Inspection Reports for New Martinsville Health &Amp; Rehab

The facility underwent a Federal Focused Concern survey on 7/9/2024.

The survey found no deficiencies at the facility.

The inspection was conducted to review the facility's compliance with Federal, State, and local Emergency Preparedness requirements.

The facility was found to be in compliance with all applicable Federal, State, and local Emergency Preparedness requirements based on documentation review and staff interview.

An unannounced annual recertification/licensure and complaint survey was conducted at New Martinsville Center from 06/03/24 - 06/11/24.

The facility was found out of substantial compliance with multiple deficiencies including failure to report abuse, failure to provide dignified care, failure to maintain accurate medical records, failure to provide timely notifications, failure to maintain safe environment and infection control, and failure to provide appropriate psychiatric and pain management services.

The inspection was conducted as an annual survey to assess compliance with federal, state, and local regulations including fire safety, electrical equipment maintenance, and resident rights.

The facility was found deficient in several areas including delayed-egress locking systems, hazardous area enclosures, sprinkler system maintenance, fire drills timing, and electrical equipment testing. Deficiencies were discussed with facility leadership and corrective actions were planned and initiated.

The visit was conducted as a complaint investigation survey concluding on 03/21/2024, with a review of plans of correction and credible evidence accepted in lieu of an onsite revisit.

The facility is in substantial compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities and West Virginia Nursing Home Licensure Rules, with previously cited deficient practices corrected.

Complaint investigation survey concluded on 03/21/2024 with substantial compliance found and no onsite revisit required.

An unannounced complaint survey was conducted from 03/18/24 to 03/21/24 at New Martinsville Health and Rehab based on multiple complaints.

The facility failed to ensure that Advance Directive paperwork, including Medical Power of Attorney or Health Care Surrogate, was part of Resident #11's medical record. Additionally, the facility failed to provide Resident #11 with a diet meeting her special dietary needs related to diverticulitis, despite ongoing complaints of abdominal pain and a diagnosis of diverticulitis.

Complaint #31432, #31467, #31516, and #31289 were all unsubstantiated. The complaint investigation revealed deficiencies related to Resident #11's advance directive documentation and dietary needs.

The inspection was conducted as a complaint investigation survey concluding on 08/31/2023, with review of plans of correction and credible evidence accepted in lieu of an onsite revisit.

The facility is in substantial compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities and West Virginia Nursing Home Licensure Rules, with previously cited deficient practices corrected.

The complaint investigation survey concluded on 08/31/2023, and the facility was found in substantial compliance with previously cited deficient practices.

An unannounced complaint investigation survey was conducted at New Martinsville Center from 08/28/2023 to 08/31/2023 based on complaints received regarding staff attitudes and treatment of residents.

The facility failed to ensure residents were treated with dignity and respect, with residents complaining of staff having poor attitudes and disrespectful behavior. The administrator and director of nursing acknowledged these issues during the exit conference.

Complaint #28853 was substantiated at F550. Complaint #28624 was unsubstantiated with no related deficiencies. Complaint #28770 and #28699 were substantiated with no citations due to past noncompliance.

An unannounced revisit was conducted at New Martinsville Center on June 13, 2023 for the complaint survey concluding on July 26, 2022.

The facility was found to have corrected the previously cited deficient practices as reflected on the CMS-2567B.

The revisit was conducted following a complaint survey; the facility corrected the previously cited deficiencies.

The document is a plan of correction submitted in response to a recertification and relicensure survey for New Martinsville Health & Rehab.

The facility was found to be in substantial compliance with 42 CFR Part 483 and West Virginia nursing home licensure rules based on review of plans of correction and credible evidence accepted in lieu of an onsite revisit.

The inspection was conducted to review facility documentation and staff interviews to determine compliance with Federal, State, and local Emergency Preparedness requirements.

The facility was found to be without waivers and in compliance with all applicable Federal, State, and local Emergency Preparedness requirements.

An unannounced annual recertification/licensure and complaint survey was conducted at New Martinsville Center from 09/12/22 - 09/14/22 to assess compliance with federal and state long term care regulations.

The facility was found out of substantial compliance with multiple deficiencies including resident rights, grievance handling, notification requirements, care planning, staffing, dietary management, infection prevention, and medical record accuracy. Deficiencies were based on observations, interviews, and record reviews.

The survey included complaint investigation elements related to resident grievances about call light response times and staffing attitudes. The facility failed to adequately investigate or resolve these complaints.

The inspection was conducted to assess compliance with fire safety codes, hazardous area protections, sprinkler system maintenance, electrical safety, and other regulatory requirements related to facility safety and resident rights.

The facility was found deficient in maintaining unobstructed means of egress, proper signage on delayed-egress doors, door closures on combustible storage rooms, approved fire caulking and sealed penetrations in smoke and fire barriers, sprinkler system maintenance, and electrical wiring safety. These deficiencies could affect all residents, staff, and visitors.

