An IJ at F609 was called on 04/03/24 at 1:26 PM . A Plan of Correction (POC) was approved on 04/03/24 at 4:56 PM. The IJ was abated on 04/04/24 at 10:15 AM. Based on record review, reportables review, staff interviews, and policy review, the facility failed to report an allegation of sexual abuse within the required two (2) hour time. Resident identifiers: #14 and #20. Facility census: 49. Findings included: Review of the policy and procedure titled Abuse, Neglect and Exploitation dated reviewed/revised 03/22/23 stated that reporting of all alleged violations to the Administrator, state agency, adult protective services and to all other required agencies (e.g., law enforcement when applicable) within specific time frames: immediately, but not later than 2 hours after the allegation is made… …
F609 citations in West Virginia
Reporting alleged violations · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
West Virginia cites F609 less often than its own record predicts
0.85 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 F609.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What West Virginia surveyors wrote
F609 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 medical record, Incident/Accident reports, Complaints/Grievances and Reportable reports, staff interview, resident interview and review of the facility's abuse policy, the facility failed to ensure each allegation of alleged or acutal abuse and neglect to the State Survey Agency and Adult Protective Services. This deficient practice caused actual harm for Residents #89, #99, #26 and #5. This deficient practice had the potential to affect more than an isolated number. Resident identifiers: #89, #99, #26, #11, #71, #5, #44, #58, #4, #212, #114. Facility census: 107. Findings included: a) Resident #89 1) Review of Resident #89's medical records found an annual Minimum Data Set (MDS) with an Assessment reference date (ARD) of 11/07/18. …
Based on record review and staff interview, the facility failed to report a significant injury of unknown origin to the appropriate state agencies. This was true for one (1) of four (4) residents sampled for abuse concerns during the complaint survey. Resident Identifier: #67. 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… …
The short window
Recent years
| Year | Share of West Virginia citations | vs expected |
|---|---|---|
| 2023 | 2.44% | 1.23× |
| 2024 | 2.23% | 0.98× |
| 2025 | 2.09% | 0.85× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else West Virginia surveyors cite →
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