Based on resident and staff interview and record review, the facility failed to provide showers and/or bed baths in accordance with the residents' preference and/or plan of care. Residents stated the staff preferred to give them bed/sponge baths, rather than a shower, because it is less work. This was true for three (3) of six (6) residents reviewed for the care area of choices and for five (5) of seven (7) residents reviewed for the care area of Activities of Daily Living (ADL) during the long-term care survey process. For Resident #42 the facility failed to provide a timely transfer from her chair to her bed causing the resident to become agitated and cry out for a period of 30 minutes. This resulted in actual psychosocial harm for Resident #42. …
F677 citations in West Virginia
ADL care for dependent residents · Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
West Virginia cites F677 more often than its own record predicts
1.28 times the share F677 takes of citations nationally.
Of every deficiency written in West Virginia in 2025, this is the portion that was F677.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What West Virginia surveyors wrote
F677 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, record review, and resident and staff interviews, the facility failed to provide necessary activities of daily living (ADL) assistance for two (2) of three (3) residents reviewed for ADL care. The facility failed to ensure that dependent residents received timely assistance with hygiene and positioning in accordance with their assessed needs. Resident identifiers: #42 and #3. Facility census: 60.Findings Include:a) Resident #42On 08/03/26 at 1:20 PM, Resident #42 requested assistance to be placed in bed. During the interview, the surveyor observed that the resident was not in proximity to her call light. …
The short window
Recent years
| Year | Share of West Virginia citations | vs expected |
|---|---|---|
| 2023 | 2.02% | 0.73× |
| 2024 | 1.93% | 0.80× |
| 2025 | 2.90% | 1.28× |
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