An unannounced complaint investigation survey was conducted at New Martinsville Center from July 25-26, 2022, triggered by multiple complaints including complaint #26564 which was substantiated.

The facility was found deficient for failing to notify residents' representatives of changes in resident condition, specifically for Resident #31 who tested positive for COVID-19 without documented notification to the healthcare surrogate. Additionally, the facility failed to ensure all staff were fully vaccinated for COVID-19, with two staff members not fully vaccinated and no exemptions documented.

Complaint #26564 was substantiated with deficiency F580 related to failure to notify resident representatives of changes. Other complaints (#26512, #2555, #26527, #26846, #27011) were unsubstantiated with no related deficiencies.

The inspection was conducted to assess the facility's compliance with COVID-19 reporting requirements to the Centers for Disease Control and Prevention's National Healthcare Safety Network (NHSN).

The facility failed to report complete information about COVID-19 to the NHSN during a seven-day period from 09/13/2021 to 09/19/2021, which has the potential to cause more than minimal harm to all residents.

The visit was conducted as an annual recertification and relicensure survey to assess compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities and West Virginia Nursing Home Licensure Rules.

The facility was found to be in substantial compliance with the applicable federal and state regulations, with plans of correction accepted in lieu of an onsite revisit. The facility was also in substantial compliance with previously cited deficient practices.

The inspection was conducted to review facility documentation and staff interviews to assess compliance with Federal, State, and local Emergency Preparedness requirements.

The facility was found to be in compliance with all applicable Federal, State, and local Emergency Preparedness requirements based on documentation review and staff interviews.

An unannounced annual re-certification and annual re-licensure survey was conducted at New Martinsville Center from May 17-19, 2021.

The survey identified multiple deficiencies including failure to maintain a safe, clean, homelike environment, failure to provide written bed-hold notices upon resident transfer, inadequate pressure ulcer prevention and treatment, failure to prevent reduction in range of motion, unsafe environment hazards, improper respiratory care, inadequate pain management, and food safety violations.

Routine inspection conducted to assess compliance with NFPA 101 fire safety standards and other regulatory requirements for the facility.

The facility was found deficient in multiple areas including emergency lighting testing, hazardous area enclosures, cooking equipment protection, interior wall and ceiling finishes, corridor door compliance, electrical system maintenance, and testing of patient-care electrical equipment. Corrective actions were planned or implemented for all deficiencies.

The visit was a Focused Infection Control survey to assess compliance with infection control regulations and COVID-19 related practices.

The facility was found to be in substantial compliance with infection control regulations and CDC recommended practices for COVID-19. A review of plans of correction and credible evidence was accepted in lieu of an onsite revisit.

The visit was a Focused Infection Control survey related to compliance with infection control regulations and COVID-19 preparedness.

The facility was found to be in substantial compliance with infection control regulations and CDC recommended practices for COVID-19, based on review of plans of correction and credible evidence accepted in lieu of an onsite revisit.

A COVID-19 Focused Infection Control Survey and Emergency Preparedness Survey was conducted due to concerns about infection control compliance during the COVID-19 pandemic.

The facility was found out of compliance with infection control regulations, including failure to properly don and doff PPE, improper handling of soiled linens, inadequate hand hygiene, and failure to follow CDC guidelines, resulting in an Immediate Jeopardy that was abated on the same day after corrective actions.

A COVID-19 Focused Infection Control Survey and Emergency Preparedness Survey was conducted by the state survey agency on October 19, 2020.

The facility was found in compliance with infection control regulations and CMS and CDC recommended practices to prepare for COVID-19. No citations were issued.

A COVID-19 Focused Infection Control Survey and Emergency Preparedness Survey was conducted by the state survey agency to assess compliance with infection control regulations and CMS/CDC recommended practices related to COVID-19.

The facility was found out of compliance for failing to maintain an infection prevention and control program, specifically failing to store bed pans in a sanitary manner for two residents, which had the potential to affect more than a limited number of residents.

A COVID-19 Focused Infection Control Survey and Emergency Preparedness Survey was conducted by the state survey agency.

The facility was found in compliance with infection control regulations and CMS and CDC recommended practices to prepare for COVID-19.

A COVID-19 Focused Infection Control Survey and Emergency Preparedness Survey was conducted by the state survey agency on June 22-23, 2020.

The facility was found in compliance with 42 CFR 483.80 infection control regulations, 42 CFR 483.73 related to E-0024 (b)(6), and CMS and CDC recommended practices to prepare for COVID-19.

The inspection was conducted to review the facility's compliance with Federal, State, and local Emergency Preparedness requirements based on documentation and staff interviews.

The facility was found to be in compliance with all applicable Federal, State, and local Emergency Preparedness requirements.

