Charleston Healthcare Center: Pressure Wound Failures - WV
Federal inspectors reviewed the case of Resident 153 on October 15, 2025. The resident had developed a deep tissue injury to the right heel on August 18, 2025. According to inspection records, skin integrity interventions were not added to the resident's care plan until that same date, after the wound had already formed. The interventions listed were basic: heels to be floated as the resident allows, and a turn and reposition schedule.
Nothing was in place before the injury appeared.
The facility's Director of Nursing confirmed both facts to inspectors that afternoon. The interventions were not added until August 18. The deep tissue injury was acquired inside the facility.
A deep tissue injury is damage to the tissue beneath the skin, often caused by sustained pressure or shear force, particularly over a bony area like the heel. It can appear suddenly and worsen rapidly, sometimes progressing to an open wound even with treatment. The heel is one of the most vulnerable sites on a bedridden or mobility-limited resident precisely because it bears pressure when a person lies still.
The inspection report also noted a broader staffing limitation at the facility: Licensed Practical Nurses at Charleston Healthcare Center do not stage pressure ulcers. That assessment work falls to a Registered Nurse, and the report noted it should be performed shortly after admission. The implication is direct. If LPNs cannot assess and classify pressure wounds, the window for identifying a resident's risk and acting on it depends entirely on when an RN conducts that review.
The deficiency was cited under F0686, which covers skin integrity and pressure ulcer prevention and treatment. Inspectors rated the level of harm as minimal harm or potential for actual harm, and noted that some residents were affected.
What the record does not show is any protective intervention for Resident 153's heel before August 18. No documentation of floating the heels earlier. No repositioning schedule already in place. The wound came first. The care plan followed.
For a resident with limited mobility, the difference between a care plan written before a wound forms and one written after can be the difference between intact skin and an injury that takes months to heal, or doesn't.
Resident 153's right heel bore that cost.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Charleston Healthcare Center from 2025-10-16 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.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 9, 2026 · Our methodology
CHARLESTON HEALTHCARE CENTER in CHARLESTON, WV was cited for violations during a health inspection on October 16, 2025.
Federal inspectors reviewed the case of Resident 153 on October 15, 2025.
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.