Based on record review and staff interview, the facility failed to ensure a comprehensive assessment of resident preferences for customary routine and activities was completed and documented in the annual Minimum Data Set (MDS) for one (1) of two (2) residents. This was true for Resident #15. Resident identifier: #15. Facility census: 117.Findings include:a) Resident #15On 01/20/25, a review of Resident #15's annual Minimum Data Set (MDS) completed on 07/06/25 revealed that Section F (Preferences for Customary Routine and Activities) was not completed. …
F636 citations in West Virginia
Comprehensive assessments · Resident Assessment and Care Planning Deficiencies
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
West Virginia cites F636 more often than its own record predicts
1.09 times the share F636 takes of citations nationally.
Of every deficiency written in West Virginia in 2025, this is the portion that was F636.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What West Virginia surveyors wrote
F636 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.
The short window
Recent years
| Year | Share of West Virginia citations | vs expected |
|---|---|---|
| 2023 | 0.50% | 1.28× |
| 2024 | 0.07% | 0.25× |
| 2025 | 0.27% | 1.09× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else West Virginia surveyors cite →
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