mat on the left side of the bed by NA #75. The fall mat was lying on the floor. 02/10/25 11:36 AM Unit manager Registered Nurse (RN) # 71 was coming down the hall by the surveyor. The surveyor asked about the brief and now soiled linens that were observed placed on the fall mat by NA# 75. RN# 71 went into the room and saw the soiled brief and soiled wash cloths were on the fall mat. RN #71 came back to the door to this surveyor and stated They(NA's) should not be placing any soiled items on the bare floor. 02/10/25 11:41 AM this surveyor observed NA #75 place soiled items in a trash bag and clean…

    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 · D2025-02-13 · tag F0688 — failed to keep residents mobile / prevent decline — isolated
    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on Record Review, Staff Interview and Observation, the facility failed to provide posey palm protectors bilaterally as ordered for Resident #30 to prevent further avoidable reduction of range of motion (ROM). Resident identifier: #30. Facility census: 80. Findings included: a) Resident #30 Medical record review revealed bilateral palm posey/protectors were ordered for Resident #30. Two (2) observations for no right palm protector for Resident #30 were completed on 02/10/25 and 02/11/25. On 02/11/25 10:45 AM, no right palm protector was observed on Resident #30. On 02/11/25 10:45 AM, Licensed Practical Nurse ( LPN) #39 confirmed no palm protector on the right hand for Resident #30. LPN #39 stated, I'm not sure about it. I will have to find it. LPN reported later that staff found the palm protector in laundry and an order for the resident to wear the palm protectors for 6-8 hours was confirmed.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-02-13 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record review and staff interview, the facility failed to provide appropriate care and services regarding indwelling catheter care. This was a random opportunity for discovery. Resident identifier: #23. Facility census: 80. Findings included: a) Resident #23 The facility's policy titled Catheter Care, with approval date 03/01/24, gave instructions to check that collection bag is not on the floor and is draining properly and secured allowing for no reflux of urine back to the bladder. On 02/10/25 at 11:56 AM, Resident #23 was observed lying in bed with his bed in the lowest position. The resident's indwelling catheter urine collection bag was lying on the floor. There was a plastic basin under the resident's bed, but the indwelling catheter urine collection bag was not in the basin. The indwelling catheter urine collection bag was identified on the bag as a Sterigear Fig Leaf lite brand. This brand had a cover attached to the front of the bag to protect the resident's dignity by preventing the urine in the bag from being viewed by others. During a second…

    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 · D2025-02-13 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
    Provide safe and appropriate respiratory care for a resident when needed.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record review, and staff interview, the facility failed to ensure oxygen therapy services were administered in accordance with professional standards of treatment. Resident #42 and Resident #73's oxygen flow rates were not set at the physician prescribed rates. In addition, Resident #42's oxygen concentrator was not functioning properly. These were random opportunities for discovery. Resident I=identifiers: #42 and #73. Facility census: 80. Findings included: a) Resident #42 On 02/10/25 at 12:12 PM, Resident #42 was observed to be wearing oxygen by nasal cannula at a flow rate of 1.5 liters per minute (LPM). Review of Resident #42's physician's orders showed an order written on 05/25/23 for Oxygen 2 LPM via nasal cannula continuously every shift for shortness of breath. On 02/11/25 at 9:00 AM, Resident #42 was again observed to be wearing oxygen by nasal cannula at a flow rate of 1.5 LPM. On 02/11/25 at 10:45 AM, Registered Nurse (RN) #47 confirmed Resident #42's oxygen was set to 1.5 LPM and should have been set to 2 LPM. RN #47 attempted to increase 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 · D2025-02-13 · 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 interviews, the facility failed to ensure medical records were maintained accurately for two (2) of 27 residents. The facility did not obtain clarification for duplicate orders for bilateral posy palm protectors for Resident #30. Resident #12 had an incorrect order regarding PO (by mouth) medications. Resident identifiers: #12 and #30. Facility census: 80. Findings include: a) Resident #12 During record review on 01/11/25 at approximately 10:00 AM Resident has an order stating NPO(nothing by mouth). Further record review revealed an order placed on 02/08/25 for Amoxicillin-Pot Clavulanate Tablet 875-125 MG Give one (1) tablet by mouth two times a day for bacterial infection for five (5) days Pneumonia -start date-02/08/2025 2100 Further record review of the Medication Administration Record (MAR) revealed the medication was given on 02/08/25 PM and on 02/09/25 AM and PM and on 02/10/25 AM. Review of the MAR gave the indication that the medication was given by mouth. During an interview, on 02/11/25 at 10:30 AM with Registered Nurse (RN) # 71, the 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 · Dcited before2025-02-13 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations and staff interview, the facility failed to ensure they ahdered to safe and sanitary infection control practices. Direct care staff member was observed throwing a soiled brief and linens on a fall mat that was lying on the floor in the resident's room. This was a random opportunity for discovery during the Long - Term Care Survey process Resident identifier: #46. Facility census: 80. Findings included: a) Resident #46 02/10/25 11:32 AM the surveyor observed Resident #46 being provided ADL care by Nurse Aide (NA) #75 behind the curtain. The surveyor waited outside the doorway and noticed a soiled brief was placed on the fall mat on the left side of the bed by NA #75. The fall mat was lying on the floor. 02/10/25 11:36 AM Unit manager Registered Nurse (RN) # 71 was coming down the hall by the surveyor. The surveyor asked about the brief and now soiled linens that were observed placed on the fall mat by NA# 75. RN# 71 went into the room and saw the soiled brief and soiled wash cloths were on the fall mat. RN #71 came back to the door to this surveyor and stated…

