Ansted Center
ANSTED CENTER in ANSTED, WV — inspection on March 26, 2026.
Found 15 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
Findings included:a) Resident #39.
During an interview
slept, did not function properly.
Observation and interview revealed the leg/foot rest of the recliner did not deploy.
The resident stated he elevates his legs in a wheelchair at night due to the malfunctioning recliner.This concern was brought to the attention of the Director of Nursing (DON).
Documentation provided by the on 03/23/26 at 3:55 PM. DON confirmed that a new reclining chair was ordered for the resident following surveyor intervention.
515133 03/26/2026
Ansted Center 96 Tyree Street Ansted, WV 25812
During an interview with Business Office Advisor (BOA) #82 on 03/25/26 at 11:00 AM the BOA said the former business office manager had left the job and she did not think she could verify the quarterly statements had been provided. On 03/26/26 at 1:00 PM a letter dated 07/23/25 was provided to the surveyor by Admissions Director (AD) #52.
The letter verified that a quarterly statement was provided for the quarter ending June 2025. No additional statements could be provided. b) Resident #24
During an interview with Resident #24 on 03/23/26 at 11:15 AM the resident stated she had not received a quarterly statement to show the amount of money in her account.
During an interview on 03/24/26 at 11:00 AM with the BOA she said she could not provide any quarterly statement verifications and that the facility's BOM had recently left the position. On 03/26/26 at 1:00 PM AD #52 provided a letter dated 07/23/25 which reflected that Resident #24 had received a letter indicating what her account balance was for the quarter ending June 2025. No additional statement verifications were able to be provided before the end of the survey on 03/26/26 at 2:15 PM. No additional statemeent verifications were able to be provided before the end of the survey on 03/26/26 at 2:15 PM.
515133 03/26/2026
Ansted Center 96 Tyree Street Ansted, WV 25812
Findings included:a) A
Resident #55: $2,795.17- Resident #27: $2,835.00- Resident #10: $1,990.00 On 03/25/26 at 1:00 PM, Business Office Advisor (BOA) #82 stated that the required notices regarding assets being over or within $200 of the $2,000 Medicaid limit had not been sent.
Admissions Director #52 confirmed this information on 03/26/26 at 1:30 PM.
515133 03/26/2026
Ansted Center 96 Tyree Street Ansted, WV 25812
The surveyor observed this on 3/24/26 at approximately 12:45 PM and confirmed it with the facility Administrator at 1:05 PM.
515133 03/26/2026
Ansted Center 96 Tyree Street Ansted, WV 25812
Findings included:a) Resident #64 Resident #64 had the capacity to make their own medical decisions. Resident #64 had an emergency transfer to an acute care facility on 03/13/26, following a fall at the facility.
The resident returned to the facility on [DATE] following surgery for a left femur fracture resulting from the fall.
The facility provided an electronic eInteract Communication Form with resident medical information to the hospital.
However, the facility failed to issue a transfer/discharge notice to the resident or to the Office of the State Long Term Care Ombudsman. A Bed Hold Notice was located in the electronic medical record.
The facility had obtained verbal consent from the resident's next of kin due to the emergency situation.
However, the facility failed to obtain a written signature or have a second person witness the verbal consent.
When the forms were reviewed with the Director of Nursing (DON) on 03/24/2026 at 4:01 PM, she acknowledged the errors and the lack of a transfer notice. b) Resident #10 Resident #10 did not have the capacity to make their own medical decisions. Resident #10 was transferred to an acute care facility on 10/11/25.
The resident returned to the facility on [DATE].The facility provided an electronic eInteract Communication Form with resident medical information to the hospital.
However, the facility failed to issue a transfer/discharge notice to the resident's representative or to the Office of the State Long Term Care Ombudsman. A Bed Hold Notice was located in the electronic medical record.
The facility had initiated a Bed Hold Notice of Policy and Authorization, however, it was not signed by the facility or by the resident's representative.
When the forms were reviewed with the Director of Nursing (DON) on 03/24/2026 at 4:01 PM, she acknowledged the errors and the lack of a transfer notice.
515133 03/26/2026
Ansted Center 96 Tyree Street Ansted, WV 25812
is learned after admission that the Pre-admission screening and Resident Review (PASARR) was not
PASARR to determine appropriate care needs and incorporate recommendations into the patient's
reviewed with the Director of Nursing (DON) on 03/24/26 mid afternoon.
The DON stated the facility had already identified PASARRs as an issue and she just put a plan in place to correct these on Friday. c) Resident #7 On 03/23/26 at 11:00 AM, a record review was completed for Resident #7.
The review found the Pre-admission Screening and Record Review (PASARR) dated 06/27/25 did not include the diagnosis of Post-Traumatic Stress Disorder (PTSD). On 03/23/2026 at 2:50 PM, the Director of Nursing (DON) confirmed the PAS dated 06/27/25 was incorrect.
