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Wayne Healthcare Center

6999 Route 152, Wayne, WV 25570 · For profit - Corporation · 60 certified beds · (304) 697-7007 Medicare & Medicaid certified

Call the home — (304) 697-7007 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse/neglect citation on record (F0600) — cited May 2024
Insights

This home has serious findings on its record. Read them closely before you consider it.

In its favor
  • a strong health-inspection score (5/5) — the hardest rating to game (though it’s ranked within its own state, not nationally)
  • no federal fines or payment denials on record
  • lower-than-typical staff turnover (33% vs 45% nationally) — better care continuity
  • fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
Worth asking about
  • it has an abuse, neglect, or exploitation citation (F0600), cited May 2024
  • a high number of inspection citations overall (24) — 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.

5/5
CMS overall
5 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 5 of 5
StaffingFrom payroll records (PBJ) 3 of 5
Quality measuresSelf-reported by the facility 4 of 5

Location & what’s nearby

Hospital
★★★★★ 5/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
Kenova Street · (304) 272-3951 · Call to confirm hours
Pharmacy
Walgreens0.8 mi
10295 Route 152 · (304) 272-6767 · Call to confirm hours
Grocery
310 River Ave
Park
Typically dawn to dusk

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 increased16.7%14.7%15.4%typical
Long-stay residents who lose too much weight12.4%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 infection0.5%1.6%2.0%better
Long-stay residents with depressive symptoms1.1%7.6%6.5%better
Long-stay residents who were physically restrained0.0%0.2%0.1%better
Long-stay residents with falls causing major injury3.2%4.4%3.3%typical
Long-stay residents whose ability to walk worsened25.5%15.9%16.1%worse
Long-stay residents on antianxiety or hypnotic medication33.0%27.0%18.9%worse
Long-stay residents given the seasonal flu vaccine100.0%97.6%95.3%typical
Long-stay residents with pressure ulcers2.2%4.2%4.7%better
Long-stay residents with worsening bladder/bowel control22.3%22.1%21.2%typical
Long-stay residents who got an antipsychotic medication — see the note below the table7.3%13.4%17.1%better
Short-stay residents who newly got an antipsychotic medication0.0%1.0%1.4%better
Short-stay residents given the seasonal flu vaccine81.8%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.

0.26U.S. median 0.31
Therapy hours / resident / day
0.13hours / resident / day
Physical therapy
0.11hours / resident / day
Occupational therapy
0.02hours / resident / day
Speech therapy

Therapy staffing: this home’s payroll records show 0.26 therapist hours per resident per day in 2026Q1 — more than 38% 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.

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 SNFnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNFnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
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 — Newly certified nursing home with less than 12-15 months of data available or the nursing home opened less than 6 months ago, and there were no data to submit or claims for this 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 hospitalizationnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs0.981.02Oct 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

0.72
RN hours/ resident / day
0.90
LPN hours/ resident / day
2.18
Aide hours/ resident / day
3.79
Total nurse hours/ resident / day
0.33
RN hoursweekends
33.3%
Total nursing turnover
27.3%
RN turnover

How full it usually is: this home is certified for 60 beds and averages 59.3 residents a day — about 99% occupied, or roughly 1 bed typically open. It runs essentially full — expect a waiting list. 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 3.79 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.72 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.18 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 3.17 hrs/resident/day on weekends vs 4.04 on weekdays — 22% thinner on weekends — a notable drop. RN hours go from 0.88 to 0.33 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 33% is below 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

3
deficiencies at the latest standard inspection (2026-05-21)
7
at the previous standard inspection (2025-03-27)

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.

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.

24 citations, most serious first. The 10 most serious are shown; the remaining 14 are one tap away and print in full.

  • Potential for harm · E2026-05-21 · tag F0558 — failed to accommodate residents' needs and preferences — pattern
    Reasonably accommodate the needs and preferences of each resident.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, staff interviews and resident interviews, the facility failed to ensure resident's call lights were within reach, and to ensure residents did not have long waits for call lights to be answered. This failed practice had the potential to affect a limited number of residents. Resident Identifiers #6, #21, and #27. Facility Census: 59Findings Included: a) Resident #21 On 05/19/26 at12:00 PM, it was observed that Rsident #21 was laying in her bed trying to reach her call bell on the floor beside her bed causing her to almost roll out of the bed. Registered Nurse #34 was alerted, came into the room, and confirmed she was unable to get her call light and began to assist her. b) Resident # 27 On 05/20/26 at 11:59 AM Resident #27 was heard calling out for help. She was observed sitting in her wheelchair, near the foot of her bed, while her call bell was clipped to her pillow at the head of the bed and out of her reach. Registered Nurse #34 was alerted and came into the room, confirmed her call light was not within reach, then assisted putting her back into bed. c)…

    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 · E2026-05-21 · 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 resident interview, observation and staff interview facility failed to ensure meals are prepared and served in methods to conserve nutritive value, flavor, appearance and in a pleasing, palatable presentation. This failed practice had the potential to affect more than a limited number of residents. Resident identifiers: #49, #28, #39, #18, #24,#12, #9 , #47 and #15. Facility census: 59. Findings includeA) Regulation review for 483.60 (d) reads in part.-Food prepared by methods that conserve nutritive value, flavor, and appearance.-Food and drink that is palatable, attractive, and at a safe and appetizing temperature.B) During dining observations on 05/19/2026 at around 12:45 PM Resident (49) reports, the vegetables would be better if it wasn't mushy., Resident (28) diet slip shows resident is to have double portions however did not receive double portion of lasagna nor cauliflower. Resident (39) reports this cauliflower is too mushy and brown, Resident (18) diet slip shows dysphagia puree, to receive puree breaded chicken patty for meal however received puree lasagna.…

    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 · Dcited before2026-05-21 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    What the surveyor found here — the official record, unedited, may be distressing

    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 with regards to the resident's personal products and unsanitary practices. Resident Identifier: #27. Facility census: 59Findings Included: During a facility walk-through on 05/20/26 at 12:10 PM, we observed 1 wheelchair (w/c) in the A hallway with holes in the seat, exposing the inner padding near the front left screw and 1 Geri-Chair located outside the Central Shower Room with rips and tears down both sides of the back rest and on the right armrest, exposing the inner padding. On 5/20/26 at 2:00 PM, during an interview/walk-through with the Infection Preventionist, the B Hall Nurse manager was present. She confirmed the wheel chair and Geri-Chair had tears and holes exposing inner padding and stated the facility would remove and repair them.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2025-03-27 · tag F0842 — failed to keep accurate, complete medical records — pattern
    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 ensure a complete and accurate medical record for Resident #23's date of an acute care transfer, the indication of a medication for Resident #3 and pressure ulcer staging for Resident #12. This was true for three (3) of 23 residents reviewed during the survey process. Resident Identifiers: #23, #3 and #12. Facility Census: 59. Findings Include: a) Resident #23 On 03/26/25 at 10:22 AM, an initial interview was held with Resident #23. Resident #23 stated, I had to go to the hospital .I was so sick. The record review found the resident had been transferred to an acute care facility on 12/04/24 due to an abnormal abdominal x-ray. The date documented on the transfer form was 08/14/24. Upon further review, the fax confirmation sheet had the date circled with a notation stating wrong date. (Typed as written.) On 03/26/25 at 6:05 PM, the Administrator confirmed the date on the transfer form was incorrect. b) Resident #3 On 03/27/25 at 10:00 AM, a record review was completed for Resident #3. The review found the resident 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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-03-27 · tag F0580 — failed to tell family and doctor about changes — isolated
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on document review and staff interview, the facility failed to notify the family of one (1) of seven (7) residents that the resident had sustained a fall and was transferred to the hospital. Resident identifier: #111. Facility census: 59. Findings include: a) Resident #111 On 03/26/25 at approximately 3:55 p.m., upon review of the resident's change of condition form, it is documented resident own poa (power of attorney). The surveyor could not locate in the electronic medical record where family emergency contact was contacted regarding the resident's serious accident and transfer to the hospital. b) On 03/27/25 at approximately 11:02 a.m., interview with employee #55 the employee verified that there was no documentation that family was notified regarding the significant change in the resident's condition. This was also acknowledged by the facility's Administrator upon exit on 03/27/25 at approximately 4:15 p.m.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-03-27 · tag F0623 — isolated
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on record review and staff interview, the facility failed to notify the State Ombudsman of an acute care transfer for Resident #23. This was true for one (1) of three (3) residents reviewed under the care area of hospitalizations. Resident Identifier: #23. Facility Census: 59. Findings Include: a) Resident #23 On 03/26/25 at 10:22 AM, an initial interview was held with Resident #23. Resident #23 stated, I've had to go to the hospital, I was pretty sick. A record review was completed on 03/26/25 at 1:30 PM. The review found the resident had been sent to an acute care facility on 08/14/24 for an abnormal abdominal x-ray. On 03/26/25 at 6:05 PM, an interview was held with the Administrator. The Administrator confirmed the State Ombudsman was not notified of the resident's transfer. The Administrator stated, we don't have the Ombudsman notification for 08/14/24.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-03-27 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff interview, the facility failed to develop the care plan, which included all diagnoses for Resident #57. This was true for one (1) of five (5) residents reviewed under the care area of unnecessary medications. Resident identifier: #57. Facility census: 59. Findings include: a) Resident #57 On 03/26/25 at 2:52 PM, a record review was completed for Resident #57. The resident was admitted to the facility on [DATE]. The review found the care plan did not include all diagnoses for Resident #57. The following diagnoses were not included: --generalized muscle weakness --difficulty in walking, not elsewhere classified --dysphagia, oral phase --personal history of transient ischemic attach (TIA) --cerebral infarction without residual deficits (CVA) --essential (primary) hypertension (HTN) --hyperlipidemia, unspecified (HLD) --type 2 diabetes mellitus with diabetic neuropathy, unspecified (DM) --hypothyroidism, unspecified --benign prostatic hyperplasia without lower urinary tract symptoms…

