Pocahontas Center
POCAHONTAS CENTER in MARLINTON, WV — inspection on November 5, 2025.
Found 4 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
Respond appropriately to all alleged violations.
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff interview, the facility failed to ensure an investigation was completed accurately and thoroughly for a Facility Reported Incident (FRI) for an allegation of abuse.
This failed practice had the potential to affect a limited number of residents.
Resident Identifier: #29.
Facility Census: 59.
Findings included: The FRI summary stated Resident #29 was referred to as [NAME] (not the resident's real name) and was capacitated.
The resident was deemed incapacitated by the facility's physician on 12/22/24.
The resident's most recent Brief Interview for Mental Status (BIMS) score was a three (3) on 08/01/2025.
The resident's BIMS was completed on 08/03/2025 per documentation on the resident's medical record. On 09/30/2025 at 10:45 AM , Corporate Registered Nurse #72 stated that it was an error and that they (the facility) had complete multiple FRI's.
The incorrect BIMS date, capacity statement discrepancies and documentation on the reportable with incorrect name were confirmed by the Corporate Registered Nurse.
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
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
11/05/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Pocahontas Center
5 Everett Tibbs Road Marlinton, WV 24954
SUMMARY STATEMENT OF DEFICIENCIES
Based on record review and staff interview, the facility failed to ensure sufficient nursing staff across all shifts.
This was true for 18 of 45 days reviewed under the care area of staffing.
Facility Census: 59.Findings Include: a) Staffing On 09/30/2025 at 2:00 PM, 45 daily nurse staff postings were reviewed.
The minimum staffing requirement is 2.25.
The review found the following days did not meet the minimum of nursing hours per patient days (NHPPD): 09/21/24 2.1104/19/24 2.0904/20/25 2.2005/17/25 2.2005/24/25 1.4805/25/25 2.1505/31/25 2.1806/01/25 1.8806/07/25 1.6406/21/25 1.8206/22/25 2.0106/23/25 1.9506/25/25 2.2106/27/25 2.0806/28/25 1.9306/29/25 2.0706/30/25 2.2007/05/25 2.05 On 09/30/25 at 4:40 PM, the Administrator and the Regulatory Compliance Advisor #73 confirmed the minimum NHPPD were not met.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
11/05/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Pocahontas Center
5 Everett Tibbs Road Marlinton, WV 24954
SUMMARY STATEMENT OF DEFICIENCIES
Based on record review and staff interview, the facility failed to ensure nurse aide performance reviews were completed annually.
This was true for three (3) of five (5) nurse aides' annual performance reviews during the survey process.
Facility Census: 59.Findings Include: a) Performance Review On 09/30/25 at 3:45 PM, a review of the five (5) nurse aides (Nas) performance reviews was completed.
The review found three (3) of the five (5) performance reviews were not completed.
The following were incomplete: --NA #50 due 09/18/25--NA #46 due 06/27/25--NA #38 due 07/25/25 On 09/30/25 at 4:40 PM, the Administrator and the Regulatory Compliance Advisor #73 confirmed the performance reviews were not completed.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
11/05/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Pocahontas Center
5 Everett Tibbs Road Marlinton, WV 24954
SUMMARY STATEMENT OF DEFICIENCIES
Based on record review and staff interview, the facility failed to provide an accurate and complete daily staff postings.
This was true for four (4) of 45 daily staff postings reviewed.
Facility Census: 59.Findings Include: a) Daily Staff Postings On 09/30/2025 at 2:00 PM, a review of daily staff postings was completed.
The following days did not include the census: --05/10/25 day shift, evening shift, night shift--05/22/25 day shift, evening shift, night shift --06/06/25 day shift, evening shift, night shift--06/24/25 night shift On 09/30/25 at 4:40 PM, the Administrator and Regulatory Compliance Advisor #73 confirmed the daily staff postings did not list the census number.
Facility ID: