Based on observation and staff interview the facility failed to ensure the the most recent state inspection results were easily accessible to residents and others without having to ask. This was a random opportunity for discovery and had the potential to affect more than a limited amount of residents. Facility census: 61.Findings included:During a facility entry on 04/13/2026 at 12:47 PM, observation revealed that the most recent state inspection results were stored in a wall-mounted box but were obscured by a folder labeled concerns. Consequently, the results were not clearly visible to residents or visitors without inquiry. …
F577 citations in West Virginia
Resident Rights Deficiencies
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
West Virginia cites F577 more often than its own record predicts
2.68 times the share F577 takes of citations nationally.
Of every deficiency written in West Virginia in 2025, this is the portion that was F577.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What West Virginia surveyors wrote
F577 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 Resident Council interviews, observations and staff interview, the facility failed to display the most recent State inspection in a readily accessible area frequented by residents. It was discovered the State inspections were placed in an area too high for residents to reach. This had the potential to affect more than a limited number of residents. Facility census: 119 Findings included: a) State inspection postings During the Resident Council meeting on 03/28/23 at 9:30 AM, it was reported the State inspection surveys results were located on the second and third floors. An observation on 03/28/23 at 10:50 AM, revealed the State survey results were located in wall pockets on the second and third floors. …
The short window
Recent years
| Year | Share of West Virginia citations | vs expected |
|---|---|---|
| 2023 | 0.08% | 0.46× |
| 2024 | 0.30% | 1.58× |
| 2025 | 0.54% | 2.68× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else West Virginia surveyors cite →
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