An unannounced annual re-certification and annual re-licensure survey was conducted at New Martinsville Center from 01/27/20 through 01/29/20.

The facility was found deficient in multiple areas including failure to provide dignity and respect to residents by improper labeling of clothing and feeding assistance, failure to implement a comprehensive care plan for pressure ulcer prevention, failure to complete timely nurse aide performance appraisals, failure to store food properly with appropriate labeling, and failure to maintain infection control in the laundry area by preventing airflow cross-contamination.

The visit was conducted as an annual recertification and relicensure survey for the facility.

The facility was found to be in substantial compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities and the West Virginia Nursing Home Licensure Rule. A review of plans of correction and credible evidence was accepted in lieu of an onsite revisit.

The inspection was a routine survey to assess compliance with fire safety codes, maintenance of fire protection systems, and facility policies including resident rights and advance directives.

The facility was found deficient in multiple areas including missing self-closing hardware on hazardous area doors, inadequate maintenance and testing of sprinkler systems, improperly installed portable fire extinguishers, gaps in corridor doors allowing smoke passage, bowed smoke barrier doors, and fire drills not conducted according to NFPA standards. Plans of correction were submitted with timelines for repairs and staff re-education.

The visit was conducted as an annual recertification and relicensure survey to assess compliance with 42 CFR Part 483 and state nursing home licensure rules.

The facility was found to be in substantial compliance with federal and state requirements based on a review of plans of correction and credible evidence accepted in lieu of an onsite revisit.

An unannounced annual re-certification and annual re-licensure survey was conducted at New Martinsville Center from 01/14/19 through 01/16/19.

The survey identified deficiencies including failure to provide a dignified environment for residents who smoke, inadequate assessment and consent for physical restraints (hand mitts) for two residents, failure to develop and implement an effective discharge plan for one resident, unsafe hot water temperatures exceeding state limits, improper monitoring and indications for antipsychotic medication use in two residents, and failure to maintain safe food temperatures during meal service.

The inspection was a routine survey to assess compliance with federal and state regulations, including fire safety and resident rights.

The facility was found deficient in ensuring hazardous storage rooms had self-closing doors and in conducting fire drills on all shifts quarterly. The facility submitted plans of correction addressing these issues with scheduled repairs, education, and audits.

The inspection visit was conducted as a routine check to assess compliance with applicable Federal, State, and local Emergency Preparedness requirements.

The facility was found to be in compliance with all applicable Federal, State, and local Emergency Preparedness requirements during the inspection.

The visit was conducted as an annual recertification and relicensure survey to assess compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities and West Virginia Nursing Home Licensure Rules.

The facility was found to be in substantial compliance with the applicable federal and state regulations. A review of the plans of correction and credible evidence was accepted in lieu of an onsite revisit, confirming compliance with previously cited deficient practices.

An unannounced annual recertification, relicensure survey and complaint investigation was conducted at New Martinsville Center from February 26, 2018 through March 1, 2018.

The facility was found deficient in multiple areas including failure to provide reasonable accommodations, incomplete advance directives, maintenance issues, incomplete care plans, failure to provide necessary care and treatment, infection control issues, and medication management problems.

Complaint Reference #18842 was substantiated with a related deficiency at F686.

The inspection was a routine survey conducted to assess compliance with fire safety, electrical safety, and resident rights regulations at the facility.

The facility was found deficient in multiple areas including hazardous area enclosure, sprinkler system installation and maintenance, corridor safety, gas and electric utilities, fire drills, and electrical equipment testing and maintenance. Deficiencies were discussed with the Administrator and Maintenance Director, and plans of correction were submitted.

The document is a plan of correction submitted in response to previously cited deficiencies during the Quality Indicator and Licensure Surveys concluding on 2017-01-05.

The facility, New Martinsville Center, is in substantial compliance with 42 CFR Part 483 and West Virginia nursing home licensure rules. The plan of correction and credible evidence were accepted in lieu of an onsite revisit, confirming correction of previously cited deficient practices.

Unannounced annual Quality Indicator Survey, State Licensure Survey, and Complaint Investigation #16772 conducted from January 2, 2017 through January 5, 2017.

The facility was found deficient in multiple areas including failure to protect resident personal medical information, inadequate housekeeping and maintenance, unsafe storage of chemicals, and unsanitary food preparation and storage conditions. Complaint #16772 was unsubstantiated with no related deficiencies.

Complaint #16772 was unsubstantiated with no related or unrelated deficiencies.

The inspection was conducted to assess compliance with the provisions of NFPA 101, Life Safety Code, 2012, based on facility documentation, staff interviews, observation, and performance testing.

The facility was found to be without waivers and in compliance with the provisions of NFPA 101, Life Safety Code, 2012.

The document is a plan of correction submitted by New Martinsville Health & Rehab in response to previously cited deficient practices identified during a Quality Indicator Survey concluding on 2015-09-16.

