Based on record review, observation and staff interview the facility failed to ensure Resident #9 who requires dialysis received such services, in accordance with professional standards of practice. Resident #9 had an arteriovenous (AV) fistula in their left arm. The facility on multiple occurrences documented they were obtaining the residents blood pressure in their left arm. Obtaining blood pressure in the arm where the AV fistula is located may result in clots, clots that can dislodge, loss of use of the fistula and could cause a stroke. All of these things put the resident in an immediate risk of serious injury and/or death. The state agency (SA) determined this failure to be an immediate jeopardy (IJ) situation. The facility was notified of the IJ on 07/25/24 at 11:09 am. …
F698 citations in West Virginia
Dialysis · Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services 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 F698 less often than its own record predicts
0.61 times the national share — cited less often here than elsewhere.
Of every deficiency written in West Virginia in 2025, this is the portion that was F698.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What West Virginia surveyors wrote
F698 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 Resident interview, staff interview and record review the facility failed to ensure require [MEDICAL TREATMENT] receive such services, consistent with professional standards of practice, related to the Nurse Aide removing the dressing from the [MEDICAL TREATMENT] site, resulting in this resident having a serious bleed from the site, resulting in an emergency surgery, causing actual harm. This was true for one (1) of one (1) reviewed in the care area of [MEDICAL TREATMENT]. Identified Resident # 67. …
Based on record review, resident interviews, and staff interviews, the facility failed to provide Dialysis services in accordance with professional standards of practice. Resident #1 did not receive dinner meals when returning from Dialyses. Resident #6 did not receive timely transportation back from Dialyses. This failed practice was found true for (2) two of (2) two residents reviewed for Dialysis services during the Long-Term Care Survey Process. Resident identifier: #1. Facility Census: 109. Findings include: a) Resident #1 During the initial interview on 06/01/2026 at 12:15 PM, Resident #1 stated, I go to dialysis three times a week. Two of those days are in the evening. They don't always save my dinner. Sometimes I just have to eat something I have in my room. …
The short window
Recent years
| Year | Share of West Virginia citations | vs expected |
|---|---|---|
| 2023 | 1.18% | 1.45× |
| 2024 | 0.82% | 1.08× |
| 2025 | 0.45% | 0.61× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else West Virginia surveyors cite →
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