Inspection Reports for Celebration Villa of Martinsburg

Follow-up to Complaint #38583 to verify correction of previously cited deficiency.

The deficiency related to the complaint was corrected as of the follow-up inspection.

Complaint #38583 was followed up on and the deficiency was corrected.

Follow-up to Complaint #37633 to verify correction of previously identified deficiencies.

The deficiencies identified in the prior complaint investigation were corrected by the time of this follow-up inspection.

Complaint #37633 was the reason for the initial investigation; deficiencies were corrected as confirmed in this follow-up.

The inspection was conducted as an investigation of Complaint #38583 regarding concerns about staffing levels and call light response times at Celebration Villa of Martinsburg.

The facility failed to ensure adequate staffing levels to meet residents' care needs, resulting in delayed call light responses, with some calls unanswered for over an hour. Additionally, housekeeping and maintenance deficiencies were noted, including damaged carpets and missing bathroom fixtures.

Investigation of Complaint #38583 started on 04/29/25 and ended on 04/30/25. The complaint was substantiated and a deficiency was cited.

Investigation of Complaint #37633 conducted from 03/11/25 to 03/13/25 due to concerns about staffing levels, monitoring of residents after incidents, housekeeping, and notification of supervisory nurse changes.

The facility was found deficient in multiple areas including failure to maintain required staffing levels on day shifts, inadequate monitoring and documentation of a resident's condition following an incident, insufficient housekeeping and maintenance, failure to notify the Secretary within 10 days of a permanent change in supervising RN, and direct care staff assisting dietary staff instead of focusing on resident care during meals. The complaint was substantiated and deficiencies were cited.

Complaint #37633 was substantiated following investigation from 03/11/25 to 03/13/25. Deficiencies were cited related to staffing, resident monitoring, housekeeping, and notification of supervisory nurse changes.

Investigation of Complaint #36397 at Celebration Villa of Martinsburg.

The complaint was unsubstantiated, and no deficiencies were cited during the investigation.

Complaint #36397 was investigated and found to be unsubstantiated with no deficiencies cited.

Investigation of Complaint #35454 conducted from 2024-12-17 to 2024-12-18.

The complaint was unsubstantiated, and no deficiencies were cited during the investigation.

Complaint #35454 was investigated and found to be unsubstantiated with no deficiencies cited.

Follow-up visit to verify correction of deficiencies identified during the annual survey.

The deficiencies identified in the prior annual survey were corrected as of the follow-up visit.

Annual survey conducted from 10/29/24 to 10/31/24 to assess compliance with licensing and regulatory requirements for Celebration Villa of Martinsburg.

The facility was found deficient in multiple areas including incomplete employee health and training records, inadequate housekeeping and maintenance, lack of written designation of responsible employee in absence of Administrator, missing food handler certification for staff handling food, and improper medication storage with outdated medications not properly disposed.

Follow-up to Complaint #32655 to verify correction of previously cited deficiencies.

The citations from the prior complaint investigation were corrected as of the follow-up visit.

Complaint #32655 was the basis for the follow-up visit; the citations were corrected.

Annual environmental inspection of Celebration Villa of Martinsburg to assess compliance with health and safety regulations.

No deficiencies were cited during the annual environmental inspection conducted on October 29, 2024, with a census of 63 residents.

Investigation of Complaint #32655 conducted from 06/25/24 to 06/26/24 regarding concerns about resident care and facility conditions.

The facility was found deficient in ensuring residents' service plans reflected current needs, proper medication administration, and having a functional call system audible to staff. Additionally, housekeeping and maintenance issues were noted. The complaint was substantiated and deficiencies were cited.

Complaint #32655 was substantiated following investigation on 06/25/24 - 06/26/24. Deficiencies were cited related to service plans, medication administration, and call system functionality.

Investigation of Complaint #30576 conducted from 03/04/24 to 03/05/24.

The complaint was unsubstantiated, and no deficiencies were cited during the investigation.

Complaint #30576 was investigated and found to be unsubstantiated with no deficiencies cited.

The document is a plan of correction following a behavioral health survey conducted from February 9-11, 2004, addressing safety concerns in the facility.

The facility was found to have safety deficiencies including lack of alarms on outside doors and insufficient awake staff supervision on weekend nights. The plan of correction includes employing staff or alternate sleeping arrangements to provide awake-night supervision during weekend shifts by July 1, 2004.

Follow-up to Complaint #29790 to review the facility's plan of correction and credible evidence related to previous citations.

The review of the facility's plan of correction and credible evidence was completed, and the citations were cleared.

Complaint #29790 was the basis for the follow-up visit; citations were cleared upon review.

Annual survey conducted to assess compliance with health, safety, staffing, training, and resident care regulations at Celebration Villa of Martinsburg.

The facility was found deficient in multiple areas including incomplete tuberculosis screenings for employees, missing employee training records (including first aid, CPR, and Alzheimer's training), inadequate housekeeping and maintenance, missing annual health assessments for residents, incomplete nursing service plans, and lack of weekly nursing progress notes for residents with nursing care needs.

The inspection was conducted as an investigation of Complaint #29790 from 12/11/23 to 12/20/23 to assess compliance with regulations related to incident reporting, record maintenance, and transfer documentation.

The facility failed to report a major incident involving a resident to the Office of Health Facility Licensure and Certification, failed to maintain accurate closed records including medication administration records and physician notes for four closed records, and failed to maintain documentation that required information was sent with a resident upon transfer to the emergency room. The complaint was substantiated and deficiencies were cited.

