F604 in West Virginia. Pick another state for the same tag.
Against expectation — 2025
West Virginia cites F604 less often than its own record predicts
Versus expected share0.72×
0.72 times the national share — cited less often here than elsewhere.
Share of West Virginia citations0.27%
Of every deficiency written in West Virginia in 2025, this is the portion that was F604.
West Virginia0.27%
National0.38%
Share of all citations that were F604.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What West Virginia surveyors wrote
F604 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.
K · Immediate jeopardy, patternFebruary 23, 2024
Based on record review, staff interview and resident interview the facility failed to ensure residents were free from physical abuse. Staff physically restrained two (2) residents. Resident #43 was and #11 were both physically restrained. A nurse aide (NA) nurse aide held her head preventing movement so the nurse could perform a swab of the nose to test Resident #43 for COVID. Resident #11 became agitated and a nurse took the resident to their room where they locked the resident's wheelchair and physically held the resident's wheelchair preventing them from moving and leaving their room.
Neither resident was able to verbalize how these actions made them feel therefore the reasonable person standard was applied. …
Based on observation, record review, and staff interview, the facility failed to ensure each resident was free from physical restraints. Resident #48 was physically restrained by the facility, causing psychosocial harm. This was true for one (1) of one (1) residents reviewed for physical restraints during the long term care survey process. Resident identifier: #48. Facility census: 51.
Findings included:
a) Resident #48
At approximately 12:00 PM on 08/12/24, during review of the resident matrix (resident census and conditions of residents) provided by the facility, it was determined the facility had Resident #48 marked as being in physical restraints. …
D · No harm, potential for more than minimal, isolatedAugust 6, 2026
Based on record review and staff interview, the facility failed to ensure that it clearly documented a resident's ability to easily remove bilateral bed wedges. Additionally, the facility failed to have informed consent on file. This was a random opportunity for discovery throughout the complaint survey process. Resident Identifier: #65. Facility census: 111.Findings included: a) Resident #65A record review, completed on 08/05/26 at 3:30 PM, revealed the following details: -A physician order, dated 02/23/26, which stated, Bilateral bed wedges in place while in bed every day and night shift for Fall risk/ safety.-This order was shown to be discontinued on 04/06/26.-An Alert Note, dated 02/26/2026 at 11:21 PM, which read, Resident on alert charting following a fall, no further falls recorded… …
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