Based on interview, observation and record review, the facility failed to ensure Resident #21 had the right to to self-determination, reassessment of mental capacity, make her own medical decisions and the ability to freely associate with persons of her choosing who reside outside of the facility. These failures cause Resident #21 to experience actual psychosocial harm. --The facility the Medical Power of Attorney and other family members to restrict Resident #21's visitation with a family member with whom she had previously resided and had a special bond. This desision was made based on statements that could not be corroborated that the resident was upset when the restricted family member left after a visit. …
F550 citations in West Virginia
Resident rights and dignity · Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
West Virginia cites F550 more often than its own record predicts
1.23 times the share F550 takes of citations nationally.
Of every deficiency written in West Virginia in 2025, this is the portion that was F550.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What West Virginia surveyors wrote
F550 findings written in West Virginia, one from each severity band recorded here, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
Based on observation, documentation review, staff interview, and resident interview, the facility failed to treat a female resident with dignity and respect in regards to facial hair. This was a random opportunity for discovery. Resident Identifier: #61. Facility Census: 112. Findings included: a) Resident #61 On 08/18/2026 at 12:39 PM, Resident #61 reported she had to ask staff to shave her facial hair. She was observed with long chin hair and stated she would currently like to have it removed. b) Record Review Review of documentation revealed the following: Resident #61 had the capacity to make her own health care decisions. Resident #61's admission MDS, with an assessment reference date of 06/04/26, revealed resident had a Brief Interview for Mental Status (BIMS) score of of 14. …
The short window
Recent years
| Year | Share of West Virginia citations | vs expected |
|---|---|---|
| 2023 | 2.44% | 1.18× |
| 2024 | 2.60% | 1.19× |
| 2025 | 2.63% | 1.23× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else West Virginia surveyors cite →
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