Investigation of Complaint #29790 from 12/11/23 to 12/20/23. The complaint was substantiated and deficiencies were cited.

Annual environmental inspection of Celebration Villa of Martinsburg conducted on December 11, 2023.

No deficiencies were cited during the annual environmental inspection.

The inspection was conducted in response to a complaint investigation identified as Complaint ID: 28740.

The allegations were found to be unsubstantiated during the inspection conducted on 07/18/2023 from 8:00 AM to 12:30 PM.

Complaint ID: 28740; Allegations: Unsubstantiated.

Revisit to Annual Survey to verify correction of previously cited deficiencies.

The revisit inspection found that the previously cited deficiencies were cleared.

The inspection was conducted as a complaint investigation (#28368) at Celebration Villa of Martinsburg from April 19 to April 21, 2023.

The report documents the initial comments of the complaint investigation but does not provide detailed findings or deficiencies within the provided page.

Complaint Investigation #28368 was initiated and conducted over the period of April 19-21, 2023 at Celebration Villa of Martinsburg.

Revisit to annual survey conducted on 03/20/23 to assess compliance with infection control and food service regulations.

The facility failed to ensure proper infection control in food storage, including unwrapped cheese and exposed frozen hamburger patties, and improper storage of opened beverages. The Executive Director retrained kitchen staff on infection control. Additionally, housekeeping and maintenance deficiencies were noted from a prior 2004 survey, including damaged carpets, missing bathroom fixtures, and unclean sinks, with plans for corrective actions.

Annual survey conducted to assess compliance with health, safety, administrative, and care standards at Celebration Villa of Martinsburg.

The facility was found deficient in multiple areas including food storage and labeling, housekeeping and maintenance, incomplete resident contracts lacking key disclosures, missing annual health assessments, and inadequate documentation of medication and care policies. Plans of correction were submitted with completion dates mostly by 03/03/2023.

The visit was conducted to follow up on a previous citation and verify correction of deficiencies at Celebration Villa of Martinsburg.

The citation related to the complaint investigation was cleared during this visit. The census was 42 residents at the time of inspection.

The inspection was conducted as an annual license renewal survey to assess the facility's compliance with state requirements.

The facility was found to be in substantial compliance with the applicable state rules and requirements, with no deficiencies or tags cited during the survey.

Routine inspection visit conducted to assess compliance and verify citation clearance at Celebration Villa of Martinsburg.

The inspection found that the citation was cleared. The census at the time of inspection was 42 residents.

Follow-up/Revisit to Complaint Investigation #27083 to verify correction of previously cited deficiencies.

No new deficiencies were cited during the follow-up visit, and previously identified deficiencies were corrected or cleared.

Complaint Investigation #27083 was the basis for the visit; deficiencies were corrected and no new deficiencies were found.

The inspection was conducted as a complaint investigation related to failure to report major incidents, failure to notify registered nurse immediately upon resident injury, and inadequate housekeeping and maintenance.

The facility failed to report a major incident timely to the Office of Health Facility Licensure and Certification, failed to notify the registered nurse immediately when a resident was found injured, and failed to ensure adequate housekeeping and maintenance. A resident suffered a fall resulting in a femoral fracture and subsequent death. The facility did not notify the RN before moving the resident and did not send complete documentation with the resident to the hospital.

The complaint investigation substantiated that the facility failed to report a major incident timely, failed to notify the RN immediately when a resident was found injured after a fall, and failed to send complete documentation with the resident to the hospital. Resident C#6 suffered a fall on 07/13/22 resulting in a femoral fracture and subsequent death. Staff moved the resident without RN assessment and did not notify the RN timely. The major incident report was faxed but no verification was available. The resident's functional needs and service plan did not accompany the transfer.

Complaint investigation survey conducted from 07/11/22 to 07/14/22 regarding medication administration and resident neglect concerns.

The licensee failed to ensure residents received prescribed medications as ordered, with multiple residents missing doses due to medication unavailability. There were no documented attempts to remedy these issues in nurse progress notes. Interviews revealed ongoing problems with a new pharmacy causing delays and difficulties in obtaining medications, especially narcotics like Gabapentin. Facility staff reported residents experienced pain due to missed medications. Additionally, housekeeping and maintenance deficiencies were noted, including damaged carpet, missing bathroom fixtures, and unclean conditions.

Complaint ID 26934 was substantiated. The investigation found multiple residents did not receive prescribed medications due to pharmacy delays and lack of medication availability. Facility staff reported difficulties with the new pharmacy, including delays in medication delivery and challenges obtaining hard scripts for narcotics. Residents experienced pain due to missed medications. Documentation and interviews confirmed these issues.

Complaint survey conducted from 01/10/22 to 01/13/22 regarding failure to notify registered nurse immediately when nursing care needs were identified and failure to provide adequate nursing care and supervision.

The facility failed to ensure immediate notification of the registered nurse when nursing care needs were identified, resulting in residents experiencing untreated pain. There was no 24-hour accessibility plan between the residence and the registered nurse, and inadequate housekeeping and maintenance were observed. Several residents reported no nurse was available during night shifts, and pain medication was not administered as ordered. Staff were verbally instructed but not formally trained on these issues. A plan of correction including staff training and updated on-call schedules was implemented.

