Based on record review, observation. and staff interview the facility failed to ensure Resident #8 was served liquid in a form which met his individualized needs. Resident # 8 was ordered and care planned to receive nectar thickened liquids however during the noon time meal on 12/16/25 the resident was served regular consistency milk and regular consistency coffee. The resident did drink the thin liquids and experienced coughing. This was a random opportunity for discovery and was true for Resident #8. The State Agency (SA) determined the facility's failure to serve Resident #8 with nectar thickened liquids place him at immediate risk for serious harm and/or death. …
F807 citations in West Virginia
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
West Virginia cites F807 more often than its own record predicts
10.28 times the share F807 takes of citations nationally.
Of every deficiency written in West Virginia in 2025, this is the portion that was F807.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What West Virginia surveyors wrote
F807 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, resident interview, and staff interview, the facility failed to provide adequate hydration for Residents #55, #107, and #68. These were random opportunities for discovery. Resident Identifiers: #55, #107 and #68. Facility Census: 117.Findings Included:a) Resident #55On 05/11/26 at 12:25 PM, an initial interview was held with Resident #55. The resident stated, I would like some ice water. The resident was asked, Did you get any fresh ice water today? Resident #55 stated, No, I haven't. An observation was made at this time of a 12-ounce Styrofoam cup, which was undated, that had a small amount of water and no ice inside the cup.On 05/11/26 at 12:30 PM, Activities Director #55 was asked to come into the resident's room. …
The short window
Recent years
| Year | Share of West Virginia citations | vs expected |
|---|---|---|
| 2024 | 0.15% | 2.67× |
| 2025 | 0.64% | 10.28× |
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