Average — CMS composite of the measures below.
The next survey window likely opens around October 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 Tygart Valley Health & Rehabilitation during CMS and state inspections, most recent first.
A resident was not served his lunch tray with the other residents at his table before staff began serving other tables, resulting in an undignified dining experience. During observation, the resident was seen waiting while staff served other tables, and a CNA later acknowledged the resident was not served correctly with his tablemates. The DON stated she had been made aware of the issue.
Improper food and utensil storage was observed in the kitchen walk-in cooler and utensil drawer. An opened bag of lettuce was found without a label or date, and utensils were stored incorrectly in different directions. The CKM and DON both acknowledged the storage issues.
Infection control practices were not maintained during wound care, laundry processing, and equipment upkeep. An LPN provided wound care to a resident on EBP while wearing only gloves, handled wound supply packaging and scissors without changing or cleaning PPE/equipment, and the resident’s posted EBP sign called for gown and gloves during wound care. In the laundry area, an open window disrupted negative air pressure between dirty and clean sides while laundry was being processed. Wheelchairs used by several residents were also found with torn arm rests exposing inner padding, and the DON acknowledged they could not be cleaned to prevent infection.
A resident’s record did not accurately reflect her dental status, with MDS and nutritional assessment entries showing good oral condition and no missing teeth despite dental consults documenting multiple decayed, missing, and retained-root teeth. Staff also entered an incorrect meal percentage before the resident finished lunch, and the RRMD confirmed the documentation error.
A resident’s self-determination was not supported for shower preference and timing. Her care plan listed showers three times weekly, but no preferences were documented, and the bathing schedule was set for Monday, Wednesday, and Friday nights, which conflicted with dialysis treatments. The resident said she had asked staff to change the schedule because she was exhausted after treatments and had not been getting showers as expected. The DON confirmed the schedule and was unaware of any request to move the shower days or times.
A resident’s PASSR did not identify all relevant mental health diagnoses, including Major Depressive Disorder and Schizophrenic Disorder. The DON confirmed that the additional diagnoses should have been included on the PASSR.
Failure to provide ADL grooming care was identified for a resident who required substantial or maximal assistance with bathing due to CHF, dementia, and muscle weakness. The resident was observed with facial hair stubble on her chin and mustache area and stated she wanted it shaved off every time, but it was not being done. The DON confirmed the resident had not been shaven despite the shower being completed.
Failure to provide individualized activities for a resident who could not participate in group activities. A resident receiving dialysis was not listed for 1:1 activities or on the sunshine visit list, and stated that no one came to the room for activities, group activities were difficult due to fatigue, and there were limited chances to socialize. The AD knew the resident had medical conditions and was tired from treatment, and noted the resident could no longer really participate in devotionals.
Failure to Follow Physician Orders for Insulin and Weight Monitoring. The facility did not follow physician orders for two residents. One resident had a significant wt increase, but the reweight was not completed and the physician/practitioner and dietary team were not notified as required by policy. Another resident with DM II and hyperglycemia received insulin even when BGL was below the ordered hold parameter, and the DON confirmed the insulin was administered contrary to the order.
Two residents with missing, decayed, and broken teeth did not receive timely dental care. One resident reported a cracked tooth and said she had been asking for extractions and dentures, while records showed the facility had difficulty obtaining the needed consent and the dental appointment was pushed out. Another resident had multiple decayed and retained-root teeth, with extractions planned, but the facility and dental service had a miscommunication about who would obtain consent.
Dignified Dining Service Not Provided
Penalty
Summary
The facility failed to allow Resident #46 to have a dignified dining experience by not serving his lunch tray with the other residents at his table before staff began serving other tables. During a dining room observation on 11/17/25 at 12:46 PM, Resident #46 was observed not receiving his lunch tray with his tablemates. In an interview later that day at 1:14 PM, a CNA acknowledged that Resident #46 was not served correctly with the other resident at his table. The DON stated on 11/19/2025 at approximately 2:45 PM that she had been made aware that Resident #46 was not served his lunch with his tablemates in the dining room on 11/17/25.
