Above average — CMS composite of the measures below.
The next survey window likely opens around January 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 Webster Healthcare Center during CMS and state inspections, most recent first.
Failure to revise an activity care plan for a resident. The care plan still reflected older interventions and did not match the resident’s most current activity preference interview, which identified interests in church-related activities, country music, watching the news, and fishing. The resident’s MDS also indicated that it was not important to do things with groups of people, and the Activity Director confirmed the interventions had not been revised since the prior update.
Failure to provide resident-centered activities: A resident with significant cognitive impairment was observed lying in bed with no stimulation in the room on multiple occasions. His activity plan did not match his stated interests in church-related activities, country music, watching the news, and fishing, and records showed no group participation while 1:1 visits were described only as staff talking with him and checking if he needed anything.
A resident with a known L eye cataract did not receive timely vision follow-up after the last eye consult directed a return visit in 12 to 15 months. The resident said they had told staff they needed an appointment but had not been scheduled, and the DON stated the facility missed the resident on the vision service roster and later scheduled the resident to be seen in March.
Missing Dementia Care Plan: A resident with a dementia dx did not have a care plan developed to address the condition. Record review showed no dementia care plan, and the UMRN confirmed that measurable, person-centered goals were not included for the resident’s dementia care and treatment.
The facility failed to provide an adequate activity program for two residents, who were found without stimulation or engagement despite their interests in music and group activities. One resident was in isolation due to Covid-19, and the other was observed calling for help and staring at the ceiling. The Activity Director acknowledged the lack of engagement and stimulation for these residents.
A resident with multiple contractures did not have the prescribed therapy carrots for hands or tube-sleeves for arms in place, as observed on two occasions. The care plan required these devices to prevent further contractures, but they were not applied, as confirmed by the DON.
A resident with multiple contractures did not have the prescribed contracture devices in place as per physician's orders. Observations revealed the absence of 'carrot' devices on the hands and tube-sleeves on the arms, which was confirmed by the DON.
Failure to Revise Activity Care Plan
Penalty
Summary
The facility failed to revise the individualized activity care plan for Resident #8. The care plan, last revised on 01/21/26, stated that the resident did not attend scheduled group activities, preferred to remain in the room for activities and 1:1 visits, and was dependent on staff for cognitive stimulation and activities. The plan included interventions such as encouraging attendance at entertainment programs, group activities, volunteer demonstrations, and religious activities; interviewing the resident about activity preferences; inviting the resident to scheduled activities; providing 1:1 in-room visits; and offering activity materials of interest. Record review showed that no care plan interventions had been revised or added since 12/26/24, and the care plan did not align with the resident’s most current Activity Preference Interview dated 08/01/25, which identified interests in church-related activities, country music, watching the news, and fishing. The resident’s MDS with ARD 08/14/25 indicated under F0500 that it was not important for him to do things with groups of people. During interview, the Activity Director confirmed that the resident’s activity care plan interventions had not been revised since 12/26/24.
Failure to Provide Resident-Centered Activities
Penalty
Summary
The facility failed to provide an ongoing resident-centered activities program to meet the needs, interests, and preferences of Resident #8. During observations on 02/24/26 and 02/25/26, the resident was found lying in bed looking toward the ceiling, with no stimulation in the room. The resident had a BIMS score of 5, indicating significant cognitive impairment, and the activity care plan stated he preferred to remain in his room for activities and 1:1 visits and was dependent on staff for cognitive stimulation and activities. Record review showed the resident’s activity care plan did not align with the most current Activity Preference Interview, which identified church-related activities, country music, watching the news, and fishing as interests. The MDS indicated it was not important for him to do things with groups of people, and activity participation records from 12/2025 to present showed he was not participating in group activities. His individual activities were documented as nature watching or relaxation daily, which did not match his stated interests. During interview, the Activity Director stated that everyone in the building gets one-to-one visits and that staff go in and talk to him and see if he needs anything, but a specific list of meaningful 1:1 visits directed toward the resident’s interests could not be provided.
