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Complaint Investigation

Tygart Valley Health & Rehabilitation

November 20, 2025 · Belington, WV · 216 Samaritan Circle
Citations 10
CMS Rating 3/5
Beds 60
Provider ID 515116
Healthcare Facility
Tygart Valley Health & Rehabilitation
Belington, WV  ·  View full profile →
Inspection Summary

TYGART VALLEY HEALTH & REHABILITATION in BELINGTON, WV — inspection on November 20, 2025.

Found 10 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.

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Inspection Findings

FF0550
Resident Rights Deficiencies
Potential for More Than Minimal Harm

Federal health inspectors cited TYGART VALLEY HEALTH & REHABILITATION in BELINGTON, WV for a deficiency under regulatory tag F-F0550 during a standard health inspection conducted on 2025-11-20.

Category: Resident Rights Deficiencies

The facility was found deficient in the following area: Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 10 deficiencies cited during this inspection of TYGART VALLEY HEALTH & REHABILITATION.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-12-12.

Federal health inspectors cited TYGART VALLEY HEALTH & REHABILITATION in BELINGTON, WV for a deficiency under regulatory tag F-F0561 during a standard health inspection conducted on 2025-11-20.

Category: Resident Rights Deficiencies

The facility was found deficient in the following area: Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 10 deficiencies cited during this inspection of TYGART VALLEY HEALTH & REHABILITATION.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-12-12.

Federal health inspectors cited TYGART VALLEY HEALTH & REHABILITATION in BELINGTON, WV for a deficiency under regulatory tag F-F0644 during a standard health inspection conducted on 2025-11-20.

Category: Resident Assessment and Care Planning Deficiencies

The facility was found deficient in the following area: Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 10 deficiencies cited during this inspection of TYGART VALLEY HEALTH & REHABILITATION.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-12-12.

Federal health inspectors cited TYGART VALLEY HEALTH & REHABILITATION in BELINGTON, WV for a deficiency under regulatory tag F-F0677 during a standard health inspection conducted on 2025-11-20.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide care and assistance to perform activities of daily living for any resident who is unable.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 10 deficiencies cited during this inspection of TYGART VALLEY HEALTH & REHABILITATION.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-12-12.

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Federal health inspectors cited TYGART VALLEY HEALTH & REHABILITATION in BELINGTON, WV for a deficiency under regulatory tag F-F0679 during a standard health inspection conducted on 2025-11-20.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide activities to meet all resident's needs.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 10 deficiencies cited during this inspection of TYGART VALLEY HEALTH & REHABILITATION.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-12-12.

Federal health inspectors cited TYGART VALLEY HEALTH & REHABILITATION in BELINGTON, WV for a deficiency under regulatory tag F-F0684 during a standard health inspection conducted on 2025-11-20.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 10 deficiencies cited during this inspection of TYGART VALLEY HEALTH & REHABILITATION.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-12-12.

Federal health inspectors cited TYGART VALLEY HEALTH & REHABILITATION in BELINGTON, WV for a deficiency under regulatory tag F-F0791 during a standard health inspection conducted on 2025-11-20.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide or obtain dental services for each resident.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 10 deficiencies cited during this inspection of TYGART VALLEY HEALTH & REHABILITATION.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-12-12.

Federal health inspectors cited TYGART VALLEY HEALTH & REHABILITATION in BELINGTON, WV for a deficiency under regulatory tag F-F0812 during a standard health inspection conducted on 2025-11-20.

Category: Nutrition and Dietary Deficiencies

The facility was found deficient in the following area: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 10 deficiencies cited during this inspection of TYGART VALLEY HEALTH & REHABILITATION.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-12-12.

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Summary of the dental consult read as follows:States she does want to start with removing teeth, will start still with LR side 29/30 area, if tolerant with us, papers left with facility again for extractions.

Next visit plan: extractions.A review of Resident #54's last annual Minimum Data Set (MDS), with an Assessment Reference Date (ARD) of 01/22/25 section L, question 2 is marked Good for oral cavity/teeth condition.

Question 4 indicates that no natural teeth are missing, A review of Resident #54's last Nutritional Risk assessment dated [DATE], question #4 indicated that the resident has her own teeth with no issues noted.

During an interview on 11/20/25 at 9:17 AM, with the Administrator and the Regional Risk Management Director (RRMD), both confirmed Resident #54's MDS and nutritional assessment did not match her current dental status.A continuous observation of Resident #54 on 11/19/25 revealed the resident was eating her lunch meal.

The meal consisted of beef stew, carrots, and a biscuit. Resident #54 finished eating her lunch at approximately 1:10 PM.

Left on the tray was about seven (7) carrots, the entire bowl of beef stew and about 1/2 of a biscuit.

The amount eaten was 25% to 50%.

The Activity Director (AD) confirmed what was left on the lunch tray for Resident #54. A record review on 11/19/25 at 1:30 PM, showed that the recorded amount in the chart was 75% to 100%, and it was documented at 12:45 PM, before the resident finished eating.

During an interview, on 11/20/25 at 9:17 AM, the Regional Risk Management Director (RRMD) confirmed that the meal percentage entered for Resident #54 was incorrect.

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.

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Federal health inspectors cited TYGART VALLEY HEALTH & REHABILITATION in BELINGTON, WV for a deficiency under regulatory tag F-F0880 during a standard health inspection conducted on 2025-11-20.

Category: Infection Control Deficiencies

The facility was found deficient in the following area: Provide and implement an infection prevention and control program.

Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 10 deficiencies cited during this inspection of TYGART VALLEY HEALTH & REHABILITATION.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-12-12.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in BELINGTON, WV, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from TYGART VALLEY HEALTH & REHABILITATION or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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