Shenandoah Center
SHENANDOAH CENTER in CHARLES TOWN, WV — inspection on November 6, 2025.
Found 1 citation. 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
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.
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.