F686 in West Virginia. Pick another state for the same tag.
Against expectation — 2025
West Virginia cites F686 less often than its own record predicts
Versus expected share0.60×
0.60 times the national share — cited less often here than elsewhere.
Share of West Virginia citations1.18%
Of every deficiency written in West Virginia in 2025, this is the portion that was F686.
West Virginia1.18%
National1.97%
Share of all citations that were F686.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What West Virginia surveyors wrote
F686 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, isolatedNovember 21, 2024
Based on resident interview, record review, staff interview and observation, the facility failed to ensure a resident did not develop avoidable pressure ulcers. Resident #8 returned from the emergency room with bilateral leg immobilizes. The facility failed to implement a plan to prevent Resident #8 from developing pressure ulcers because of the leg immobilizers. Resident #8 developed bilateral unstageable pressure ulcers to both calves. The wounds have worsened and required the resident to be hospitalized and undergo debridement procedures on each of the wounds. The resident has voiced concerns and fears that his right leg will need an amputation because of the wound. …
Based on record review and staff interview the facility failed to ensure one (1) of two (2) residents reivewed for pressure ulcers received the apprpirate care to treat a wound to the coccyx. Resident #1 entered the facility without a pressure ulcer to the coccyx . He was discharged to another facility (nursing home). An assessment completed within 40 minutes after his discharge from the facility revealed a deep foul smelling wound to the coccyx. Resident #1 sustained actual harm. Resident identifier: #1. Facility Census: 118
Findings Include:
a) Resident #1
Resident #1 was admitted to the facility on [DATE] from a critical illness recovery hospital. He had been at that facility from 01/22/25 - 02/18/25. He had previously been at another acute care hospital from [DATE] - 01/22/25. …
D · No harm, potential for more than minimal, isolatedJuly 8, 2026
Based on record review, observations, and staff interview. The facility failed to ensure physician orders were being followed for treatment services to prevent pressure ulcers. This affected one(1) of three (3) residents reviewed. Resident identifier: #101. Facility census : 101. Findings include- a) Resident #101 Review of physician order.-Reads in part, resident to have heel boot to right/left hell at all times except for bathing. Review of care plan.-Reads in part, Focus-Resident #101 is at risk for pressure ulcers/injuries related to decreased mobility, poor nutritional intake, and favors right side.Intervention reads in part.-Resident to have heel boot on the right/left heel at all times except bathing. …
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