    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 · D2025-03-27 · 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

    b) Resident #13 Review of Resident #13's comprehensive care plan showed the following focus, The resident is at risk for pain/discomfort r/t [related to] history of left femur fracture repair s/p [status post] ORIF [open reduction internal fixation], rheumatoid arthritis, muscle spasms, diabetic neuropathy, restless leg syndrome, edema, PVD [peripheral vascular disease]. The following intervention was initiated on 09/26/24, Provide medication, Ultram, per orders. Monitor for s/sx [signs and symptoms] of side effects. Evaluate effectiveness of medication. Review of Resident #13's physicians' orders showed the resident was currently receiving gabapentin twice a day for nerve pain and Tylenol three (3) times a day for pain. The resident had received Ultram as needed from 09/25/24 through 10/09/24 and Ultram two (2) times a day from 02/03/25 through 02/17/25. On 03/26/25 at 5:04 PM, Registered Nurse (RN) #14 confirmed Resident #13's comprehensive care plan had not been revised when the resident's Ultram for pain had been discontinued. No further information was provided through 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 · Dcited before2025-03-27 · 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 ensure treatment and care was provided in a timely manner for a resident with a fall with major injury for 1 out of 7 residents reviewed for falls. Resident identifier: #27. Facility Census: 59. Findings included: a) Resident #27 On 12/30/24, the resident had an unwitnessed fall. The incident note on 12/30/24 at 10:20 AM stated, This UCN (Unit Charge Nurse) noted resident laying on the floor in hallway by window sitting on bottom with leg extended in front of him. Resident stated, I think I broke my hip. Assess resident no signs of injury at this time. After getting resident back into wheelchair, resident denies pain with ROM. The Progress Note stated, the Nurse Practitioner was contacted and new orders were obtained for x-ray of the right hip and pelvis. No complaints of pain at this time were documented and the Power of Attorney was notified. On 12/31/2024 at 6:07 PM, x-ray of right hip and pelvis was completed. On 01/01/2025 at 5:36 AM, the nurse's progress note stated that x-ray results were not obtained on this…