The facility was found to be in substantial compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities based on review of plans of correction and credible evidence accepted in lieu of an onsite revisit. The previously cited deficient practices were addressed.

The inspection was conducted to evaluate compliance with the NFPA 101 Life Safety Code Standard, specifically to assess whether fire drills were held at unexpected times under varying conditions on all shifts.

The facility failed to ensure that fire drills were held at unexpected times for two of three shifts (evening and midnight). Fire drills on the afternoon and midnight shifts were conducted close to shift changes rather than at varied times.

An unannounced annual recertification survey was conducted at New Martinsville Center from September 14, 2015 through September 16, 2015 to assess compliance with federal regulations.

The survey identified multiple deficiencies including failure to provide residents with access to Medicare and Medicaid benefit information, inadequate housekeeping and maintenance, failure to properly investigate and report abuse allegations, improper wound care technique risking infection, unsafe medication administration practices, and unsafe environmental conditions such as a broken handrail and lint accumulation in laundry dryers.

Review of plans of correction and credible evidence was accepted in lieu of an onsite revisit for the Quality Indicator and Licensure Surveys concluding on 06/17/14.

The facility is in substantial compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities and 64 CSR 13 Legislative Rules West Virginia Division of Health Nursing Home Licensure Rule, and with the previously cited deficient practices.

A Life Safety Code (LSC) comparative Federal Monitoring Survey was conducted following a State Agency survey to assess compliance with Medicare/Medicaid participation requirements and Life Safety Code standards.

The facility was found not in substantial compliance with Life Safety Code requirements, including deficiencies in fire/smoke barrier penetrations, exit access obstructions, sprinkler system maintenance, fire extinguisher inspections, prohibited portable space heaters, generator annunciator system, and electrical wiring safety.

A Life Safety Code (LSC) comparative Federal Monitoring Survey was conducted by CMS on July 10, 2014 following a State Agency survey conducted on June 11, 2014 to assess compliance with Medicare/Medicaid participation requirements related to life safety from fire.

The facility was found not in substantial compliance with 42 CFR, Subpart 483.70(a), Life Safety from fire and the 2000 Edition of the NFPA 101, Life Safety Code, Chapter 19 for Existing Health Care Occupancies. The facility is a one-story, fully sprinkled building constructed in 1981 with a capacity of 100 beds and census of 87 at the time of survey.

Unannounced annual Quality Indicator and State Licensure Surveys were conducted from June 6, 2014 through June 17, 2014 to assess compliance with regulatory requirements.

The facility was found deficient in multiple areas including failure to provide reasonable accommodations for resident needs, failure to promote dignity during meals, improper use of psychotropic medications without adequate indications, failure to offer substitutes of similar nutritive value when food was refused, improper food storage practices, failure to act on pharmacist reports regarding medication irregularities, and failure to maintain an effective infection control program with proper hand hygiene practices.

The inspection was conducted to evaluate compliance with NFPA 101 Life Safety Code standards, including fire drill frequency and emergency generator testing requirements.

The facility failed to conduct fire drills at least once per shift per quarter during the midnight shift in the 4th quarter of 2013, and failed to ensure the emergency generator was exercised under load for 30 minutes per month as required by NFPA 99.

An unannounced complaint investigation was conducted from 03/04/14 to 03/06/14 at New Martinsville Center for Complaint Reference 14032/10369 and 14040/10514.

The allegations were unsubstantiated and no related or unrelated deficient practices were identified. The facility was in substantial compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities.

The allegations were unsubstantiated with no related or unrelated citations.

This document is a Plan of Correction related to deficiencies identified during a prior inspection of New Martinsville Health & Rehab.

The document references a deficiency related to the facility's obligation to inform residents of their rights, rules, services, and charges in writing and orally, but does not provide detailed findings or severity levels.

The survey was conducted as a routine Quality Indicator Survey to assess compliance with federal regulations for nursing home care.

The facility was found deficient in multiple areas including failure to notify physicians of medication refusals, failure to provide statements of personal fund accounts, inadequate privacy curtains in semi-private rooms, failure to resolve resident grievances promptly, failure to make survey results readily accessible, failure to ensure resident rights to visitor access, failure to provide medically-related social services timely, failure to conduct comprehensive assessments for physical restraints, failure to properly manage catheter use, failure to dispose of expired medications properly, and failure to maintain a functional call bell system in one bathroom.

The inspection was conducted to assess the facility's compliance with the provisions of NFPA 101, Life Safety Code, 2000.

The facility was found to be without waivers and in compliance with the provisions of NFPA 101, Life Safety Code, 2000.

This document is a plan of correction related to deficiencies identified during a prior inspection of the facility.