    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 · E2023-12-20 · tag F0803 — failed to meet residents' dietary needs — pattern
    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, resident interviews and staff interview the facility failed to provide notification of changes of the menu by not noting or updating on the menu and/or residents were not notified of the change, when substituting foods. This had a potential to affect all residents receiving nourishment from the facility kitchen. Resident Identifiers: # 4 and #51 Facility Census: 79. Findings included: a) Resident #51 During an interview on 12/18/23 at 10:41 AM, Resident #51 stated the food was awful, very bland and no variety. The resident said, They do not follow the menu. And I get things on my dislikes list like fish and carrots. I have a bad allergic reaction to Shrimp so I don't eat anything from the water. During an observation on 12/19/23 at 12:32 PM, Resident #51's noon meal tray had egg noodles, meatballs on the plate, no vegetables or no roll. and a bowl of peaches. During an immediate interview Nurse Aide (NA) #23 acknowledged Resident #51 received no vegetable and/or roll on her noon time tray. During a review of the dietary menu the substitute vegetable 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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2023-12-20 · tag F0804 — failed to serve food at safe, palatable temperature — pattern
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, resident interview and staff interview the facility failed to serve food that was palatable and at an accurate temperature. This failed practice had the potential to affect more than an isolated number of residents. Resident Identifiers: Resident #51. Facility Census: 78. Findings Included: a) Resident Interview During an interview on 12/18/23 at 10:41 AM Resident #51 stated the food was awful, very bland and had no variety. The food was always cold. They did not follow the menu. And they got things on their dislikes list like fish and carrots. Resident #51 said I have a bad allergic reaction to Shrimp, so I don't eat anything from the water. b) Test Tray On 12/19/23 at 11:49 AM two (2) state surveyors tasted the noon time meal for palatability. The Noon meal consisted of the following: Meatballs with egg noodles Sliced Carrots Rosemary Roll Spiced Peaches the roll was tasteless and not palatable. There was no rosemary seasoning on the rolls. During an interview on 12/19/23 at 11:51 AM the Culinary Aide #78 stated the aides put the butter and rosemary on before…

    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
  • Potential for harm · Ecited before2023-12-20 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation and staff interview the facility failed to 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. These were random opportunities for discovery: a half-consumed bottle of diet soda was on the medication cart, and an improper wearing of a mask in a resident care area. Facility census: 78. Findings included: a) Housekeeper #30 On 12/18/23 at 10:20 AM on [NAME] Hall it was noted that Housekeeper #30 was standing inside the doorway of room [ROOM NUMBER] with her mask not covering her nose and upper lip. When asked about the mask not being worn properly Housekeeper #30 shook her head back and forth before placing the mask over her nose and mouth. On 12/19/23 at 1:04 PM, ED #56 was informed of the above findings. b) Medication cart on [NAME] Hall On 12/18/23 at 10:30 AM it was noted a half-consumed bottle of diet soda was on 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.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-01-25 · tag F0578 — failed to honor advance directives / code status — isolated
    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
    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 and staff interview, the facility inappropriately completed and implemented the Physicians Order for Scope of Treatment (POST) form for one (1) one of (1) residents reviewed for advanced directives. The facility changed the resident's wishes for full code to a do not resuscitate. The resident had not granted permission for her wishes for end of life care to be changed. This failed practice had the potential to affect only limited number of residents. Resident identifiers: #30. Facility census: 78. Findings included: Observation on [DATE] at 11:49 AM showed Resident #30 coughing and wheezing and very short of breath. Resident was only able to speak in fragmented sentences. Resident was yelling, Oh, Oh every time she coughed. Resident stated, Help me. I can't breathe and it hurts. Surveyor left the resident's room informed Licensed Practical Nurse (LPN) #50 of resident complaints of shortness of breath and pain. LPN #50 stated Yea she didn't look good this morning and I called the doctor…

