Inspection Reports for Rainelle Healthcare Center

The document is a plan of correction accepted in lieu of an onsite revisit for certification, licensure, facility reportable incident (FRI), and complaint investigation survey concluding on 12/12/2024.

Rainelle Healthcare Center is in substantial compliance with 42 CFR Part 483 and West Virginia nursing home licensure rules. The facility was found to be in substantial compliance with previously cited deficient practices based on review of plans of correction and credible evidence.

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

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

An unannounced annual recertification/licensure survey was conducted at Rainelle Healthcare Center from 12/09/24 to 12/11/24 to assess compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities and West Virginia Division of Health Nursing Home Licensure Rule.

The facility was found out of substantial compliance with deficiencies related to quality of care, resident rights, communication privacy, resident records, and accident hazards. Key issues included failure to perform neurological checks after an unwitnessed fall, failure to implement fall care plans, failure to protect resident mail privacy, incomplete and inaccurate fall risk assessments, and a resident fall resulting in a hip fracture potentially caused by improperly fitting clothing.

Complaint #34588 was unsubstantiated. Facility Reported Incident #35883 was substantiated.

Routine inspection conducted to assess compliance with NFPA fire safety codes and other regulatory requirements related to facility safety and resident rights.

The facility was found deficient in multiple areas including hazardous area enclosures, smoke barrier penetrations, fire alarm system installation, sprinkler system maintenance, electrical wiring and equipment, fire drills, smoking regulations, electrical equipment testing, and medical gas cylinder storage. Corrective actions were planned and/or completed by late December 2024.

The inspection was conducted as a complaint investigation survey concluding on 11/06/2024, with a review of plans of correction and credible evidence accepted in lieu of an onsite revisit.

Rainelle Healthcare Center is in substantial compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities and West Virginia Nursing Home Licensure Rules. The facility is in substantial compliance with the previously cited deficient practice.

The complaint investigation survey concluded on 11/06/2024 with the facility found in substantial compliance and no deficiencies cited requiring correction.

An unannounced complaint investigation survey was conducted at Rainelle Healthcare from November 4, 2024 through November 6, 2024, triggered by allegations of abuse, neglect, exploitation, or mistreatment.

The facility failed to thoroughly investigate an allegation of verbal abuse involving Resident #53, where the investigation included only one staff interview and was found unsubstantiated. The facility was not in substantial compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities and West Virginia Nursing Home Licensure Rules.

The complaint investigation found that the allegation of verbal abuse by Nursing Assistant #8 towards Resident #53 was unsubstantiated due to insufficient investigation, as only one staff member was interviewed. Resident #53 reported the CNA told him to 'Do it yourself' after using the restroom. The Licensed Social Worker confirmed more staff should have been interviewed to properly investigate the allegation.

The visit was conducted as a complaint investigation survey concluding on 09/26/2023, with review of plans of correction and credible evidence accepted in lieu of an onsite revisit.

Rainelle Healthcare Center 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, with previously cited deficient practices corrected.

The complaint investigation survey concluded on 09/26/2023, and the facility was found in substantial compliance with previously cited deficient practices.

An unannounced complaint investigation survey was conducted at Rainelle Healthcare Center from 09/25/23 to 09/26/23 based on substantiated complaints #29250 and #28938.

The facility was found deficient in multiple areas including failure to maintain complete and accurate medical records, failure to notify physicians of significant changes such as abnormal blood sugar and oxygen saturation levels, failure to ensure safe and orderly discharge, delays in medication delivery and administration, and incomplete documentation of neuro checks after resident falls.

Complaint #29250 and Complaint #28938 were substantiated based on observations, record reviews, and interviews.

The inspection was conducted as a complaint investigation survey concluding on 07/04/23, with review of plans of correction and credible evidence accepted in lieu of an onsite revisit.

Rainelle Healthcare Center is in substantial compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities and West Virginia nursing home licensure rules. The facility is in substantial compliance with previously cited deficient practices.