Complaint Survey #26243 substantiated. Census 37. Issues included failure to notify RN immediately of nursing care needs, lack of 24-hour RN accessibility, and failure to provide pain medication during night shifts.

Revisit to Annual Survey to verify correction of previously cited deficiencies.

The revisit inspection was conducted from June 1 to June 2, 2021, and the deficiencies previously cited were cleared.

Annual survey conducted to assess compliance with health, safety, housekeeping, medication administration, and physical facility standards at Celebration Villa of Martinsburg.

The facility failed to ensure proper release of resident belongings upon death, adequate housekeeping and maintenance, appropriate infection control during medication administration, and maintenance of furniture upholstery integrity. Plans of correction were provided with completion dates.

Annual environmental inspection of Celebration Villa of Martinsburg to assess compliance with health and safety regulations.

No deficiencies were cited during the inspection, indicating the facility met all required standards at the time of the visit.

The inspection was conducted as a substantiated complaint investigation at Celebration Villa of Martinsburg.

The complaint was substantiated but no deficiencies were cited during the inspection.

Substantiated complaint with no citations.

The inspection was conducted as an Infection Control Survey at Elmcroft of Martinsburg AL.

No deficiencies were identified during the infection control survey conducted from 12/22/20 to 12/23/20.

The inspection was conducted as a complaint investigation for Complaint #23955.

The complaint was investigated from May 11 to May 13, 2020, and was found to be unsubstantiated.

Complaint #23955 was investigated and determined to be unsubstantiated.

Follow up to annual survey consisted of credible evidence desk review on 04/07/20 to verify correction of previous deficiencies.

All deficiencies identified in the prior annual survey have been corrected as of the follow-up review.

Annual survey inspection conducted to evaluate compliance with state regulations for assisted living residence.

The inspection identified multiple deficiencies including failure to release resident belongings upon death, incomplete death notification documentation, inadequate transfer summaries, overdue health assessments, unlocked medication carts, and inadequate housekeeping and maintenance.

The inspection was conducted to assess compliance and correct deficiencies at Celebration Villa of Martinsburg, with entrance and exit on 2/25/20.

All deficiencies identified during the inspection were corrected by the exit date of 2/25/20.

The inspection was conducted to review compliance with health and safety regulations, specifically focusing on the facility's disaster and emergency preparedness plan and overall environmental conditions.

The facility failed to review and update the disaster and emergency preparedness plan annually as required. Additionally, observations revealed housekeeping and maintenance deficiencies including damaged carpet, missing bathroom fixtures, and cleanliness issues.

The inspection was conducted as a complaint investigation identified by Complaint ID WV00022149.

The complaint investigation found no deficiencies cited during the inspection conducted from March 25 to 27, 2019.

Complaint ID WV00022149 was investigated and found to have no deficiencies cited.

The visit was a follow-up survey to verify correction of deficiencies identified during the annual licensure survey conducted on January 7, 2019.

The follow-up survey found that the previously cited deficiencies (0249, 0254) were corrected as of February 11, 2019.

Annual licensure survey conducted January 7-10, 2019 to assess compliance with state regulations for Celebration Villa of Martinsburg.

The facility was found deficient in multiple areas including staffing with current CPR/first aid training, employee orientation and training timeliness, Alzheimer’s disease training, annual health assessments, nursing staff training on resident condition changes, housekeeping and maintenance, and dietary services compliance with physician orders.

The inspection was conducted as a complaint investigation based on Complaint ID WV00021676 on January 7-8, 2019.

No deficiencies were found during the complaint investigation.

Complaint ID WV00021676 was investigated and found to have no deficiencies.

The inspection was conducted as an annual licensure survey to assess environmental conditions and compliance with disaster preparedness and physical facility requirements.

The facility was found deficient in disaster and emergency preparedness due to failure to rehearse the plan annually with all staff and lack of documentation of critiques. Additionally, the facility failed to maintain the interior and exterior in good repair, with issues such as a rusty trash can, lint and debris behind dryers, and other maintenance concerns.

The visit was a follow-up survey to verify correction of previously cited deficiencies following a Change of Ownership (CHOW) survey conducted in April 2018.

The follow-up survey found that the previously cited deficiency was corrected as of July 17, 2018.

The visit was a follow-up survey conducted on June 4, 2018, to verify correction of previously cited deficiencies related to nursing documentation and resident care following a Change of Ownership survey conducted April 9-11, 2018.

The facility failed to ensure that a registered nurse documented weekly progress notes and saw residents weekly as required for four residents (#4, 11, 30, and 46). This deficiency was repeated during the follow-up survey. Plans of correction included staff education, weekly audits, and documentation improvements.

The inspection was conducted as a Change of Ownership (CHOW) survey from April 9-11, 2018, to assess compliance with health care standards and other regulatory requirements.

The facility failed to ensure that a registered nurse documented weekly progress notes and saw residents weekly as required, specifically for four residents with insulin, catheters, or colostomies. The RN was absent for a period and did not fulfill required duties during that time.

The inspection was conducted as a Change of Ownership (CHOW) survey to assess compliance with physical facility standards and other regulatory requirements.

The facility was found deficient in maintaining the interior and exterior in good repair, with multiple observations of damage such as wall damage, cracking paint, ceiling cracks, and peeling paint. The facility management acknowledged these issues and planned corrective actions.

This was a follow-up survey to verify correction of a previously cited deficiency related to physical facilities and maintenance.

