Based on observations, resident and staff interviews, the facility failed to ensure Enhanced Barrier Precautions (EBP) were followed for residents with Multidrug-resistant Organisms (MDRO's). Resident identifiers: #12, #17 and #72. Facility census: 110. On 07/18/24 at 3:51 PM an immediate jeopardy (IJ) was called at as this failed practice had the potential to affect all residents residing in the facility. Findings included: a) Resident #12 Resident #12 was admitted on [DATE]. Diagnoses included paraplegic, neurogenic bladder with suprapubic catheter, decubitus ulcers, vascular ulcers both heels, chronic kidney disease, and insulin dependent diabetic. …
F880 citations in West Virginia
Infection prevention and control · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
West Virginia cites F880 less often than its own record predicts
0.95 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 F880.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What West Virginia surveyors wrote
F880 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 and staff and resident interviews, the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections.with This failed practice was a random opportunity for discovery and had the potential to affect more than an isolated number of residents. Facility Census: 74. a) Findings included: On 08/24/26 at 11:40 AM, during a shower room walkthrough with the Infection Preventionist, they verified and observed dark brown substance splatters on the left back corner wall, dirt on the floor around the drain in the long shower, a dark moldy looking substance around the Emergency pull cord on the wall in… …
Based on record review and staff interview, the facility failed to ensure the Infection Prevention Control Program (IPCP) was reviewed annually. This was discovered during the review of the IPCP. This had the potential to affect all residents. Facility census: 25. Findings included: a) Infection Prevention Control Program On 04/24/25 at 8:22 AM in an interview (04/23/25) with the Infection Preventionist (IP) and the Nursing Home Administrator (NHA) stated that the IPCP policies and procedures had been reviewed but the former Director of Nursing (DON) who resigned did something with the manuals and they have no evidence that the manual had been reviewed annually. The last time there was evidence of review was 2019. …
The short window
Recent years
| Year | Share of West Virginia citations | vs expected |
|---|---|---|
| 2023 | 5.55% | 1.08× |
| 2024 | 4.61% | 0.82× |
| 2025 | 5.90% | 0.95× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else West Virginia surveyors cite →
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