Moundsville Healthcare Center

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689Aug 14, 2024

  Based on record review, observations and staff interview, the facility failed to ensure one (1) resident was provided with a safe environment to prevent elopement. This resulted in Resident #101 leaving the facility and being found outside the facility, two (2) blocks away. The facility's failure to ensure the resident did not exit the facility unattended on 07/09/24 placed him at risk and in an Immediate Jeopardy (IJ) situation. This will be cited as past noncompliance because the facility corrected the failure as of 07/29/24, prior to this survey. Resident identifier: #101. […]

• Actual harm, isolatedF697Apr 4, 2024

  Based on resident interview, record review and staff interview, the facility failed to provide pain management to Resident #318. Harm occurred when the facility failed to address the resident's complaints of continued pain resulting from a right humerus fracture. There were no orders for non-pharmacological interventions, or any pain medications prescribed for 21 days. In addition, Resident #75's pain management was not addressed. Resident identifiers: #318 and #75. Facility census: 120. Findings included: a) Resident #318 At approximately 2:32 PM on 04/01/24, an interview was conducted with Resident #318. During the interview, Resident #318 stated they were in severe pain, and had been since they arrived at the facility on 03/11/24. […]

• No harm, potential for more than minimal, widespreadF880Apr 4, 2024

  Based on observation, policy review, medical record review, and staff interview the facility failed to establish and maintain an infection prevention program to help prevent the development and transmission of communicable diseases, to help prevent cross-contamination and infections including Covid-19 in regard to, laundry services, water management, and meal services. This failed practice had the potential to affect every resident currently residing in the facility. Facility Census: 120. Findings included: a) Water Management During facility record review of the water management revealed, the documentation was not maintained to prevent growth of water borne pathogens including description of the building water system. […]

• No harm, potential for more than minimal, patternF689Dec 11, 2025

  Based on observation, record review and staff interview, the facility failed to ensure medication carts were locked when nurses were not in attendance. These were random opportunities of discovery. Facility Census: 124.Findings Include: a) Medication Administration Policy On 12/10/25 at approximately 9:15 AM, the facility Medication Administration policy was reviewed. The review found under the heading of Procedure letter k. stated the following: Do not leave medication cart unlocked. (Typed as written.) b) Resident #15 On 12/10/2025 at 8:50 AM, an observation was made on the 200 hall which found the medication cart unlocked. The medication cart was left unattended for approximately three (3) minutes. […]

• No harm, potential for more than minimal, patternF697Dec 11, 2025

  Based on record review and staff interview, the facility failed to ensure documentation of residents' pain and treatment was performed in accordance with professional standards of practice. This deficient practice had the potential to affect one (1) of one (1) residents reviewed for the care area of pressure ulcers. Resident identifier: 90. Facility census: 124.Findings included- On 11/29/25 at 8:25 AM, for a pain level of 8. Non-pharmacological interventions of repositioning, conversation, and redirection were attempted. The pain medication was effective in relieving the resident's pain. […]