Miletree Center: Food Preparation Violations Cited - WV
The inspection, conducted August 18 as a complaint investigation, flagged the dietary violation under a category covering nutrition and food preparation. The specific finding: the facility failed to ensure residents received food prepared in a form matched to their individual needs. Inspectors graded it a Level D deficiency, meaning the problem was isolated and no resident suffered documented harm, but the potential for more than minimal harm existed.
That potential matters. Residents in nursing facilities frequently require modified food textures, whether because of swallowing disorders, dental problems, or other conditions that make standard food preparation dangerous or inadequate. When a facility prepares food without accounting for those individual requirements, a resident who needs pureed food may receive something they cannot safely eat, or cannot eat at all.
The inspection report does not name which residents were affected or describe what specifically inspectors observed in the kitchen or on meal trays. What it records is the conclusion: the facility was not meeting the standard.
Miletree Center reported a correction date of September 17, 2025, roughly a month after inspectors walked out the door.
The dietary finding was not the only problem inspectors documented. Nine other deficiencies were cited during the same August visit, though the inspection narrative provided here covers only the food preparation violation. Ten deficiencies in a single complaint inspection is a significant count for any facility, and the dietary finding, while rated at the lower end of the severity scale, sits inside a broader picture of compliance problems inspectors found on that day.
Nursing home residents depend entirely on the facility to feed them correctly. They cannot drive to a grocery store. They cannot cook for themselves. For residents with swallowing difficulties or other conditions that require carefully prepared food, a meal served in the wrong texture or consistency is not a minor inconvenience. It is a daily risk.
The facility's own reported correction date gives it about thirty days to fix what inspectors found. Whether the changes made by September 17 addressed the root of the problem, or whether similar failures persist, will depend on what inspectors find the next time they walk through the doors.
Miletree Center is located in Spencer, the county seat of Roane County, a rural part of West Virginia where nursing home options for families are limited. Residents who live there, and the families who placed them there, have few alternatives if care falls short.
The August inspection was a complaint investigation, meaning someone, whether a resident, a family member, or a staff member, contacted regulators before inspectors arrived. Complaint inspections are triggered by specific concerns, not routine scheduling. The fact that ten deficiencies emerged from a single complaint visit suggests inspectors found problems that extended well beyond whatever initially prompted the call.
Federal inspectors do not cite deficiencies lightly. A Level D finding still requires inspectors to have observed or confirmed a failure, and to have determined that the failure carried real potential for harm, even if no harm was yet documented in the record. For a resident who relies on a specific food texture to eat safely, a facility that is not preparing food to meet individual needs is a facility where that resident's next meal could be the wrong one.
Miletree Center told regulators the dietary violation was corrected within thirty days. The nine other deficiencies cited alongside it remain, for now, part of the facility's inspection record.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Miletree Center from 2025-08-18 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Corrections: We strive for accuracy in everything we publish. If you believe any fact in this article is incorrect, please contact us with details, and we will review and correct it promptly.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: October 28, 2026 · Our methodology
MILETREE CENTER in SPENCER, WV was cited for violations during a health inspection on August 18, 2025.
The inspection, conducted August 18 as a complaint investigation, flagged the dietary violation under a category covering nutrition and food preparation.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.