Based on observation, medical record reviews and staff interviews, the facility failed to provide the necessary care and services to attain or maintain the highest practicable physical, mental, and psychosocial well-being, consistent with the resident's comprehensive assessment and plan of care for all residents residing on third (3rd) floor. Failure to deploy licensed nurses (RN's and/or LPN's) to provide initial and ongoing assessments of the clinical needs of the residents including any acute changes in condition, such as cardiac/respiratory failure, choking, hemorrhaging, poor glycemic control, onset of [CONDITION(S)], behavioral emergencies, or falls resulting in head injuries or fractures, and failure to deploy staff to provide ongoing monitoring and supervision of staff to assure… …
F675 citations in West Virginia
Quality of Life and Care Deficiencies
Honor each resident's preferences, choices, values and beliefs.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
West Virginia cites F675 more often than its own record predicts
3.78 times the share F675 takes of citations nationally.
Of every deficiency written in West Virginia in 2025, this is the portion that was F675.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What West Virginia surveyors wrote
F675 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 observation, resident interview, staff interview and record review the facility failed to ensure Resident #46 received ongoing opportunities to participate in meaningful activities consistent with her interests, and preferences. Specifically, following a significant change in condition after a fall resulting in multiple fractures, the facility failed to revise the resident's activity care plan and failed to provide consistent, individualized activity interventions. This resulted in a decline in activity participation and social isolations. This failed practice was found true for (1) one of (1) one residents reviewed for quality of life during the complaint survey. Resident identifier #46. …
The short window
Recent years
| Year | Share of West Virginia citations | vs expected |
|---|---|---|
| 2023 | 0.08% | 1.85× |
| 2024 | 0.22% | 6.04× |
| 2025 | 0.18% | 3.78× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else West Virginia surveyors cite →
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