Based on observation, resident interview, staff interview and record review, the facility failed to ensure Resident #54 received the necessary dental services to ensure he was pain free and able to attain his highest practicable physical well-being. Resident #54 was to have teeth extracted the facility has failed to make the arrangements for Resident #54 to have his teeth extracted. This failure has resulted in actual harm for Resident #54 because he has continued pain from the teeth which are in poor condition. This was true for one (1) of two (2) residents reviewed for the care area of dental status. Resident identifier: #54. Facility census: 90. Findings included: a) Resident #54 On 11/14/22 at 3:00 PM an observation and Interview, found Resident #54 had missing teeth. …
F791 citations in West Virginia
Dental services · Quality of Life and Care Deficiencies
Provide or obtain dental services for each resident.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
West Virginia cites F791 more often than its own record predicts
2.62 times the share F791 takes of citations nationally.
Of every deficiency written in West Virginia in 2025, this is the portion that was F791.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What West Virginia surveyors wrote
F791 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, record review and staff interview, the facility failed to provide dental services for a resident receiving Medicaid services. This deficient practice had the potential to affect one (1) of three (3) residents reviewed for the dental care area. Resident Identifier: #14. Facility Census: 89. Findings included: a) Resident #14 Resident #14 was interviewed on 08/10/26 at 2:54 PM. She was noted to be edentulous. Her speech was difficult to understand by the surveyor. When questioned, Resident #14 stated she had upper dentures, but she didn't like to wear them without her lower dentures. She stated she had lower dentures when she was admitted to the nursing home but they had been lost during a hospitalization. …
The short window
Recent years
| Year | Share of West Virginia citations | vs expected |
|---|---|---|
| 2023 | 0.17% | 0.57× |
| 2024 | 0.30% | 1.07× |
| 2025 | 0.73% | 2.62× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else West Virginia surveyors cite →
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