Based on record review and staff interview the facility failed to ensure three (3) of six (6) residents received a written notification whenever their account reached within $200 of the asset level allowed for Medicaid. Resident identifiers: #55, #27, and #10. Facility census: 59. Findings included:a) A record review conducted on 03/25/26 identified the following balances in resident accounts: - Resident #55: $2,795.17- Resident #27: $2,835.00- Resident #10: $1,990.00 On 03/25/26 at 1:00 PM, Business Office Advisor (BOA) #82 stated that the required notices regarding assets being over or within $200 of the $2,000 Medicaid limit had not been sent. Admissions Director #52 confirmed this information on 03/26/26 at 1:30 PM.
F569 citations in West Virginia
Resident Rights Deficiencies
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
No F569 citations were recorded in West Virginia for 2025. That means none appear in the CMS file for that year — not that the requirement does not apply.
In the surveyor’s words
What West Virginia surveyors wrote
F569 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.
What else West Virginia surveyors cite →
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