Based on record review and staff interview, the facility failed to ensure all mental illness diagnoses were on the Pre-admission Screening and Resident Review (PASARR) for Resident #55. This was true for two (1) of five (5) residents reviewed under the care area of unnecessary medications. Resident Identifier: #55. Facility Census: 60. Findings included: a) Resident #55 A review of medical record's for Resident #55 revealed the resident was admitted to facility on 11/06/23. Resident had a diagnosis of Bipolar Disorder, Unspecified on 08/22/25. Resident's most recent [NAME] Virginia Department of Health and Human Resources Pre-admission Screening, completed 10/17/25,revealed Question 30 Current Diagnosis was marked as Major Depression and Other: Dementia. Bipolar was not marked or listed. …
F645 citations in West Virginia
PASARR screening · Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
West Virginia cites F645 more often than its own record predicts
2.09 times the share F645 takes of citations nationally.
Of every deficiency written in West Virginia in 2025, this is the portion that was F645.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What West Virginia surveyors wrote
F645 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 | 0.84% | 1.44× |
| 2024 | 1.93% | 3.03× |
| 2025 | 1.27% | 2.09× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else West Virginia surveyors cite →
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