Based on resident interview, staff interview and record review, the facility failed to ensure residents were free from sexual abuse by not implementing written policies for abuse and following policy and procedures to investigate abuse allegations. This was true for one(1) of six (6) residents reviewed for abuse. This failed practice has the potential to affect more than a limited number of residents. The situation was determined to be an Immediate Jeopardy situation due to all residents residing in the facility could experience serious actual or psychological harm if the facility did not immediately intervene. Resident identifier: #97. …
F607 citations in West Virginia
Abuse-prevention policies · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
West Virginia cites F607 more often than its own record predicts
1.10 times the share F607 takes of citations nationally.
Of every deficiency written in West Virginia in 2025, this is the portion that was F607.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What West Virginia surveyors wrote
F607 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 and staff interviews, the facility failed to implement their abuse policy when a significant injury of unknown origin was identified. This was true for one (1) of four (4) residents sampled for abuse concerns during the complaint survey process. Census: 65.a) Policy Review A review of the facility policy titled Abuse, with a revision date of 10/20/22, revealed Part Six (6) Section A read as follows: -The organization will maintain systems to ensure that all alleged violations involving abuse, neglect, exploitation or mistreatment, including injuries of unknown source and misappropriation of resident property, are reported immediately, but not later that two (2) hours after the allegation is made, if the events that cause the allegation involve abuse or result in… …
Based on record review, policy review and staff interview, the facility failed to develop an abuse policy that included all required components. The policy did not address training related to dementia management and resident abuse prevention. The practice had the potential to affect all residents in the facility. Facility census: #70. Findings included: a) Policy and Procedure Review Review of the facility's Abuse and Neglect Policy and Procedure revealed staff in-service training would be conducted. …
The short window
Recent years
| Year | Share of West Virginia citations | vs expected |
|---|---|---|
| 2023 | 0.67% | 0.90× |
| 2024 | 1.12% | 1.48× |
| 2025 | 0.73% | 1.10× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else West Virginia surveyors cite →
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