Based on observation, medical record reviews and staff interviews, the facility failed to deploy staff to provide the necessary care and services to attain or maintain the highest practicable physical, mental, and psychosocial well-being, consistent with the resident's comprehensive assessment and plan of care for all residents residing on third (3rd) floor. Failure to deploy licensed nurses (RN's and/or LPN's) to provide initial and ongoing assessments of the clinical needs of the residents including any acute changes in condition, such as cardiac/respiratory failure, choking, hemorrhaging, poor glycemic control, onset of [CONDITION(S)], behavioral emergencies, or falls resulting in head injuries or fractures, and failure to deploy staff to provide ongoing monitoring and supervision of… …
F725 citations in West Virginia
Sufficient nursing staff · Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
West Virginia cites F725 more often than its own record predicts
1.05 times the share F725 takes of citations nationally.
Of every deficiency written in West Virginia in 2025, this is the portion that was F725.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What West Virginia surveyors wrote
F725 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, resident interview, and staff interview, the facility failed to ensure there were sufficient qualified nursing staff available at all times to provide nursing and related services to meet the residents' needs safely and in a manner that promoted each resident's rights, physical, mental, and psychosocial well-being. This was a random opportunity for discovery throughout the complaint survey process. Resident Identifiers: #78, #79, #74, and #65. Facility census: 97.Findings included: a) Resident Council MinutesA review of resident council minutes, completed on 07/21/26 at 5:55 PM, revealed the following issues: -During the 03/26/26 resident council meeting, residents expressed concern about low staffing in the nursing department.-During the 04/20/26 resident council… …
Based on observations and interviews with residents and staff, the facility failed to ensure proper levels of staff were maintained to provide for the residents' needs. This was discovered during the normal Long Term Survey Process, while meeting with the resident council and has the ability to affect more than a limited number of residents. Census 59. Findings included:a) On 07/14/26 at approximately 10:30 AM during a meeting with the resident council, twelve (12) out of thirteen (13) members in attendance brought up that call light response times are very long. When the group was asked how long they thought the average wait time for a call light to be answered, the response was longer than 45 minutes most days. This was the answer given. …
The short window
Recent years
| Year | Share of West Virginia citations | vs expected |
|---|---|---|
| 2023 | 0.42% | 0.52× |
| 2024 | 0.74% | 0.93× |
| 2025 | 0.82% | 1.05× |
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