Based on record review and staff interview, the facility failed to implement an antibiotic use protocol, including reporting laboratory results to the facility physician. This resulted in the failure to ensure Resident #57 received appropriate treatment for [REDACTED].) In addition, this placed the resident at risk for developing antibiotic-resistance. This was true for one (1) of five (5) residents reviewed for unnecessary medications. Prior to surveyor intervention, the physician and facility staff, including the infection preventionist, did not identify or attempt to correct this failed practice. …
F881 citations in West Virginia
Antibiotic stewardship · Infection Control Deficiencies
Implement a program that monitors antibiotic use.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
West Virginia cites F881 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 F881.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What West Virginia surveyors wrote
F881 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 implement their antibiotic stewardship program. Resident #44's attending physician received the urine culture results which indicated the resident's infection was resistant to Macrobid. However, the physician ordered Macrobid to treat the urinary tract infection (UTI). The resident did not improve and when questioned the facility reviewed the culture again and discovered the wrong antibiotic was ordered. This resulted in actual harm for Resident #44. Her UTI symptoms persisted and she was later hospitalized with sepsis. This was discovered during the completion of the infection control task during the long term care survey process. …
Based on record review and staff interview, the facility failed to follow principles of antibiotic stewardship. This deficient practice had the potential to affect one (1) of three (3) residents reviewed for antibiotic use. Resident Identifier: #66. Facility Census: 107.Findings included: a) Resident #66 The facility's procedure titled, Antibiotic Stewardship Plan, with effective date 05/01/17, stated the Infection Preventionist would review culture data to support antibiotic stewardship. Review of Resident #66's medical records showed she was admitted to the facility with a surgical site infection at the site of a toe amputation. On 05/10/25, a wound culture was performed due to increased drainage at the site. The resident was also started on the antibiotic Cefalexin. …
The short window
Recent years
| Year | Share of West Virginia citations | vs expected |
|---|---|---|
| 2023 | 0.59% | 1.27× |
| 2024 | 0.22% | 0.50× |
| 2025 | 0.09% | 0.19× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else West Virginia surveyors cite →
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