Mansfield Place
Philippi, West Virginia · CCN 515129
15 surveys since 2009, 4 of them producing a finding at harm level or worse.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 108
- Surveys
- 15
- Harm or worse
- 4
- Immediate jeopardyall corrected before survey
- 1
Findings at the most serious level CMS records. All were recorded as past non-compliance — corrected before the survey.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 60
- Ownership
- Non profit - Corporation
- Chain
- Independent
- County
- Barbour · rural
- Medicare-certified since
- 1994
CMS ratings
- Overall
- 4
- Health inspection
- 4
- Staffing
- 4
- Quality measures
- 3
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded somewhat more weighted findings than its peer group.
Weighted by harm level, against 15 not-for-profit facilities with fewer than 66 beds in West Virginia.
Last survey on record
Jul 24, 2025
473 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 3.97 | 4.54 |
| Registered-nurse hours per resident day | 0.67 | — |
| Annual nurse turnover | 48.2% | 37.5% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $17,345 across 1 penalty
Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J14.3% | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D1252.2% | E1043.5% | F— |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F8803×
Provide and implement an infection prevention and control program.
- F6042×
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
- F6572×
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- F6892×
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- F8122×
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
In the surveyor’s words
From the most serious findings on record at Mansfield Place, in the surveyor’s own words.
- Immediate jeopardy, isolatedF689Jul 24, 2025
Based on record review, observation, and staff interviews, the facility failed to ensure that each resident received adequate supervision and was protected from avoidable accident hazards. Specifically, the facility failed to prevent a resident (Resident #58) from being struck by a tray cart pushed by a CNA, which caused the resident to fall, sustain multiple traumatic brain injuries, require emergency medical intervention, and ultimately resulted in the resident's death. Resident identifier: #58 Facility Census:56 This failure placed all residents who ambulate or are present in high-traffic hallways at risk for serious harm, injury, or death due to unsafe transportation of tray carts. […]
- No harm, potential for more than minimal, patternF609Jul 24, 2025
609 Based on staff Interviews, Record review and Policy review the facility failed to report possible abuse allegations to state agencies within the two hours time frame. This failed practice was a random opportunity for discovery, and had the potential to affect all residents residing in the long term care facility. Resident Identifier: #1 Facility Census: 56 This standard was NOT MET as evidenced by: Based upon Staff and Resident Interviews, Record review and Policy review the facility failed to notify State Agencies of the abuse allegation with in the two hours times frame per the CMS guidelines.Findings include: 07/21/2025 1156:InterviewSpoke with resident #1 during interview and she stated there was no issues and everything was good. […]
- No harm, potential for more than minimal, patternF880Jul 24, 2025
F0880S483.80 Infection Control The facility must 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. This Standard is NOT MET as evidenced by: Based upon Random observation of lunch cart and Staff Interview, the facility failed to maintain a clean and sanitary transportation of resident meals on tray carts. During lunch service Tall food cart was delivered into main dining hall with a dirty spoon on top of cart. There was also a Styrofoam cup on top of cart that was next to the spoon, intended for a resident meal. […]
- No harm, potential for more than minimal, patternF561Oct 4, 2023
Based on observation, resident interviews and staff interviews, the facility failed to promote and facilitate resident self-determination through support of resident choice regarding having access to the dining room during meals and activities. This failed practice had the potential to affect an unlimited number of residents currently residing in the facility. Facility census: 45. Findings included: A review of the Centers for Medicare and Medicaid Services (CMS) Nursing Home Visitation- COVID-19 with a revision date of 05/08/23 read as follows. .Communal Activities, Dining and Resident Outings: While adhering to the core principles of COVID-19 infection prevention, communal activities and dining may occur. […]
- No harm, potential for more than minimal, patternF679Oct 4, 2023
Based on observation, record review, resident interview and staff interview, the facility failed to implement an ongoing resident centered activities program designed to meet the interest of and support the physical, mental and psychosocial well-being of each resident. This failed practice had the potential to affect an unlimited amount of residents residing in the facility. Resident Identifiers: Resident #11. Facility census: 64. Findings included: A review of the Centers for Medicare and Medicaid Services (CMS) Nursing Home Visitation- COVID-19 with a revision date of 05/08/23 read as follows. .Communal Activities, Dining and Resident Outings: While adhering to the core principles of COVID-19 infection prevention, communal activities and dining may occur. […]
Read 23 findings in full →The most serious and the most recent: 23 of 108 on record.
Every survey on record
FindingsAt actual harm or above
- Jul 24, 2025Standard8 findings · 1 harm
- Oct 4, 2023Standard11 findings
- Apr 20, 2022Standard4 findings
- Feb 10, 2021Standard6 findings
- Dec 14, 2020Infection control1 finding
- Jun 20, 2019Standard21 findings
- Jun 27, 2018Standard3 findings
- May 5, 2017Standard7 findings
Show the 7 earlier surveys
- Mar 24, 2016Standard10 findings
- Feb 10, 2015Standard9 findings · 1 harm
- Jun 4, 2014Complaint2 findings
- Aug 27, 2013—6 findings · 1 harm
- Sep 6, 2012—1 finding
- Apr 19, 2012—6 findings
- Sep 10, 2009—13 findings · 1 harm
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
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