The report includes a deficiency related to the facility's obligation to inform residents of their rights, rules, services, and charges both orally and in writing in a language they understand, as required by regulation 483.10(b)(5)-(10).

The inspection was conducted in response to complaint references #11290 and #11310, involving allegations of improper resident transfer and verbal abuse.

The facility failed to thoroughly investigate and immediately report an incident where two nursing assistants did not follow proper procedures during a resident transfer, resulting in injury. Additionally, the facility failed to report an allegation of verbal abuse by staff to the required state agencies.

Complaint references #11290 and #11310 were unsubstantiated but resulted in unrelated deficiencies cited. The facility failed to report an allegation of verbal abuse voiced by Resident #101 and failed to properly investigate an incident involving Resident #46.

The inspection was conducted in response to complaint reference #10350.

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

Complaint reference #10350 was investigated and found to be unsubstantiated with no deficiencies cited.

The inspection was conducted as a substantiated complaint investigation concurrently with the facility's annual Federal Medicare/Medicaid certification resurvey and State licensure inspection.

The facility was found deficient in multiple areas including failure to properly investigate and report neglect related to a resident fall during transfer, failure to address changes in resident cognitive status in care plans, failure to involve a resident in advance directives, failure to provide timely medical intervention for a urinary tract infection, failure to prevent medication omission, failure to maintain sanitary food preparation and service practices, failure to ensure safe use of sit-to-stand lift resulting in resident injury, and failure of the quality assurance committee to adequately address and monitor quality deficiencies.

Complaint reference #10297. Substantiated complaint record with deficiencies cited. The complaint investigation was conducted concurrently with the annual certification resurvey and State licensure inspection.

The inspection was conducted to assess the facility's compliance with the provisions of NFPA 101, Life Safety Code; 2000 Existing Edition.

Based on review of facility documentation, staff interview, and observations, the facility was determined to be in compliance with the Life Safety Code requirements.

The inspection was conducted as a complaint investigation related to complaint reference #9286.

The complaint was substantiated; however, no deficiencies were cited during the investigation.

Complaint reference #9286 was substantiated with no deficiencies cited.

The inspection was conducted in response to a complaint, reference #9228.

The complaint was found to be unsubstantiated and no deficiencies were cited during the investigation.

Complaint reference #9228 was unsubstantiated with no deficiencies cited.

This document is a Statement of Deficiencies and Plan of Correction related to regulatory compliance for New Martinsville Health & Rehab.

The document includes a deficiency related to the facility's obligation to inform residents of their rights, rules, services, and charges both orally and in writing in a language they understand, as required by regulation 483.10(b)(5)-(10).

This document is a Statement of Deficiencies and Plan of Correction related to regulatory compliance of the facility.

The report includes a deficiency related to the facility's obligation to inform residents of their rights, rules, services, and charges both orally and in writing in a language they understand.

The inspection was conducted as part of an annual survey to assess compliance with NFPA life safety codes and other regulatory requirements for the facility.

The facility failed to maintain the range hood hydrostatic testing within the required 12-year interval and improperly stored oxygen cylinders within 12 inches of combustible materials in multiple storage closets.

The inspection was conducted as a complaint investigation (reference #9071) concurrently with a revisit to a previous complaint survey and the facility's annual Federal Medicare/Medicaid certification resurvey and State licensure inspection.

The facility was found to have multiple deficiencies including failure to act upon a resident's change in advance directives, failure to ensure legally authorized representatives made healthcare decisions, failure to notify residents properly about Medicare non-coverage of services, failure to obtain proper authorization for managing resident funds, and failure to develop comprehensive care plans addressing wandering and behavioral issues for several residents.

Complaint reference #9071 was unsubstantiated with no related deficiencies cited. The complaint investigation was conducted concurrently with a revisit to a previous complaint survey and the facility's annual certification resurvey.

The inspection was conducted for completion of the annual resurvey, a follow-up revisit to the complaint visit of 02/11/09, and investigation of State Complaint #9071.

The facility was found clean with no medication errors observed and satisfactory wound care techniques. A deficiency was cited at F225 with an E severity. The state complaint #9071 was unsubstantiated with no related deficiencies cited. The facility failed to ensure it did not employ individuals with findings in the State nurse aide registry concerning abuse or neglect for four of five sampled new employees.

State complaint #9071 was investigated and found to be unsubstantiated with no deficiencies related to the complaint cited.

Complaint investigation related to allegations of neglect and mistreatment, including an incident where a resident sustained burns from electrical stimulation therapy and multiple allegations of neglect involving pressure ulcers and urinary tract infections.

The facility was found to have substantiated deficiencies including failure to adequately monitor a resident during electrical stimulation therapy resulting in burns, failure to report and investigate allegations of neglect timely and thoroughly, failure to prevent urinary tract infections in a resident with an indwelling catheter, and failure to ensure contracted therapy equipment met professional standards.

