Based on record review, staff interview and resident interview the facility failed to provide necessary safety to a resident who eloped the facility. Resident #18 eloped from the facility on 03/08/26 at approximately 9:00 AM. No action was taken by the facility until 1:30 PM, although a staff member seen Resident #18 walking down the street at approximately 9:00 AM. This neglectful practice placed Resident #18 in immediate risk for serious harm and or death. Resident identifier: #18 Facility Census: 113.The State Agency (SA) determined the facility's failure to act on a known elopement resulted in an Immediate Jeopardy situation when: staff witnessed Resident #18 walking down a public street at approximately 9:00 AM on 03/08/26 but failed to intervene or report the sighting. …
F600 citations in West Virginia
Abuse and neglect · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
West Virginia cites F600 less often than its own record predicts
0.62 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 F600.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What West Virginia surveyors wrote
F600 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 record review, staff interview, and Adult Protective Services (APS) interviews, the facility failed to protect a vulnerable resident from neglect when a facility staff member witnessed Resident #117 being removed from the premises by an unknown individual. The resident appeared to be exhibiting signs of distress but the staff member failed to take action or report the incident. The facility was unaware of the resident's whereabouts and well-being for approximately three hours, exposing the resident to an unsupervised, unsafe environment. Resident identifier: #117. Facility census: 116.The State Agency (SA) determined that harm was caused to Resident #117 when the witnessed removal from the premises, was not immediately reported. …
Based upon record review, resident interviews and staff interviews, the facility failed to protect residents from sexual abuse and neglect. This was found to be true for three (4) of four (4) residents reviewed during the long term care survey process, based on complaints. Resident identifiers: #24, #87, #23 and #33. Facility census: 88. Findings included: Findings include: a) Resident #33 The facility's policy, entitled OPS300 Abuse Prohibition, was reviewed. Section 6.3 of the policy states: If the suspected abuse is patient to patient, the patient who has in any way threatened or attacked another will be removed from the setting or situation and an investigation will be completed. …
The short window
Recent years
| Year | Share of West Virginia citations | vs expected |
|---|---|---|
| 2023 | 0.50% | 0.28× |
| 2024 | 2.23% | 0.95× |
| 2025 | 1.63% | 0.62× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else West Virginia surveyors cite →
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction