Tygart Center at Fairmont Campus

In the surveyor’s words

From the most serious findings on record at Tygart Center at Fairmont Campus, in the surveyor’s own words.

• Actual harm, isolatedF689Jan 30, 2025

  Based on record review, and resident and staff interviews, the facility failed to ensure Resident # 90 was transferred in a safe manner to prevent physical injury. This resulted in actual harm for Resident #90 who sustained a laceration to her lower extremity requiring16 stitches. After the incident with Resident #90 the facility identified the failures and took appropriate action to correct the failures prior to the state agency entering the facility to conduct this complaint investigation. Therefore this will be cited as past non compliance. This was true for one (1) of three (3) sampled residents. Resident Identifier: #90. Facility Census: 110. […]

• No harm, potential for more than minimal, widespreadF732May 6, 2025

  Based upon record review and staff interview, the facility failed to provide accurate daily staffing posting for actual hours worked. This was found to be true for 14 (fourteen) of 15 (fifteen) days of staffing data reviewed during the annual survey process. Facility census: 106 Findings included: Nursing staffing data and time and attendance reports were reviewed for the following dates: 04/25/25, 04/26/25, 03/21/25, 03/22/25, 03/23/25,02/20/25, 02/21/25, 02/22/25, 02/23/25 01/01/25, 01/02/25, 01/03/25, 12/31/24, 11/25/24, 11/27/24 Examples of staffing data not aligning with time and attendance reports: On 11/27/24, posted nurse staffing data showed 258 total hours worked for RNs, LPNS, and Certified Nurse Aides. […]

• No harm, potential for more than minimal, widespreadF925May 6, 2025

  Based on observations and staff interviews, the facility failed to maintain an effective pest control program so the facility is free of pests and rodents. This was a random opportunity for discovery with the possibility of affecting multiple residents. Facility census: 106. Findings include: a) During a walk-through of the dish room side of the kitchen, on 04/30/25, at 12:00 PM, many mature gnats were observed swarming around the drain area under the dishwasher table. In an interview with the district manager on 04/30/25 at 12:15 PM, he acknowledged the gnats and stated the facility had contacted the extermination for advice a week ago, but the facility had not yet been treated for the gnats.

• No harm, potential for more than minimal, widespreadF868Mar 15, 2023

  Based on record review and staff interview, the facility failed to conduct meetings with the Quality Assessment and Assurance (QAA)/QAPI (Quality Assurance and Performance Improvement) committee quarterly. An effective QAPI programs are critical to improving the quality of life, and quality of care and services delivered in nursing homes. This failed practice had the potential to affect more than a limited number of residents that currently reside at the facility. Facility census 107. Findings included: a) QAA/QAPI On 03/15/23 at 1:06 PM, the Administrator (NHA) stated that has only had one (1) QAPI meeting with all of the members present. The NHA provided the sign in sheet for the one (1) and only meeting conducted for the last 12 months, dated 02/06/23. […]

• No harm, potential for more than minimal, widespreadF725Feb 9, 2022

  Based on resident interviews, staff interviews, Resident Council minute review, record reviews, and review of the facility assessment, the facility failed to ensure sufficient qualified nursing staff were available at all times to provide nursing and related services to meet the residents' needs safely and in a manner that promoted resident rights, physical, mental and psychosocial well-being. Facility census: 108. Findings included: a) Resident Interviews During an interview on 02/07/22 at 11:56 AM, Resident #67 stated there was not enough staff and the facility needed to do something about it. Resident #67 went on to say, I sat the other night in a soiled brief, and it took over two hours for staff to clean me up. […]