The facility was found to have multiple deficiencies related to the physical condition of the building, including damage to walls, cracking and peeling paint, and ceiling cracks in various locations. The previously cited deficiency 0254 has been corrected.

The inspection was conducted as a complaint investigation for complaint number WV00019942 at Celebration Villa of Martinsburg.

No deficiencies were cited during the complaint investigation conducted on March 20-21, 2018.

Complaint number WV00019942 was investigated and found to have no deficiencies cited.

The inspection was conducted as a complaint investigation for Complaint #WV00019376 on December 19-20, 2017.

No deficiencies were cited during the complaint investigation.

Complaint #WV00019376 was investigated and found to have no deficiencies cited.

The inspection was conducted as a complaint investigation based on allegations regarding resident neglect, specifically concerning the cleanliness of residents' fingernails.

The investigation found that the facility failed to ensure that residents' fingernails were properly cleaned and maintained, resulting in neglect for two residents. Staff were unaware or noncompliant with care plans regarding nail care, and documentation and communication deficiencies were noted.

Complaint ID # WV00018896 was investigated from October 2-10, 2017, with a follow-up on December 19-20, 2017. The complaint involved allegations that Resident #5 had feces under her fingernails and was neglected. The complaint was substantiated with findings of neglect for Residents #2 and #5.

The inspection was conducted as a complaint investigation from December 19-26, 2017, regarding concerns about staffing levels, housekeeping, maintenance, and resident privacy at Celebration Villa of Martinsburg.

The facility was found deficient in maintaining adequate staffing levels to meet residents' care needs, insufficient housekeeping and maintenance, and failure to protect resident privacy. Specific issues included inadequate direct care staff on day shifts, poor housekeeping conditions in resident rooms, and a resident being exposed during care with the door open.

Complaint ID WV00019306. The investigation was based on concerns about staffing adequacy, housekeeping, maintenance, and resident privacy at the facility.

The inspection was conducted as a complaint investigation from December 19-26, 2017, related to Complaint ID WV00019306.

The complaint investigation identified deficiencies which were subsequently corrected as confirmed by a follow-up visit on January 23, 2018.

Complaint ID WV00019306 was investigated from December 19-26, 2017 with a census of 59. A follow-up visit on January 23, 2018 with a census of 57 confirmed that deficiencies were corrected.

Annual licensure survey conducted from November 12-17, 2017 to assess compliance with staffing requirements, employee orientation and training, and overall facility operations.

The facility was found deficient in staffing levels on the night shift, failing to provide the required additional direct care staff for residents with multiple care needs. Additionally, the facility failed to maintain adequate housekeeping and maintenance, and did not provide or maintain records of required employee training for new hires within the first 15 days of employment.

The inspection was conducted as a complaint investigation following multiple complaints filed by residents and their family members regarding resident care and facility responses.

The facility failed to provide timely written responses to complaints from four residents, with delays ranging from four to sixteen days beyond regulatory requirements. The administrator acknowledged the delays and incomplete written communication with complainants.

The complaint investigation involved four residents (#10, 26, 38, and 45) whose complaints about resident care, billing, discharge letters, and medication administration were not responded to in writing within the required four-day timeframe. The administrator admitted to delayed responses and verbal communication without written follow-up.

The inspection was conducted as a complaint investigation based on Complaint ID # WV00018977 from November 13-15, 2017.

The report lists deficiencies cited during the complaint investigation; however, no specific deficiencies or severity levels are detailed in the document.

Complaint ID # WV00018977 was investigated during the visit from November 13-15, 2017. No substantiation status or further complaint details are provided.

The inspection was conducted as an annual licensure survey to assess compliance with regulatory requirements for the facility.

Two deficiencies were identified during the annual licensure survey conducted from November 12-17, 2017. A follow-up survey conducted on January 9-10, 2018, with a census of 55, found no repeat deficiencies.

The inspection was conducted as a complaint investigation from October 2-10, 2017, related to allegations of neglect concerning Resident #5 at Celebration Villa of Martinsburg.

The investigation found that the facility failed to ensure Resident #5 was not neglected, specifically regarding hygiene issues such as feces under fingernails, and failed to maintain accurate and updated service plans reflecting the resident's current needs. Staff were unaware of proper care plan details and complaint documentation was lacking.

Complaint ID WV00018896 involved allegations that Resident #5 was neglected, specifically regarding hygiene issues such as feces under fingernails. The complaint was substantiated based on interviews and record reviews.

The inspection was conducted as a complaint investigation for Complaint ID #WV00018896 from October 2-10, 2017.

Deficiencies were cited during the complaint investigation. A follow-up visit on December 19-20, 2017, found repeat deficiencies. By January 23, 2018, the deficiencies were corrected.

Complaint ID #WV00018896 was investigated from October 2-10, 2017. Follow-up visits occurred on December 19-20, 2017, and January 23, 2018, with deficiencies initially cited, repeated, and then corrected.

The visit was conducted as an annual licensure survey including an annual environmental inspection.

The inspection found no deficiencies cited during the annual licensure survey and environmental review.

The inspection was conducted as a complaint investigation from June 12-14, 2017, related to a complaint identified as WV00018027.

The investigation found no deficiencies during the complaint investigation visit.

Complaint ID WV00018027 was investigated from June 12-14, 2017, with no deficiencies found.

The inspection was conducted as a complaint investigation from November 29 to December 1, 2016.

No deficiencies were found during the complaint investigation at Celebration Villa of Martinsburg.

Complaint investigation conducted with no deficiencies found.

The visit was conducted as an annual licensure survey of the facility.

The annual licensure survey conducted from November 29, 2016 to December 1, 2016 found no deficiencies at the facility.

The inspection was conducted as an annual licensure survey to assess environmental conditions and compliance with disaster preparedness, physical facilities, and safety regulations.

The facility failed to document the critique of the annual disaster preparedness rehearsal, maintain the interior in good repair including broken floor tiles in the laundry room, and provide a thermostatic mixing valve on the 400 gallon hot water tank. Plans of correction with completion dates were provided for each deficiency.

The inspection was conducted as a complaint investigation from September 27-29, 2016.

No deficiencies were found during the complaint investigation.

Complaint investigation conducted with no deficiencies found; substantiation status not stated.

The inspection was conducted as a complaint investigation focusing on environmental concerns at Elmcroft of Martinsburg.

No deficiencies were cited during the complaint investigation.

Complaint Investigation: No Deficiencies Cited

The inspection was conducted as a complaint investigation from March 28-31, 2016, followed by a complaint follow-up visit on May 19, 2016.

The report documents a complaint investigation and a subsequent follow-up visit related to the facility's operations. Specific findings or deficiencies are not detailed in the provided text.

Complaint investigation conducted March 28-31, 2016 with census 60; complaint follow-up conducted May 19, 2016 with census 63.

The inspection was conducted as a complaint investigation based on resident complaints regarding food quality, meal timing, and lack of prompt written responses to complaints.

The licensee failed to ensure resident complaints were addressed promptly and in writing within four days as required. Residents expressed dissatisfaction with food quality, meal delays, and insufficient snacks. The complaint log showed no recent documentation of complaints, and the executive director was unaware of the required written response timeframe.

The complaint investigation found that residents complained about late meals, poor food quality including pizza and omelets, lack of snacks at night, and no written responses to complaints within the required four-day period. The complaint log had not been updated since October 1, 2015.

The visit was a follow-up survey conducted to verify correction of deficiencies identified during the annual licensure survey.

The report documents two deficiencies found during the annual licensure survey and notes a follow-up survey was conducted to assess compliance. Specific details of deficiencies are not provided in this excerpt.

The inspection was conducted as an annual licensure survey to assess environmental and physical facility compliance with state regulations.

The facility was found deficient in its disaster and emergency preparedness plan, lacking a signed emergency alternate shelter agreement, emergency transportation policy, and a three-day supply of food and water. Additionally, maintenance and housekeeping deficiencies were noted, including the need for a GFI receptacle for the water cooler, automatic hydraulic closures on kitchen doors, and removal of a smoking container, all of which were planned to be corrected.

The visit was conducted as an annual licensure survey of the facility.

The report summarizes the annual licensure survey conducted from September 14-17, 2015, with a census of 53 residents. No specific deficiencies or severity levels are detailed in the provided document.

The inspection was conducted as a complaint investigation for Celebration Villa of Martinsburg from June 8-10, 2015.

The report documents a complaint investigation but does not provide specific findings or deficiencies within the text or image.

Complaint investigation WV00013734 conducted June 8-10, 2015 with census of 48 residents.

The inspection was conducted as an annual licensure survey to assess compliance with health and safety regulations, employee training, resident rights, care standards, medication administration, and other regulatory requirements.

The facility was found deficient in multiple areas including employee training on specialty care needs, incomplete resident service plans, inadequate housekeeping and maintenance, failure to address resident complaints promptly, improper medication administration documentation, lack of training for staff on when to contact the nurse, and failure to release resident belongings to estate administrators upon death.

Annual licensure survey conducted to assess environmental and regulatory compliance of the facility.

No deficiencies were cited during the annual environmental licensure survey.

The visit was conducted as an annual licensure survey of the facility.

The report documents the annual licensure survey conducted from December 3 to 5, 2013, with a census of 61 residents. No specific deficiencies or severity levels are detailed in the provided text.

The inspection was conducted as an annual licensure survey of Celebration Villa of Martinsburg to assess compliance with regulatory requirements.

The facility was found deficient in maintaining a safe and sanitary environment, including issues with food storage, housekeeping, maintenance, and hot water temperature control. Corrective actions were planned to address these deficiencies.

The visit was conducted as an annual licensure survey of the facility.

The report notes the census at the time of inspection and mentions a transfer out of the building. No specific deficiencies or severity levels are detailed in the provided text.

The inspection was conducted as a complaint investigation at Celebration Villa of Martinsburg.

No deficiencies were cited during the complaint investigation, and technical assistance was provided.

Complaint investigation WV00008172 conducted June 18-19, 2013 with no deficiencies cited.

The inspection was conducted due to a complaint investigation regarding insufficient staffing levels and related care concerns at the facility.

The facility was found to have inadequate staffing levels to meet the care needs of 45 residents, resulting in delayed assistance, unmet care needs, and resident dissatisfaction. Additionally, the facility failed to respond promptly in writing to resident complaints and had deficiencies in housekeeping, maintenance, and call system functionality.

The complaint investigation (WV00008096) conducted May 8-13, 2013, was triggered by concerns about inadequate staffing, delayed resident assistance, unmet care needs, and lack of written responses to complaints. The census at the time was 49 residents.

