Clarksburg Healthcare Center

In the surveyor’s words

From the most serious findings on record at Clarksburg Healthcare Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Oct 17, 2024

  Based on record review, observations and staff interview, the facility failed to ensure residents were provided with a safe environment to prevent elopement, resulting in Resident #41 leaving the facility. This failure to ensure residents did not exit the facility unattended on 07/11/2024 placed all at risk residents who could have exited the facility in an Immediate Jeopardy (IJ) situation. This will be cited at past noncompliance because the facility corrected the failure as of 07/09/24, prior to this survey. Resident Identifier: #41. Facility Census:96. The State Agency (SA) determined this Past Non_Compliance had the potential to cause serious injury, harm, impairment or death to occur. Past non compliance Immediate Jeopardy was issued on 10/16/24 at 3:32 PM. […]

• No harm, potential for more than minimal, patternF656May 5, 2026

  Based on observation, record review and staff interview, the facility failed to develop and implement care plans for fall interventions, means of communication and multiple diagnoses. The failed practice had the potential to affect more than a limited number of residents. Resident Identifiers: #5, #61 and #44. Facility Census: 88. a) Resident #5 - On 05/04/26, Resident #5's care plan was reviewed for fall precautions/interventions. The resident's care plan stated, Device: Non-skid strips to floor on the left side of bed. and Device: Nonslip material to wheelchair for safety. […]

• No harm, potential for more than minimal, patternF803May 5, 2026

  Based on record review, observation, resident interview and staff interview, the facility failed to follow menus as posted, This failed practice had the potential to affect more than a limited number of residents. Resident identifiers: #31, #47 and #71. Facility Census: 88.Findings included: a) On 04/29/2026 at 11:52 AM, the menu posted at the entrance of the first-floor dining room stated: Cranberry Orange ChickenGarlic and [NAME] roasted Red Skin PotatoesDinner RollMandarin Oranges On 04/29/2026 at 11:52 AM, Nurse Aide #88 confirmed cabbage was not listed on the posted menu and cabbage was served to residents for lunch in the dining room. […]

• No harm, potential for more than minimal, patternF809May 5, 2026

  The Facility failed to ensure residents were served meals timely on A Hall.During the annual survey process, the facility failed to ensure timely provision of meals in accordance with posted meal service times of 7:00 AM to 8:15 AM for Breakfast, 12:00 PM to 1:15 PM for Lunch, and 5:00 PM to 6:15 PM for Dinner.Observation revealed that at 9:40 AM on 5/5/26, residents on A Hall were still being served breakfast, significantly beyond the scheduled meal service window. Resident #74, identified as requiring feeding assistance, was still waiting for their meal at that time. During an interview, CNA #72 stated, This happens often, regarding delayed meal tray delivery from the kitchen. It was further reported that A Hall received meal trays around 9:00 AM. […]

• No harm, potential for more than minimal, patternF880May 5, 2026

  Based on observation, record review and staff interview, the facility failed to ensure staff hand hygiene was completed during the dining process. This failed practice had the potential to affect more than a limited number of residents. Facility Census: 88.Findings included: a) The facility's policy and procedure for Standard Precautions stated that hand hygiene should be performed: A. Before eating/feeding or assisting in the dining room and tray pass. On 04/28/26 at 11:55 AM, during the dining room observation, Registered Nurse #75 did not use hand hygiene between residents while serving. Nurse Aide #72 and Registered Nurse #75 passed drinks to each other and then served the residents their drinks without performing hand hygiene. […]