    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 before2025-03-27 · 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 observation, record review, and staff interview, the facility failed to establish and maintain an infection prevention and control program designed to help prevent the development and transmission of communicable diseases and infections. The facility failed to follow accepted procedures for transmission-based precautions. These were random opportunities for discovery. Resident identifiers: #26 and #22. Facility census: 59. Findings included: a) Resident #26 The facility's policy titled, Enhanced Barrier Precautions, with approval effective date 04/01/25, stated that, for residents in enhanced barrier precautions, a sign would be posted on the resident's door to indicate enhanced barrier precautions were required. Review of Resident #26's physicians' orders showed the resident had the following order written on 03/18/25, Enhanced barrier precautions related to: dressing. When dressing/bathing, showering/transferring in room or therapy gym/personal hygiene, changing linen, providing hygiene, changing briefs or assisting with toileting. The resident also had an order written…

    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
Show the remaining 14 citations
  • Potential for harm · F2024-05-01 · tag F0812 — failed to store, cook, and serve food safely — widespread
    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, and serve food in accordance with professional standards by keeping chocolate milk beyond its expiration date, and by not ensuring all staff were wearing hairnets during the Long-Term Care Survey Process. This failed practice had the potential to affect all resident currently resding in the facility. Facility Census 60. Findings Include: a) Chocolate milk During the initial tour of the kitchen on 04/29/24 at 11:00 AM, ia gallon of chocolate milk was found in the reach-in-refrigerator with approximately 1/4th of the gallon of chocolate milk left in the jug. The expiration on the jug of chocolate milk was 04/26/24. A review of the facilities policy number 019, titled, { Food Storage: Cold Foods}, under policy statements reads as follows: Typed as written All time/temperature control for safety (TCS) foods, frozen, and refrigerated, will be appropriately stored in accordance with guidelines of the FDA food code. The Dietary Corporate Manager (DCM), confirmed that the chocolate milk was out of 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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Fcited before2024-05-01 · tag F0880 — failed to prevent and control infections — widespread
    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, record review, and staff interview the facility failed to ensure a clean, sanitary environment by leaving a bedpan in the floor on the A-Hall room [ROOM NUMBER] restroom, and following policy to test yearly for Legionellosis. This failed practice had the potential to affect more than a minimal number of residents in the facility. Facility Census: 60 Findings Include: a) Bepan left in floor Observation on 04/29/24 at 11:28 AM, revealed an uncovered bedpan in bathroom floor. A second observation on 04/29/24 at 1:17 PM showed the bedpan remained on the floor in the bathroom. On 04/30/24 at 9:00 AM, a third observation with the facility Administrator who confirmed the bedpan still remained in the bathroom floor in room A13. b) Water Management/Legionella Plan Legionellosis refers to two clinically and epidemiologically distinct illnesses: Legionnaires disease, which is typically characterized by fever, myalgia, cough, and clinical or radiographic pneumonia and Pontiac fever, a milder illness…

    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 · E2024-05-01 · tag F0732 — pattern
    Post nurse staffing information every day.
    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 the Daily Staffing Posting information was accurate and current with the actual direct care hours and the identified direct care staff. This was true for four (4) of five (5) Daily Staffing Posting forms reviewed during the long term care survey process. This had the potential to affect more than a limited number of residents. Days Identified: 04/04/24; 04/05/24; 04/12/24 and 04/18/24. Facility Census: 60. Findings include: a) Inaccuracy of actual direct care hours. On 04/30/24 at 9:30 PM, during a review of 04/04/24, 04/05/24, 04/12/24 and 04/18/24 the total direct care hours posted were compared to the Actual Hours for Direct Care Staff Report document for 04/01/24- 04/30/24 calculations. The following inaccuracies were identified. * 04/04/24 - the Daily Staffing Posting form identified the direct care hours to be 176 hours. The Actual Hours for Direct Care Staff document identified the direct care hours to be 147.50. An inaccuracy of 28.5 hours. *04/05/24 - the Daily Staffing Posting form identified 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.