    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 · D2023-01-25 · tag F0656 — failed to write and follow a full care plan — isolated
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    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 the Hospice agency developed a care plan with measurable goals. In addition, the facility failed to implement their Hospice care plan for notification of the Hospice agency when the resident experienced nausea and vomiting. The facility failed to implement their care plan for urinary catheter care. This was true for one (1) of 18 residents whose care plans were reviewed during the long-term care survey process. Resident identifier: 58. Facility census: 78. Finding included: a-1) Resident #58- Hospice care plan Record review found the resident was accepted for Hospice services on 11/15/22 for a diagnosis of Parkinson's disease. A Hospice agency care plan, dated 11/15/22 was located in the electronic medical record. On 01/24/23 at 8:41 AM, an interview with the DON, confirmed that the most recent documentation the facility had in house from the Hospice agency was a care plan dated 11/15/22. Handwritten on the care plan was the first name of the Hospice social worker, the last name of the Hospice chaplain, as…

    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 · D2023-01-25 · tag F0684 — failed to provide proper treatment and quality of care — isolated
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    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 have evidence of collaboration with the Hospice agency providing services for one (1) of one (1) resident reviewed for the care area of Hospice. In addition, the facility failed to assess patient's needs and notify the Hospice agency of a change in condition. Resident identifier: #58. Facility census: 78. Findings included: a-1) Resident #58 Record review found that resident was accepted for Hospice services on 11/15/22 for a diagnosis of Parkinson's disease. On 01/24/23 at 8:37 AM, Registered Nurse (RN) #122 was asked where to locate a resident's Hospice agency notes. She responded that she would look for them under the nurses notes but that she is not sure and she would have to find out. On 01/24/23 at 8:39 AM, Licensed Practical Nurse (LPN) #114 stated she would look for a resident's Hospice agency notes under the miscellaneous tab of the electronic medical record. On 01/24/23 at 8:41 AM, the DON (Director of Nursing) stated that they would have to request the Hospice notes from the Hospice agency. Record review…

    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 · D2023-01-25 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    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 and staff interview, the facility failed to ensure pressure ulcer care was provided consistent with professional standards of practice. A Registered Nurse (RN) failed to assess and stage the pressure areas within 24 hours of admission and/or after the development of pressure ulcers. This was true for two (2) of three (3) residents reviewed for the care area of Pressure Ulcers. Resident identifiers: # 42 and #327. Facility census: 78. Findings include: a) Resident #42 Review of Resident #42's medical records found the resident was noted on 12/26/22 to have a stage IV (4) pressure ulcer on sacrum by Employee #133, a Licensed Practical Nurse (LPN). On 01/01/23, Employee #71, a Registered Nurse (RN), measured and staged Resident #42's pressure ulcer on the sacrum. Additionally, the wound assessments completed on 1/3/23 by, RN #71, documented the wrong date the pressure ulcer was first observed and the wound assessments completed on 1/10/23 and 1/17/23 by RN #124, documented the wrong date…

    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 · Dcited before2023-01-25 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    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 follow the current standards of practice for indwelling Foley catheter's for two (2) of four (4) residents reviewed for the care area of catheter during the long-term care survey process. Resident identifiers: #58 and #327. Facility census: 78. Findings included: a) Resident #58 Observation of the Resident on 01/23/23 at 11:30 AM, found the resident was in bed. The catheter drainage bag was laying in the floor beside the bed. Registered Nurse (RN) #46 observed the catheter and said she would take care of the issue. On 01/24/23 at 10:56 AM, the observation was discussed with the Director of Nursing (DON) and the Assistant DON. No further information was provided at the close of the survey. b) Resident #327 Observation on 01/23/23 at 12:45 PM, found the Resident was in bed. The Resident's catheter bag and tubing were laying on the floor. Nursing Assistant (NA) #40 immediately fixed the issue when notified by the surveyor. On 01/24/23 at 10:56 AM, the observation was discussed with the Director of Nursing (DON) and 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 · D2023-01-25 · tag F0758 — failed to limit and justify psychotropic drugs — isolated
    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
    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 each resident's drug/medication regimen is managed and monitored to promote or maintain the resident's highest practicable mental, physical, and psychosocial well-being for one (1) of five (5) residents reviewed for unnecessary medications. The resident was prescribed a antipsychotic medication in absence of appropriate indication / rational for use, and absence of non-pharmacological interventions attempted before prescribing the medication. Resident identifier: #58. Facility census: 78. Findings included: a) Resident #58 Record review found the resident was receiving the antipsychotic medication, Risperdal 0.25 milligrams (mg), give 1 tablet by mouth at bedtime for sexual urges with hallucinogenic fantasies of sexual episode. (Hallucinogenic is defined as producing hallucinations, such as a hallucinogenic drug.) Further review found Risperdal was prescribed on 06/07/22. The following is the nursing note prompting the start of the medication: 06/07/22 at 11:36 Nurses Note Note Text: Please note resident…

    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.