Complaint reference #9031 was substantiated with deficiencies cited related to neglect and mistreatment, including burns from electrical stimulation therapy and delayed reporting and investigation of neglect allegations.

The inspection was conducted in response to complaint reference #2-8330.

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

Complaint reference #2-8330 was unsubstantiated with no deficiencies cited.

This document is a Plan of Correction related to deficiencies identified during a prior inspection of New Martinsville Health & Rehab.

The report includes a deficiency related to the facility's obligation to inform residents of their rights, rules, services, and charges both orally and in writing in a language they understand, as required by regulation 483.10(b)(5)-(10).

Complaint investigation triggered by complaint references #2-8286 (substantiated with deficiencies cited) and #2-8289 (unsubstantiated with no deficiencies).

The facility was found deficient in multiple areas including failure to immediately report and investigate allegations of neglect and injuries of unknown source for residents #106 and #21; failure to maintain resident dignity; failure to complete required pre-admission screening for resident #107; failure to thoroughly investigate and document incident/accident reports for multiple residents; failure to maintain accurate clinical records for residents #8 and #107; and failure to maintain an effective quality assessment and assurance committee to address quality issues.

Complaint reference #2-8286 substantiated with deficiencies cited; complaint reference #2-8289 unsubstantiated with no related deficiencies.

The inspection was conducted in response to complaint references #2-8238 and #2-8264.

The complaint records were found to be unsubstantiated with no deficiencies cited.

Complaint references #2-8238 and #2-8264 were investigated and found to be unsubstantiated with no deficiencies cited.

The visit was a paper revisit to follow up on previous deficiencies.

The document contains a statement of deficiencies related to resident rights and notification requirements, but no detailed findings or severity levels are provided.

The inspection was conducted as a complaint investigation following substantiated and unsubstantiated complaints regarding the facility's compliance with regulations.

The facility failed to ensure accurate and complete documentation of residents' allergies in multiple locations within medical records for three residents (#1, #42, and #84). The consultant pharmacist also failed to identify these inconsistencies during medication regimen reviews. The facility's administrator and nursing leadership acknowledged these inconsistencies.

Complaint reference #2-8065 was unsubstantiated with no deficiencies cited. Complaint reference #2-8082 was substantiated with deficiencies cited related to allergy documentation and clinical record accuracy.

This document is a plan of correction related to a paper revisit survey conducted at the facility.

The report includes a deficiency related to the facility's obligation to inform residents of their rights, rules, services, and charges both orally and in writing in a language they understand, as well as providing written descriptions of legal rights.

The inspection was conducted as a complaint investigation referenced as #2-8028.

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

Complaint reference #2-8028 was unsubstantiated with no deficiencies cited.

The inspection was conducted as part of the facility's annual Federal Medicare/Medicaid certification resurvey and State licensure inspection, including a complaint investigation that was unsubstantiated.

The facility failed to ensure timely administration of an ordered medication for one resident (#120), due to the medication being on back order and lack of timely communication with the pharmacy and prescribing physician. The medication was eventually substituted and administered. No deficiencies were cited related to the complaint investigation.

Complaint reference #2-7292 was unsubstantiated with no related deficiencies cited.

The inspection was conducted to assess the facility's compliance with the provisions of NFPA 101, Life Safety Code, 2000, based on review of documentation, staff interviews, observations, and performance testing.

The facility was found to be without waivers and in compliance with the provisions of NFPA 101, Life Safety Code, 2000.

The inspection was conducted as a complaint investigation referenced as complaint 2-7282.

The complaint was found to be unsubstantiated and no deficiencies were cited during the investigation.

Complaint reference: 2-7282. The complaint was unsubstantiated with no deficiencies cited.

This document is a plan of correction related to a paper revisit survey conducted at the facility.

The document references a deficiency related to the facility's obligation to inform residents of their rights, rules, services, and charges in writing and orally, but no detailed findings or severity levels are provided.

The inspection was conducted as a complaint investigation related to substantiated complaints with deficiencies cited regarding transfer and discharge notification requirements.

The facility failed to include accurate and appropriate information in discharge notices for seven of eight records reviewed, including missing correct contact information for the State long-term care ombudsman and Board of Review on resource information sheets given upon admission.

Complaint reference #2-7245 substantiated with deficiencies cited related to transfer and discharge notification requirements.

The inspection was conducted as a complaint investigation referenced as #2-7172.

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

Complaint reference #2-7172 was unsubstantiated with no deficiencies cited.

This document is a plan of correction submitted in response to a previous deficiency statement related to resident rights and notification requirements.

The facility was cited for deficiencies related to informing residents of their rights, rules, services, and charges both orally and in writing in a language they understand, including Medicaid-related notifications.

The inspection was conducted to assess the facility's compliance with the provisions of NFPA 101, Life Safety Code; 2000 Existing Edition.

