Average — CMS composite of the measures below.
A standard survey is most likely before around November 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at West Liberty Nursing And Rehabilitation during CMS and state inspections, most recent first.
The facility did not ensure that meals were prepared according to standardized recipes, resulting in food that was bland, lacked required ingredients, and was served at improper temperatures. Several residents and staff reported dissatisfaction with the taste and appearance of the food, and surveyors confirmed that the meals were not palatable or attractive.
Failure to Post Daily Nurse Staffing Data: The facility did not update the daily staffing sheet at the beginning of each shift, and the posted information was several days old. The Weekend Supervisor and an RN stated they did not know where the staffing data was located, and the DON said RNs were responsible for weekend posting while the Administrator stated there was no policy for posting the daily staffing data, even though CMS requires it.
Loose Pills Found in Medication Cart Drawers: Staff found 25 loose pills in one med cart drawer and 11 loose pills in another, with pills appearing to have fallen from blister packs. A KMA said she was unaware of the loose pills, while an RN, DON, and the Administrator stated staff were responsible for checking the carts and keeping them clean per facility policy.
A dietary service failure occurred when staff ran out of regular ground beef during dinner tray line service and substituted frozen hamburger patties, then prepared the entree without all recipe ingredients or seasonings. The tray line was delayed, the posted menu was not current, and staff interviews confirmed the menu and recipes were not always followed as written. Residents reported the food lacked variety, did not taste good, and some items were hard to chew and lacked flavor.
Failure to Honor Resident Food and Beverage Preferences: Surveyors found that meal service did not consistently match resident likes and dislikes. A resident with COPD, another with chronic respiratory failure and depression, and a cognitively intact resident with diabetes and COPD each reported receiving foods or beverages they had stated they did not want, including rice, ground beef, and tea, despite documented preference interviews and diet orders. Tray cards did not consistently reflect specific preferences, and staff interviews confirmed the preference information was entered into the kitchen system but was not reliably carried through to meal delivery.
Infection control practices were not consistently followed. Staff were observed sweeping during meal service, storing a resident positioning wedge on the floor, carrying a bag of urine through the hall while wearing dirty gloves, and feeding two residents without washing hands between them. The resident nutrition refrigerator also had incomplete temperature logs, and the DM acknowledged freezer temperatures had been recorded outside the proper range on several days. The IP, DON, and Administrator stated these actions were not in line with facility policy.
Unsafe and Unclean Resident Environment: Surveyors observed cracked and missing tiles, black substance on baseboards, peeling baseboards, chipped paint, and holes in walls in resident rooms, shower rooms, the dining room, and hallways. A resident said the cracked tiles made him/her feel dirty, and another resident said the conditions were not like the clean home they were used to keeping. The Senior Maintenance Director, DON, Administrator, and housekeeping supervisor all acknowledged the environmental issues and delayed repairs.
Failure to Provide Palatable and Properly Prepared Meals
Penalty
Summary
The facility failed to ensure that food and drinks served to residents were palatable, attractive, and at a safe and appetizing temperature, as required by their policy. During a dinner service, the kitchen ran out of regular ground beef for the last six trays, prompting the Dietary Manager to use frozen hamburger patties, which were quickly cooked and seasoned without following the standardized recipe. The Regional Dietary Manager admitted that the meat was not weighed, seasoning was estimated, and the recipe was not followed. The resulting meal lacked required ingredients such as cumin, salt, onion, and toppings like shredded cheddar cheese and salsa. Food temperatures were measured and found to be below recommended serving temperatures for hot foods and above for cold items. State surveyors found the food bland and lacking in flavor during their taste test. Multiple residents reported dissatisfaction with the food, describing it as lacking variety, not tasting good, and being difficult to chew. Staff interviews confirmed that some residents routinely disliked the main entrée, particularly when chicken was served, and noted that the chicken did not look appetizing. The facility's policy and staff expectations were that menus and recipes should be followed as written to ensure consistent palatability, but this was not adhered to during the observed meal service.
