Based on record review and staff interview, the facility failed to ensure medications were available for administration to residents. This deficient practice had the potential to affect two (2) of three (3) residents reviewed for medications. This deficient practice caused harm to Resident #15. Resident #15 experienced seizures as a result of not receiving anticonvulsant medication as ordered and required an emergency room evaluation and medical testing. Resident identifiers: #15 and #24. Facility census: 76. Findings included: a) Resident #15 Resident #15 was admitted in August 2023. He had diagnoses of cerebral palsy, seizures, and moderate intellectual disabilities. …
F755 citations in West Virginia
Pharmacy services · Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
West Virginia cites F755 less often than its own record predicts
0.19 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 F755.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What West Virginia surveyors wrote
F755 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 interview, the facility failed to ensure an account of all controlled drugs was maintained and periodically reconciled. The facility failed to ensure the controlled substance count was signed by the on-going and off-going nurses performing the count. The facility also failed to identify and investigate a possible drug diversion for Resident #98. These findings were random opportunities for discovery. Resident Identifier: #98. Facility Census: 109. Findings included: a) Controlled substance counts The facility's policy titled, Controlled Substances, with effective date September 2018 and revision date August 2020, stated that an accurate inventory of all controlled medications would be maintained at all times. …
The short window
Recent years
| Year | Share of West Virginia citations | vs expected |
|---|---|---|
| 2023 | 0.84% | 0.40× |
| 2024 | 0.52% | 0.24× |
| 2025 | 0.45% | 0.19× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else West Virginia surveyors cite →
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