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-05-01 · tag F0921 — failed to keep a safe, functional, sanitary building — pattern
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, family interview and staff interview the facility failed to ensure the residents were provided a safe, functional, sanitary, and comfortable environment for residents, staff and the public. The facility failed to place chairs in the residents rooms for the resident and/or visitors to utilize. This was a random opportunity of discovery during the long term care survey process and had the potential to affect a limited number of residents. Resident Identifier: Resident #12. Census: 60. Findings Include: a) Resident #12 On 04/29/24 at 12:56 PM, during an interview with Resident #12, his brother was observed to be sitting half way on the rooms packaged terminal air conditioner (PTAC) unit beside Resident #12's bedside. Resident #12's brother stated, the room never had a chair in it but sometimes he is able to get a fold-up chair if there are any available. On 04/30/24 at 4:10 PM, during an interview with the Administrator, he stated, many rooms does not have chairs and he will replace them. He further acknowledged the rooms should have chairs for residents 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.

    Environmental Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-05-01 · 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 — the official record, unedited, may be distressing

    Based on resident observation, resident interview, and staff interview the facility failed to ensure Resident #54 was treated with dignity and respect. This was true for one (1) of seven (7) residents reviewed for the care area of dignity during the long term care survey process. Resident identifier: #54. Facility census: 60. Findings include : A) Resident #54 On 4/29/24 at 1:44 PM, Resident #54 was observed with long chin hairs which needed to be removed. An interview with Resident #54 on 4/30/24 at 4:10 PM, confirmed she did not like having chin hair and she would like it removed. The Director of Nursing was present during the resident interview and agreed her chin hair needed removed. She stated she would do that now.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-05-01 · tag F0552 — isolated
    Ensure that residents are fully informed and understand their health status, care and treatments.
    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 inform the resident or resident representative, in advance, by the physician or other practitioner or professional, of the risks and benefits of the proposed use of an antipsychotic medication. This was true for one (1) of five (5) sampled residents in the long term survey process. Resident identifier: #36. Facility census: 60 Findings include: a) Resident #36 On 05/01/24 at 12:42 PM, a review of Resident #36's medical record noted Resident #36 was receiving an antipsychotic medication Rispirdone which was ordered 03/07/24. Upon further review it was noted there was no documentation education related to the risks and benefits of the antipsychotic medication was provided to Resident #36's healthcare decision maker prior to the resident being started on the medication. On 05/01/24 at approximately 2:00 PM, an interview was conducted with the Director of Nursing who acknowledged the education related to the risks and benefits of the use of the antipsychotic medication was not completed prior to the medication being…

    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 · D2024-05-01 · tag F0582 — isolated
    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on record review and staff interview the facility failed to issue a beneficiary notification within appropriate time frames. This was true for one (1) of three (3) residents reviewed for beneficiary notifications during the long term care survey process. Resident identifier # 111. Facility Census 60. Findings include: A) Resident #111 A review of Resident #111's medical record on 05/01/24 found her last covered day of Medicare services was 12/14/23. A review of her notice of medicare non-coverage (nomnc) Centers for Medicare and Medicaid Services (CMS) form 10123 found it was issued to the responsible party on 12/14/23. The form indicated the appeal needed to be filed on 12/13/23 which was one day before the responsible party was notified. This made the appeal process inaccessible to the residents responsible party. An interview with the Nursing Home Administrator on 05/01/24 at 10:30 AM, confirmed Resident # 111's NOMNC was not issued two (2) days prior to her last covered day as required.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-05-01 · tag F0584 — failed to keep a safe, clean, comfortable home — isolated
    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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY . Based on observations and staff interviews the facility failed to ensure the residents were provided a safe, functional, sanitary, and comfortable homelike environment. This was evident by soiled equipment, holes in walls and a dirty bathroom. These were random opportunities of discovery during the long term care survey process and had the potential to affect a limited number of residents. Resident Room Identifiers: room [ROOM NUMBER]A, Room # A14B, and Room #B14. Census: 60. Findings Include: a) room [ROOM NUMBER]A On 04/29/24 at 12:37 PM, during a tour of the facility, room [ROOM NUMBER]A was identified to have a piece of equipment in the bathroom which appeared to be soiled on the platform where you would place your feet to stand. On 04/29/24 at 12:40 PM, during an interview with Licensed Practical Nurse (LPN) # 45 and LPN #65, the equipment was identified to be a turn and positioning device the resident stands on to be assisted to turn. LPN #45 stated the platform to stand on was filthy. Neither LPN #45…