The inspection was conducted as a complaint investigation from May 8-13, 2013, followed by a complaint follow-up visit on June 18-19, 2013.

The complaint investigation identified deficiencies which were subsequently corrected by the follow-up visit. Technical assistance was also provided during the follow-up.

Complaint investigation conducted May 8-13, 2013 with census 49; follow-up visit June 18-19, 2013 with census 48 confirmed deficiencies corrected and technical assistance given.

The inspection was conducted as a complaint investigation regarding a resident whose care needs exceeded the level of care the assisted living facility could provide.

The facility failed to ensure a resident with escalating behavioral issues was properly informed about the need to transfer to a more appropriate care setting, failed to keep the residence free of rodents, and had deficiencies in housekeeping and maintenance.

The complaint investigation found that Resident #4 exhibited increased behaviors including sexually inappropriate behavior, threats, and agitation. The facility failed to send a 30-day discharge notice to the legal representative and did not have a timely plan for transfer. The resident required 24/7 one-on-one supervision to ensure safety.

Annual licensure survey conducted to assess compliance with regulatory requirements for dietary services and facility operations.

The facility failed to involve residents in menu planning and did not maintain accurate daily records of foods served. Observations revealed menu substitutions not documented, food quality issues, and inadequate housekeeping and maintenance in the adolescent residence.

Annual licensure survey conducted to assess compliance with regulatory requirements for Celebration Villa of Martinsburg.

Documentation of menus was reviewed and an ombudsman reported resident satisfaction with the food. Deficiencies identified during the survey will be marked corrected.

The inspection was conducted as a complaint investigation based on concerns raised by residents, family members, and staff regarding insufficient staffing, delayed services, inadequate housekeeping, and failure to respond to complaints in a timely manner.

The facility failed to maintain sufficient staff to meet residents' care and service needs, resulting in delays in meals, laundry, and showers. Housekeeping and maintenance were inadequate, with observed damages and cleanliness issues. The administrator also failed to respond to complaints in writing within the required four-day timeframe.

The complaint investigation (#WV00007345) revealed multiple resident and family complaints about delayed meals, laundry issues, lack of clean towels, residents going days without showers, and failure of administration to provide written responses to complaints. The complaint file lacked written verification to residents regarding the investigation outcomes.

The inspection was conducted as an annual licensure survey to assess the environment and physical facilities of the Celebration Villa of Martinsburg.

The facility was found deficient in maintaining a clean and sanitary food preparation area, with dirt and grease on the kitchen floor, sticky countertops, and dirty cooler doors. Additionally, housekeeping and maintenance issues were noted, including personal belongings clutter, carpet damage, and missing bathroom fixtures.

Annual licensure survey conducted to assess the environment and compliance of Celebration Villa of Martinsburg.

The survey focused on the environment of the facility. A follow-up survey was conducted later in the year to verify correction of deficiencies, which were corrected.

The inspection was conducted as a complaint investigation from September 30 to October 3, 2012, followed by a complaint follow-up visit on November 27-28, 2012.

All deficiencies identified during the complaint investigation were corrected by the follow-up visit. No technical assistance was offered.

Complaint investigation #WV00007345 was conducted with a census of 62. A follow-up visit confirmed all deficiencies were corrected with a census of 63.

The inspection was conducted as a complaint investigation at Celebration Villa of Martinsburg.

No deficiencies were found during the complaint investigation. Technical assistance was provided, and the complaint was unsubstantiated.

Complaint investigation conducted September 4-5, 2012. No deficiencies found. Complaint unsubstantiated.

The inspection was conducted as a complaint investigation at Celebration Villa of Martinsburg.

The complaint investigation was unsubstantiated with no deficiencies cited.

The complaint investigation was unsubstantiated as stated in the report.

The inspection was conducted as a complaint investigation at Celebration Villa of Martinsburg.

The complaint investigation was unsubstantiated with no deficiencies noted in the report.

The complaint investigation was unsubstantiated as stated in the report.

The inspection was conducted as a complaint investigation and a follow-up to verify correction of deficiencies related to complaint #WV00006852.

The follow-up inspection conducted January 30-February 1, 2012, found that the previously identified deficiencies were corrected.

Complaint #WV00006852 was investigated starting December 13, 2011, with a follow-up inspection confirming deficiencies were corrected.

The inspection was conducted as an annual licensure survey and a follow-up survey to assess compliance with health care standards and service plan updates for residents.

The facility failed to ensure that residents' service plans reflected their current needs, with multiple deficiencies noted in documentation and guidance for staff regarding medical conditions and care requirements. Additionally, housekeeping and maintenance issues were observed, including damaged carpets, missing bathroom fixtures, and unclean areas.

The inspection was conducted to investigate infection control practices following diagnoses of MRSA and C-Diff among residents and staff, and to assess compliance with health care standards related to infection prevention.

The facility failed to ensure resident care was provided according to current infection control standards, with multiple residents and a staff member diagnosed with MRSA and C-Diff. Inadequate handwashing facilities, improper glove availability, and inconsistent cleaning schedules were noted.

The investigation was complaint-related due to diagnoses of MRSA and C-Diff in residents and a staff member. The complaint was substantiated by findings of inadequate infection control practices and supplies.

The inspection was conducted as an annual licensure survey of the facility.

The report documents the annual licensure survey conducted from October 31 to November 2, 2011, with a census of 62 residents. Follow-up surveys were conducted in January-February 2012 and April 2012, with deficiencies corrected by the last follow-up.

Annual licensure survey conducted from October 31 to November 2, 2011, to assess compliance with state regulations for assisted living and Alzheimer's care facility.

The survey identified multiple deficiencies including inadequate employee training on abuse reporting, failure to ensure signed resident contracts, incomplete abuse investigations and reporting, inadequate housekeeping and maintenance, missing or outdated health assessments and service plans, failure to perform required nursing assessments and monitoring, incomplete documentation of resident transfers and deaths, and failure to obtain admission weights.

The visit was conducted as an annual licensure survey of the facility.

No deficiencies were cited during the survey. Technical assistance was provided to the facility.

The inspection was conducted as a complaint investigation and follow-up related to service plans, medication administration, and compliance with health care standards at Celebration Villa of Martinsburg.

The facility failed to ensure individualized service plans were initiated within seven days of admission for multiple residents, and medications were not always administered according to signed physician orders. Additionally, there were discrepancies in medication documentation and availability. The facility also had housekeeping and maintenance deficiencies observed during a prior behavioral health survey.

The complaint investigation revealed failures in service plan initiation and medication administration compliance. The administrator and staff were interviewed, and multiple deficiencies were substantiated including medication errors and documentation issues.

The inspection was conducted as a complaint investigation and follow-up related to medication administration, service plan initiation, and staff identification issues at Celebration Villa of Martinsburg.

The facility failed to ensure that each resident had a service plan initiated within seven days of admission, medications were administered according to signed physician orders, and staff administering medications were properly identified. Multiple discrepancies were found in medication administration records (MARs), including lack of registered nurse review and improper documentation. Housekeeping and maintenance deficiencies were also noted from prior surveys.

The complaint investigation was initiated due to concerns about medication administration practices, service plan initiation, and staff identification during medication administration. The investigation found substantiated deficiencies in these areas.

The inspection was conducted as a complaint investigation at Celebration Villa of Martinsburg.

The complaint investigation was unsubstantiated with no deficiencies cited.

The complaint investigation was unsubstantiated.

The inspection was conducted as a complaint investigation at Celebration Villa of Martinsburg.

The report documents a complaint investigation and subsequent follow-up visits, noting census counts and correction of deficiencies including a memorandum of understanding.

Complaint investigation conducted June 13-14, 2011 with census 56. Follow-up visits occurred August 8, 2011 (census 61) and December 12-13, 2011 (census 57). Deficiencies were corrected by October 31, 2011, including a memorandum of understanding.

The inspection was conducted as a complaint investigation to assess allegations related to resident rights, medication administration, and safety practices at Celebration Villa of Martinsburg.

The investigation found multiple deficiencies including failure to protect residents from misappropriation of property, inadequate medication administration and documentation, lack of signed physician orders for medications, unsafe medication storage, and inadequate housekeeping and maintenance.

The complaint investigation was triggered by concerns regarding resident rights violations, including misappropriation of property and improper medication administration practices. The investigation substantiated these concerns.

The visit was a follow-up survey to verify correction of deficiencies identified during the annual licensure survey and previous follow-up survey.

The follow-up survey conducted on March 29, 2011, found that previously cited deficiencies were corrected.

The inspection was conducted as an annual licensure survey and a follow-up survey to assess compliance with physical facility and housekeeping standards.

The facility was found deficient in maintaining a safe, sanitary, and accident-free living environment, including issues with housekeeping, maintenance, ventilation, and cleanliness of resident rooms and common areas. Several repeat deficiencies were noted, and corrective actions were planned or implemented.

Annual licensure survey conducted to assess compliance with state regulations including employee screening, training, resident care, and facility maintenance.

The facility was found deficient in multiple areas including failure to submit fingerprint information timely for abuse registry screening, inadequate employee orientation and annual training documentation, use of unapproved full-length bed rails, incomplete resident health assessments and service plans, missing tuberculosis screenings, incomplete weekly nursing assessments for residents with nursing needs, and inadequate housekeeping and maintenance.

Annual licensure survey conducted to assess compliance with regulatory requirements for the facility.

The report documents the annual licensure survey and a follow-up survey, listing census counts and surveyors involved. No specific deficiencies or severity levels are detailed in the provided text.

The inspection was conducted as an annual licensure survey to assess environmental conditions and compliance with physical facility maintenance and housekeeping standards.

The facility was found deficient in maintaining a safe, sanitary, and accident-free living environment. Specific issues included trip hazards from clutter, unsanitary conditions in the kitchen and storeroom, soiled carpets, lingering odors in resident rooms, and maintenance deficiencies such as broken fixtures and damaged furniture.

The inspection was conducted as a complaint investigation and follow-up related to medication administration practices and compliance with physician's orders.

The facility failed to ensure all medications were administered according to physician's orders, with multiple discrepancies found in Medication Administration Records (MARs) including uninitialed entries, medications not available for administration, and medications given after discontinuation. The administrator and supervising registered nurse were unable to explain these discrepancies. Repeat deficiencies were noted during follow-up.

Complaint investigation conducted on June 1, 2010, found unsubstantiated complaints but cited unrelated deficiencies. Follow-up on July 21, 2010, confirmed repeat deficiencies in medication administration.

The inspection was conducted as a complaint investigation to review allegations related to resident care and facility compliance.

The investigation found multiple deficiencies including failure to maintain current documentation of residents' health status, medication administration discrepancies, and failure to notify physicians of significant weight changes in residents. The complaint was unsubstantiated but unrelated deficiencies were cited.

