Based on review of medical record, facility reported incident, policy review and staff interview the facility failed to ensure residents were free of significant medication errors. This happened when a nurse pre-poured medications for Resident #8 and mistakenly administered the medications to Resident #52. This affected one (1) of 44 residents. Resident Identifier: #52. Facility Census: 60.This state agency determined this deficient practice constituted immediate jeopardy at past noncompliance beginning 06/09/26. The facility implemented its removal plan and the Immediate Jeopardy was removed on 07/06/26. …
F760 citations in West Virginia
Significant medication errors · Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
West Virginia cites F760 less often than its own record predicts
0.07 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 F760.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What West Virginia surveyors wrote
F760 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 observation, record review and staff interview, the facility failed to ensure freedom of significant medication errors during medication administration for Resident #105. This was true for one (1) of three (3) residents reviewed under the care area of medication administration. Resident Identifier: #105. Facility Census: 118.Findings Included: a) Resident #105On 07/02/26 at 9:00 AM, an observation of medication administration by Registered Nurse (RN) #154 for Resident #105. Resident #105 takes her medication crushed in applesauce. Upon preparation of Resident #105's medication, the resident received Cardizem CD (controlled dose) 120mg (milligrams) by mouth every day. …
The short window
Recent years
| Year | Share of West Virginia citations | vs expected |
|---|---|---|
| 2023 | 0.17% | 0.15× |
| 2024 | 0.45% | 0.38× |
| 2025 | 0.09% | 0.07× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else West Virginia surveyors cite →
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