Based on record review and staff interview, the facility failed to notify residents and their representatives of room changes. This failed practice was found true for (2) two of (3) three residents reviewed for room change notifications during the complaint survey. Resident identifiers: #60, and #68. Facility Census: 89. Findings include: a) Resident # 60 A record review on 07/28/26 at 10:00 AM, revealed that Resident #60 had been in room [ROOM NUMBER] since her admission on [DATE]. Resident was moved to room [ROOM NUMBER] on 07/02/25. No room change notification could be found in the medical record. …
F559 citations in West Virginia
Resident Rights Deficiencies
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
West Virginia cites F559 more often than its own record predicts
1.64 times the share F559 takes of citations nationally.
Of every deficiency written in West Virginia in 2025, this is the portion that was F559.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What West Virginia surveyors wrote
F559 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.
The short window
Recent years
| Year | Share of West Virginia citations | vs expected |
|---|---|---|
| 2023 | 0.08% | 1.18× |
| 2024 | 0.22% | 2.19× |
| 2025 | 0.18% | 1.64× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else West Virginia surveyors cite →
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