The survey was a complaint investigation survey concluding on 07/04/23, with plans of correction accepted in lieu of an onsite revisit.

An unannounced complaint investigation survey was conducted based on complaints #WV00028587 and #WV00028639, substantiated with related deficiencies.

The facility failed to ensure nutritional needs were met due to inconsistent portion sizes and menu deviations, failed to provide special eating equipment and assistance as ordered for residents, failed to implement comprehensive care plans for adaptive equipment, failed to ensure dignified dining experiences with timely tray delivery, and failed to maintain an infection prevention and control program including Legionella monitoring and resident hand hygiene before meals.

Complaint #WV00028587 substantiated with deficiencies F 810 and F 880. Complaint #WV00028639 substantiated with deficiency F 803.

An unannounced complaint investigation survey was conducted at Rainelle Healthcare on May 16, 2023.

The facility was in substantial compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities and/or 64 CSR 13 Legislative Rules West Virginia Division of Health Nursing Home Licensure Rule. Complaint #WV00028360 was unsubstantiated with no related or unrelated deficiencies cited.

Complaint #WV00028360 was unsubstantiated with no related or unrelated deficiencies cited.

An unannounced revisit was conducted at Stonerise Rainelle on April 24-25, 2023 for the annual recertification/licensure survey concluding on January 5, 2023.

The facility was found to remain out of compliance with F684 related to quality of care. Specifically, the facility failed to provide proper medication instructions and follow physician orders for Resident #45, resulting in actual physical and psychosocial harm due to a medication error during therapeutic leave and failure to manage hypoglycemic and hypertensive episodes according to orders.

An unannounced onsite revisit survey was conducted at Stonerise Rainelle from April 24-25, 2023 for the annual survey concluding on January 5, 2023.

The facility was 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.

An unannounced annual recertification and relicensure survey was conducted to assess compliance with federal and state regulations, including review of residents' clinical records, interviews, observations, and staff interviews.

The facility was found deficient in multiple areas including nurse aide in-service training, pressure ulcer treatment, accident prevention and supervision, dialysis care, medication administration during therapeutic leave, nurse staffing postings, quality assessment and assurance committee participation, and timely reporting of alleged violations.

The inspection was a recertification annual survey conducted to assess compliance with federal and state regulations for the facility.

The facility was found deficient in maintaining fire protection testing and maintenance for commercial cooking equipment and in maintaining smoke barriers according to NFPA 101 standards. Corrective actions were taken immediately for both deficiencies.

The inspection was a recertification survey conducted to assess compliance with federal and state regulations for the nursing facility.

The facility was found to be in compliance with all federal and state requirements, including the Facility Emergency Preparedness Plan. Previous deficiencies cited (K100 and K372) were corrected as of the follow-up survey on 2023-01-25.

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 state nursing home licensure rules.

Stonerise Rainelle is in substantial compliance with federal and state long term care requirements. A review of plans of correction and credible evidence was accepted in lieu of an onsite revisit, confirming substantial compliance with previously cited deficient practices.

An unannounced annual re-certification and annual re-licensure survey was conducted at Stonerise Rainelle from September 13-15, 2021.

The facility was in substantial compliance with federal and state nursing home regulations. Complaint #25847 was unsubstantiated with no deficiencies cited. However, deficiencies were found related to timely reporting of incidents, accident hazard prevention, completeness of resident records, and infection control practices.

Complaint #25847 was investigated and found unsubstantiated with no related or unrelated deficiencies cited.

The inspection was conducted as part of the annual survey to assess compliance with federal and state regulations, including testing and maintenance of electrical equipment.

The facility failed to maintain required testing and maintenance for fixed and portable patient-care electrical equipment in accordance with NFPA 99 standards. Specifically, there was no documentation of physical integrity, resistance, current leakage, or touch current testing for beds and physical therapy equipment.

A COVID-19 Focused Infection Control Survey and Emergency Preparedness Survey was conducted by the state survey agency on June 15-16, 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 visit was conducted as an annual recertification and relicensure survey to assess compliance with long term care facility regulations.

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

The inspection was conducted to evaluate the facility's compliance with National Fire Protection Association (NFPA) standards related to sprinkler system installation, electrical systems maintenance and testing, and fire/smoke door maintenance and inspection.

The facility failed to ensure sprinkler heads were properly installed with adequate clearance from light fixtures, failed to maintain and test electrical receptacles at patient bed locations according to NFPA 99 standards, and failed to maintain fire/smoke doors with required annual inspections and testing per NFPA 80 standards. These deficiencies could affect all residents, staff, and visitors.

An unannounced annual re-certification and annual re-licensure survey was conducted from 08/05/19 through 08/08/19 to assess compliance with regulatory requirements.

The facility was found deficient in multiple areas including failure to provide dignified meal assistance and proper positioning for dependent residents, failure to maintain a safe, clean, and homelike environment, failure to implement comprehensive care plans, failure to maintain infection control practices, failure to maintain proper labeling and storage of drugs, and failure to maintain sanitary food preparation areas.

The document is an annual recertification and relicensure survey for Meadow Garden, reviewing plans of correction and compliance with long term care facility regulations.

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 no new deficiencies cited during this survey.

An unannounced annual recertification and relicensure survey was conducted from September 10, 2018 through September 13, 2018 to assess compliance with regulatory requirements.

The facility was found deficient in multiple areas including resident rights and dignity, privacy and confidentiality, safe and homelike environment, comprehensive care plan implementation, quality of care, nutrition and hydration, catheter care, food safety, and resident call system functionality.

The inspection was conducted to assess compliance with National Fire Protection Association (NFPA) standards related to portable fire extinguishers and fire drills in the facility.

The facility failed to maintain the height of portable fire extinguishers according to NFPA 10 standards, with multiple extinguishers mounted too high. Additionally, fire drills were not conducted in accordance with NFPA requirements, with drills not held at unexpected times and missing drills on some shifts.

An unannounced complaint investigation was conducted on April 16, 2018 at Meadow Garden for Complaint Reference #18604 and #19154.

The allegations were unsubstantiated and no related or unrelated deficient practices were identified. The facility was in substantial compliance with applicable federal and state nursing home regulations.

The allegations were unsubstantiated and no related or unrelated deficient practices were identified.

The document is a plan of correction related to a prior Quality Indicator and Licensure Survey concluding on 08/03/2017, accepted in lieu of an onsite revisit.

The facility, Meadow Garden, 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 addressed.

Unannounced annual Quality Indicator and State Licensure Surveys were conducted from July 31, 2017 through August 3, 2017 to assess compliance with regulatory requirements.

The facility was found deficient in multiple areas including failure to ensure timely mail delivery to residents, inadequate housekeeping and maintenance resulting in unsanitary and disrepair conditions in resident rooms, inaccurate comprehensive assessments (MDS) including prognosis and skin condition coding, unnecessary drug regimens for some residents, unsafe food storage practices, incomplete and inaccurate medical records documentation, and failure to follow bowel protocol.

The inspection was conducted as a routine survey to assess compliance with regulatory requirements including fire safety, electrical equipment maintenance, and resident rights.

The facility was found deficient in several areas including inadequate illumination of means of egress, incomplete sprinkler system installation, improperly maintained smoke barrier doors, fire drills not conducted at varying times on each shift, and failure to complete electrical testing for portable patient-care related equipment.

An unannounced complaint investigation was conducted at Meadow Garden for Complaint Reference 17692.

The allegations were unsubstantiated and no related or unrelated deficient practices were identified. The facility was in substantial compliance with applicable regulations.

Complaint Reference 17692 was investigated and found unsubstantiated with no deficiencies identified.

