Above average — CMS composite of the measures below.
The next survey window likely opens around May 2027
Estimate from public CMS data, current as of October 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at E.a. Hawse Healthcare Center during CMS and state inspections, most recent first.
Incomplete and inaccurate resident records were found in the areas of WV POST forms, PASARR documentation, and care plans. One resident's POST form had conflicting CPR and treatment selections, another resident's PASARR listed inconsistent depression diagnoses, and two residents' care plans contained incorrect or mismatched information, including another person's name and an inaccurate statement about decision-making capacity.
Failure to maintain an effective fly pest control program. Flies were observed in multiple resident rooms, the B hallway, and the Admin conference room, and residents reported being bothered by them. The NHA stated the surrounding area has fly problems due to nearby chicken and turkey processing plants, and pest control records showed monthly Orkin treatments with flylight and glue board replacement.
Failure to obtain informed consent for an antidepressant medication. A resident with depression, anxiety, and dementia had an order for mirtazapine for appetite stimulation, but the EHR did not contain informed consent for Remeron. When the surveyor requested the consent, the Corporate RN stated the facility could not locate it, and the resident had been on the medication since 2024 with a GDR completed later.
Care plan not revised after a perimeter mattress order changed. A resident at risk for falls had a care plan that still included a perimeter mattress even though there was no current provider order for it. The resident was observed in bed without the mattress, and the RD stated the mattress had been used before a hospital transfer, but the intervention was not removed from the care plan when the order was absent.
The facility failed to have an RN on duty for the required 8 hours per day. Record review showed that staffing records did not reflect 8 hours of RN coverage on the identified day, and the NHA stated that an RN worked 1.25 hours before becoming sick and was replaced by an LPN.
The facility failed to provide scheduled showers for residents, as evidenced by a lack of documentation and observations of unkempt appearances. A resident did not receive showers as per their schedule, and another was observed with oily hair and facial hair. The DON confirmed the inability to produce evidence of consistent shower provision.
A resident was found on the floor with a head injury and bare feet, despite a care plan requiring nonskid footwear. The facility also failed to secure a supply closet containing hazardous chemicals, as the door opened without a keypad code. The DON confirmed the issues, and the Administrator later stated the keypad battery was replaced.
The facility failed to maintain sanitary food service practices, affecting all residents receiving nutrition from the kitchen. Medical ice packs were improperly stored in the resident freezer, and a staff member was observed coughing, touching a trash can, and returning to food testing without washing hands. These actions were confirmed as inappropriate by the Dietary Manager.
The facility failed to treat residents with dignity and respect by leaving urinary catheter bags uncovered. A resident was observed with an uncovered catheter bag in her lap, and another resident's catheter bag was left uncovered and dangling off the bed. An RN confirmed the need for the bags to be covered and instructed a NA to address the issue.
Two residents reported that their preferences regarding bathing were not honored. One resident preferred not to have showers on a specific day due to church attendance, while another requested specific hair washing techniques to address dandruff. Despite communicating these preferences, the facility staff did not accommodate them, and the DON was unaware of these requests.
A facility failed to develop a baseline care plan for a resident with an indwelling catheter, which was inserted at the hospital before admission. There were no physician's orders for the catheter or its care, and the facility's records did not reflect its presence. Interviews with staff confirmed the oversight, and the catheter was later removed following physician's orders.
A resident with left-sided paralysis due to a malignant neoplasm was unable to access her bedside table, which was incorrectly placed on her left side. Despite care plan updates to accommodate her condition, observations showed the table was not consistently positioned on her right side, as required. Staff interviews confirmed the oversight, highlighting a failure to adhere to the care plan and meet the resident's needs.
A resident was discharged from an LTC facility without a complete discharge summary. The report lacked input from Social Services, Dietary Manager, and Activity Director, and incorrectly stated that there were no follow-up appointments, despite a scheduled neurosurgery follow-up. The DON acknowledged the inaccuracies.
A facility failed to notify the physician and obtain orders for the care of an indwelling catheter for a newly admitted resident. The resident's records and care plan did not reflect the presence of the catheter, and staff interviews revealed a lack of communication and documentation. The DON confirmed awareness of the catheter but acknowledged the absence of updated care plans and physician orders. The catheter was later removed following physician orders.
A resident on Coumadin therapy did not receive timely PT/INR testing due to facility errors in specimen collection and handling. Initial testing was not documented, and subsequent specimens were mishandled, delaying effective monitoring of the resident's medication.
The facility failed to complete POST forms and admission assessments accurately. A resident's POST form lacked necessary physician information, and another resident's admission evaluation incorrectly indicated they were not receiving antipsychotic medication, preventing an AIMS assessment. The Regional Director confirmed the absence of a policy for AIMS assessments.
