Roane General Hospital
Inspection Findings
F-Tag F0585
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.
F-Tag F0609
F 0609 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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
(X6) DATE
FORM CMS-2567 (02/99) Previous Versions Obsolete
Facility ID:
If continuation sheet
Event ID:
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
09/25/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Roane General Hospital
200 Hospital Drive Spencer, WV 25276
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-Tag F0610
F 0610 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
09/24/25 at 12:11 PM revealed in-service information and a sign-in sheet that documented staff in-services as having been completed.Further review of records on 09/24/25, at approximately 2:00 PM, revealed that
the incident had been reported to the Director of Nursing (DON) on 06/16/24, at 9:58 PM. The Initial Report was submitted and received by the Office of Health Facility Licensure and Certification (OHFLAC) on 06/17/24 at 12:29 PM by SW #150.The five-day follow up submitted to OHFLAC on 06/20/24 at 10:54 AM, by Social Worker #150, and the result of the investigation was noted to be inconclusive.However, the facility stated that the DON would be implementing mandatory competencies regarding transfers, lift use, hand-off reports regarding transfer orders, and where to locate transfer order directions in the electronic medical record.Further investigation on 09/24/25 at 2:45 PM revealed that:NA #151 and #152 were no longer employed at the facility. SW #150 was also no longer at the facility.LPN #25 worked the night shift and was unavailable for interview, and NA #153 (now an RN) worked night shifts at the hospital and was also unavailable for interview. 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.
Event ID:
Facility ID:
If continuation sheet
F-Tag F0636
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.
F-Tag F0645
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.
F-Tag F0656
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.
F-Tag F0657
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.
F-Tag F0684
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.
F-Tag F0755
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.
F-Tag F0756
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.
F-Tag F0880
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.
F-Tag F0887
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.
ROANE GENERAL HOSPITAL in SPENCER, WV inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
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.