Unannounced annual Quality Indicator and State Licensure surveys were conducted at Meadow Gardens from September 6, 2016 to September 8, 2016.

The facility was found 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.

The inspection was conducted to review facility documentation, staff interviews, observations, and performance testing to determine compliance with 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.

The document is a plan of correction related to a Quality Indicator and Licensure Survey concluding on 06/25/2015, accepted in lieu of an onsite revisit.

The facility, Heartland of Rainelle, is in substantial compliance with 42 CFR Part 483 and West Virginia nursing home licensure rules, with previously cited deficient practices corrected as evidenced by the accepted plan of correction and credible evidence.

The inspection was conducted to evaluate compliance with NFPA 101 Life Safety Code standards related to smoke barriers, automatic sprinkler systems, fire-resistant furnishings, and electrical wiring in the healthcare facility.

The facility failed to maintain smoke barrier walls with the required fire resistance rating, did not properly maintain automatic sprinkler systems, lacked documentation verifying fire resistance of furnishings, and had multiple electrical system deficiencies including missing junction box covers and unsafe wiring practices.

Unannounced Annual Quality Indicator and Licensure Surveys were conducted at Heartland of Rainelle from June 22, 2015 through June 25, 2015.

The facility was found deficient in multiple areas including failure to provide residents with required information about Medicare and Medicaid benefits, inaccessible survey results, housekeeping and maintenance issues in multiple rooms, bed linens in poor condition, inaccurate resident assessments, failure to maintain resident dignity during medication administration, incomplete care plans, improper medication storage, and inadequate infection control practices.

The inspection was conducted as a complaint investigation, reviewing plans of correction and credible evidence in lieu of an onsite revisit for complaint investigation(s) concluding on 2015-05-01.

The facility, Heartland of Rainelle, was found to be 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 Reference: 13452. The complaint investigation concluded on 2015-05-01 with the facility in substantial compliance and no onsite revisit required.

An unannounced complaint survey was conducted at Heartland of Rainelle from April 29, 2015 to May 1, 2015 in response to Complaint #13452.

The complaint was unsubstantiated with one unrelated deficiency cited regarding failure to provide RN coverage for at least eight consecutive hours a day, seven days a week. The facility did not have an RN physically present for the required hours on multiple days.

Complaint #13452 was unsubstantiated. The deficiency cited was unrelated to the complaint.

An unannounced complaint investigation was conducted from 04/06/15 to 04/07/15 at Heartland of Rainelle for Complaint Reference 13283.

The allegations were unsubstantiated and no related or unrelated deficient practices were identified. The facility was in substantial compliance with applicable federal and state nursing home regulations.

Complaint Reference 13283 was investigated and found unsubstantiated with no deficiencies identified.

The document is a plan of correction submitted in response to previously cited deficiencies during the Quality Indicator and Licensure Surveys concluding on 03/20/14.

The facility, Heartland of Rainelle, is in substantial compliance with 42 CFR Part 483 and West Virginia nursing home licensure rules, with accepted plans of correction and credible evidence in lieu of an onsite revisit. Previously cited deficient practices have been addressed.

Unannounced annual Quality Indicator and Licensure Surveys were conducted at Heartland of Rainelle from March 17, 2014 through March 20, 2014 to assess compliance with regulatory requirements.

The facility was found deficient in developing comprehensive care plans, revising care plans to reflect current resident status, ensuring functional resident call systems, and providing timely laboratory testing. Specific deficiencies included failure to detail fluid restriction care plans, outdated behavioral and activity care plans, non-functional call lights in resident rooms, and failure to obtain ordered lab tests for a resident prior to an oncologist appointment.

The inspection was conducted to review facility documentation, staff interviews, observations, and performance testing to determine compliance with 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.

The inspection was conducted as a complaint investigation based on complaint references 13286 and 9269 from 12/30/13 to 01/01/14.

The complaint investigation was unsubstantiated with no citations issued.