Improper Food and Utensil Storage
Penalty
Summary
The facility failed to properly store food in accordance with professional standards in the kitchen walk-in cooler and utensil storage area. During an initial brief tour of the kitchen, the Kitchen Manager acknowledged an opened plastic bag of lettuce in the walk-in cooler with no label or dates, and utensils in the utensil drawer were placed in different directions rather than stored correctly. On a later observation, the Cooperate Kitchen Manager acknowledged the bag of lettuce in the walk-in cooler without a dated label and confirmed the utensils were not stored correctly in the utensil drawer. The DON later stated she was aware of the unlabeled lettuce in the walk-in cooler and the incorrectly stored utensils.
Infection Control Failures During Wound Care, Laundry Processing, and Wheelchair Maintenance
Penalty
Summary
An infection prevention and control program was not maintained to help prevent the development and transmission of communicable diseases, including Covid-19. Resident #8 was on Enhanced Barrier Precautions due to wound care, and on 11/19/25 at 2:00 PM an LPN was observed performing wound care on the resident’s pressure ulcer while wearing only gloves. During the observation, the LPN removed wound supply packaging and pushed it down in the trash with a gloved hand, then continued preparing wound supplies without changing gloves. The LPN also used wound scissors to cut negative pressure wound therapy drape after it was applied and then continued using the same scissors to cut additional supplies without cleaning them. The sign above the resident’s bed directed staff to wear gown and gloves for wound care and other high-contact care activities, and the LPN stated she should have had a gown on during wound care. During the laundry tour on 11/19/25 at approximately 12:30 PM, the window in the dirty laundry room was open, breaking negative air pressure and allowing air to pull from the dirty area to the clean area while laundry was being processed in both areas. Clean laundry was also out on the folding table at that time. In addition, during a room and hallway observation, wheelchairs belonging to Resident #50, Resident #4, Resident #24, and Resident #46 were observed with tears in the plastic arm rests exposing inner padding, and the DON acknowledged the wheelchairs could not be cleaned to prevent infection.
Incomplete Dental and Meal Documentation
Penalty
Summary
The facility failed to maintain a complete and accurate medical record related to dental status for one resident reviewed for dental care. Resident #54 was observed sitting in a wheelchair with several missing teeth and some teeth decayed and broken off at the gums. The resident had been seen by in-house dentistry, and the dental consult documented multiple decayed teeth, numerous missing teeth, and retained roots, with notes indicating limited tolerance for treatment and plans to attempt extractions on a future visit. A later dental consult again documented the resident’s desire to start removing teeth and planned extractions. Despite these dental findings, the resident’s last annual MDS marked the oral cavity/teeth condition as good and indicated that no natural teeth were missing. The resident’s nutritional risk assessment also stated that she had her own teeth with no issues noted. During interview, the Administrator and RRMD confirmed that the MDS and nutritional assessment did not match the resident’s current dental status. In addition, during a meal observation, the resident ate only part of her lunch, leaving most of the beef stew, several carrots, and about half of a biscuit, while the charted meal percentage had been entered as 75% to 100% before the resident finished eating; the RRMD confirmed that the documented meal percentage was incorrect.
Failure to Honor Resident Shower Preferences
Penalty
Summary
The facility failed to promote Resident #7’s self-determination through support of resident choice regarding shower preference and timing. Record review showed the care plan reflected showers three times a week, but no resident preferences were documented, and the task record showed shower/bathe self on Monday, Wednesday, and Friday nights as needed. The shower tracking sheet confirmed showers were given on 11/11/25 and 11/18/25, and the resident stated she was not getting many showers because they were scheduled on the same days as dialysis treatments on Monday, Wednesday, and Friday nights. She reported that she had previously asked staff to move the shower schedule because she was exhausted from treatments and said she had not gotten a shower in a long time. The DON confirmed the resident was on the bathing schedule three nights a week and was not aware of any requests to change the shower days or times.
PASSR Did Not Include All Relevant Mental Health Diagnoses
Penalty
Summary
The facility failed to coordinate with the appropriate State-designated authority when completing and revising a PASSR for Resident #34, who had diagnoses including Major Depressive Disorder and Schizophrenic Disorder. Record review showed that the PASSR dated 11/18/24 did not identify these medical diagnoses. The Director of Nursing confirmed on 11/18/25 at 2:20 PM that the additional diagnoses should have been included on the PASSR.