Based on review of facility documentation, staff interview, and observations, the facility was determined to be in compliance with the NFPA 101, Life Safety Code; 2000 Existing Edition.

The inspection was conducted as a comprehensive annual survey of the nursing facility to assess compliance with federal regulations and standards of care.

The facility was found deficient in multiple areas including failure to inform residents of incapacity status, incomplete comprehensive care plans for certain residents, failure to provide ordered pacemaker checks, inadequate prevention and treatment of pressure sores, failure to investigate medication side effects, insufficient dietary staffing causing meal delays, poor food quality, failure to provide appropriate food substitutes, inadequate monitoring and care planning for residents with reduced protein intake, and failure to provide written notice of the Central Abuse Registry to some employees.

The inspection was conducted in response to a complaint referenced as #2-6132.

The complaint was found to be unsubstantiated and no deficiencies were cited during the investigation.

Complaint reference #2-6132 was unsubstantiated with no deficiencies cited.

The inspection was conducted to assess compliance with various regulatory and life safety code standards, including fire safety, emergency power system maintenance, and resident rights notification.

The facility was found deficient in multiple areas including failure to maintain corridor doors to close without impediment, lack of self-closing devices on hazardous room doors, failure to maintain corridor exit width, incomplete fire drill records for all shifts, corroded and dust-covered sprinkler heads, and inadequate documentation and testing of the emergency power generator system.

Routine inspection of New Martinsville Health & Rehab to assess compliance with federal regulations related to resident rights, care plans, activities, infection control, and nursing services.

The facility was found deficient in multiple areas including incomplete and inaccurate determinations of resident incapacity, failure to resolve grievances about wandering residents, inadequate activities programming, incomplete comprehensive assessments and care plans, insufficient monitoring of medication efficacy, inadequate pain assessment and management, failure to maintain adequate hydration and nutrition, insufficient nursing staff supervision, and infection control lapses including contaminated ice pitchers and damaged furniture.

The document is a paper revisit related to a facility regulatory inspection.

The report includes a statement of deficiencies related to resident rights and notification requirements, specifically regarding informing residents of their rights and services in writing and orally.

The inspection was conducted as a complaint investigation referenced as #2-5093, to evaluate the facility's compliance with safety procedures and resident care standards.

The facility failed to implement the night time lock-down procedure and did not ensure that a resident had not wandered outside after an alarm sounded. Staff did not respond appropriately to the employee service door alarm, and the door alarm system was not monitored properly at nurse stations.

Complaint reference #2-5093 was substantiated with unrelated deficiencies cited.

This document is a Statement of Deficiencies and Plan of Correction related to regulatory compliance for New Martinsville Health & Rehab.

The report includes a deficiency related to the facility's obligation to inform residents of their rights, rules, services, and charges both orally and in writing in a language they understand, as required by regulation 483.10(b)(5)-(10).

The inspection was conducted in response to complaint reference #2-4178.

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

Complaint reference #2-4178 was unsubstantiated with no deficiencies cited.

Complaint investigation triggered by complaint reference 2-4154 regarding resident grievances about wandering residents and other care concerns.

The facility was found deficient in multiple areas including failure to promptly resolve resident grievances about wandering residents, incomplete investigations and reporting of abuse allegations, inadequate nursing care and treatment administration, insufficient nursing staff and director of nursing coverage, delayed meal service, inadequate infection control practices, and lack of required CNA performance evaluations and inservice training.

Complaint reference 2-4154 was substantiated with deficiencies related to resident grievances about wandering residents, abuse and neglect investigations, and other care issues.

The inspection was conducted to evaluate compliance with life safety code standards, specifically the maintenance and testing of the fire alarm system and the inspection of the kitchen range hood fire-extinguishing system.

The facility failed to conduct the required annual inspection of the fire alarm system, with the last inspection dated 04/07/2003, approximately 13 months prior to the survey. Additionally, the kitchen range hood fire-extinguishing system was not inspected semi-annually as required, with the last inspection dated 07/08/2003, about 10 months prior to the survey.

The inspection was conducted as a substantiated complaint investigation referenced #2-3226 regarding the facility's compliance with licensing provisions and safety standards.

The facility was found to have deficiencies including unsafe environment due to lack of awake weekend night staff supervision, inadequate housekeeping and maintenance issues such as damaged carpet and missing bathroom fixtures, and improper marketing of Alzheimer's/dementia care services without proper licensing.

Complaint reference #2-3226 was substantiated with deficiencies cited related to safety, housekeeping, maintenance, and improper marketing of specialized care services.

The inspection was conducted in response to complaint reference #2-3092.

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

Complaint reference #2-3092 was unsubstantiated with no deficiencies cited.

Routine inspection conducted to assess compliance with federal regulations regarding resident care, safety, infection control, medication administration, dietary services, physical environment, and clinical record maintenance.