Failure to Post Daily Nurse Staffing Data
Penalty
Summary
The facility failed to post the nurse staffing data daily at the beginning of each shift. During observation on 08/24/2025 at 11:30 AM, the posted daily staffing sheet was dated 08/21/2025, showing that the staffing information had not been updated for three days. The required posting was to include the facility name, current date, total number and actual hours worked by RN, LPN/LVN, CNA staff directly responsible for resident care per shift, and resident census. During interview, the Weekend Supervisor stated she was not sure where the daily staffing sheet was located and said she had never been trained on how to access or post the staffing data; RN1 also stated she did not know where the daily staffing information was located. The DON stated she was responsible for posting staffing coverage Monday through Friday and that RNs were responsible for posting it on weekends, and the Administrator stated the facility did not have a policy for posting daily staffing data, although it was posted because CMS requires it.
Loose Pills Found in Medication Cart Drawers
Penalty
Summary
The facility failed to ensure proper storage of medications. Review of the facility’s undated Medication Storage policy showed that medications on the premises were to be stored in the pharmacy and/or medication rooms according to manufacturer recommendations and with proper sanitation, temperature, light, ventilation, moisture control, segregation, and security. During observation, 25 loose pills were found at the bottom of the medication drawers of cart one and 11 loose pills were found in the medication drawers of cart two, appearing to have fallen from multiple blister packs stored in the drawers. During interview, a KMA stated she was not aware the pills had fallen to the bottom of the cart drawers and said it was the nurse/KMA’s responsibility to check the cart for loose pills and dispose of them. She stated the pills should remain inside the blister packs as delivered from the pharmacy and that medication should not be administered from the bottom of the drawer. An RN stated it was the nurses’ and KMA’s responsibility to be aware of the condition of the medication cart, and the DON stated nursing staff were expected to periodically spot-check the cart for loose pills and keep it clean. The Administrator stated she expected staff to keep their carts clean and follow facility policy.
Menu Not Followed as Written During Dinner Service
Penalty
Summary
The facility failed to ensure the menu was followed as written during dinner service. During observation of the tray line, the Dietary Manager reported that regular ground beef had run out for the last six trays, and frozen hamburger patties were retrieved and cooked instead. The Regional Dietary Manager then took over cooking and crumbling the meat, and a small amount of taco seasoning was added before the meat was placed on the tray line. This interrupted the tray line for 10 minutes and delayed meal delivery. Review of the recipe for the dinner entree showed the dish was supposed to include fresh tomato, onions, cumin, salt, shredded cheddar cheese, and salsa, but the potato served only had the meat mixture on top and did not contain the listed seasonings or ingredients. Observation of the test tray showed the food was bland and lacked seasoning, and temperatures were recorded for the items on the tray. The last daily menu posted was for a prior date, and the Regional Dietary Manager stated it was the responsibility of dietary staff to update menu postings. In interviews, the Dietary Manager stated she did not always follow recipe instructions and would sometimes boil chicken instead of baking it because baking made it too hard for residents to chew. The Regional Dietary Manager stated the expectation was that the menu be followed as written, and the Executive Director also stated the menu was to be followed as written. Residents interviewed stated the food lacked variety, did not taste good, and chicken was hard, difficult to chew, and lacked flavor.
Failure to Honor Resident Food and Beverage Preferences
Penalty
Summary
The facility failed to provide food and drink that accommodated resident preferences for 3 of 6 sampled residents. Facility policy required resident food and beverage preferences to be identified, entered into the medical record, and reflected on tray assembly tickets so meals would match diet orders, allergies, intolerances, and preferences. Survey observations, interviews, and record review showed that resident preferences were not consistently carried out during meal service. Resident 3 was observed at dinner with rice, a ground meat mixture, chicken noodle soup, tea, and milk. The resident stated she had repeatedly requested chicken noodle soup with all meals, but had consistently told staff she did not eat rice or drink tea. She also stated she asked for crackers for her soup, staff went to the kitchen, and then returned saying there were no crackers. Her record showed diagnoses of chronic diastolic heart failure, COPD, and diabetes mellitus with polyneuropathy, a BIMS score of 12, a diet order for no added salt with regular texture and consistency, and a Food Preference Interview documenting that she disliked rice and preferred orange juice, pineapple juice, milk, and sprite. Resident 1 was served ground beef with a small potato as the entree and stated she would only eat the salad from the tray. She said she had tried to get an alternative food in the past and never received it, so she had stopped requesting anything different. Her record showed diagnoses of chronic respiratory failure with hypoxia, COPD, and major depression, a BIMS score of 12, a regular texture, thin consistency, no added salt diet, and a Food Preference Interview listing beef among her dislikes and apple juice, cranberry juice, coffee, and sprite as preferences. Resident 17, who was cognitively intact with a BIMS score of 15 and had diagnoses of diabetes and COPD, had a Food Preference Interview stating she did not like tea and preferred lemonade. She reported she did not receive a lunch tray, staff notified the kitchen, and when a tray was brought up it included tea instead of lemonade. The Dietary Manager and Regional Dietary Manager stated preferences were entered into the kitchen system and printed on tray cards, but observation of Resident 17’s tray card showed only generic substitute wording and no specific likes or dislikes listed.