The complaint investigation was conducted on June 1, 2010, and was found to be unsubstantiated. However, unrelated deficiencies were cited during the investigation.

The inspection was conducted as a complaint investigation at Celebration Villa of Martinsburg.

The complaint investigation was unsubstantiated, and unrelated deficiencies were cited. A follow-up visit was conducted to verify compliance with a Memo of Understanding.

Complaint investigation was unsubstantiated. Follow-up visits occurred on July 21, 2010, and September 28, 2010, with census counts of 63 and 64 respectively.

This was a first follow-up visit to the annual licensure survey conducted previously from November 30, 2009 to December 2, 2009.

The document summarizes the annual licensure survey and the subsequent follow-up survey findings for Celebration Villa of Martinsburg. Specific deficiencies or findings are not detailed in this excerpt.

Annual licensure survey conducted from November 30, 2009 to December 2, 2009 to assess compliance with state regulations and facility licensing requirements.

The inspection identified multiple deficiencies including failure to submit required fingerprint information prior to hiring, inadequate housekeeping and maintenance, outdated or incomplete resident service plans, lack of resident identification photos on medication administration records, and failure to administer medications according to physician orders.

The inspection was conducted as an annual licensure survey to assess the environment and compliance of Celebration Villa of Martinsburg.

The survey found no deficiencies but provided technical assistance regarding the environment of the facility.

The inspection was conducted as a complaint investigation identified by complaint number WV00004703.

The administrator addressed the problem by developing policies and addressing staff involved. The issue was resolved with no follow-up conducted as the shell will be closed.

Complaint Investigation #WV00004703. Administrator addressed the problem, developed policies, and addressed staff involved. Shell will be closed and no follow-up conducted.

The inspection was conducted as a complaint investigation following an allegation of neglect involving a resident found alone in the dining room with the lights off and sleeping in her wheelchair.

The residence director failed to immediately report the alleged neglect incident to Adult Protective Services (APS) and failed to file the required APS reporting form within 48 hours. An internal investigation was completed, and corrective actions including policy changes and staff inservice were initiated. Additionally, housekeeping and maintenance deficiencies were noted from a prior behavioral health survey.

The complaint involved a resident found alone in the dining room with lights off and sleeping in her wheelchair on February 4, 2009. The residence director did not report the incident to APS immediately and did not file the APS form within 48 hours. The director conducted an internal investigation and initiated corrective actions including policy changes and staff education.

This was a follow-up survey visit to verify corrections made after the annual licensure survey conducted on October 6-7, 2008.

The report summarizes the follow-up to the annual licensure survey for Celebration Villa of Martinsburg, noting the census and surveyors involved. Specific findings or deficiencies are not detailed in this document.

The inspection was conducted as an annual licensure survey to assess the environment and compliance of the facility.

The survey found no deficiencies and noted that the environment met the required standards. The inspection was technical only with no issues identified.

Annual licensure survey conducted to assess compliance with health and safety regulations, employee training, healthcare standards, and dietary services at Celebration Villa of Martinsburg.

The survey identified multiple deficiencies including inadequate employee orientation and training, failure to provide safe and appropriate environment, incomplete healthcare documentation and assessments, inadequate housekeeping and maintenance, failure to monitor residents post-incident, incomplete medication administration records, and failure to report significant weight changes to physicians.

The inspection was conducted as a complaint investigation for the facility.

The complaint investigation was unsubstantiated and no deficiencies were found during the survey.

Complaint investigation #WV00004109 was unsubstantiated with no deficiencies found.

Follow-up survey to verify correction of deficiencies identified during the annual licensure survey conducted on October 30, 2007.

All deficiencies identified in the previous annual licensure survey were corrected. No new technical assistance was required.

The inspection was conducted as a complaint investigation identified by complaint number WV00003812.

The report documents a complaint investigation conducted at Celebration Villa of Martinsburg. Specific findings are not detailed in the provided text.

Complaint investigation #WV00003812 conducted on January 15, 2008, with a census of 60 residents.

Annual licensure survey conducted November 13-15, 2007 to assess compliance with state regulations for assisted living facility.

The facility was found deficient in multiple areas including housekeeping and maintenance, employee orientation and training, residency agreements, transfer documentation, service plan updates, medication administration, and medication storage. Several residents' service plans were outdated or incomplete, medication administration records lacked proper documentation and adherence to physician orders, and medication storage was unsecured at times.

Annual licensure survey conducted from November 13-15, 2007 to assess compliance with regulatory requirements.

The report summarizes the annual survey findings and includes a follow-up survey conducted on February 12, 2008. Specific deficiencies or findings are not detailed in the provided text.

The inspection was conducted as an annual licensure survey to assess environmental conditions, resident rights, disaster preparedness, physical facilities, and housekeeping standards at Celebration Villa of Martinsburg.

The survey found multiple deficiencies including failure to ensure no physical restraints were used, lack of annual disaster preparedness rehearsal, non-operational HVAC systems, unsafe storage of oxygen tanks, inadequate housekeeping and maintenance, and failure to establish a preventative maintenance program for equipment.

The inspection was conducted as a complaint investigation at Celebration Villa of Martinsburg on August 21-22, 2007.

The complaint investigation was unsubstantiated, and technical assistance was provided to the facility.

Complaint investigation #WV00003533 was unsubstantiated.