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Complaint Investigation

Shenandoah Center

Inspection Date: November 6, 2025
Total Violations 1
Facility ID 515167
Location CHARLES TOWN, WV
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Inspection Findings

F-Tag F0657

Resident Assessment and Care Planning Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0657 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Tag F-F657 care plan timing and revision.Based upon record review and staff interview, the facility FAILED to ensure accurate and up to date information was reflected in the residents care plan for Resident #48. This was found to be true for one of three resident record reviewed. This has the ability to effect more then one resident.resident effected #48Residents reviewed #48, #72 and #60Census: 75 Findings include:A) Resident #48Resident #48 was seen wandering into other residents' rooms drinking from their cups, eating other residents' food and getting ice out of the ice chest with bare hands. Resident #48 is not care planned for behaviors mentioned in a complaint (entering other rooms, public urination or displaying privates, using other residents' items eating from common food sources)Interview with Admin #10 stated that resident #48 that we have tried to find a more suitable place for resident #48 long term due to all his needs. Interview with RN #56 stated resident #48 had a hard time when he first got here. The resident needed and still needs a lot of re-queuing and re-direction. He took a few weeks to adjust to the new setting of being here and still comments about wanting to go home. When the ADMIN #10 was presented with the fact that the care plan didn't reflect the behaviors that both other residents and staff have seen and documented the administrator stated that she would make sure they are correct going forward.

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 REPRESENTATIVE'S SIGNATURE

TITLE

(X6) DATE

FORM CMS-2567 (02/99) Previous Versions Obsolete

Facility ID:

If continuation sheet

Event ID:

📋 Inspection Summary

SHENANDOAH CENTER in CHARLES TOWN, WV inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

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 CHARLES TOWN, 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 SHENANDOAH CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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