Complaint Reference: 13286 / 9269. Unsubstantiated complaint record with no citations.

The document is a Statement of Deficiencies and Plan of Correction related to regulatory compliance for Rainelle Healthcare Center.

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).

Revisit for Quality Indicator and Licensure Surveys conducted on 10/17/2012 to verify correction of previously cited deficiencies from the annual quality indicator survey completed on 08/23/2012.

The facility was found to have continuing non-compliance with six previously cited deficiencies related to resident rights and information, dignity and respect, self-determination, care plan revisions, food sanitation, and medical record accuracy. The Quality Assessment and Assurance (QAA) committee failed to ensure corrective actions were implemented and monitored effectively.

Routine Quality Indicator and Licensure Surveys conducted from 08/13/12 to 08/23/12 to assess compliance with federal regulations for nursing facilities.

The facility was found deficient in multiple areas including failure to post required information, inadequate investigation and reporting of abuse allegations, failure to maintain dignity and respect during care, inaccurate resident assessments and care plans, inadequate pain management, improper food temperature and sanitation practices, ineffective infection control program, and incomplete nurse staffing postings.

The inspection was conducted to review facility documentation, staff interviews, observations, and performance testing to determine compliance with 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 Rainelle Healthcare Center.

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).

This document is a Plan of Correction related to deficiencies identified during a prior inspection of Rainelle Healthcare Center.

The report identifies 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, including Medicaid-related information.

The inspection was conducted in response to a complaint identified as State #12038 / ACTS #6962, to investigate allegations related to resident care and facility practices.

The facility failed to provide a dining atmosphere that maintained residents' dignity and respect, as residents seated together were not served meals simultaneously. Additionally, the facility failed to serve food under sanitary conditions, with a dietary staff member observed using contaminated gloves to handle food.

Complaint Reference ID: State #12038 / ACTS #6962. The complaint was unsubstantiated with unrelated deficiencies.

The inspection was conducted as a substantiated complaint investigation (Complaint Reference ID: State #12029 / ACTS #6947) regarding dietary services and facility compliance.

The facility was found deficient in sufficient dietary support personnel, timely meal service, offering snacks at bedtime to all residents, and sanitary food storage and preparation conditions. Food items requiring refrigeration were left unrefrigerated for hours, and dishwashing detergent was unavailable, leading to hand washing of dishes.

Substantiated complaint record with deficiencies related to dietary support personnel, meal/snack frequency, and sanitary food handling.

The inspection was conducted to evaluate compliance with regulatory requirements related to resident rights and menu adherence to nutritional needs.

The facility failed to ensure residents received garnishes as specified in the menu plan for pureed and mechanically altered diets, and pimento was not added to wax beans as required. This affected residents receiving these diets and had the potential to impact all residents choosing the broccoli alternate or mechanically altered/pureed diets.

The inspection was conducted as a complaint investigation related to complaint reference #10072, which was substantiated with deficiencies cited.

The facility failed to ensure residents were free of significant medication errors, specifically a resident (#59) who was given an antihyperglycemic medication (Metformin) instead of the prescribed antihypertensive medication (Metoprolol) for up to five days. The pharmacy mislabeled the medication box, and the error was discovered and corrected by the facility. No conclusive harm was determined from the error. The facility also failed to provide pharmaceutical services that met the needs of the resident due to this medication error.

Complaint reference #10072 was substantiated with deficiencies cited related to medication errors and pharmaceutical service failures.

The inspection was conducted as part of a comprehensive annual survey to assess compliance with federal regulations governing nursing home care.

The facility was found deficient in multiple areas including failure to convey resident funds timely after death, incomplete employee background checks, failure to treat residents with dignity, inadequate comprehensive assessments and care plans, lack of restorative nursing services, improper catheter use, dietary management deficiencies, infection control lapses, and incomplete medical record documentation.

The inspection was conducted to evaluate compliance with NFPA 101 Life Safety Code standards related to smoke barriers and medical gas storage in the facility.

