Based on record review, resident representative interview, and staff interview, the facility failed to ensure residents are allowed to return to the facility after requests to be sent to an acute care facility were honored without requiring an Against Medical Advice (AMA) discharge. This was true for two (2) of five (5) residents reviewed under the care area of Discharge. Resident Identifiers: #92 & #93. Facility Census: 89. Findings Include: a) Resident #92 A record review was completed on 07/28/26 at 10:00 AM. The resident was ordered intravenous (IV) fluids and antibiotics for the refusal of medications, and meals as well as treatment for a urinary tract infection (UTI) on 05/14/26. The resident was noted to pull out her IV multiple times. …
F627 citations in West Virginia
Resident Rights Deficiencies
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
West Virginia cites F627 more often than its own record predicts
1.16 times the share F627 takes of citations nationally.
Of every deficiency written in West Virginia in 2025, this is the portion that was F627.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What West Virginia surveyors wrote
F627 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.
What else West Virginia surveyors cite →
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