For Resident #7 a record review indicated PTSD had an active diagnosis with the date of 07/09/25.
515133 03/26/2026
Ansted Center 96 Tyree Street Ansted, WV 25812
and the Administrator on 3/26/26 at 10:49 AM Resident #18 had the previously mentioned medical
Resident #64 was initially admitted to the facility on [DATE], with a re-admission on [DATE].
At admission, the resident had the following diagnoses related to mental/intellectual diabilities: -Depression -Mental disorder, not otherwise specified A Pre-admission Screening and Resident Review (PASARR) was completed on 01/21/26 at another facility.
Under Section III Question 30 of the PASARR for current diagnosis, mood disorder - stable, managed with medications was the only diagnosis marked.
The PASARR did not contain a diagnosis of depression or mental disorder, unspecified.
A review of the resident's Minimum Data Set (MDS) dated [DATE] includes the following diagnoses : -Depression -Mental disorder, not otherwise specified.
Therefore, the PASARR was incorrect for the resident upon admission to the facility.
This was reviewed with the Director of Nursing (DON) on 03/24/26 mid afternoon.
She stated she identified PASARRs as an issue on 03/21/26 and had put a plan in place to get these corrected.
515133 03/26/2026
Ansted Center 96 Tyree Street Ansted, WV 25812
515133 03/26/2026
Ansted Center 96 Tyree Street Ansted, WV 25812
resident's care plan.
This failed practice had the potential to affect a limited number of residents.
the initial interview process, Resident #37's oxygen concentrator setting was on two (2) liters.
The resident reported she was on four (4) liters of oxygen. Resident #37 reported difficulty breathing. At 11:27 AM, Corporate Registered Nurse #81 reported the oxygen concentrator was set between two (2) and three (3) liters.
Corporate Registered Nurse #81 reported the resident's order stated three (3) liters, confirmed the oxygen setting was between two (2) to three (3) liters, and stated they were giving the unit to maintenance to fix. At 11:27 AM, Unit Manager #10 reported the concentrator would not go above two and a half liters so they were replacing it and giving the unit to maintenance to fix. Resident #37's orders stated, Oxygen at 3 L/min via Nasal Cannula, continuously.
The resident's care plan stated, Administer Oxygen via n/c as ordered/indicated. A progress note dated 03/23/2026 at 12:02 PM stated: Nursing observations, evaluation, and recommendations: Resident reports feeling SOB.
Upon checking to ensure the oxygen concentrator was working, it was noted that it was malfunctioning.
The concentrator was replaced, and the resident was assessed.
She states she is no longer SOB.
Pulse ox is 93% via Nasal Cannula.
515133 03/26/2026
Ansted Center 96 Tyree Street Ansted, WV 25812
According to the evaluation's Step 2 guidance, if a No was recorded for any of the eight mobility questions, staff were instructed to attempt alternatives.
The assessment dated [DATE] recorded No for all seven mobility questions.
The Bed Safety Evaluation Follow-up dated 01/26/26 noted that alternatives, including elevating the head of the bed and a PT/OT screen, were attempted.
The results confirmed these alternatives were successful, concluding that bed rails should not be used for this resident.
During an interview on 03/24/26 at 11:25 AM, the Director of Nursing reviewed these evaluations and confirmed that Resident #44 should not have bed rails.
Findings included: a) The Lunch Menu posted for 03/23/2026 included: -Salisbury Steaks w/Gravy-Scalloped Potatoes-California Blend Vegetables-Dinner Roll-Brown Sugar Glazed Angel Food Cakeor-Kielbasa-Scalloped Potatoes-California Blend Vegetables-Dinner Roll On 03/23/26 at 12:00 PM, the posted menu, tray cards, and food service errors were reviewed with the Administrator and Director of Nursing (DON) viewed posted menu, tray card and food errors and the DON stated, I understand. Resident #37 received California Blend Vegetables, but the tray card stated [NAME] Peas - 1/2 Cup.
Resident # 37 stated, They're never right.
Nursing Assistant #31 confirmed resident #37's tray and stated, Let me go see about that. No further information was provided. Resident #54, #21, #30, #25 all received [NAME] Peas and the posted menu stated California Blend Vegetables. Resident #15 received sauerkraut which she wanted removed from her tray because the smell made her sick.
Sauerkraut was not on the menu.
Another state surveyor reported incident to this State Surveyor and the Director of Nursing. On 03/24/2026 at 11:20 AM, the state surveyor asked to temp the garnish (lettuce and tomato per the menu) and Account Manager #69 stated she was using parsley but would fix the lettuce and tomato per the menu.
Lettuce and tomato were served with the fish sandwich this date per the menu following state surveyor intervention.
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.
