Based on record review, staff interview and resident interview, the facility failed to provide sufficient preparation and orientation to one (1) of four (4) residents discharged from the facility to ensure a safe and orderly discharge from the facility. The Resident was discharged to a homeless shelter. The Resident had no prior knowledge he would be discharged to the shelter until the day of discharge. Medications were sent with the resident; however, the Resident had no knowledge of how to take the medications. The Resident had no follow up appointments with any physician for further care and no services arranged for outside the facility. …
F624 citations in West Virginia
Resident Rights Deficiencies
Prepare residents for a safe transfer or discharge from the nursing home.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
West Virginia cites F624 more often than its own record predicts
1.86 times the share F624 takes of citations nationally.
Of every deficiency written in West Virginia in 2025, this is the portion that was F624.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What West Virginia surveyors wrote
F624 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, investigation, and interview, the facility failed to provide sufficient preparation and orientation and take steps under its control to ensure one of one resident discharge was safe and orderly. Resident #111 was taken to a local homeless shelter who was not equpieed to meet her needs to her physical limitations. Resident identifier: #111. Facility Census: 110. Findings included: a) Resident #111 A record review revealed, the facility notified the resident of a pending discharge on [DATE] at 9:12 AM. The resident was discharged from the facility on 03/13/24 at 9:39 AM. In addition the facility made the referral to a homeless shelter without adequate planning to ensure the shelter could meet the needs of the resident. …
The short window
Recent years
| Year | Share of West Virginia citations | vs expected |
|---|---|---|
| 2023 | 0.08% | 0.79× |
| 2024 | 0.15% | 1.26× |
| 2025 | 0.09% | 1.86× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else West Virginia surveyors cite →
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