Deficiency Index

F580 citations in West Virginia

Notifying of changes · Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

F580 in West Virginia. Pick another state for the same tag.

Against expectation — 2025

West Virginia cites F580 less often than its own record predicts

Versus expected share0.80×

0.80 times the national share — cited less often here than elsewhere.

Share of West Virginia citations1.18%

Of every deficiency written in West Virginia in 2025, this is the portion that was F580.

Each state is measured against its own expected share, not against other states.

In the surveyor’s words

What West Virginia surveyors wrote

F580 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.

G · Actual harm, isolatedJuly 25, 2019

Based on medical record review, staff interview, hospital record review, policy review, and resident interview, the facility failed to notify the physician in a significant change in a resident's physical and psychosocial condition. The facility's failure to notify the physician and/or nursing supervisor of changes in a resident's condition and take appropriate, timely action resulted in actual harm for one (1) of three (3) residents reviewed for wound management. A nurse assessed a resident had purulent, foul smelling drainage and severe weeping from stasis ulcers of the lower extremities. Purulent drainage is liquid or discharge that oozes from a wound that has a milky look and texture. …

Holbrook Healthcare Center

D · No harm, potential for more than minimal, isolatedJuly 30, 2026

Based on record review and staff interview, the facility failed to ensure the Medical Power of Attorney (MPOA) was notified regarding transfer to an acute care facility related to a change of condition. This failed practice has the potential to affect more than a minimal number of residents residing in the Long-Term Care Facility. Resident #100. Facility census 89. Based on staff interview and clinical chart review completed on 7/29/26 at approximately 1:30 PM, an interview was conducted with the Director of Nursing (DON) regarding the transfer of Resident #100 to the hospital on [DATE] The DON confirmed the resident was transferred to the hospital on that date and acknowledged that the resident's designated Medical Power of Attorney (MPOA) was not notified at the time of the transfer.The… …

Morgantown Heights of Journey

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Recent years

YearShare of West Virginia citationsvs expected
20231.60%1.12×
20240.74%0.49×
20251.18%0.80×

Shares of citations, not counts: earlier years hold fewer inspections.

What else West Virginia surveyors cite →

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