Based on record review, staff interview, visitor interview and resident interview the facility failed to provide Resident #19 with a reasonable accommodation of need that suited her preference for locomotion. Resident #19 had a motorized wheelchair that she had used for ten (10) years. The facility felt she was not safe to operate it anymore and took the batteries from the chair therefore disabling it. This left the feeling depressed and trapped as she had used this chair to travel throughout the facility. She suffered psychological harm due to this. This was true for one (1) of four (4) residents reviewed for the care area of abuse. Resident identifier: #19. Facility Census: 110. …
F558 citations in West Virginia
Accommodation of needs · Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
West Virginia cites F558 less often than its own record predicts
0.57 times the national share — cited less often here than elsewhere.
Of every deficiency written in West Virginia in 2025, this is the portion that was F558.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What West Virginia surveyors wrote
F558 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 observations, and resident and staff interviews, the facility failed to ensure resident's call lights was within reach. This failed practice had the potential to affect a limited number of residents. Resident Identifier: # 115 Facility Census: 130 Findings included: a) Resident #115 During an interview with Resident #115 on 08/11/26 at 9:00 AM, it was observed that her call bell was hanging over her footboard almost into the floor and her lifeline lanyard was on the outer side of her bedside table. When asked if she could reach her call bell, she stated only if you get it for me. surveyor went to get CNA Employee # 93 to verify both the call lights were not within residnet's reach. …
The short window
Recent years
| Year | Share of West Virginia citations | vs expected |
|---|---|---|
| 2023 | 0.76% | 0.69× |
| 2024 | 0.82% | 0.71× |
| 2025 | 0.64% | 0.57× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else West Virginia surveyors cite →
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