Keyser Healthcare Center

In the surveyor’s words

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

• Immediate jeopardy, patternF689Nov 26, 2025

  Based on observation, record review, and staff and resident interviews, the facility failed to ensure safe water temperatures throughout the building and in areas accessible to residents. This failed practice placed an unlimited number of residents currently residing in the facility at risk for possible harm, including scalds, burns, severe injury, and even death. The state agency determined this was an Immediate Jeopardy (IJ) situation, and Immediate action was required to prevent serious injury, scalding, burns, harm, or even death to residents at the facility. In addition, the facility failed to implement appropriate safety precautions for residents at risk of falls. Locations: room [ROOM NUMBER], South Shower Room, Dining Room sink, and Resident #4's room. Facility Census: 109. […]

• Actual harm, isolatedF600Aug 6, 2026

  Based on record review and staff interview, the facility failed to ensure a resident was not abused by staff members providing resident care resulting in abuse for one (1) of three (3) residents reviewed for possible abuse throughout the complaint survey. Harm began on 07/30/36 at approximately 1:40 PM when Resident #64 reported that a male aide ( bald, heavy set, tall, and works nights) was touchy with her during care, causing her pain and some discomfort. The alleged perpetrator was immediately removed from the schedule pending the outcome of the facility's investigation.The Administrator was informed of the Harm tag on 08/06/26 at approximately 9:30 AM. […]

• Actual harm, isolatedF689Aug 6, 2026

  Based on record review and staff interview, the facility failed to ensure staff used mechanical lifts correctly which resulted in injury for one (1) of three (3) residents reviewed for falls/accidents in the facility. Harm began in the evening hours of 06/08/26 when Nurse Aide #100 used a [NAME]-Lift (sit-to-stand lift) with Resident #114 without a second staff member present and incorrectly. Resident #114 sustained bruising to bilateral upper arms (to the underside of arms), bruising to her waist, and breast.The Administrator was informed of the Harm tag on 08/06/26 at approximately 9:36 AM. […]

• No harm, potential for more than minimal, widespreadF725Jan 10, 2024

  Based on observation, record review, and staff interview, the facility failed to designate a licensed nurse to serve as a charge nurse on each tour of duty. Additionally, the facility failed to ensure sufficient staffing to allow residents to dine in the communal areas for breakfast and dinner. This deficient practice had the potential to affect all residents residing in the building. Census: 110. Findings included: a) Charge Nurse Review of staff postings from 12/01/23, to 12/31/23, and further confirmed on 01/02/24, revealed no licensed nurse designated as a charge nurse on any shift in the building. Interview with the Director of Nursing (DON) on 01/03/24, at 12:01 PM confirmed the facility does not formally designate charge nurses. […]

• No harm, potential for more than minimal, widespreadF727Jan 10, 2024

  Based on record review and staff interview, the facility failed to have an RN at least 8 hours a day, 7 days a week. This deficient practice had the potential to affect all residents in the building. Census: 110. Findings included: a) Registered Nurse Review of staff postings from 12/1/23, to 12/31/23, confirmed no Registered Nurse (RN) designated in the building on 12/23/23. Subsequent review of staff time punches verified RN#35 was on-call but not physically present in the building on 12/23/23. Interview with the Director of Nursing (DON) on 01/09/24 at 12:01PM, confirmed no RN was available on-premises during any shift on December 23, 2023. […]