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Summers Healthcare Center: NPO Diet Failure - WV
The incident was serious enough that federal inspectors classified it as causing actual harm....
Latest reports, citations, and penalties from CMS data
The incident was serious enough that federal inspectors classified it as causing actual harm....
The forms in question, called Notice of Transfer/Discharge, are the only documents residents sign when they leave the facility....
Inspectors classified the violation as a pattern, meaning the problem wasn't isolated to a single meal, a single shift, or a single corner of the kitchen....
But inspectors determined there was potential for more than minimal harm to residents....
Staff B called across the hall to a CNA working a different unit....
No discretion to reclassify a physical confrontation as something less serious because it seemed minor in the moment....
The violation was classified as a pattern, meaning inspectors found the problem wasn't isolated to a single incident or a single resident....
The deficiency was one of nine cited during the inspection....
Those two phrases carry specific meaning in the federal inspection system....
Inspectors classified the violation as isolated, meaning it was not a pattern spread across the facility....
The facility's explanation, apparently, was that R1 had refused to go....
The physician whose patient this was said he was never notified....
Inspectors determined the facility had failed to meet that standard in a pattern, meaning this wasn't a one-time lapse....
The violation fell under a category inspectors use to flag problems with quality of life and care....
Inspectors found no actual harm had resulted, but determined the potential for more than minimal harm to residents existed....
One of those citations involved the facility's laboratory services....
Inspectors classified it at a scope and severity level that means the problem was isolated and caused no confirmed harm....
That is the core of what inspectors found when they visited Apple Rehab West Haven in August 2025 following a complaint....
Federal inspectors cited the facility following a complaint inspection completed August 20, 2025....
The violation was classified as isolated, meaning inspectors did not find it spread across the resident population....