War Memorial Hospital

In the surveyor’s words

From the most serious findings on record at War Memorial Hospital, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Apr 9, 2026

  Based on observation, record review and staff interview, the facility failed to ensure food was stored under sanitary conditions and in a manner that prevented foodborne illness to the resident. This failed practice had the potential to affect more than a limited number of residents. FACILITY:FACILITY. Facility Census: 14.Findings included: a) The facility's Policy and Procedure for Food Storage and refrigerator Safety stated, A.2, Dry foods should be stored in a manner that maintains the integrity of the packaging until they are ready to use. Practice B.7. stated, Label, date, and monitor refrigerated food so it is used by its use-by-date, or discarded. Practice B.9. stated, All refrigerators will be cleaned and outdated food discarded. […]

• No harm, potential for more than minimal, patternF842Nov 2, 2022

  Based on medical record review and staff interview, the facility failed to ensure physician orders and care plans matched the resident and/or medical power of attorney's requests documented on the West Virginia Physician Orders for scope of treatment (POST) form. This is true for four (4) of four (4) residents reviewed. Resident identifiers: 3, 8, 13, 16. Facility census: 16. Findings include: a) Resident (R) #3 Review of the medical record on [DATE], revealed R #3 completed a POST form with his medical power of attorney and physician on [DATE]. The form states Do Not Attempt Resuscitation if found without a pulse and not breathing. Limited interventions include intravenous fluids (IV) for a trial period of no longer then three days and no feeding tube. […]

• No harm, potential for more than minimal, patternF868Nov 2, 2022

  Based on facility documentation and staff interview, the facility failed to meet at least quarterly to conduct required Quality Assurance and Performance Improvement (QAPI) activities. This practice had the potential to affect more than a limited number of residents at the facility. Facility census 16. Findings included: a) QAPI meetings Review of the facility's Quality Assurance and Performance Improvement (QAPI) plan revealed that the Medical Director, [NAME] President of Medical Affairs/designee, [NAME] President, DON, Dietician, Pharmacist, Infection Control Preventionist, Director of Activities, and the Director of Housekeeping were on the committee. A request was made for the attendance sheet from the QAPI meetings for the previous 12 months. […]

• No harm, potential for more than minimal, isolatedF710Oct 16, 2024

  Based on interviews and record reviews during a recertification survey on 10/16/24, the facility did not ensure timely notification to the physician of Resident's significant weight loss. This is true for one (1) of three (3) Resident's reviewed for weight loss. Resident identifiers: Resident #2. Facility census: 15. Findings included: a) Resident #2 Resident #2 had diagnoses of Polyosteoarthritis, Heart failure, Chronic Obstructive Pulmonary Disease, Major Depressive Disorder, Type 2 diabetes, hypertension, and age-related physical debility. Record review on 10/15/24 at approximately 2:18 PM revealed the following: Resident had been weighed on 08/06/24 at 11:58 AM, and the weight recorded as 218.2 pounds. […]

• No harm, potential for more than minimal, isolatedF609Nov 2, 2022

  Based on record review, review of facility grievances, policy review, and staff interview, the facility failed to ensure that all allegations of neglect were reported within 24 hours to appropriate state agencies as required. This was a random opportunity for discovery. Resident identifier: #7. Facility census: 16. Findings included: a) Resident #7 On 11/02/22 at 9:04 AM, a review of the facility grievance log from May 2022 through October 2022 found the following resident complaint: -Resident #7 reported, on 10/05/22, that she had asked the Certified Nurse Aide (CNA) to hand her oxygen to her. […]