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Complaint Investigation

Roane General Hospital

September 25, 2025 · Spencer, WV · 200 Hospital Drive
Citations 12
CMS Rating 5/5
Beds 35
Provider ID 515099
Healthcare Facility
Roane General Hospital
Spencer, WV  ·  View full profile →
Inspection Summary

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.

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Inspection Findings

FF0585
Resident Rights Deficiencies
Potential for More Than Minimal Harm

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.

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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.

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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.

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 SPENCER, 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 ROANE GENERAL HOSPITAL or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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