Charleston Healthcare Center: Resident Lost 26 Lbs - WV
The resident was admitted on July 14, 2025. The weight loss continued through discharge. The inspection, filed as a complaint, covered meals across more than a dozen days between late August and early September, a stretch when inspectors found no documentation that staff had assisted the resident at mealtimes, despite the resident being classified as dependent for meals.
Dependent means the person cannot feed themselves. Someone has to sit with them, offer each bite, make sure they're actually eating.
Nobody documented doing that. Not on August 23. Not on August 24. Not on August 25, 26, or 27. Not on August 30, September 1, or September 4.
The Director of Nursing confirmed it on October 15, the day before the inspection closed. At approximately 1:30 in the afternoon, she acknowledged that meals had not been documented as dependent and that the resident was, in fact, dependent for meals. There was no dispute about what the record showed. The documentation wasn't there.
Whether the meals were offered and simply not recorded, or not offered at all, the inspection report does not resolve. What it does resolve is the outcome: 26.2 pounds gone in less than two months.
That figure, 15.78 percent of body weight lost in 53 days, is not a rounding error or a measurement fluctuation. Significant unintended weight loss in a nursing home resident, particularly one who requires assistance to eat, is a marker of neglect that carries serious medical consequences. Muscle wasting, immune suppression, pressure injury risk, and cognitive decline all follow from prolonged malnutrition. The resident was discharged, the report notes, though it does not say where they went or in what condition.
The facility is located at 3819 Chesterfield Avenue in Charleston. Its CMS provider number is 515089.
CMS rated the deficiency at the level of minimal harm or potential for actual harm, the lower end of the harm scale. That rating reflects the agency's formal classification, not a judgment that losing more than a quarter of a healthy body weight in under two months is a minor event.
What the inspection describes is a system that lost track of a person. The resident needed help to eat. The care plan said so. The documentation did not follow. Across more than a dozen meal periods logged in the report, covering breakfast, lunch, and dinner on multiple days, there is no record that anyone sat with this resident and made sure they were fed.
The Director of Nursing, when asked, confirmed the gap. She did not dispute it. The meals were not documented as dependent. The resident was dependent.
The resident was discharged before the October inspection concluded. The report does not say whether the weight loss was flagged internally before inspectors arrived, whether a dietitian was consulted, or whether the family was informed. It does not say what the resident weighed at admission and what they weighed at discharge, only that the difference was 26.2 pounds across 53 days.
That is roughly half a pound a day, every day, for nearly eight weeks.
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.
The resident was admitted on July 14, 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.