F610 in West Virginia. Pick another state for the same tag.
Against expectation — 2025
West Virginia cites F610 more often than its own record predicts
Versus expected share1.20×
1.20 times the share F610 takes of citations nationally.
Share of West Virginia citations1.81%
Of every deficiency written in West Virginia in 2025, this is the portion that was F610.
West Virginia1.81%
National1.51%
Share of all citations that were F610.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What West Virginia surveyors wrote
F610 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, patternAugust 7, 2025
Based on policy review, record review, resident interview, and staff interview, the facility failed to protect the residents' right to be free from abuse that resulted in mental anguish for Residents #47, #34, and #83. Resident #73 was reportedly touching female residents in the breast and vaginal area. An unlimited about of female residents had the potential to be affected. The facility's failure to thoroughly investigate, correct, and prevent inappropriate sexual contact placed Residents #47, #34, and #83 at continued risk of sexual abuse prior to Surveyor intervention. This cread an immediate jeopardy situation. …
Based on medical record, Incident/Accident reports, Complaints/Grievances and Reportable reports, staff interview, and resident interview, the facility failed to ensure each allegation of abuse and/or neglect were thoroughly investigated to prevent further potential abuse, neglect and mistreatment. 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. …
E · No harm, potential for more than minimal, patternAugust 26, 2026
Based on policy review, record review, and staff interview, the facility failed to ensure complete and thorough investigations were completed for an injury of unknown origin and resident-to-resident physical abuse incidents. This was true for three (3) of four (4) residents sampled for abuse concerns during the complaint survey process. Resident Identifiers: #67, #65, #60 and #23. Facility 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… …
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