Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
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 St. Joseph's Hospital during CMS and state inspections, most recent first.
The facility did not provide grievance forms or an established process for residents to file grievances. Residents were unaware of how to file grievances or that they could do so anonymously, and no forms were found in the facility. A social worker confirmed that no formal grievance system was in place, despite facility policy requiring one.
Four residents had activity care plans that were not individualized, as the facility used a generic template that did not incorporate each resident's documented interests such as crafts, music, or outdoor activities. Staff confirmed that care plans were not updated to reflect personal preferences, resulting in a lack of person-centered planning for activities.
The facility did not provide adequate activities to meet residents' needs and interests, particularly on weekends and holidays. Residents reported a lack of engaging activities during these times, and the Activity Director confirmed that scheduled activities were not being carried out on weekends or holidays, with no other staff assigned to cover these periods.
Two dirty meal trays were placed on a cart with clean trays during lunch service, due to an unfamiliar staff member assisting with tray distribution. A nurse aide and the nurse manager confirmed this was not standard procedure and that it did not comply with the facility's policy for sanitary food service.
A plastic bottle containing a cleaning chemical (Clorox 8:1) was found unlabeled and left out in a communal shower room, accessible to residents. The bottle had a warning to keep out of the reach of children, but no clear identification of its contents. A nurse manager confirmed the bottle was not properly labeled and should not have been left in a resident area.
A resident experienced a significant weight loss of over 10% in five months without appropriate evaluation or intervention. The RD had not completed a nutrition assessment in several months and was unaware of the correct policy thresholds for significant weight loss, resulting in a lack of timely response and documentation as required by facility policy.
A nurse aide assisted a resident on enhanced barrier precautions, due to a covered chronic wound, in transferring from bed to recliner without wearing the required gown and gloves as indicated by posted signage. The DON confirmed that the aide should have used appropriate PPE before providing assistance.
A facility failed to provide privacy for a resident with dementia during a glucose check performed by an LPN in a communal lounge area, with another resident present and facing the resident during the procedure. The Clinical Care Coordinator acknowledged the issue.
A resident with a diagnosis of Bipolar Disorder was admitted without this condition being evaluated through the Level II PASRR process. The PASARR did not include the diagnosis, which was confirmed by the Clinical Care Coordinator.
The facility failed to ensure that a resident received a comprehensive assessment by a Registered Dietician within the required timeframe. The resident had been in the facility for 77 days without the assessment, which should have been completed within 72 hours of admission. The RD acknowledged the oversight during an interview.
The facility failed to store food in accordance with professional standards for food service safety by not monitoring the temperatures of an ice cream freezer. The Nutrition Services Supervisor and the Director of Nutrition acknowledged that the temperatures were not being recorded. This deficiency had the potential to affect a limited number of residents.
The facility failed to ensure a complete and accurate medical record for a resident. The POST form was incomplete as it did not include the date when the MPOA and the facility Social Worker signed and completed the form. This deficiency was confirmed during an interview with the Social Worker, who acknowledged the omission.
Grievance Forms and Process Not Available to Residents
Penalty
Summary
The facility failed to ensure that grievance forms were readily available to residents, and did not have an established system in place for residents to file grievances. During a Resident Council meeting, residents reported that they were unaware of how to file a grievance, did not know they could do so anonymously, and had never seen a grievance form. Observations of the nurses' station and facility halls confirmed that no grievance forms were present. In an interview, the Licensed Social Worker stated that the facility did not use grievance forms and was unaware that forms needed to be available, confirming the absence of a formal grievance process. A review of the facility's policy indicated that a system should be in place for residents and others to voice concerns, but this was not implemented in practice.