Incomplete and Inaccurate Resident Records
Penalty
Summary
The facility failed to maintain complete and accurate medical records for multiple residents in the areas of the WV POST form, care plan documentation, and PASARR information. For Resident #4, the WV POST form showed CPR was selected in Section A, but Section B did not have Full Treatments selected even though that option is required when CPR is chosen. For Resident #6, the PASARR contained inconsistent diagnosis information: Major Depression was not selected or listed in Section 30, yet Major Depression was listed in Section 40, while the active diagnosis record showed only Depression, Unspecified. The facility also had documentation errors in resident care plans. For Resident #17, the care plan contained another person's name and stated that person wished to be discharged home, rather than accurately reflecting the resident. For Resident #9, the care plan stated the resident had DNR code status with ability to make health care decisions, even though the resident lacked capacity to make their own medical decisions. These discrepancies were identified during record review and discussed with facility staff, who acknowledged the inaccurate documentation.
Failure to Maintain Effective Fly Pest Control
Penalty
Summary
The facility failed to maintain an effective pest control program for flies. During the initial walk-through of the facility and resident rooms, flies were observed in rooms A01, A03, A11, A12, A15, B04, B06, and B10, and the residents in those rooms complained that the flies were bothering them. Flies were also observed in the B Hallway and the Administration Conference Room. When the issue was discussed with the NHA, she stated the area around the nursing home has problems with flies because of nearby chicken and turkey processing plants. Review of pest control records showed monthly pest control treatments by Orkin, with the last report dated 05/14/26 noting interior flylight replacement and replacement of glue boards in fly lights.
Failure to Obtain Informed Consent for Antidepressant Medication
Penalty
Summary
The facility failed to inform Resident #31 or the resident’s representative in advance of the risks and benefits, options, and alternatives for mirtazapine (Remeron) before the medication was administered, which did not allow the resident to be provided an informed choice. Resident #31 was admitted with diagnoses including depression, anxiety disorder, major depressive disorder, and unspecified dementia. The resident had an order for Mirtazapine Oral Tablet 7.5 mg, given one time a day as an appetite stimulant, and the electronic health record did not contain informed consent for Remeron. When the surveyor requested the consent, Corporate RN #74 stated on two occasions that the facility was having difficulty locating it and later stated she could not locate it. The resident had been on Remeron since 2024, and a GDR was completed in April 2026.
Care Plan Not Revised After Perimeter Mattress Order Changed
Penalty
Summary
The facility failed to ensure Resident #5’s comprehensive care plan was revised when physician orders changed regarding a perimeter mattress. The resident’s care plan identified him as at risk for falls related to pain, limited physical functioning, need for assistance with transfers, a history of falling at home, and non-compliance with assistance for transfers; it also noted that he was observed independently transferring and ambulating. The care plan included a perimeter mattress intervention that had been initiated on 11/25/2025 and revised on 01/14/2026, but review of physician orders on 06/10/26 showed no current order for a perimeter mattress. The resident was interviewed and stated he depended on others to help him use his walker, wore shoes or grippy socks, and had a history of falling; he was observed in bed without a perimeter mattress. The Regional Director stated the resident had been using a perimeter mattress before going to the hospital with an injury, returned with a back brace, and that the facility would not replace the mattress until provider approval was given, but the care plan was not revised even though there were no orders for the mattress during that time.
RN Staffing Shortfall
Penalty
Summary
The facility failed to have an RN on duty for 8 hours per day, seven days a week, on 01/01/26. Record review showed that the surveyor requested posted nurse staffing sheets and time detail from the facility’s timekeeping system for twenty dates, including 01/01/26, and the records were reviewed to determine whether the facility had 8 hours of RN staffing per day and met the 2.25 hours per patient day minimum. The review determined that the facility did not have 8 hours of RN staffing on 01/01/26. During an interview on 06/10/2026, the NHA stated that an RN worked 1.25 hours and then became sick, and the facility replaced the RN with an LPN.
Deficiency in Providing Scheduled Showers for Residents
Penalty
Summary
The facility failed to provide adequate activities of daily living (ADL) care, specifically in maintaining good personal hygiene for dependent residents. During an annual recertification and simultaneous complaint investigation, it was found that Resident #17 did not receive showers as per their schedule and preference of two times weekly. The facility could not provide documentation to verify that showers were given to Resident #17. Similarly, Resident #20 was observed to be unkempt with oily hair and facial hair, and there was no documentation to confirm that showers were provided according to their schedule. Further investigation revealed that Resident #23 had only one documented shower in the last 30 days, and Resident #33 had two documented showers in the same period. The Director of Nursing (DON) confirmed the facility's inability to produce evidence of consistent shower provision for these residents. This lack of documentation and failure to adhere to scheduled personal hygiene routines for the residents indicates a deficiency in the facility's care practices.