The facility failed to maintain smoke barrier walls to provide at least a one-half hour fire resistance rating, with multiple breaches observed in the smoke barrier walls and doors. Additionally, oxygen cylinders were stored improperly within 4 inches of combustible material and lacked proper signage.

This document is a Plan of Correction related to deficiencies identified during a prior inspection of Rainelle Healthcare Center.

The document references a deficiency related to the facility's obligation to inform residents of their rights and services, including Medicaid-related information, but does not provide detailed findings beyond this.

The inspection was conducted in response to complaint reference #9277.

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

Complaint reference #9277 was unsubstantiated with no deficiencies cited.

Complaint investigation triggered by complaint references #9219 (substantiated) and #9239 (unsubstantiated). The visit focused on resident grievances and concerns about staff responsiveness and accommodations.

The facility failed to address resident grievances in a timely and satisfactory manner, particularly regarding delayed response to call lights and assistance needs. Staffing shortages, especially on weekends and night shifts, contributed to delays in care. Residents reported long waits for assistance with toileting and dining, leading to falls and discomfort. The facility also failed to provide reasonable accommodations to enhance the dining experience, with residents experiencing long waits for meals and lack of engagement during dining.

Complaint reference #9219 substantiated with deficiencies cited; complaint reference #9239 unsubstantiated with unrelated deficiencies cited.

The inspection was conducted as an annual survey to assess compliance with professional standards, resident rights, food service quality, and sanitary conditions in the facility.

The facility was found deficient in multiple areas including unclear and inaccurate medication administration records and physician orders affecting six of nine sampled residents, failure to maintain nutritive value and palatability of food, and unsanitary food preparation and serving practices. These deficiencies posed risks to resident safety and well-being.

The inspection was conducted as an annual survey to assess compliance with life safety code standards and other regulatory requirements at Rainelle Healthcare Center.

The facility failed to maintain all exits readily accessible due to equipment obstructing egress paths and accumulation of ice and snow. The fire alarm system was not fully inspected and tested as required, specifically the magnetic locking devices on exit doors. Several sprinkler system deficiencies were noted, including corroded sprinkler heads, sprinkler heads needing replacement, improper spacing of sprinkler heads due to wall removal, and privacy curtains impeding sprinkler spray patterns.

The inspection was conducted as an annual survey to assess compliance with federal regulations for nursing facilities.

The facility was found deficient in multiple areas including failure to notify residents of room transfers, inadequate notice of transfer/discharge rights, failure to provide personal hygiene assistance as desired, failure to accommodate toileting needs timely, medication administration errors, failure to maintain nutritional status and provide therapeutic diets, inadequate posting of nurse staffing data, insufficient dietary support personnel, failure to follow menus, and failure to maintain sanitary food preparation conditions. Additionally, the facility failed to employ a full-time qualified dietary manager and did not comply with state laws regarding advance directives and DNR orders.

This document is a Statement of Deficiencies and Plan of Correction related to regulatory oversight of Rainelle Healthcare Center, detailing deficiencies identified during a survey completed on December 27, 2007.

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).

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

The facility was cited for multiple deficiencies including failure to address self-administration of medication, improper discharge planning language, failure to investigate allegations of neglect and medication errors, failure to complete significant change assessments, incomplete care plans, failure to monitor antianxiety medication use, failure to monitor pacemaker function and skin condition, and failure to properly secure and inventory controlled substances.

Complaint reference #2-7258 was substantiated with deficiencies cited related to medication self-administration, discharge planning, neglect investigations, and medication errors.

The inspection was conducted to assess compliance with NFPA 101 Life Safety Code standards, including means of egress, fire alarm system maintenance, sprinkler system reliability, and electrical wiring safety in the facility.

The facility failed to maintain all exits readily accessible due to an obstructed sidewalk and malfunctioning delayed-egress locking device. The fire alarm system was not fully inspected and tested as required. Sprinkler system clearance was inadequate due to storage too close to sprinkler heads. Electrical outlets in wet locations lacked required ground-fault circuit interrupter protection.

