Tygart Valley Health & Rehabilitation

In the surveyor’s words

From the most serious findings on record at Tygart Valley Health & Rehabilitation, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF550Nov 20, 2025

  Based on observation and staff interview, the facility failed to allow Resident #46 to have a dignified dining experience. This finding was related to the facility failing to serve his meal with the other residents at his table before serving other tables. This failed practice was a random opportunity for discovery. Resident identifier: #46. Facility Census: 54.Findings Included:a) Resident #46 On 11/17/25 at 12:46 PM, during a dining room observation, It was observed that Resident #46 was not served his lunch tray with the rest of his tablemates before staff began serving other tables. […]

• No harm, potential for more than minimal, patternF812Nov 20, 2025

  Based on observation, and staff interview, the facility failed to properly store food in accordance with professional standards. This is true for the kitchen walk in cooler and utensil storage.This had the potential to affect all residents in the facility. Facility census: 54.Findings included:a) On 11/17/2525 at 12:27PM, during Initial Brief Tour of Kitchen with the facility Kitchen Manager, who acknowledged the following in the walk-in cooler, an opened plastic bag of lettuce with no label or dates and in the utensil drawer, the utensils were incorrectly placed in different directions. […]

• No harm, potential for more than minimal, patternF842Nov 20, 2025

  Based on observation, staff interviews and record review the facility failed to ensure it had a complete and accurate medical record related to dental status. This failed practice was found true for (1) one of (3) three residents reviewed for dental during the Long-Term Care Survey Process. Resident identifier #54. Facility census: 54. Findings Include: a) Resident #54 An observation on 11/17/25 at 3:15 PM revealed Resident #54 sitting in the hallway in her wheelchair. She had several teeth missing and some were decayed and broken off at the gums.A record review on 11/18/25 at 12:30 PM, revealed that Resident #54 had seen an in-house dentistry on 02/06/25. The dental consult showed the following:Teeth numbers 11, 21, 22, and 6 are decayed. Teeth numbers 1-3, 13-20, 31 and 32 are missing. […]

• No harm, potential for more than minimal, patternF880Nov 20, 2025

  Based on observations, review of clinical records, facility documentation, and staff interviews, it was determined that 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, follow CDC (Centers for Disease Control) guidelines for use of PPE (Personal Protective Equipment) and ensure staff donned appropriate personal protective equipment (PPE) prior to wound care for a resident on (Enhanced Barrier Precautions). The facility also failed to ensure a barrier was maintained in the laundry area and failed to repair unhygienic wheelchair surfaces. […]

• No harm, potential for more than minimal, patternF574Jan 10, 2024

  Based on observation and staff interview the facility failed to support the residents' rights, by not placing the name and contact information for the State Ombudsman in a location that was easily accessible for all residents to read. This was a random opportunity for discovery and had the potential to affect more than a limited number of residents. Facility census: 47. Findings included: a) During the Resident Council meeting, on 01/09/24 at 11:00 AM, the resident council members all said they did not know where the information was located for the Ombudsman. An observation, on 01/09/24 at 11:45 AM, of the posting for the Ombudsman information revealed the information was posted in a case mounted to the wall on 100 hall. […]