Morgantown Healthcare Center: Room Transfer Violation - WV
The resident told inspectors that nobody consulted her about her needs or preferences before the move. The bathroom in the room she was transferred into was too small to fit her wheelchair. She had to wait until a different room opened up. On August 13, 2025, she was finally moved again, this time to a room with a bathroom large enough to accommodate her chair. The first move had happened at the end of July.
Her daughter described how she found out. She received a phone call from the facility on July 31, 2025, informing her that private rooms were now reserved only for residents with medical necessity. Her mother no longer qualified. If the family wanted her to stay in her current room, there would be an additional monthly charge. The daughter said she could not afford it. She was told her mother would be moved to a semi-private room.
Nobody sent written notice. No invoice arrived explaining the charge. No document was provided laying out why the move was happening or what the facility's policy actually required.
The daughter was left to piece together what had happened from a single phone call.
Inspectors from the Centers for Medicare and Medicaid Services documented the violation on October 16, 2025, citing the facility for failing to notify the resident and her representative before the room change, and for failing to consult the resident about her own preferences. The deficiency was tagged at a level of minimal harm or potential for actual harm.
By the time inspectors arrived, the administrator who ordered the move was gone. Interim Administrator, identified in the inspection report only as Administrator 161, told inspectors he had been at the facility for just one week. He said he had no knowledge of the actions taken by his predecessor, Administrator 160, who was no longer employed at the facility. He added that no other residents had been moved to semi-private rooms under similar circumstances.
That answer closed the administrative loop without explaining much. The prior administrator made the calls, notified the family by phone only, collected no signed acknowledgment, provided no written policy, and then left. The interim administrator inherited the situation with no paper trail to review.
What the resident was left with, in the gap between the end of July and August 13, was a bathroom she could not use independently. For a wheelchair user in a nursing facility, bathroom access is not a minor inconvenience. It is a basic condition of dignity. The inspection report does not describe how she managed during those two weeks, or whether she required staff assistance for every bathroom visit, or whether she asked for help and waited, or went without.
The report does not say how long she had lived in her original room before the July 31 call, or whether she had any medical documentation that might have qualified her to stay. It does not say whether the extra monthly charge was ever formally defined or whether it was communicated only in that single phone call to her daughter.
What it says is that she was moved. That the room did not work. That no one had asked her. That her daughter received no paperwork. And that the person responsible was no longer there when anyone came to ask why.
The facility is identified in CMS records under Facility ID 515058. The inspection was conducted as a complaint survey.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Morgantown 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 8, 2026 · Our methodology
MORGANTOWN HEALTHCARE CENTER in MORGANTOWN, WV was cited for violations during a health inspection on October 16, 2025.
The resident told inspectors that nobody consulted her about her needs or preferences before the move.
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.