Failure to Provide ADL Grooming Care
Penalty
Summary
Failure to provide ADL care to a dependent resident was identified for Resident #54, who required assistance with ADLs related to congestive heart failure, dementia, and muscle weakness. During observation, the resident was sitting in the hallway with several hair stubbles on her chin and mustache area, and she stated that she would like them shaved off every time, but they do not. The DON stated that the resident’s shower day was that day and that the system showed she had already had her shower, but the resident had not been shaven. The care plan documented that the resident required substantial or maximal assistance with bathing and may require more assistance at times.
Failure to Provide Individualized Activities
Penalty
Summary
The facility failed to provide one-on-one activities for one resident who was unable to participate in group activities. Resident #7 was receiving dialysis on Monday, Wednesday, and Friday, and this affected the resident’s ability to participate in activities because of low energy after treatment. Record review showed the resident was not listed on any 1:1 activity sheets or the sunshine visit list, which was used for morning visits or non-group activities. During interview, the resident stated that no one came into the room for activities, that group activities were difficult because the resident was always tired, that there were limited chances to talk with others, and that the roommate did not talk. The Activities Director acknowledged knowing the resident could not really participate in group activities due to medical conditions and tiredness from treatment, and stated the resident enjoyed devotionals but could no longer really participate in them.
Failure to Follow Physician Orders for Insulin and Weight Monitoring
Penalty
Summary
The facility failed to provide care and services in accordance with professional standards of practice by not following physician orders related to insulin administration and weights for two residents. For one resident, the facility policy required any weight change of 5% or more to be reweighed for confirmation and, if verified, the physician/practitioner and dietary team to be notified; however, the resident had a 14.12% weight increase based on recorded weights, and the DON verified that a reweight was not completed and the physician/practitioner and dietary team were not notified of the significant weight change. For another resident with Type 2 DM and hyperglycemia, the physician ordered 40 units of insulin before meals and to hold the dose if BGL was less than 180, but review of the MAR showed that the resident’s BGL was below 180 on 38 occasions across three months and the insulin was not held as ordered; the DON confirmed the insulin was given when the BGL was below 180, contrary to the physician order.
Delayed Dental Services and Consent Issues
Penalty
Summary
The facility failed to ensure timely emergency dental services for two Medicaid-funded residents who were reviewed for dental services. Resident #20 was observed with missing and decayed teeth, and stated she had asked to have some teeth pulled and a plate made, but nothing had been done. She also reported that a tooth had cracked about a week earlier. Record review showed she had been seen by the in-house dentist, who documented multiple missing teeth and a retained root, and noted that the resident wanted her remaining lower teeth extracted and dentures made after healing, with extractions planned. A progress note later documented that the resident broke a tooth, requested a dental appointment, and staff left a voicemail because the dental office was closed. Another note stated social services contacted 360 Care after the resident reported a chipped tooth, but the chart did not contain the family surgical consent form, and the appointment was scheduled for January 2026. Resident #54 was observed with several missing teeth and teeth that appeared broken off and decayed. Dental records showed multiple decayed teeth, missing teeth, and retained roots, with the dentist documenting limited tolerance for treatment and planning extractions of teeth 29 and 30, with facility paperwork left for the next visit. A later dental consult again documented that the resident wanted to start with removing teeth and that extractions were planned. During interview, the Administrator and Regional Risk Management Director confirmed the resident’s teeth were not in the best shape and stated there was a miscommunication between the dental service and the facility regarding who was going to obtain the consent.
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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 Belington
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Autumn Lake Healthcare At Crystal Springs | 6.6 mi | ★★★★★ | 3 | 0 |
| Nella's At Autumn Lake Healthcare | 6.7 mi | ★★★★★ | 4 | 0 |
| Mansfield Place | 10.1 mi | ★★★★★ | 0 | 0 |
| Elkins Rehabilitation & Care Center | 11.4 mi | ★★★★★ | 13 | 0 |
| Holbrook Healthcare Center | 14.8 mi | ★★★★★ | 0 | 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.