Failure to Ensure Safe Environment and Supervision
Penalty
Summary
The facility failed to ensure a safe environment for Resident #18, who was found on the floor with a head injury and complaining of right leg pain. The resident's care plan required nonskid footwear, which was not in place at the time of the fall. The incident occurred after Physical Therapy had been in the room, and the resident was found with bare feet. The Director of Nursing and Assistant Director of Nursing confirmed that the resident did not have the required nonskid footwear at the time of the fall. Additionally, the facility did not secure the Central Supply closet, which contained potentially hazardous chemicals. The door to the closet, which was supposed to be secured with a keypad, was found to open without entering the code. The Director of Nursing confirmed the issue and stated she was unaware of how long it had been occurring. The closet contained substances with warnings about ingestion and contact with eyes, posing a risk to residents. The Administrator later stated that the keypad battery had died and was replaced, but no further information was provided during the survey.
Sanitation and Hygiene Deficiencies in Food Service
Penalty
Summary
The facility failed to maintain safe and sanitary food service practices, which could potentially affect all residents receiving nutrition from the kitchen. During a tour of the resident pantry, multiple medical ice packs were found stored in the resident freezer, which was confirmed by the Dietary Manager as inappropriate. Additionally, during a kitchen inspection, a staff member was observed coughing, touching a trash can, and then returning to food temperature testing without washing her hands. This lapse in hygiene was acknowledged by the staff member and confirmed by the Dietary Manager as a failure to follow proper handwashing protocols.
Failure to Cover Urinary Catheter Bags
Penalty
Summary
The facility failed to ensure that residents were treated with dignity and respect by leaving urinary catheter bags uncovered. This deficiency was observed during a Long-Term Care Survey Process. Resident #47 was seen wheeling her chair down the corridor with her uncovered catheter bag and tubing resting in her lap. A Registered Nurse (RN) confirmed that the catheter bag should not have been placed in the resident's lap and should have been covered. The RN instructed a Nursing Assistant (NA) to find a cover for the catheter bag or to place a blanket over the resident's lap immediately. Resident #47's care plan indicated that she requires a two-person lift and cannot get into her chair without assistance. Similarly, Resident #257 was interviewed, and it was noted that the resident's catheter bag was uncovered and dangling off the foot of the bed. A follow-up observation revealed that the catheter bag remained uncovered and was still dangling off the foot of the bed. The RN confirmed that the catheter bag needed to be covered and instructed a NA to cover the bag. These observations indicate a failure to maintain the dignity and respect of the residents by not ensuring their catheter bags were appropriately covered.
Failure to Honor Resident Preferences in Bathing
Penalty
Summary
The facility failed to promote self-determination and honor resident preferences regarding bathing and shower schedules for two residents. Resident #23 reported not having a bath in a week and expressed a preference to avoid showers on Tuesdays due to attending church services with wet hair. Despite communicating this preference to multiple staff members, the resident's request was not accommodated, and the Director of Nursing (DON) was unaware of the request. The resident's cognitive status was confirmed as intact, and she had the capacity to make medical decisions. Resident #33 reported issues with the way her hair was washed during showers, specifically requesting that her scalp be scrubbed to address dandruff and an itchy scalp. Despite repeated requests, the CNAs assisting her did not fulfill this preference, and no nurse had addressed her concerns or ordered dandruff shampoo. The DON acknowledged that CNAs should report such concerns to the nurse on duty, who should then follow up with the physician for any necessary orders.
Failure to Develop Baseline Care Plan for Indwelling Catheter
Penalty
Summary
The facility failed to develop a baseline care plan for a newly admitted resident with an indwelling catheter, which was inserted at the hospital prior to admission. Upon review, it was found that there was no physician's order for the catheter or any orders for its care. The facility's records did not reflect the presence of the catheter, and the baseline care plan did not address the risks associated with catheter-related urinary tract infections (CAUTI) or include protocols for catheter care. Interviews with facility staff, including the MDS RN and the Director of Nursing, confirmed that the care plan was not updated to include the catheter, and no physician's orders were obtained. The MDS RN stated that the catheter was not mentioned during clinical staff meetings. The Regional Director of Clinical Operations later indicated that the physician had prescribed orders for the removal of the catheter, which was subsequently removed from the resident.