The facility was found deficient in multiple areas including failure to develop appropriate care plans for residents' physical needs, unsafe mechanical lift slings, medication errors exceeding 5%, serving food at improper temperatures, unsafe electrical outlets, inadequate infection control for MRSA, and incomplete clinical record transcription.

The inspection was conducted to evaluate compliance with life safety code standards and other regulatory requirements at the facility.

The inspection found that not all facility identified exits were readily accessible due to locked gates without readily available keys, and the facility kitchen range hood fire-extinguishing system was not inspected semi-annually as required.

The inspection was conducted to evaluate compliance with federal regulations regarding resident rights, comprehensive care planning, clinical record maintenance, and documentation accuracy in a nursing facility.

The facility was found deficient in timely development of comprehensive care plans within seven days after assessments for multiple residents, and in maintaining complete and accurate clinical records, specifically bowel movement documentation, for sampled residents.

The inspection was conducted to review facility documentation, staff interviews, observations, and performance testing to determine compliance with NFPA 101, Life Safety Code, 1981.

The facility was found to be without waivers and in compliance with the provisions of NFPA 101, Life Safety Code, 1981.

The inspection was conducted as a comprehensive annual survey to assess compliance with regulatory requirements including life safety code standards, physical environment, and resident rights.

The facility was found deficient in multiple areas including fire safety code violations related to ceiling construction, corridor doors, emergency exits, and delayed egress locks. Additional deficiencies included delayed emergency power transfer, unclean and damaged utility rooms, and restricted handicapped access due to storage in central toilets.

This document is a Statement of Deficiencies and Plan of Correction for New Martinsville Health & Rehab, detailing deficiencies identified during a regulatory survey completed on August 22, 2001.

The report identifies multiple deficiencies related to resident rights, quality of life, social services, resident assessment, quality of care, physical environment, and pharmacy services. Deficiencies include failure to inform residents of their rights, inadequate promotion of dignity and respect, insufficient social services, incomplete resident assessments, and issues with emergency power and medication review.

The document is a Statement of Deficiencies and Plan of Correction related to regulatory compliance and life safety code standards at the facility.

The report identifies deficiencies related to the Life Safety Code, including building construction type and height, the number and type of remote exits, and the width and type of exit doors.

The inspection was conducted as a comprehensive annual survey of the nursing facility to assess compliance with federal regulations regarding resident rights, quality of life, quality of care, social services, resident assessments, pharmacy services, and safety.

The facility was found deficient in multiple areas including failure to promote resident dignity during meals, inadequate notification of residents about dining location changes, failure to ensure residents had resources for payment of services, incomplete annual assessments, failure to provide care according to plans including feeding and use of splints, improper application of restraints and wheelchair trays, and untimely pharmacist review of medication regimens.

The inspection was conducted as a complaint investigation (Complaint 2-1035) to assess the facility's compliance with quality of care and infection control standards.

The facility failed to ensure the resident environment was free of accident hazards for one resident due to a malfunctioning personal alarm cord and clip. Additionally, the facility failed to maintain an effective infection control program by allowing dirty linens to be stored on the floor, potentially affecting all residents.

Complaint 2-1035 was substantiated based on observations, family interview, and staff interview regarding the malfunctioning alarm and infection control issues.

The inspection was conducted based on observation and review of facility documentation from August 14-16, 2000, to assess compliance with Section 483.70 Physical Environment of 42 CFR Part 483.

The facility was determined to be in compliance with the physical environment requirements of 42 CFR Part 483 based on the observation and documentation review.

The inspection was conducted to assess compliance with NFPA 101 Life Safety Code standards, specifically focusing on exit sign illumination and fire alarm system testing.

The facility was found to have exit signs that were not continuously illuminated as required, with some signs having only one bulb lit and others having no bulbs lit. Additionally, the facility failed to provide documentation of monthly fire alarm system testing for several months in the preceding year.

The inspection was conducted as an annual survey to assess compliance with federal regulations regarding resident rights, quality of care, staff treatment, safety, dietary services, and physician services at the nursing facility.

The facility was found deficient in multiple areas including failure to ensure legal surrogates for residents lacking capacity, inadequate staff certification verification, delayed abuse reporting, poor resident dignity and respect practices, delayed response to call lights, medication administration errors, failure to follow physician orders, unsafe environmental conditions, improper food temperature maintenance, and failure to ensure timely physician visits.

The inspection was conducted in response to complaints #2-0043 and #2-0058 regarding quality of care concerns at the facility.

The facility failed to provide necessary care and services in accordance with physician's orders for three of thirteen residents reviewed. Specific deficiencies included administering treatments without physician orders and not following ordered care plans.

Complaint #2-0043 and #2-0058 involved failure to provide care according to physician's orders for three residents, confirmed through observations, medical record reviews, and staff interviews.