    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 · D2024-05-01 · tag F0600 — failed to protect residents from abuse and neglect — isolated
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    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 Resident #30 was free from abuse which includes freedom from resident to resident altercations and #16 was free from inappropriate language from a staff member. This is true for two (2) of two (2) residents reviewed during the survey. This will be cited as past non compliance because the facility identified what had happened and took immediate steps to correct the failure to ensure it does not reoccur. All components of the of plan of correction were completed prior to this survey beginning. This did occur and because Resident #30 did not have the cognitive ability to indicate how this affected her the reasonable person standard was applied. A reasonable person would suffer psychosocial harm from being hit by another resident residing in the same facility as her therefore this will be cited as actual harm at past non compliance for Resident #30. Resident #16 voiced to staff that hearing the nurse aide using profanity about caring for her…

    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 · Past Non-Compliance
  • Potential for harm · D2024-05-01 · tag F0641 — isolated
    Ensure each resident receives an accurate assessment.
    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 medical record review and staff interviews the facility failed to accurately encode the residents Minimum Data Set (MDS) upon discharge. This was true for one (1) of two (2) resident discharges reviewed during the long term care survey process. Resident Identifier: Resident #59. Facility Census: 60. Findings Include: a) Resident #59 On 4/30/24 at 6:45 PM during a medical record review for Resident #59, there were no notes identified for the anticipated discharge of Resident #59 prior to the discharge occuring on 03/21/24. A review of the miscellaneous documents identified the Notice of Medicare Non-Coverage that was verbally reviewed with Resident #59's son on 03/15/24. Upon further review of the residents record, the Discharge summary dated [DATE] was completed by all required departments. The discharge summary did include but was not limited to the notification of the need to follow up with attending physician in 2 weeks, medication list, and the discharge goals of St Mary's home health. On 04/30/24…

    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 · D2024-05-01 · 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 resident's Preadmission Screening and Resident Review (PASARR) reflected the diagnoses sheet for a newly diagnosed mental illness. This was true for three (3) of four (4) residents reviewed for the PASARR care area. Resident Identifiers: #26, #41, and #52 Facility Census: 60 Findings Include: (a) Resident #26 During a record review on 04/29/24, Resident #26 medical record review revealed admitting diagnosis for 09/08/22 (admission date) included the following: -Schizoaffective disorder According to the Diagnosis Report provided by the facility the following diagnoses were added during Resident #26 stay. A review of the PASAAR submitted 03/01/23, there was no new PASARR submitted to reflect this admitting medical diagnosis (Schizoaffective disorder) or the following new diagnosis of: - Major Depressive Disorder 07/13/23 - Mild cognitive impairment of uncertain or unknown etiology 02/06/23 - Delusional Disorder 11/20/22 - Paranoid Personality Disorder 11/20/22 - Bipolar Disorder (history of) 10/20/22 In an…

    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 · D2024-05-01 · tag F0645 — isolated
    PASARR screening for Mental disorders or Intellectual Disabilities
    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 resident's Preadmission Screening and Resident Review (PASARR) reflected the diagnoses sheet for pre admission diagnoses. This was true for two (2) of four (4) residents reviewed for the PASARR care area. Resident Identifiers: #26, #14, Facility Census: #60 Findings Include: (a) Resident #26 During a record review on 04/29/24, Resident #26 medical record revealed admitting diagnosis for 09/08/22 (admission date) included the following: -Schizoaffective disorder According to the Diagnosis Report provided by the facility and the PASARR submitted 03/01/23 the PASARR did not reflect this admitting medical diagnosis. In an interview with the Director of Nursing on 04/30/24 at 03:36 PM, it was verified the PASAAR should have reflected the Schizoaffective disorder upon the admission date of 09/08/22. (b) Resident #14 During a record review on 04/29/24, Resident #14's medical record revealed an admitting diagnosis for 05/25/23 (admission date) included the following: - Bipolar Disorder - Mild Cognitive Impairment of…

