Putnam Center

F 0584 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Based on record review, observation and staff interview, the facility failed to ensure a clean, safe, comfortable, home-like environment by not preventing odors throughout the building. This was a random opportunity for discovery and this failed practice had the potential to affect more than a limited number of residents. FACILITY:FACILITY. Facility Census:116.Findings included:a) On 10/27/2025, upon initial entrance to the building, the state surveyors observed a strong, unpleasant odor throughout the building.

The odor was identified by the state surveyors during their initial tours and investigations in the facility. On 10/28/2025 at 09:35 AM, the state surveyor again smelled a strong odor throughout the facility when making rounds in the facility.b) On 10/27/2025 at 05:50 PM, the state surveyor interviewed the Corporate Registered Nurse nurse concerning odor/smell in the hallways observed by the state surveyors. The Corporate Registered Nurse confirmed the odor and stated, Almost smells like they have someone that's going somewhere. I'll have them look into it. c) The facility's policy and procedure for Resident Room Cleaning and Floor Care Policy stated, the Healthcare Services Group is committed to providing a safe, clean and hygienic environment for residents, staff, and visitors in accordance with regulatory guidance and industry best practices.

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:

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Printed: 04/13/2026 Form Approved OMB No. 0938-0391

Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION

(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

10/30/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Putnam Center

300 Seville Road Hurricane, WV 25526

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG

SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

F 0600 Level of Harm - Minimal harm or potential for actual harm

Administrator reported they do not always review the results of the incident investigations with the complainants unless they ask. He stated that he did try to take all sides into consideration and if there were other witnesses or if the alleged perpetrator was involved in any other investigations.

Review of Documentation on 10/30/25 for Resident #102 found:

Residents Affected - Few

Review of Progress Note dated 08/08/25 at 8:57 AM revealed a new, acquired in-house wound to the groin/genital area and describes it as Moisture Associated Skin Damage: Incontinence Associated Dermatitis MASD: IAD.

Review of document titled Five-day Follow-up dated for 08/07/25 revealed an interview with alleged perpetrator, who is no longer employed by the facility, reported that she had checked to see if resident was dry twice on the day of the incident before 8:00 AM and once again at 9:30 AM.

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

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Facility ID:

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Printed: 04/13/2026 Form Approved OMB No. 0938-0391

Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION

(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

10/30/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Putnam Center

300 Seville Road Hurricane, WV 25526

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG

SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

F 0610

Respond appropriately to all alleged violations.

Level of Harm - Minimal harm or potential for actual harm

Based on record review and staff interview, the facility failed to thoroughly investigate allegations of neglect

This was true for two (2) of nine (9) residents reviewed during the survey process. Resident Identifiers: #47 and #102. Facility census: 116. Findings Include: b) NeglectOn 10/27/25 at approximately 3:00 PM, a

review of a FRI dated 07/19/25. The review of the FRI found the allegation of neglect was made by Resident #102 and #47. The allegation was that neither resident had received incontinence care since 5:00 AM on 07/19/25. The residents reported this to NA #116 upon delivery of the lunch trays. NA #116 got another NA #130 to assist with the incontinence care for both residents at 1:00 PM. The assigned NA #135 was noted to be on her personal phone at the nurses' station and was rounding on the other residents on her hall. NA #130 stated, I was told I had to go to the dining room before I finished my last residents.

However, NA #130 did not notify the other NAs regarding the need for incontinence care for the residents.

After the investigation was completed, NA #135 was terminated. However, the investigation was found to be unverified. Upon completing the review of the investigation, the witness statements as well as the resident statements, did verify the allegation of neglect.An interview was held on 10/28/25 at approximately 10:00 AM, with the Administrator. The Administrator stated, I see what you are saying.

Residents Affected - Some

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

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Printed: 04/13/2026 Form Approved OMB No. 0938-0391

Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION

(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

10/30/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Putnam Center

300 Seville Road Hurricane, WV 25526

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG

SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

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

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

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

Based on record review and staff interview, the facility failed to revise a care plan for a residents fall interventions. This failed practice had the potential to affect a limited number of residents . Resident Identifier: #66. Facility Census: 116.Findings included: Resident # 66:On 10/27/2025 at 05:55 PM, an

observation was completed for Resident #66. A low bed, fall mats to right side of the bed and the left side of

the bed was against the wall. The resident was receiving 1:1 supervision initiated this date as reported by Nursing Assistant #51.The resident was ordered 1:1 for safety every day and night shift with a start date of 10/27/2025, floor mats x2 both right side of bed every day and night shift with a start date of 10:27/2025.

