F684 in West Virginia. Pick another state for the same tag.
Against expectation — 2025
West Virginia cites F684 more often than its own record predicts
Versus expected share1.52×
1.52 times the share F684 takes of citations nationally.
Share of West Virginia citations6.53%
Of every deficiency written in West Virginia in 2025, this is the portion that was F684.
West Virginia6.53%
National4.30%
Share of all citations that were F684.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What West Virginia surveyors wrote
F684 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.
J · Immediate jeopardy, isolatedJuly 2, 2026
Based on record review, resident and family interviews, and staff interviews, the facility failed to ensure residents received timely assessment, intervention, and treatment for acute changes in condition. Specifically, the facility failed to ensure a resident exhibiting signs and symptoms consistent with sepsis, respiratory distress, hypoxia, hypotension, tachycardia, and acute clinical deterioration received timely emergency medical evaluation and transfer to the hospital; failed to follow physician orders for skin and wound care; and failed to provide pain management as ordered. …
Based on family interview, record review, and staff interviews, the facility failed to assess a resident after a fall that led to a recurrence of a left arm fracture requiring surgical intervention. This was discovered during the complaint investigation process. Census: 92 Resident identifier: #102Resident #102An interview with Rehab Manager #96 on 07/16/26 at 11:05AM, she states Resident #102 fell twice in therapy and provided therapy notes from those falls.Record review completed on 07/16/26 revealed the following Physical Therapy (PT) note. The 05/11/26 physical therapy note reads as follows: [Resident #102] lost balance and was supported per Physical Therapist (PT) via gait belt and manual support at left arm briefly. Pt complained of pain in left arm and provided ice in room. …
D · No harm, potential for more than minimal, isolatedAugust 13, 2026
Based on record review and staff interview, the facility failed to ensure residents received treatment and care in accordance with professional standards of practice. Specifically, the facility failed to follow the parameters of a blood pressure medication order for Resident #11. This was a random opportunity for discovery. Resident identifier: #11. Facility census: 130. a) Resident #11A record review, completed on 08/12/26 at 11:51 AM, revealed the following physician order:-Metoprolol Succinate ER Oral Tablet Extended Release 24 Hour 50 MG (Metoprolol Succinate) Give 50 mg by mouth one time a day related to HYPERTENSIVE CHRONIC KIDNEY DISEASE WITH STAGE 1 THROUGH STAGE 4 CHRONIC KIDNEY DISEASE, OR UNSPECIFIED CHRONIC KIDNEY DISEASE (I12.9) HOLD IF SYSTOLIC BLOOD PRESSURE LESS THAN 120. …
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