    Pharmacy Service 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.

Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
  • Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
  • State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to COMMUNICARE HEALTH — 110 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

RatingThis homeChain avg
Overall 4 of 53.2+0.8 vs chain
Health inspection 4 of 52.7+1.3 vs chain
Staffing 4 of 52.6+1.4 vs chain
Quality measures 4 of 54.5-0.5 vs chain
The other 109 homes this chain runs (chain average 3.2★, per CMS)
1 of 5Allen View Healthcare CenterSpringfield, OH 1 of 5Annandale Healthcare CenterAnnandale, VA 1 of 5Canfield Healthcare CenterYoungstown, OH 1 of 5Dixon Healthcare CenterWintersville, OH 1 of 5Holbrook Healthcare CenterBuckhannon, WV 1 of 5Mount Vernon Healthcare CenterAlexandria, VA 1 of 5Southwood Healthcare CenterTerre Haute, IN 1 of 5Summers Healthcare CenterHinton, WV 1 of 5Valley View Healthcare CenterElkhart, IN 1 of 5Wildwood Healthcare CenterIndianapolis, IN 2 of 5Allison Pointe Healthcare CenterIndianapolis, IN 2 of 5Battlefield Park Healthcare CenterPetersburg, VA 2 of 5Beckley Healthcare CenterBeckley, WV 2 of 5Belmont Healthcare CenterBelmont, WV 2 of 5Cedars Healthcare CenterCharlottesville, VA 2 of 5Columbus Healthcare CenterColumbus, OH 2 of 5Crestwood Care CenterShelby, OH 2 of 5Cumberland Healthcare CenterCumberland, MD 2 of 5Eagle Pointe Healthcare CenterParkersburg, WV 2 of 5Ellicott City Healthcare CenterEllicott City, MD 2 of 5Evergreen Crossing And The LoftsIndianapolis, IN 2 of 5Grande Pointe Healthcare CommuRichmond Heights, OH 2 of 5Great Lakes Healthcare CenterDyer, IN 2 of 5Greenbrier Health CenterParma Heights, OH 2 of 5Greenwood Healthcare CenterGreenwood, IN 2 of 5Hagerstown Healthcare CenterHagerstown, MD 2 of 5Hanover Healthcare CenterMassillon, OH 2 of 5Keyser Healthcare CenterKeyser, WV 2 of 5Mercer Healthcare CenterBluefield, WV 2 of 5Morgantown Healthcare CenterMorgantown, WV 2 of 5Mount Airy Nursing and Rehab CenterMount Airy, MD 2 of 5Petersburg Healthcare CenterPetersburg, VA 2 of 5Riverside Nursing And Rehabilitation CenterDayton, OH 2 of 5Rolling Hills Healthcare CenterNew Albany, IN 2 of 5Salem West Healthcare CenterSalem, OH 2 of 5Wedgewood Healthcare CenterClarksville, IN 2 of 5Westminster Rehabilitation and Wellness CenterWestminster, MD 2 of 5Worthington Healthcare CenterParkersburg, WV 2 of 5Wyant Woods Healthcare CenterAkron, OH 3 of 5Charleston Healthcare CenterCharleston, WV

Showing 40 of 109; lowest-rated first.

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

Owner / managerTypeRoleSince
GROVES, DONNAIndividualCORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROLsince 04/14/2023
ROMEO, DOMINICIndividualCORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROLsince 04/01/2023
STOLTZ, CHARLESIndividualCORPORATE OFFICERsince 07/01/2022
WILHEIM, RONALDIndividualCORPORATE OFFICERsince 07/01/2022
GLENWOOD PARK MGT. CO., LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 05/15/2025
PARKS, CRYSTALIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 04/11/2025
SAVAL, MICHAELIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 04/12/2025
ODENTHAL, RICHARDIndividualINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFsince 02/19/2026

CMS files one row per role, so the 13 rows in the source record cover these 8 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

1 organizational owner listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

$13.5M
Net patient revenuemost recent cost report
-0.1%
Operating marginrevenue minus expenses
$1.4M
Related-party expense10% of expenses
Who pays — share of resident-days
Medicaid 71%Medicare 3%Other / private 25%

About 71% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $1.4M paid to related parties — landlords or management companies under common ownership — equal to about 10% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

$392per resident / day
operating cost
$11,917per month
≈ monthly operating cost
$392per day
avg. revenue, all payers

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in WV

Paying with Medicaid

This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the West Virginia Medicaid page.

Typical monthly cost in West Virginia
$12,836/mo
Nursing home (semi-private)
$13,262/mo
Nursing home (private)
$6,340/mo
Assisted living

Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.

Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-09-01 — CMS provider number 515028. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-06-18, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →

Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →

Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.

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