Delayed Vision Follow-Up for Resident with Cataract
Penalty
Summary
The facility failed to provide timely vision appointments for Resident #13, who reported having a cataract in the left eye and described the vision in that eye as being like it was covered in bacon grease when the right eye was closed. The resident stated that they had been in the facility for four years and had seen an eye doctor about two years ago, but had not been given an appointment despite telling staff they needed to go. Record review showed the resident’s last vision consultation was on 05/06/24, which confirmed a left eye cataract and directed a return visit in 12 to 15 months for follow-up, but no other vision consultations were provided. The DON stated that the facility’s vision service came in June of the prior year, that the resident was missed because they were not on the roster, and that the resident was then scheduled to see the service in March.
Missing Dementia Care Plan
Penalty
Summary
Failure to provide appropriate treatment and services for a resident diagnosed with dementia was identified for Resident #8. Record review showed a diagnosis of dementia dated 12/19/24, but the resident’s care plan did not include a care plan for the dementia diagnosis. The record review also showed that no measurable, person-centered goals or interventions were developed to address the resident’s dementia care and treatment. During interview, the Unit Manager RN who develops nursing care plans stated that she reviewed the care plan and did not see dementia addressed, and confirmed that the dementia care plan was not developed with measurable person-centered goals for Resident #8.
Failure to Provide Adequate Activity Program for Residents
Penalty
Summary
The facility failed to provide an activity program that meets the needs and interests of its residents, as evidenced by the lack of engagement for two residents during the Long-Term Care Survey Process. Resident #39 was observed in isolation due to Covid-19, with no stimulation or television in the room, despite her preference for watching TV and listening to country music. Her Activity Participation Records showed no group participation for several months, and the Activity Director admitted to not visiting her room since her Covid-19 diagnosis. Similarly, Resident #1 was found lying in bed without any stimulation, calling for help, and later observed staring at the ceiling. Her records also indicated no group activity participation for several months, despite her interest in music and group activities. The Activity Director confirmed that Resident #1 requires more stimulation and typically only receives a daily schedule drop-off, which is recorded as a one-to-one visit.
Failure to Implement Contracture Devices as per Care Plan
Penalty
Summary
The facility failed to implement a care plan related to contracture devices for a resident with multiple contractures. During the initial observation, the resident was noted to have contractures in the right knee, left knee, left hip, left ankle, and right ankle. The care plan for the resident included the use of therapy carrots to the bilateral hands at all times to prevent hand contractures, with removal allowed only for bathing, skin checks, and skin care. Additionally, tube-sleeves were to be applied to the resident's bilateral arms at all times. However, during observations on two separate occasions, the resident was found lying in bed without the prescribed carrot devices on the hands or the tube-sleeves on the arms. The Director of Nursing confirmed that these devices were not in place as required by the care plan. This indicates a failure to adhere to the prescribed interventions aimed at preventing further contractures, as outlined in the resident's care plan.
Failure to Follow Physician's Orders for Contracture Devices
Penalty
Summary
The facility failed to adhere to physician's orders regarding the use of contracture devices for a resident with multiple contractures. During the initial observation, it was noted that the resident had contractures in both knees, the left hip, and both ankles. The physician's orders specified that the resident should have 'carrot' devices on both hands at all times, with removal every shift for skin checks, and tube-sleeves on both arms at all times. However, during observations on two separate occasions, the resident was found lying in bed without the prescribed carrot devices on the hands or the tube-sleeves on the arms. The Director of Nursing confirmed that these devices were not in place as ordered.
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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 Cowen
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Summersville Healthcare Center | 16.9 mi | ★★★★★ | 4 | 0 |
| Braxton Healthcare Center | 19.8 mi | ★★★★★ | 0 | 0 |
| Pocahontas Center | 28.7 mi | ★★★★★ | 21 | 2 |
| Clay Healthcare Center | 29.6 mi | ★★★★★ | 0 | 0 |
| Rainelle Healthcare Center | 33.6 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.