Above average — CMS composite of the measures below.
The next survey window likely opens around April 2027
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 Rainelle Healthcare Center during CMS and state inspections, most recent first.
An LPN documented PRN pain meds as given to multiple residents, but residents said they had not requested or received them. For one resident, pain assessments and blood levels were inconsistent with the MAR entries, and similar concerns were identified for several other residents involving controlled PRN meds.
Failure to maintain required fall protection and secure hazardous rooms. A resident with a fall risk had a physician-ordered fall mat and care plan intervention for the left side of the bed, but the mat was not in place when the resident was observed in bed. In addition, two doors in the A Hall, including the shower room and clean utility room, were found unlocked and would not lock properly after repeated attempts, and the Admin and maintenance staff confirmed the issue.
A resident with a diagnosis of Major Depressive Disorder had a PASSR completed for admission that did not include that diagnosis. The administrator confirmed the diagnosis was missing from the PASSR and that no updated PASSR was completed after admission.
Failure to implement a fall-prevention intervention for a resident with a hx of falls, Parkinson's, and tremor. The care plan and MD order required a fall mat on the left side of the bed when in bed, but staff observed the resident in bed with the call light in reach and no mat in place; the Administrator acknowledged the omission and later reported the mat had been behind the bed.
A resident was not offered sunscreen before going outside for an activity and later had a sunburn. The resident stated she had been outside and was not given sunscreen beforehand, and the sunburn resulted in an order for aloe vera to be applied to the affected areas.
A resident's right to confidential communication was violated when staff opened her package before delivery. The resident, with a BIMS score indicating cognitive impairment, expressed dissatisfaction with this action. The Activity Director opened the package due to concerns about the resident's special diet and potential receipt of hard candy.
A resident at risk of falls had a care plan intervention to ensure properly fitting clothing, specifically pants with functional elastic. Despite this, the resident experienced a fall while wearing pajama pants without elastic, which were around her ankles and possibly caused the fall. The DON confirmed the care plan was not implemented in this area.
A facility failed to perform neurological checks according to professional standards after a resident's unwitnessed fall. The resident, who had a previous fall with a head laceration, experienced another unwitnessed fall, but the facility did not initiate new neurological evaluations. Instead, they continued with daily checks related to the earlier incident. The DON confirmed the oversight, as the resident was already under monitoring from the previous fall.
A resident with severe cognitive impairment and a history of falls experienced two falls due to improperly fitting clothing and inadequate supervision. The first fall was potentially caused by pajama pants without a waistband, leading to a stress fracture. Before further imaging could be done, the resident fell again, resulting in a right femoral neck fracture requiring surgery. Despite numerous interventions in the care plan, the environment was not adequately supervised to prevent these incidents.
A facility failed to maintain accurate medical records for a resident regarding fall risk evaluations. The resident, admitted after a hip fracture from a fall, had two assessments indicating fall risk factors, yet documentation inconsistently marked the resident as not at risk. The DON acknowledged the error, but no further information was provided.
PRN Medications Documented as Given but Not Actually Administered
Penalty
Summary
The facility failed to ensure the safety and security of resident property, specifically PRN medication, after it was discovered that an LPN was not actually giving PRN medications to assigned residents even though the medications were being documented as administered on the MAR. During the survey process, residents were asked about their PRN medication needs and use, and multiple residents stated they had not requested those medications despite the charting showing they had been given. This led the facility to investigate whether diversion was occurring. For Resident #64, the facility reviewed the MAR and pain assessments and found that the resident’s daily pain was generally documented as zero to one out of ten, while the PRN pain scale entries on the days in question showed pain levels of five to seven out of ten before medication administration and zero out of ten afterward. The facility also obtained blood work with the resident’s permission, which showed only trace amounts of pain medication in the resident’s system, inconsistent with the documented administrations. Similar concerns were identified for other residents, including Residents #1, #15, #39, #56, and #65, involving controlled PRN pain medications.
Failure to Maintain Required Fall Protection and Secure Hazardous Rooms
Penalty
Summary
The facility failed to provide an environment free from accident hazards when Resident #23 did not have the fall mat in place as ordered. Review of the physician orders showed a fall mat to the patient's left side, and the care plan also directed that a fall mat be placed on the left side of the bed when the resident was in bed. Resident #23 was observed lying in bed with eyes closed, with the call light within reach and bilateral bed bolsters in place, but the fall mat was absent from the left side of the bed. The administrator acknowledged that the mat was not in place, and later reported that it was behind the bed and had since been put into place. The facility also had two unlocked doors in the A Hall resident area during a routine walkthrough. The General shower room and Clean utility room doors were found unlocked and did not lock on three attempts to allow the doors to open and close under their own. Further inspection showed the doors were not functioning properly and would not lock even with assistance from a person pushing them closed. The administrator and Maintenance #11 were shown the doors and both confirmed they were not locking.
PASSR Missing Mental Health Diagnosis
Penalty
Summary
PASARR screening for mental disorders or intellectual disabilities was deficient for one resident reviewed. Record review showed that Resident #17 had a diagnosis of Major Depressive Disorder, recurrent unspecified, documented on 11/17/23 and was admitted to the facility on [DATE]. The most recent Pre-admission Screening and Resident Review (PASSR), created on 04/20/26, did not include the diagnosis of Major Depressive Disorder, recurrent unspecified. During an interview on 05/20/26 at 1:00 PM, the administrator confirmed that the PASSR did not include the diagnosis when completed for admission and that no updated PASSR was completed after admission.