Failure to Develop Person-Centered Activity Care Plans
Penalty
Summary
The facility failed to develop and implement person-centered care plans for activities that addressed the specific interests and needs of four out of five residents reviewed during the survey. Record reviews for these residents showed that their activity care plans contained generic interventions and goals, such as greeting the resident by name, talking to them during care, and encouraging participation in activities of interest. However, none of the care plans included the residents' individually assessed interests, which ranged from art/crafts, board games, and cooking to music, religious activities, and being outdoors. These interests were documented in each resident's activity assessment but were not reflected in their respective care plans. During staff interviews, the Registered Nurse, Nurse Manager confirmed that the activity care plans were not personalized and that the same template was used for all four residents. The nurse stated that the initial care plan was intended as a placeholder until more was learned about the resident, but updates to personalize the plans were not made. As a result, the care plans did not meet the requirement to be individualized and measurable, failing to address the specific activity preferences and needs of the residents involved.
Failure to Provide Holiday and Weekend Activities
Penalty
Summary
The facility failed to provide a program of activities that met the needs and interests of residents, specifically lacking holiday-themed and weekend activities. During a Resident Council meeting, residents reported that weekends were extremely boring, with activities listed on the calendar but not actually being conducted. Residents stated that aside from gathering for meals and socializing, there was nothing else to do on weekends. The Activity Director (AD) confirmed that they were the only staff member in the Activity Department, working only Monday through Friday and being off on major holidays. When the AD was on vacation, the unit secretary would fill in, but she was also off on weekends. The AD acknowledged that although aides were supposed to conduct weekend activities, residents reported these were not happening. Review of the AD's work schedule and activity calendars for several months confirmed the absence of scheduled activities on holidays and that no other staff were assigned to the Activity Department.
Improper Storage of Dirty Trays with Clean Meal Trays During Meal Service
Penalty
Summary
During a lunch meal service, two dirty trays were placed on a meal cart alongside four remaining clean meal trays intended for residents. This was observed by the surveyor, who noted that seven residents were being served in the dining room at the time. A nurse aide explained that this was not standard practice and occurred because someone unfamiliar with the tray-passing process mistakenly placed the dirty trays on the cart. The nurse manager confirmed that dirty trays should not have been placed with clean trays. The facility's nutritional services policy requires food to be stored, prepared, distributed, and served under sanitary conditions, which was not followed in this instance.
Unlabeled Cleaning Chemical Left Accessible in Shower Room
Penalty
Summary
A deficiency was identified in the communal shower room where an unlabeled plastic bottle containing a clear liquid was found during an observation. The bottle, which had a warning to keep out of the reach of children and check-off boxes for contents that were not marked, was left out in a resident area with only a partial, illegible sticker. During an interview, the Registered Nurse, Nurse Manager confirmed that the bottle contained Clorox diluted 8 to 1, used by staff for cleaning equipment, and acknowledged that it was not properly labeled and should not have been left accessible in a resident area.
Failure to Address Significant Weight Loss and Nutrition Needs
Penalty
Summary
The facility failed to recognize, evaluate, and address impaired nutrition and significant weight loss in a resident over a five-month period. The resident experienced a weight loss of 10.27% during this time, with monthly weights showing a consistent decline. Although a nutritional supplement (strawberry boost) had been ordered and provided since April of the previous year, no additional interventions were implemented despite ongoing weight loss. Furthermore, the last Registered Dietician (RD) assessment for the resident had not been completed since July of the previous year, leaving a significant gap in nutritional oversight. Interviews revealed that the RD was unaware of the facility's policy regarding the thresholds for significant weight loss, mistakenly believing the 5% and 10% criteria applied to one month rather than three and six months, respectively. The RD also acknowledged falling behind on assessments and monitoring due to staffing changes, specifically the departure of the Certified Dietary Manager. Facility policy required that significant weight changes be reported to the resident, physician, and RD, with interventions discussed and documented, but these steps were not followed in this case.
Failure to Follow Enhanced Barrier Precautions During Resident Transfer
Penalty
Summary
A nurse aide was observed transferring a resident, who was on enhanced barrier precautions (EBP) due to a small, covered chronic wound, from the bed to a recliner without wearing the required gown and gloves as indicated on the signage posted on the resident's door. The nurse aide stated that the resident typically required minimal assistance for transfers. The Director of Nursing confirmed that the resident had been placed on EBP that morning and acknowledged that the nurse aide should have donned appropriate personal protective equipment before assisting with the transfer. This incident involved a resident with a chronic wound, which, although covered and without drainage, necessitated EBP according to facility protocol. The failure to follow infection control standards was directly observed and confirmed through staff interviews.
