Charleston Healthcare: Mental Health Screening Failures - WV
The resident, identified only as #153, received the bipolar diagnosis in April 2025, eight months after admission in August 2024. But when federal inspectors reviewed the case in April 2026, they discovered the facility's most recent Preadmission Screening and Resident Review still showed no mental health diagnosis.
The screening, known as PASRR, determines what specialized services residents with mental illness or intellectual disabilities need. Federal law requires facilities to keep these assessments current when residents receive new diagnoses that could affect their care needs.
Resident #153's medical chart told the story of the oversight. The bipolar diagnosis appeared on the resident's official diagnosis list on April 4, 2025. But the facility's PASRR screening from November 21, 2024 remained unchanged, with no bipolar disorder listed or checked in Section 30 where mental health conditions are recorded.
The gap meant the facility operated without updated guidance on what mental health services the resident might need. PASRR screenings help determine whether residents require specialized psychiatric care, therapy, or other mental health interventions beyond what nursing homes typically provide.
When inspectors confronted the Director of Nursing on April 1, 2026, she confirmed what the records already showed. The Bipolar II Disorder diagnosis was missing from the most recent PASRR screening, despite appearing in the resident's medical chart for nearly a year.
The violation affected what inspectors classified as "few" residents at the 145-bed facility. But the failure revealed a systematic problem with how Charleston Healthcare tracks and responds to residents' evolving mental health needs.
PASRR requirements exist because nursing homes often struggle to provide adequate mental health care. The screenings identify residents who need specialized services and help state agencies ensure those services are available. When facilities fail to update the assessments, residents with mental illness can go without proper care coordination.
Bipolar II Disorder involves episodes of depression alternating with periods of elevated mood called hypomania. Unlike the more severe Bipolar I, people with Bipolar II experience less intense manic episodes but often face significant depression. Treatment typically involves mood stabilizers, therapy, and careful monitoring for medication side effects and mood changes.
The timing of the diagnosis addition raises questions about the resident's care during those eight months. The bipolar diagnosis was added to the medical chart in April 2025, suggesting doctors recognized the condition by then. But without an updated PASRR, the facility lacked formal guidance on specialized services the resident might need.
Federal regulations require facilities to request updated PASRR screenings when residents develop new mental health or intellectual disability diagnoses. The screenings help determine whether residents need services the nursing home cannot provide, potentially requiring transfer to specialized facilities or arrangement for outside psychiatric care.
Charleston Healthcare's failure represents more than paperwork neglect. PASRR assessments connect residents to state mental health systems and specialized providers. Without current screenings, facilities may miss opportunities to access additional resources or identify residents who need higher levels of psychiatric care.
The inspection found minimal harm, meaning the violation created potential for problems rather than documented injury. But mental health experts emphasize that untreated or inadequately managed bipolar disorder can lead to serious complications, including increased fall risk from medication side effects, social isolation during depressive episodes, and potential safety concerns during hypomanic periods.
The resident remained at Charleston Healthcare as of the April 2026 inspection, nearly two years after admission and one year after the bipolar diagnosis appeared in their medical record. The facility's Director of Nursing acknowledged the screening oversight but the inspection report contains no indication of immediate plans to request an updated PASRR assessment.
For Resident #153, the administrative failure meant living without the specialized mental health service coordination that federal law requires for nursing home residents with psychiatric diagnoses.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Charleston Healthcare Center from 2026-04-02 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: June 15, 2026 · Our methodology
CHARLESTON HEALTHCARE CENTER in CHARLESTON, WV was cited for violations during a health inspection on April 2, 2026.
The resident, identified only as #153, received the bipolar diagnosis in April 2025, eight months after admission in August 2024.
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.
Frequently Asked Questions
- What happened at CHARLESTON HEALTHCARE CENTER?
- The resident, identified only as #153, received the bipolar diagnosis in April 2025, eight months after admission in August 2024.
- How serious are these violations?
- Violation severity varies from minor documentation issues to serious safety concerns. Review the inspection report for specific deficiency codes and scope. All violations must be corrected within required timeframes and are subject to follow-up verification inspections.
- What should families do?
- Families should: (1) Ask facility administration about specific corrective actions taken, (2) Request to see the follow-up inspection report verifying corrections, (3) Check if this represents a pattern by reviewing prior inspection reports, (4) Compare this facility's ratings with other nursing homes in CHARLESTON, WV, (5) Report any new concerns directly to state authorities.
- Where can I see the full inspection report?
- The complete inspection report is available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request a copy directly from CHARLESTON HEALTHCARE CENTER or from the state Department of Health. The report includes specific deficiency codes, facility responses, and correction timelines. This facility's federal provider number is 515089.
- Has this facility had violations before?
- To check CHARLESTON HEALTHCARE CENTER's history, visit Medicare.gov's Care Compare and review their inspection history, quality ratings, and staffing levels. Look for patterns of repeated violations, especially in critical areas like abuse prevention, medication management, infection control, and resident safety.