Charleston Healthcare Center
CHARLESTON HEALTHCARE CENTER in CHARLESTON, WV — inspection on April 2, 2026.
Found 6 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
limited number of residents.
Resident Identifiers: #129 and #146.
Facility Census: 145.Findings
communicate needs to staff. i.
Call light or bell access will be within reach of the resident as one method to communicate needs to staff. a) Resident #129 - On 03/31/2026 at 11:10 AM, during the initial interview process, Resident #129's call light was observed on the floor.
The resident was lying in bed.
Nurse Aide #138 confirmed the call light was out of reach and on the floor and stated, I'll fix it and let their CNA know. Resident #129's care plan stated, Place call bell within reach, remind resident to call for assistance.b) Resident #146 On 03/31/2026 at 11:15 AM, during the initial interview process, Resident #146 reported his only problem was he wanted to get back in bed and that he had been sitting here a long time.
The resident was observed sitting in his wheelchair beside the bed with his call light under his wheelchair.
The resident was unable to reach his call light to obtain assistance.
Nursing Aide #138 confirmed the call light was out of reach and stated, I'll take care of it and let their CNA know. Resident #146's care plan stated, Place call light within reach.
Remind resident to call for assistance if cognitively intact.
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
515089 04/02/2026
Charleston Healthcare Center 3819 Chesterfield Avenue Charleston, WV 25304
Findings included: a) Resident #19 Record review revealed Resident #19 had three (3) acute transfers in the last 120 days.
These included: 01/29/26 - 02/03/26, 02/22/26 - 03/01/26, and 03/04/26 - 03/10/26.
During the first two acute transfers, the resident had the capacity to make their own medical decisions.
The resident was provided a notice of transfer and bed hold notice.
The resident lost her capacity to make her own medical decisions on 03/02/26. On 03/04/26, the resident sustained a fall at the facility and was transferred to the hospital.
The resident was provided a transfer notice and bed hold notice.
However, since the resident's capacity had changed two days earlier and the resident no longer had the capacity to make medical decisions, the resident's designated representative or Power of Attorney should have been informed.
This was reviewed with the Director of Nursing on 04/02/26 at approximately 10:40 AM.
515089 04/02/2026
Charleston Healthcare Center 3819 Chesterfield Avenue Charleston, WV 25304
Findings included: Resident #153 a) On 04/01/26 at 9:26 AM, Resident #153's medical chart was reviewed. A diagnosis of Bipolar II Disorder was listed after the resident's admission to the facility in 08/2024.
The diagnosis of Bipolar II Disorder was added on 04/04/2025 to the resident's diagnosis list in the medical chart.
The resident's most recent Preadmission Screening and Resident Review (PASRR) dated 11/21/2024 did not have Bipolar Disorder listed or checked under Section 30 of the PASARR. On 04/01/26 at 3:30 PM, the PASSAR and diagnosis list with bipolar diagnosis date were reviewed with the Director of Nursing (DON).
The DON confirmed the Bipolar II Disorder diagnosis was not listed or marked on the most recent PASARR.
515089 04/02/2026
Charleston Healthcare Center 3819 Chesterfield Avenue Charleston, WV 25304
The surveyor reviewed the care plan documentation change with the Director of Nursing (DON) on 04/02/26 at 10:50 AM, showing the DON the change was made only after the surveyor requested the care plan.
The DON stated, I guess there is not much I can say to defend us on this one.
515089 04/02/2026
Charleston Healthcare Center 3819 Chesterfield Avenue Charleston, WV 25304
Findings included:Resident #56 a) On 03/31/2026 at 3:13 PM, Resident #56's medical chart was reviewed.
The resident's care plan stated, NPO diet order. and Administer medications per physician orders and flush before/after medication administration per order.
The residents diet order stated, NPO diet NPO texture, NPO consistency. A medication order for Norvasc Tablet was stated, Norvasc Tablet (amLODIPine Besylate) Give 5 mg by mouth one time a day for HTN. On 04/01/2026 at 1:40 PM, the Administrator confirmed the order for Nothing by Mouth (NPO), the medication ordered by mouth and the care plan for NPO.
The Administrator stated, We will get that taken care of.
515089 04/02/2026
Charleston Healthcare Center 3819 Chesterfield Avenue Charleston, WV 25304
of communicable diseases and infections by not dating IV lines for Resident #108 and #60.
This was
limited number of residents.
Resident identifiers #108, #60.
Census: 145.
Findings included: a) During the resident interview process performed on 03/31/26 at approximately 1:30 PM it was observed that Resident #108's IV line was not dated and was in use.
The Director of Nursing and Unit manager confirmed that there was no date on the IV line.
Secondary observation on 03/31/2026 at approximately 2:00PM, Resident #60 had medication running and the IV line was not labeled with date and time when two surveyors went into the room, before they (surveyors) were able to get a staff member to confirm , the nurse took down the set because the medication had finished.
Interview with DON at 2:00 PM revaled the DON said I'll go look at it and get it fixed Policy named Changing IV administration Set dated 02-2009 Revision 02-2019; states that IV tubing must be changed every 24 hours. It also states Label IV tubing indicating the date and time and initials.
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 CHARLESTON, 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 CHARLESTON HEALTHCARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.