Based on record review, and staff interview the facility failed to ensure Resident # 196 who was discharged from the facility with the expectation of returning to the facility was readmitted to the first available bed. Resident #196 was sent to a local psychiatric hospital on 09/06/23. When he was stabilized and ready to be discharged back to the facility the facility denied his readmission stating they could not handle his behavioral problems. This failed practice resulted in actual harm to Resident #196 who suffered increased frustration, irritability, and depression related to not being allowed to return to the facility and having to remain a patient at the psychiatric hospital for a prolonged period of time. …
F626 citations in West Virginia
Resident Rights Deficiencies
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
West Virginia cites F626 more often than its own record predicts
1.61 times the share F626 takes of citations nationally.
Of every deficiency written in West Virginia in 2025, this is the portion that was F626.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What West Virginia surveyors wrote
F626 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 resident representative interview, staff interview, hospital staff interview, long term care ombudsman interview and record review the facility failed to ensure Resident #60 who was discharged from their facility and was expected to return was readmitted to the first available bed when medically stable. Resident #60 has remained in the hospital from [DATE] until the time of this survey. The facility has admitted other male residents instead of Resident #60 with claims they did not have suitable bed for him. Resident #60 has experienced actual psychosocial harm as a result of these failures. The resident has experienced anxiety, agitation, and feelings of despair thinking he has done something wrong to cause this. …
The short window
Recent years
| Year | Share of West Virginia citations | vs expected |
|---|---|---|
| 2023 | 0.08% | 0.71× |
| 2024 | 0.07% | 0.55× |
| 2025 | 0.09% | 1.61× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else West Virginia surveyors cite →
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