Roane General Hospital
ROANE GENERAL HOSPITAL in SPENCER, WV — inspection on September 25, 2025.
Found 12 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
Federal health inspectors cited ROANE GENERAL HOSPITAL in SPENCER, WV for a deficiency under regulatory tag F-F0585 during a standard health inspection conducted on 2025-09-25.
Category: Resident Rights Deficiencies
The facility was found deficient in the following area: Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 12 deficiencies cited during this inspection of ROANE GENERAL HOSPITAL.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-11-11.
Based on record review and staff interview, the facility failed to report alleged violation related to, neglect, or abuse, and report the results of all investigation to the proper authorities within prescribe time frame.
This was a random opportunity for discovery.
Resident identifier: #21.
Facility census: 32.
Findings include:a) Resident 21During a Facility Reported Incident investigation for Resident #21 found a complaint/concern on 04/26/25.
The complaint/concern stated, Resident #21 assisted to the wheelchair without the physician ordered Hoyer lift.Subsequent review of the medical record revealed the complaint/concern on 04/26/25 for Resident #21 was investigated but not reported to the appropriate services within the allotted time limits During an interview with DON on 09/24/25 at 3:30 PM she verified the complaint/concern on 04/26/25 for Resident #21 was not reported timely.
She stated the incident happened over a weekend and did not get reported.
She stated that concerns and grievances about neglect in Resident care should be reported to the appropriate services, Adult Protective services (APS), Office of Health Facility Licensure & Certification (OHFLAC) and State or regional Long-Term Care Ombudsman within 24 hours.
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
09/25/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Roane General Hospital
200 Hospital Drive Spencer, WV 25276
SUMMARY STATEMENT OF DEFICIENCIES
During an interview with the DON on 09/24/25 at approximately 3:00 PM, the DON was asked about the investigation, and confirmed that while staff members had been questioned about the care of Resident #38, no other dependent residents had been interviewed or assessed for injury soon after the incident was reported.
Facility ID:
Federal health inspectors cited ROANE GENERAL HOSPITAL in SPENCER, WV for a deficiency under regulatory tag F-F0636 during a standard health inspection conducted on 2025-09-25.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 12 deficiencies cited during this inspection of ROANE GENERAL HOSPITAL.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-11-11.
Federal health inspectors cited ROANE GENERAL HOSPITAL in SPENCER, WV for a deficiency under regulatory tag F-F0645 during a standard health inspection conducted on 2025-09-25.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: PASARR screening for Mental disorders or Intellectual Disabilities
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 12 deficiencies cited during this inspection of ROANE GENERAL HOSPITAL.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-11-11.
Federal health inspectors cited ROANE GENERAL HOSPITAL in SPENCER, WV for a deficiency under regulatory tag F-F0656 during a standard health inspection conducted on 2025-09-25.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 12 deficiencies cited during this inspection of ROANE GENERAL HOSPITAL.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-11-11.
Federal health inspectors cited ROANE GENERAL HOSPITAL in SPENCER, WV for a deficiency under regulatory tag F-F0657 during a standard health inspection conducted on 2025-09-25.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 12 deficiencies cited during this inspection of ROANE GENERAL HOSPITAL.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-11-11.
Federal health inspectors cited ROANE GENERAL HOSPITAL in SPENCER, WV for a deficiency under regulatory tag F-F0684 during a standard health inspection conducted on 2025-09-25.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 12 deficiencies cited during this inspection of ROANE GENERAL HOSPITAL.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-11-11.
Federal health inspectors cited ROANE GENERAL HOSPITAL in SPENCER, WV for a deficiency under regulatory tag F-F0755 during a standard health inspection conducted on 2025-09-25.
Category: Pharmacy Service Deficiencies
The facility was found deficient in the following area: Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 12 deficiencies cited during this inspection of ROANE GENERAL HOSPITAL.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-11-11.
Federal health inspectors cited ROANE GENERAL HOSPITAL in SPENCER, WV for a deficiency under regulatory tag F-F0756 during a standard health inspection conducted on 2025-09-25.
Category: Pharmacy Service Deficiencies
The facility was found deficient in the following area: Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 12 deficiencies cited during this inspection of ROANE GENERAL HOSPITAL.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-11-11.
Federal health inspectors cited ROANE GENERAL HOSPITAL in SPENCER, WV for a deficiency under regulatory tag F-F0880 during a standard health inspection conducted on 2025-09-25.
Category: Infection Control Deficiencies
The facility was found deficient in the following area: Provide and implement an infection prevention and control program.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 12 deficiencies cited during this inspection of ROANE GENERAL HOSPITAL.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-11-11.
Federal health inspectors cited ROANE GENERAL HOSPITAL in SPENCER, WV for a deficiency under regulatory tag F-F0887 during a standard health inspection conducted on 2025-09-25.
Category: Infection Control Deficiencies
The facility was found deficient in the following area: Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 12 deficiencies cited during this inspection of ROANE GENERAL HOSPITAL.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-11-11.