Putnam Center: CPAP Equipment Failure at Admission - WV
The October 2025 inspection at the 300 Seville Road facility documented what happened next: the equipment never came, the care plan was never started, and the resident was eventually sent back to the hospital before physician orders or a diagnosis list had been initiated.
The sequence began at admission. Putnam Center's own policy calls for CPAP equipment to be present when a resident arrives. It wasn't. The Director of Nursing, when questioned by inspectors, said she wasn't sure whether there was even an order for the machine in the resident's admission paperwork. She said she was going to look at the paper trail.
That answer came first. Then, on October 28, 2025, at 11:26 in the morning, the Director of Nursing reported back with a clearer picture: Lincare, the equipment supplier, had not sent the CPAP. They also didn't have the order.
Less than two hours later, at 1:25 that afternoon, the Director of Nursing confirmed the resident had been discharged back to the hospital.
No physician orders had been completed. No diagnosis list. No care plan.
The Director of Nursing offered an explanation for how these situations sometimes unfold. "Sometimes they don't have the settings for the C-Pap," she told inspectors, "because Lincare sends them to the facility preset according to order from the hospital." The implication being that the machine arrives already configured, sparing the facility from managing the technical specifications. In this case, the machine didn't arrive at all.
Federal inspectors cited the deficiency under the care and treatment tag, noting the level of harm as minimal harm or potential for actual harm, with some residents affected.
CPAP therapy, which delivers continuous air pressure to keep airways open during sleep, is prescribed for conditions including obstructive sleep apnea. A patient admitted to a nursing home with an active CPAP order has, by definition, been assessed as needing it. Going without the device is not a neutral outcome. For someone with significant sleep apnea, nights without the machine can mean repeated interruptions in breathing, drops in blood oxygen, disrupted sleep, and compounding stress on the cardiovascular system.
The inspection report does not describe how many nights passed between the resident's admission and the discharge back to the hospital, or whether the resident experienced any symptoms during that window. What it documents is that the facility did not know whether an order existed, the supplier had no order either, and the resident left before any formal care structure was in place.
The Director of Nursing's statement that she was going to "look at the paper trail" captures something about the state of the admission. A resident had arrived. The equipment they needed had not. And the person responsible for nursing operations was, at the time inspectors asked, still working backward through the records to figure out what had happened.
Putnam Center is located in Hurricane, in Putnam County, West Virginia.
The resident went back to the hospital. Whether the CPAP order was ever reconciled, whether the equipment was ever located, and whether the resident was ever readmitted to the facility, the inspection report does not say.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Putnam Center from 2025-10-30 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 6, 2026 · Our methodology
PUTNAM CENTER in HURRICANE, WV was cited for violations during a health inspection on October 30, 2025.
The sequence began at admission.
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.