Failure to Implement Fall Mat Intervention
Penalty
Summary
Resident #23 had a physician order dated 04/23/26 for a fall mat to the patient's left side, and the care plan identified the resident as at risk for falls related to a history of falls, Parkinson's, tremor, and other factors, with an intervention to place a fall mat to the left side of the bed when in bed. On 05/20/26 at 4:02 PM, the resident was observed lying in bed with eyes closed, with a bulb call light in reach and bilateral bed bolsters in place, but there was no fall mat on the left side of the bed. During interview at 4:04 PM, the Administrator observed the resident and acknowledged that the mat was not in place. At 4:10 PM, the Administrator reported that the floor mat was behind the bed and had since been put into place.
Failure to Provide Sunscreen Before Outdoor Activity
Penalty
Summary
The facility failed to ensure Resident #10 was provided sunscreen before going outside for an activity. After the resident was observed, it was evident that she had a sunburn. Resident #10 stated that she had been outside for an activity and was not offered sunscreen prior to going outside, and as a result she suffered a sunburn. The sunburn led to an order for aloe vera to be applied to the affected areas.
Violation of Resident's Right to Confidential Communication
Penalty
Summary
The facility failed to protect a resident's right to communicate confidentially by opening a package addressed to her before delivering it. During an interview, the resident expressed dissatisfaction with the staff opening her mail without her presence. The resident, who has a Brief Interview for Mental Status (BIMS) score of nine, indicating some cognitive impairment, received a package through mail delivery services. The Activity Director admitted to opening the package, citing concerns about the resident's special diet and the possibility of receiving hard candy, which the resident is not allowed to have.
Failure to Implement Care Plan for Fall Prevention
Penalty
Summary
The facility failed to implement the comprehensive care plan for a resident in the area of falls. The care plan for the resident, who was at risk of injury from falls, included an intervention to ensure that clothing fit properly, specifically noting that if the elastic in pants was worn out, staff should notify a nurse and use a different pair. Despite this intervention being initiated, the resident experienced a fall. A nursing note indicated that at the time of the fall, the resident was wearing pajama pants without elastic in the waistband, which were around her ankles and possibly caused the fall. The Director of Nursing confirmed that the care plan was not implemented regarding the resident's properly fitting pants to prevent falls.
Failure to Perform Neurological Checks After Unwitnessed Fall
Penalty
Summary
The facility failed to ensure that neurological checks were performed according to professional standards of practice after an unwitnessed fall involving a resident. The facility's policy required neurological checks to be conducted at specific intervals following a fall with unknown head injury. However, after the resident experienced an unwitnessed fall on 11/17/24, no new neurological evaluations were initiated. Instead, the facility continued with the ongoing daily neurological evaluations that were related to a previous fall on 11/13/24. The resident, who had a history of an unwitnessed fall resulting in a head laceration on 11/13/24, was not provided with the required neurological checks after another unwitnessed fall on 11/17/24. The Director of Nursing confirmed that the evaluations were not initiated due to the resident already being under change in condition monitoring from the earlier fall. This oversight meant that the neurological evaluations were only being conducted daily, rather than at the more frequent intervals required immediately following the new fall.
Resident Falls Due to Improper Clothing Fit and Inadequate Supervision
Penalty
Summary
The facility failed to ensure the resident environment was as free from accident hazards as possible, resulting in actual harm to a resident. Resident #12, who had a history of falls and severe cognitive impairment, experienced two falls within a short period. The first fall occurred when the resident was found sitting on the floor with improperly fitting pajama pants around her ankles, which were identified as a potential cause of the fall. This fall resulted in pain and a visit to the emergency room, where an x-ray revealed a small stress fracture and a potential abnormality in the right hip. Before further imaging could be obtained, the resident experienced a second fall, which resulted in a right femoral neck fracture requiring surgical intervention. The resident was found on the floor with lacerations and bleeding, necessitating another emergency room visit. The Director of Nursing confirmed that the improperly fitting pajama pants were a potential cause of the first fall, but it was unclear which fall caused the hip fracture. The resident's comprehensive care plan included numerous interventions to prevent falls, such as ensuring proper clothing fit, using non-skid socks, and keeping the environment free of clutter. Despite these interventions, the resident's environment was not adequately supervised or maintained to prevent the falls, leading to significant injury and the need for surgical intervention.
Inaccurate Fall Risk Documentation for Resident
Penalty
Summary
The facility failed to ensure that medical records were complete and accurate regarding fall risk evaluations for a resident. The resident had been admitted to the facility after falling at home and fracturing her hip. Two Fall Risk Observation Tool assessments were conducted, one on July 19 and another on July 31, both indicating that the resident required minimum transfer assistance with a gait belt and had balance problems. The assessments also noted the resident's fall history, medication use, and medical conditions that could contribute to falls. Despite these findings, Section F of both assessments incorrectly answered 'No' to the question of whether the resident was identified as a potential risk for falls, contradicting Section E, which correctly identified the resident as a fall risk. The Director of Nursing acknowledged that Section F of the Fall Risk Observation Tools was incorrectly answered, as Section E had correctly indicated the resident's potential risk for falls. The resident's comprehensive care plan did include a care plan for fall risk, but the inconsistency in the documentation of the fall risk assessments represents a failure to maintain accurate medical records. No further information was provided through the completion of the survey process.
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Illustrative
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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 Rainelle
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Fayetteville Healthcare Center | 19 mi | ★★★★★ | 4 | 0 |
| Hidden Valley Center | 19.5 mi | ★★★★★ | 9 | 0 |
| Seneca Trail Healthcare Center | 21.1 mi | ★★★★★ | 18 | 0 |
| Hilltop Center | 21.1 mi | ★★★★★ | 15 | 0 |
| Ansted Center | 21.3 mi | ★★★★★ | 19 | 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.