Based on record review, staff interview and resident interview the facility failed to assess, monitor and treat pain in accordance with professional standards of treatment. For Resident #85 this resulted in actual harm because the nurse assessed him as having pain but failed to treat the residents pain with non pharmacological or pharmacological interventions both of which he had physician orders for. The nurse further failed to assess the pain for location or duration and never notified the physician or the residents increased pain. For Resident #104 the resident an increase in pain upon movement and transfers. Though the facility treated her pain and increased her pain medications they failed to assess the cause of the pain which was later identified at two (2) fractures. …
F697 citations in West Virginia
Pain management · Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
West Virginia cites F697 more often than its own record predicts
1.05 times the share F697 takes of citations nationally.
Of every deficiency written in West Virginia in 2025, this is the portion that was F697.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What West Virginia surveyors wrote
F697 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 record review and staff interviews, the facility failed to ensure residents received pain management in accordance with professional standards of practice, by not recording the pain level for as-needed (PRN) pain medication. This failed practice was found true for (1) one of (1) one residents reviewed for the care area of pain during the Long-Term Care Survey Process. Resident identifier #3. Facility Census: 88.Findings Include:a) Resident #3A record review on 04/28/26 at 2:22 PM, revealed an order for Resident #3 that read as follows:Hydrocodone-Acetaminophen Tablet 7.5-325 Milligrams (MG): Give one tablet via G-Tube every 6 hours as-needed for pain.A review of the Medication Administration Record (MAR) from 04/02/26 to the present showed that the PRN Hydrocodone-Acetaminophen… …
The short window
Recent years
| Year | Share of West Virginia citations | vs expected |
|---|---|---|
| 2023 | 1.26% | 1.72× |
| 2024 | 0.97% | 1.32× |
| 2025 | 0.82% | 1.05× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else West Virginia surveyors cite →
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