For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE
515133 03/26/2026
Ansted Center 96 Tyree Street Ansted, WV 25812
Findings included: a) On 03/23/2026 at 10:30 AM, an initial kitchen investigation was initiated with Account Manager #69.
The following items were identified: Dry Storage -Yellow Cake Mix leaking out of a bag onto the shelf.-Hotdog and hamburger buns - no use by date.-Imperial pumpkin - dented can.-Gehls Mild Cheddar Cheese - dented can.-Lasagna Noodles - not labeled in a plastic zipper bag Freezer - -Bakers' Source Southern Style Biscuits - opened in the delivery, brown box, not sealed and no use by date.-Two (2) Angel Food Cakes - no use by date. b) On 03/24/2026 at 8:50 AM, the nourishment center in the main dining room was investigated.
The following items were identified: - Sterile Water -opened and dated 1/22 - water was yellowish in the bottle.- Apples for Resident #64 with use by date of 03/04/2026.
Account Manager #69 confirmed the items and stated the policy for food brought in by family to discard after seven (7) days. - Bread - open with use by date 03/23/2026- [NAME] crackers -in a zipper bag with a use by date of 03/20/26 Account Manager #69 confirmed the items at 9:01 AM. c) The facility's policy and procedures for Food Brought in for Patients/Residents stated, Food will be held in refrigerator for three (3) days following date on label and will be discarded by staff upon notification to resident.
The facility's policy and procedure for Food Storage: Dry Goods stated, Storage areas will be neat, arranged for easy identification, and date marked as appropriate.
The facility's policy and procedure for Food Storage: Cold Foods stated, All foods will be stored wrapped or in covered containers, labeled and dated, and arranged in a manner to prevent cross contamination.
515133 03/26/2026
Ansted Center 96 Tyree Street Ansted, WV 25812
Findings included: a) 03/24/26 at 1:20 PM
dumpster.
Items included multiple gloves, plastic spoons, plastic lids, plastic bags, Styrofoam bowls, a Pringles container, soda bottles, and loose tissue.
This was confirmed with DON at 1:30 PM. 03/24/26.
515133 03/26/2026
Ansted Center 96 Tyree Street Ansted, WV 25812
to the WV Registry, she stated if the resident requests it.
wants to void the form: destroy paper form and contact patient's health care provider and the WV e-Directive Registry to void orders in patient's medical record and the Registry.For health care providers: destroy copy (if possible), note in patient record form is voided and notify the WV e-Directive Registry When asked if the facility had a policy addressing voiding of Post forms, staff member #50 stated no.
By failing to adhere to the guidelines surrounding voiding the previous WV Post form, it could create the potential for confusion of the desires of the resident in regards to life saving measures.
New staff coming into the facility may not know to look for the most recent date of the form. c) Resident #18 On 3/23/2026 at 2:32 PM a review of Resident #18's medical diagnoses reflects Bi Polar and Anxiety disorder.
However Resident #18 has the following current medication orders by the Physician 1) Buspirone HCL Oral Tablet 10 milligrams (MG) Give 2 tablets by mouth three times a day for Targeted behaviors, cursing, yelling and combativeness for anxiety. 2) Cymbalta Oral Capsule Delayed Release Particles 60 MG.
Give 1 capsule by mouth one times a day for Targeted behaviors of cursing, yelling for depression. 3) Lamictal Oral Tablet 100 MG Give 1 tablet by mouth one time a day for Bi Polar disorder.
Document Behaviors, agitation, restlessness. 4) Latuda Oral Tablet 80 MG Give 80 MG by mouth one time a day for Bi Polar disorder.
Targeted Behaviors of cursing, yelling, combative towards others. 5) Trazodone HCL oral Tablet Give 200 MG by mouth at bedtime for depression.
Document behaviors of Restlessness, wandering, NPI: offer food/drink, redirect.
Document side effects such as headache, hallucinations. Resident #18 was admitted to the facility on [DATE] and according to an interview with the Unit Manager #10 and the Administrator on 3/26/26 at 10:49 AM Resident #18 had the previous mentioned medical diagnoses upon admission to the facility.
They also agreed the following medical diagnoses should be reflected on the Diagnosis Report which should list all diagnoses: Bi Polar, Depression, and Anxiety
515133 03/26/2026
Ansted Center 96 Tyree Street Ansted, WV 25812
stated, there was no sign hanging at her door.
wound and should be on enhanced-barrier precautions and the nurses should have worn PPE.
Facility Policy On 03/26/26 at 11:00 AM, the DON provided the facility policy entitled, Enhanced Barrier Precautions.
Under the heading of definitions, Chronic wounds were listed and states, refers to a wound that is not healing as expected or that has been present for more than 30 days.
515133 03/26/2026
Ansted Center 96 Tyree Street Ansted, WV 25812