This document is a plan of correction related to a paper revisit survey conducted at Rainelle Healthcare Center.

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 within the text.

This document is a plan of correction related to a paper revisit survey conducted at Rainelle Healthcare Center.

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).

The inspection was conducted as a routine survey to assess compliance with NFPA 101 Life Safety Code standards and other regulatory requirements for the healthcare facility.

The facility failed to maintain smoke barrier walls with the required fire resistance rating, maintain corridor exit widths and clear egress paths, properly exercise the emergency power supply system generator, and maintain electrical equipment in accordance with NFPA standards.

Complaint investigation related to resident rights, staff treatment, social services, medication administration, safety, and environmental conditions at Rainelle Healthcare Center.

The facility was found deficient in multiple areas including failure to involve the medical power of attorney in medical decisions, failure to verify nurse aide registry status for new hires, inadequate social services communication regarding code status, failure to administer and monitor blood pressure medication as ordered, improper use and monitoring of sensor pads, untimely and unsafe food distribution, unsanitary emergency eyewash stations, and ineffective pest control with gnats in the kitchen.

Complaint reference #2-6207 was unsubstantiated with no related deficiencies cited initially, but multiple deficiencies were identified during the investigation.

The inspection was conducted as a complaint investigation referenced as #2-6071.

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

Complaint reference #2-6071 was unsubstantiated with no deficiencies cited.

This document is a plan of correction submitted in response to deficiencies identified during a prior survey of the facility.

The facility was cited for deficiencies related to informing residents of their rights, rules, services, and charges in accordance with regulatory requirements.

The inspection was conducted to evaluate compliance with NFPA 101 Life Safety Code standards, specifically focusing on smoke barriers and sprinkler system maintenance.

The facility failed to maintain smoke barrier walls to provide at least a one half hour fire resistance rating, with multiple unsealed openings around wiring, sprinkler lines, ducts, and conduits. Additionally, the sprinkler system was not properly maintained, with corroded sprinkler heads and restricted clearance less than 18 inches in several resident rooms.

The inspection was conducted as an annual survey to assess compliance with federal regulations governing nursing facilities, including resident rights, quality of care, infection control, dietary services, and administration.

The facility was found deficient in multiple areas including failure to adhere to residents' advance directives, improper transfer techniques causing injury, failure to maintain dignity during meals, improper use and placement of gait belts, inadequate medication monitoring, failure to follow infection control policies including handwashing and linen handling, improper food storage and serving temperatures, and untimely laboratory testing.

The inspection was conducted in response to a complaint referenced as 2-5004.

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

Complaint reference: 2-5004. Unsubstantiated complaint record with no deficiencies cited.

The inspection was conducted as a complaint investigation based on complaint references #2-4108 (substantiated with deficiencies cited) and #2-4092 (unsubstantiated with no deficiencies).

The facility was found to have deficiencies related to the admissions policy, specifically that the admission agreement contained language requiring a third party guarantee of payment and personal financial liability for individuals with legal access to a resident's income, which is not permitted. This deficiency had the potential to affect all residents.

Complaint reference #2-4108 was substantiated with deficiencies cited. Complaint reference #2-4092 was unsubstantiated with no related deficiencies cited.

The inspection was conducted to assess compliance with the NFPA 101 Life Safety Code standards related to exit accessibility, emergency lighting, and fire safety procedures in the healthcare facility.

The facility failed to maintain all exit doors readily accessible as required by the Life Safety Code, had emergency lighting system failures during generator load testing, and did not properly rehearse or familiarize staff with fire plan procedures during fire drills.

The inspection was conducted as a routine annual survey to assess compliance with federal regulations governing nursing facilities.