No orders for low bed with parameter mattress was found. The only fall intervention on the resident's care plan was for a low bed parameter mattress. Both floor mats to the left side of the bed, bed against the wall or 1:1 supervision were not documented in the resident's care plan. On 10/28/2025 at 12:15 PM, the orders and care plan were confirmed by the Director of Nursing and the Corporate Registered Nurse

Event ID:

Facility ID:

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Printed: 04/13/2026 Form Approved OMB No. 0938-0391

Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION

(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

10/30/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Putnam Center

300 Seville Road Hurricane, WV 25526

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG

SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

F 0677

c) Resident #102

Level of Harm - Minimal harm or potential for actual harm

Interviews:

Residents Affected - Some

During an interview with Resident's wife on 10/30/25 at 9:30 AM she reported the facility does not give resident enough showers. She stated that she had talked to staff about trying different times with him and

they tell her he refuses.

During an interview with Director of Nursing on 10/30/25 at approximately 12:30 PM she reported she had looked for documentation of shower refusals from Resident #102 and could not find any.

Document Review:

A review of Resident #102's Task section GG Bathing, Question 2 (two) for the month of October 2025, Resident had was given a shower on the following days: 10/01/25 10/08/25 10/28/25

On 10/30/25 review of resident's care plan he was up to dependent assist for bathing.

Review of shower schedule on 10/30/25 reveals resident is scheduled to receive showers on Day Shift, Wednesdays and Saturdays.

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

Event ID:

Facility ID:

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Printed: 04/13/2026 Form Approved OMB No. 0938-0391

Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION

(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

10/30/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Putnam Center

300 Seville Road Hurricane, WV 25526

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG

SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

F 0684 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some

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

wasn't sure if there was an order for the CPAP machine in the resident's admission orders. The policy is to have the equipment here when the patient arrives. The DON reported she was going to look at the paper trail. The DON also stated, Sometimes they don't have the settings for the C-Pap because Lincare sends them to the facility preset according to order from the hospital. On 10/28/2025 at 11:26 AM, the DON reported Lincare did not send the CPAP nor did they have the order. On 10/28/2025 at 01:25 PM , the DON confirmed the resident was discharged back to the hospital before physician orders, diagnosis list and care plan were initiated.

Event ID:

Facility ID:

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Printed: 04/13/2026 Form Approved OMB No. 0938-0391

Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION

(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

10/30/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Putnam Center

300 Seville Road Hurricane, WV 25526

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG

SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

F 0689 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

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

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Based on observation, record review and staff interview, the facility failed to provide an environment free of accident hazards due to medication being at bedside for Resident #60. This was a random opportunity for discovery. Resident Identifier: #60. Facility Census: 116. Findings Include:a) Resident #60On 10/27/25 at 5:40 PM, an observation was made of the medication Clotrimazole & Betamethasone % cream in a tube at bedside. At this time, Licensed Practical Nurse (LPN) #69 was notified and removed the medication from

the nightstand.On 10/27/25 at 5:48 PM, the Corporate Registered Nurse # 132 was notified and stated, let me have them check that there is no other medications at bedside.

Event ID:

Facility ID:

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Printed: 04/13/2026 Form Approved OMB No. 0938-0391

Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION

(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

10/30/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Putnam Center

300 Seville Road Hurricane, WV 25526

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG

SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

F 0756

DON reported the medication was given via tube and that all the nurses know the patients that are NPO.No route discrepancies were indicated or reported on the resident's Medication Regimen Reviews.

Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some

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

Event ID:

Facility ID:

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Printed: 04/13/2026 Form Approved OMB No. 0938-0391

Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION

(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

10/30/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Putnam Center

300 Seville Road Hurricane, WV 25526

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG

SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

F 0842 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some

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

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Based on record review and staff interview, the facility failed to ensure the resident's medical record was accurate for physician orders for fall interventions and the medication route does not follow the physician's order for NPO (nothing by mouth). This failed practice had the potential to affect more than a limited number of residents. Resident Identifiers: #66, #93, and #8. Facility Census: 116. Finding included:a) Resident # 66:On 10/27/2025 at 05:55 PM, an observation was completed for Resident #66. A low bed, fall mats to right side of the bed and the left side of the bed was against the wall. The resident was receiving 1:1 supervision initiated this date as reported by Nursing Assistant #51.The resident was ordered 1:1 for safety every day and night shift with a start date of 10/27/2025, floor mats x2 both right side of bed every day and night shift with a start date of 10:27/2025. No orders for low bed with parameter mattress was found. The only fall intervention on the care plan was for a low bed parameter mattress. The orders and care plan were confirmed by the Director of nursing and the Corporate Registered Nurse on 10/28/2025 at 12:15 PM.The resident had an order for NPO (nothing by mouth) diet NPO texture, NPO consistency, for Diet. Review of

the resident's order summary revealed the resident had an order for Insta-Glucose Gel 77.4% (Glucose) Give 1 dose by mouth as needed for BG less than 70. Pt arousable conscious and able to swallow and an order for Milk of Magnesia Suspension400MG/5ML (Magnesium Hydroxide) Give 30ml by mouth as needed for Constipation give at bedtime of no BM in 3 days. On 10/28/2025, at 12:15 PM, the orders were confirmed by the Director of Nursing and the Corporate Registered Nurse.The resident's order for NPO remained effective 05/10/2025 to current date. A review of the Medication Administration Record from 5/10/2025 to 10/28/2025 revealed the following medications were documented as given by mouth:1) Xanax from 05/27/2025 through 06/24/2025.2) Miralax Powder from 05/10/2025 through 06/26/2025.3) Prozac from 05/30/2025 through 06/01/2025.4) Vistaril from 05/24/2025 through 05/26/2025.5) Potassium from 07/08/2025.b) Resident #93:The resident was NPO from 07/31/25 through 09/25/2025. The Medication Administration Record had PO (oral) meds given in the month of August 2025 for Acetaminophen Tablet 325mg -Give 2 tablet by mouth every 6 hours as needed for pain, Escitalopram Oxalate Tablet 10 MG Give by mouth one time a day for Depression, and Lasix Oral Tablet 40 MG - Give 1 tablet by mouth one time a day for Acute hypoxic respiratory failure. The Medication Administration Record had an PO meds given in the month of September 2025 for Escitalopram Oxalate Tablet 10 MG - Give by mouth one time a day for Depression. On 10/29/2025 at 11:00 AM, the DON reported the medication was given via tube and that all the nurses know the patients that are NPO.c) Resident #8:The resident had an NPO order from 11/04/2024. with the most recent order clarified on 07//16/2025. The Medication Administration Record for 07/15/2025 through 10/28/2025 (discharged by mouth after surveyor intervention) had BusPiRone 5 mg 1 tablet by mouth every 12 hours for anxiety. On 10/29/2025 at 11:00 AM, the DON reported the medication was given via tube and that all the nurses know the patients that are NPO.

Event ID:

Facility ID:

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Printed: 04/13/2026 Form Approved OMB No. 0938-0391

Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION

(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

10/30/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Putnam Center

300 Seville Road Hurricane, WV 25526

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG

SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

F 0880

Provide and implement an infection prevention and control program.

Level of Harm - Minimal harm or potential for actual harm

Based on observation, and staff interview, the facility failed to establish and maintain an effective infection prevention and control program designed to provide a sanitary environment and to help prevent the development and transmission of communicable diseases and infections. The facility failed to serve meals

in a sanitary manner by serving a cup that had been dropped on the floor to a resident during meal time.

This was true during a random opportunity of discovery for Resident #102. Facility Census 116.Findings Included: a) On 10/29/25 at 11:52 AM Registered Nurse RN #130 was observed walking out of the kitchen holding a cup can a lid. She dropped the lip the the floor of the dining room, bent down to pick it up. She then placed it on the counter as she filled the cup with ice and drink and handed it to Nurse Aide #81 who had just walked over to her. Nurse Aide #81 then placed the lid onto the cup and handed it to Resident #102. This Surveyor asked Nurse Aide to replace the drink before resident drank out of it as it had been dropped in the floor and Nurse Aide did so. b) Interview with Director of Nursing on 10/29/25 at approximately 1:20 PM who acknowledged failure to maintain sanitary eating environment for this resident. c) Interview with RN #130 on 10/29/25 at approximately 3:20 PM, when asked about giving resident the dropped cup she reported that she did not realize she had done it until after. She stated that it was stupid.

Residents Affected - Few

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

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Facility ID:

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