Based on record review and staff interviews, the facility failed to ensure Professional standards care and services were provided according to accepted standards of clinical practice in regard to medications left at bedside. This practice has the potential to affect a limited number of residents. Resident identifier: #79. Facility census: 99. An observation on 03/26/25 at 8:08 AM found, Resident #79 taking medications from a medication cup, unattended. During an interview on 03/26/25 at 8:10 AM, Licensed Practical Nurse (LPN) #59 verified, she should not have left the room before Resident 49 took her medication. Medical record review revealed Resident #49 did not have physician's order for medication self-administration.
F658 citations in West Virginia
Professional standards of care · Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
West Virginia cites F658 less often than its own record predicts
0.05 times the national share — cited less often here than elsewhere.
Of every deficiency written in West Virginia in 2025, this is the portion that was F658.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What West Virginia surveyors wrote
F658 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 | 0.08% | 0.05× |
| 2024 | 0.07% | 0.04× |
| 2025 | 0.09% | 0.05× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else West Virginia surveyors cite →
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction