Miletree Center: Resident Missed Two Meals, Staff Confirmed - WV
The missed meals happened on April 20, 2025. Resident #63, one of 56 residents at the facility, never received a breakfast tray or a lunch tray that day. Miletree Center's posted meal schedule runs breakfast at 7:15 in the morning, lunch at noon, and dinner at 5:15 in the evening. On April 20, the first two of those meals simply did not arrive.
The resident reported what happened. The facility launched what it called a Five-Day Follow-Up investigation, completing it on April 25. That investigation substantiated the complaint. Nurse Aide #37 and Licensed Practical Nurse #101 both acknowledged they had not given Resident #63 a breakfast tray or a lunch tray on April 20.
The facility's own staff confirmed the finding. Nobody disputed it.
Federal inspectors arrived at Miletree Center on August 18, 2025, nearly four months after the missed meals. When they interviewed the administrator the following afternoon, at 2:33 p.m. on August 19, the administrator acknowledged the incident report had been substantiated. The administrator noted that the staff members who completed the investigation had done so before the current administrator took the position.
That detail, offered without apparent irony, placed the confirmed violation in a kind of administrative no man's land. It happened. Staff confirmed it happened. And by the time inspectors arrived, the person now running the facility was pointing to a predecessor's watch.
The citation carries a harm level of minimal harm or potential for actual harm, the lower end of the federal scale. Whether Resident #63 suffered measurable physical harm from missing two consecutive meals is not documented in the inspection report. What is documented is that a vulnerable person in a licensed care facility went from morning until dinnertime without receiving food, and that the people who were supposed to deliver those meals acknowledged they did not.
For residents in nursing facilities, meals are not incidental. They are scheduled, documented, and tied to individual care plans. Residents who want to eat outside of posted mealtimes are entitled to suitable alternatives. Resident #63 was not asking for something outside the schedule. She was asking for the meals that were already on the board, already on the clock, already owed to her at 7:15 and noon.
Miletree Center is a 56-bed facility. The inspection was conducted in response to a complaint, meaning someone, likely the resident or someone acting on her behalf, made a report that triggered the federal review. The facility's internal investigation had already confirmed the core facts before inspectors ever walked through the door.
The administrator, in the August 19 interview, did not dispute the findings.
What Resident #63 did between breakfast and dinner on April 20, whether she waited, whether she asked, whether she simply went hungry without knowing why, is not recorded in the inspection report. The report records only what the investigation found: she did not receive a breakfast tray or a lunch tray, the staff acknowledged it, and the facility substantiated it.
That was in April. The citation came in August.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Miletree Center from 2025-08-18 including all violations, facility responses, and corrective action plans.
Download the official CMS inspection PDF from Medicare.gov
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 22, 2026 · Our methodology
MILETREE CENTER in SPENCER, WV was cited for violations during a health inspection on August 18, 2025.
The missed meals happened on April 20, 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.