Infection Control Program Not Maintained
Penalty
Summary
The facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infection. The facility policy stated that all staff were responsible for following infection prevention and control policies and procedures, including hand hygiene, proper cleaning of reusable items and equipment, and demonstrating competence in infection control practices. The hand hygiene policy stated that all staff were to perform proper hand hygiene to prevent the spread of infections to personnel, residents, and visitors. Surveyors observed multiple infection control lapses involving staff practices and resident care areas. A housekeeping supervisor was observed sweeping the floor in front of a meal cart while meal service was in progress, and later stated she occasionally swept during mealtime even though she understood it was not a good idea because of the increased risk of spreading dust and germs. A wedge used for resident positioning in bed was observed on the floor near the door of a resident room. A CNA was observed carrying a clear trash bag containing approximately 4,000 cc's of urine from a resident room to the shower room for disposal while continuing to wear dirty gloves into the hall. The CNA stated the bag could tear and spread urine in the hall and that she forgot to remove her gloves before coming out into the hall. Additional observations showed food safety and hand hygiene concerns. The resident nutrition refrigerator had incomplete temperature logs, with missing refrigerator and freezer documentation for multiple evenings and missing morning and evening documentation on two days. The Dietary Manager stated she was responsible for ensuring the temperatures were documented and acknowledged that freezer temperatures had been recorded outside the appropriate range on several days, explaining that this was an oversight. A CNA was also observed setting up resident trays and feeding two residents without washing her hands between them. She stated she had offered bites to both residents without cleaning her hands and acknowledged that not washing her hands could spread germs from resident to resident or from herself to a resident. The Infection Preventionist and DON both stated that these practices were not appropriate and that staff were expected to follow the facility's infection control policies and procedures.
Unsafe and Unclean Resident Environment
Penalty
Summary
The facility failed to provide a safe, clean, comfortable, and homelike environment for three of 14 sampled residents. Observation of Resident 3's room revealed a black substance on the floor around the baseboard and cracked tile in the floor. In the north hall men's shower room, surveyors observed 8 cracked tiles in the floor and around the baseboard, along with a missing tile around the toilet. In the north hall women's shower room, there were 6 cracked tiles and 4 missing tiles around the baseboard, and the trim around the toilet had 2 missing tiles. Additional observations showed black substance on the baseboards in Resident 7's room, missing baseboards underneath the air conditioning unit, and a hole in the wall under the unit. Resident 18's room had chipped paint around the sink and a 2-inch hole in the wall around the baseboard. Surveyors also observed peeling baseboard in the dining room, missing paint and a hole in the wall near another resident room entrance, and a cracked tile in the hallway in front of the soiled utility room. Resident 3 stated the cracked tiles in the shower room and hallway made him/her feel dirty, and another resident stated the conditions were not like the clean home they were used to keeping. The Senior Maintenance Director, DON, Administrator, and housekeeping supervisor all acknowledged the environmental issues, including cracked tiles, missing tiles, holes, and delayed repairs.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near West Liberty
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Elliott Nursing And Rehabilitation | 12.8 mi | ★★★★★ | 7 | 0 |
| Salyersville Nursing And Rehabilitation Center | 16.3 mi | ★★★★★ | 2 | 0 |
| Wolfe County Health & Rehabilitation Center | 19.1 mi | ★★★★★ | 0 | 0 |
| Menifee Meadows Nursing & Rehab Llc | 19.4 mi | ★★★★★ | 0 | 0 |
| Life Care Center Of Morehead | 20.4 mi | ★★★★★ | 6 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.