Lack of Privacy During Glucose Check
Penalty
Summary
The facility failed to provide dignity for Resident #8 during a glucose check. An observation was made of LPN #17 performing the procedure in the day area resident lounge without providing privacy. Resident #14 was present and facing Resident #8 during the finger stick. Resident #8, who has dementia and lacks capacity as of 02/07/24, was not afforded privacy during this medical procedure. Clinical Care Coordinator RN #7 acknowledged the issue, stating that LPN #17 did not realize it was a dignity issue.
Failure to Accurately Code PASARR for Bipolar Disorder
Penalty
Summary
The facility failed to ensure that a resident's Pre Admission Screening and Resident Review (PASARR) accurately reflected pre-admission diagnoses. Specifically, a resident with a diagnosis of Bipolar Disorder, dated 03/13/23, was admitted without this condition being evaluated through the Level II PASRR process. The PASARR dated 11/09/23 did not include the diagnosis of Bipolar Disorder in Section 30, titled Current Diagnosis. This oversight was confirmed during an interview with the Clinical Care Coordinator, who acknowledged that the PASARR was not coded for Bipolar Disorder.
Failure to Complete Comprehensive Dietician Assessment
Penalty
Summary
The facility failed to ensure that Resident #8 received a comprehensive assessment by a Registered Dietician (RD) within the required timeframe. During a medical record review, it was identified that Resident #8, who had been in the facility for 77 days, did not have a comprehensive assessment completed by an RD. According to the facility's policy, swing bed and skilled nursing patients must be assessed by an RD within 72 hours of admission to evaluate nutritional status and provide timely interventions. During an interview, the facility's RD acknowledged that the assessment had not been completed and admitted to being behind on this task.
Failure to Monitor Ice Cream Freezer Temperatures
Penalty
Summary
The facility failed to store food in accordance with professional standards for food service safety by not monitoring the temperatures of an ice cream freezer. During an initial tour of the kitchen, it was observed that there was no documentation of temperature monitoring for the ice cream freezer. The Nutrition Services Supervisor acknowledged that the temperatures were not being recorded and stated that they had never monitored the ice cream freezer. A revisit to the kitchen confirmed that the ice cream cooler still lacked any temperature records. The Director of Nutrition also acknowledged the lack of temperature monitoring during an interview. Additionally, the report includes temperature readings taken from the serving line, which were within acceptable ranges. However, the primary deficiency noted was the failure to monitor the ice cream freezer's temperature, which had the potential to affect a limited number of residents. The facility census at the time was 15 residents.
Incomplete POST Form for Resident
Penalty
Summary
The facility failed to ensure a complete and accurate medical record for Resident #8. During a medical record review, it was found that the Physician Orders for Scope of Treatment (POST) form for Resident #8 was incomplete, as it did not include the date when the Medical Power of Attorney (MPOA) and the facility Social Worker (SW) signed and completed the form. According to the 2021 POST form guidelines, the form must be signed and dated by the patient or the patient's MPOA representative or health care surrogate to be legally valid. This deficiency was confirmed during an interview with the Social Worker, who acknowledged the omission.
What surveyors are citing around you — mapped
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Illustrative
What surveyors actually found near you
We read the 74 citations issued within 25 miles in the last 12 months — and tell you exactly what happened, in plain English, matched to your record.
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.
Illustrative
A prioritized, do-first checklist
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Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Buckhannon
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Holbrook Healthcare Center | 0.8 mi | ★★★★★ | 0 | 0 |
| Crestview Manor Healthcare | 12.5 mi | ★★★★★ | 4 | 0 |
| Mansfield Place | 15.2 mi | ★★★★★ | 0 | 0 |
| Tygart Valley Health & Rehabilitation | 15.5 mi | ★★★★★ | 12 | 0 |
| Autumn Lake Healthcare At Crystal Springs | 18.7 mi | ★★★★★ | 3 | 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.