Failure to Update Care Plan for Resident with Left-Sided Paralysis
Penalty
Summary
The facility failed to revise and update the care plan for a resident based on her changing needs and preferences. The resident, who had been diagnosed with a malignant neoplasm of the right temporal lobe, experienced left-sided paralysis. Despite this condition, the resident's bedside table, which held essential items like her eyeglasses and a cup of water, was placed on her left side, making it inaccessible to her. This oversight was observed on multiple occasions, and the resident confirmed her inability to reach the items due to her paralysis. Interviews with the facility staff, including the MDS RN and another RN, revealed that the care plan had been updated to account for the resident's left-sided paralysis, with instructions to place the call light on her right side. However, the bedside table was not consistently positioned on the right side, as evidenced by observations and staff interviews. The table was moved to accommodate fall pads, further complicating the resident's access to her personal items. This indicates a failure to adhere to the care plan and ensure the resident's needs were met effectively.
Incomplete Discharge Summary for Resident
Penalty
Summary
The facility failed to provide a complete discharge summary for Resident #56, who was discharged to home with his significant other. The resident, who was cognitively intact and able to complete tasks independently, had been admitted to the facility and was scheduled for a follow-up neurosurgery appointment two weeks after a hospital visit. However, the facility's discharge report, dated the day of discharge, was incomplete as it lacked entries from the Social Services, Dietary Manager, and Activity Director sections. Additionally, the report inaccurately stated that the resident did not have any follow-up appointments. This deficiency was acknowledged by the Director of Nursing during an interview.
Failure to Obtain Physician Orders for Indwelling Catheter Care
Penalty
Summary
The facility failed to notify the physician and obtain orders for the care of an indwelling catheter for a newly admitted resident. Upon review, it was found that the resident's records did not include a physician's order for the catheter or any specific orders for catheter care. Additionally, the facility's matrix provided to surveyors did not indicate the presence of an indwelling catheter for the resident. The baseline care plan for the resident also lacked any mention of the catheter and did not address the risks associated with catheter-related urinary tract infections (CAUTI). Interviews with facility staff revealed a lack of communication and documentation regarding the resident's catheter. The MDS RN responsible for care plans confirmed that the catheter was not included in the care plan, as it was not mentioned during clinical staff meetings. The DON acknowledged that the staff was aware of the catheter but had not updated the care plan or obtained necessary physician orders. The RDCO later stated that the physician had ordered the removal of the catheter, which was confirmed by a follow-up observation showing the catheter had been removed.
Failure to Obtain Timely Laboratory Services for Anticoagulation Monitoring
Penalty
Summary
The facility failed to obtain timely and accurate laboratory services for a resident receiving Coumadin (warfarin) to prevent blood clots. A physician's order was written for Prothrombin Time/International Normalized Ratio (PT/INR) testing on 10/19/24, but no results were found in the resident's medical record for that date. Subsequent orders required weekly PT/INR testing, but the facility encountered issues with specimen collection and handling. On 10/24/24, the specimen was underfilled, and on 10/25/24, the specimen was not received at room temperature, preventing the tests from being performed. The Regional Director of Clinical Operations confirmed the absence of results for the initial test and acknowledged the errors in specimen handling on subsequent dates. The Director of Nursing stated that the facility's nursing staff was responsible for obtaining and sending the specimens to the laboratory via courier. These failures in obtaining and processing laboratory specimens resulted in a delay in monitoring the resident's medication effectiveness, as the PT/INR test was only successfully performed on 10/27/24.
Incomplete POST Forms and Admission Assessment Errors
Penalty
Summary
The facility failed to ensure proper completion of Physician Orders for Scope of Treatment (POST) forms and admission assessments for residents receiving antipsychotic medications. For one resident, the POST form was incomplete as it lacked the physician's full name, license number, and phone number, which was confirmed by the Corporate Nurse. This oversight indicates a failure to adhere to the guidelines specified by the Virginia Center for End-of-Life Care and the Virginia Health Care Decisions Act. Another resident was prescribed Seroquel, an antipsychotic medication, and Reglan, yet the Nursing Admission Evaluation incorrectly indicated that the resident was not receiving these medications. This error prevented the triggering of an Abnormal Involuntary Movement Scale (AIMS) assessment, which is crucial for monitoring potential side effects such as tardive dyskinesia. The Regional Director of Clinical Operations confirmed the absence of a policy regarding AIMS assessments, which contributed to the oversight.
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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 Baker
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Hampshire Center | 18.9 mi | ★★★★★ | 13 | 0 |
| Hampshire Memorial Hospital | 19 mi | ★★★★★ | 6 | 1 |
| Grant Rehabilitation And Care Center | 19 mi | ★★★★★ | 13 | 0 |
| Woodstock Valley Health And Rehabilitation | 20 mi | ★★★★★ | 0 | 0 |
| Skyline Terrace Conv Home | 20.2 mi | ★★★★★ | 0 | 0 |
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