    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 before2024-05-01 · 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 develop and implement the individualized comprehensive care plan for bowel and bladder continence. This was true for one (1) of two (2) residents reviewed for the care area of bowel and bladder continence during the long term survey process. Resident Identifiers: Resident #2. Facility Census: 60. Findings Included: a) Resident #2 On 04/30/24 at 11:20 AM, a record review of Resident #2's medical record revealed a diagnosis of urinary incontinence. Upon further record review it was noted a Urinary Incontinence Assessment was completed dated 12/22/23 noting Resident #2 was functioning incontinent requiring a toileting program titled Check and Change. During a review of Resident #2's current care plan, it was identified the facility failed to develop or implement an individualized comprehensive care plan for this diagnosis. During an interview with the Director of Nursing on 05/01/24 at approximately 9:30 AM, the Director of Nursing acknowledged Resident #2 had not been care planned for her urinary incontinence diagnosis…

    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 before2024-05-01 · 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 observation, resident interview, staff interview, and record review the facility failed to provide care and services in accordance with professional standards of practice by not providing timely medical treatment for a foot injury. This was true for one (1) of 29 sampled residents reviewed during the long term care survey process. Resident identifier #52. Facility Census 60. Findings Include: a) Resident # 52 During an interview on 04/29/24 at 1:02 PM, Resident #52 who has a Brief Interview for Mental Status (BIMS) of (8) eight stated, I fell in January at my house and came here due to a broken hip. Yesterday my walker fell on the other foot, it hurt. Now I can't walk on either side. I told the nurse and she looked at it when it happened, but no one has done anything since. An observation on 04/29/24 at 1:03 PM, of Resident #52's right foot revealed dark purple and red bruising on her right big toe and of the toe beside it. The bruising also went down the side and top of her foot. During an interview on 04/29/24 at 1:10 PM, Licensed Practical Nurse (LPN) # 80 stated, I did…

    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

“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 5 of 53.2+1.8 vs chain
Health inspection 5 of 52.7+2.3 vs chain
Staffing 3 of 52.6+0.4 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 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 5Berkeley Springs Healthcare CenterBerkeley Springs, 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 5Hagerstown Healthcare CenterHagerstown, MD 2 of 5Hanover Healthcare CenterMassillon, OH 2 of 5Holly Hill Healthcare CenterTowson, MD 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 5Wildwood Healthcare CenterIndianapolis, IN 2 of 5Worthington Healthcare CenterParkersburg, WV 2 of 5Wyant Woods Healthcare CenterAkron, OH

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 / managerTypeRoleShareSince
WV AMFM OP CO., LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%since 04/14/2023
ROMEO, DOMINICIndividualCORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROLsince 04/14/2023
STOLTZ, CHARLESIndividualCORPORATE OFFICERsince 04/14/2023
WILHEIM, RONALDIndividualCORPORATE OFFICERsince 04/14/2023
ROUTE 152 MGT CO., LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 04/14/2023
GROVES, DONNAIndividualOPERATIONAL/MANAGERIAL CONTROLsince 04/14/2023
KEFFER, SCOTTIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 04/14/2023
SCOTT, ASHLEYIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 04/14/2023

CMS files one row per role, so the 12 rows in the source record cover these 8 parties — each is shown once here with every role it holds. Nothing is omitted.

2 organizational owners 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.

$6.7M
Net patient revenuemost recent cost report
+11.7%
Operating marginrevenue minus expenses
$649K
Related-party expense11% of expenses
Who pays — share of resident-days
Medicaid 83%Medicare 4%Other / private 13%

About 83% 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 $649K paid to related parties — landlords or management companies under common ownership — equal to about 11% 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

$384per resident / day
operating cost
$11,673per month
≈ monthly operating cost
$435per 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 2026-08-01 — CMS provider number 515168. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-05-21, 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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