The facility was found deficient in multiple areas including quality of care, infection control, and clinical record maintenance. Specific issues included failure to remove hazardous materials from resident rooms, inadequate hand hygiene by nursing staff during medication administration, contamination of oxygen equipment, and incomplete documentation in resident discharge summaries.

Routine inspection of Rainelle Healthcare Center to assess compliance with federal regulations regarding resident rights, quality of life, care planning, dietary services, infection control, and safety.

The facility was found deficient in multiple areas including failure to designate legal surrogates properly, lack of resident privacy during care, disrespectful terminology used by staff, failure to act on resident council grievances, inadequate accommodation of resident needs, incomplete care plans, poor hygiene and incontinence care, improper dietary practices, unsafe food handling, and infection control breaches.

The inspection was conducted to determine compliance with the Life Safety Code NFPA 101 - 1981 Existing, based on observation, performance testing, and review of facility documentation from 02/03/03 to 02/04/03.

The facility was found to be in compliance with the Life Safety Code NFPA 101 - 1981 Existing during the inspection period.

Annual inspection of Rainelle Healthcare Center to assess compliance with federal regulations related to resident rights, quality of life, resident assessment, quality of care, dietary services, infection control, and medication management.

The facility was found deficient in multiple areas including failure to implement restraint reduction programs, respect resident preferences, provide appropriate supervision during meals, follow physician's orders, monitor side effects of medications, ensure food safety and dietary compliance, and maintain infection control practices.

The inspection was conducted to evaluate compliance with NFPA 101 Life Safety Code standards, specifically regarding the maintenance and spacing of sprinkler systems in the facility.

The inspection found that two sprinkler heads in the facility laundry dryer area were spaced approximately 48 inches apart without the required baffles, which does not meet NFPA 13 standards for sprinkler spacing and protection.

The inspection was conducted as a comprehensive annual survey of Rainelle Healthcare Center to assess compliance with federal regulations governing nursing facilities.

The facility was found to have multiple deficiencies including failure to promote resident dignity during medication administration, inaccurate resident assessments, inadequate care planning, improper medication administration practices, failure to provide necessary care, use of unnecessary drugs, infection control lapses, unsafe physical environment, dietary service issues, and incomplete clinical records.

The inspection was conducted to evaluate compliance with the NFPA 101 Life Safety Code Standard, specifically regarding the fire resistance rating of smoke barrier walls in the facility.

The inspection found that not all portions of the facility's smoke barrier walls met the required one half hour fire resistance construction rating due to unsealed or incompletely sealed penetrations around wires and a hole in the drywall in the B wing.

The inspection was conducted based on observation and review of facility documentation to determine compliance with Section 483.70 Physical Environment of 42 CFR Part 483.

The facility was found to be in compliance with the physical environment requirements of 42 CFR Part 483.

The inspection was conducted to assess the facility's compliance with the Life Safety Code based on observation and review of facility documentation from August 2-3, 2000.

The facility was determined to be in compliance with the Life Safety Code (short form) during the inspection period.

The inspection was conducted in response to a complaint concerning staff treatment of residents, medication administration practices, quality of care, and dietary services.

The facility failed to properly report an allegation of verbal abuse by a certified nursing assistant, did not follow proper procedures for gastrostomy tube medication administration, left medication carts unlocked and unsupervised, administered unnecessary drugs to a resident, and failed to store and serve food under sanitary conditions.

The complaint involved an allegation of verbal abuse by a certified nursing assistant who was frustrated with a combative resident and made an inappropriate comment about the charge nurse. The facility failed to report this allegation to the Nurse Aide Registry as required.

The inspection was conducted to assess compliance with resident rights regulations, specifically regarding the facility's failure to obtain a legal surrogate for a resident lacking capacity to make medical decisions.

The facility failed to obtain a legal surrogate for one resident (#17) who lacked capacity to make medical decisions but had not been adjudged incompetent by a State court, violating WV Code 16-30A-3. The resident's son was making medical decisions based on a power of attorney document not signed by the resident.