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Complaint Investigation

White Sulphur Springs Center

September 10, 2025 · White Sulphur Spring, WV · 345 Pocahontas Trail
Citations 9
CMS Rating 3/5
Beds 68
Provider ID 515100
Healthcare Facility
White Sulphur Springs Center
White Sulphur Spring, WV  ·  View full profile →
Inspection Summary

WHITE SULPHUR SPRINGS CENTER in WHITE SULPHUR SPRING, WV — inspection on September 10, 2025.

Found 9 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

FF0584
Resident Rights Deficiencies
Potential for More Than Minimal Harm

Federal health inspectors cited WHITE SULPHUR SPRINGS CENTER in WHITE SULPHUR SPRING, WV for a deficiency under regulatory tag F-F0584 during a standard health inspection conducted on 2025-09-10.

Category: Resident Rights Deficiencies

The facility was found deficient in the following area: 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.

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 9 deficiencies cited during this inspection of WHITE SULPHUR SPRINGS CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-21.

Based on observation and staff interview, the facility failed to ensure it notified the Ombudsman of discharges/transfers.

This was true for three (3) of seven (7) residents.Resident Identifiers: #72, #71,and #68.

Facility Census: 65. a) Resident #72 09/10/2025 8:54 AM record review revealed Resident #72 was discharged to another skilled nursing facility on 08/02/24.

The review of this discharge revealed no evidence that the Ombudsman was not notified of Resident #72's discharge.

This was discussed with Employee #89. b) Resident #71 On 09/09/25 at 9:10 PM Resident #71 a review of the discharge record found no evidence that the Ombudsman had been notified of the discharge. c) Resident #68 A review of the discharge record on 09/04/25 at 11:21 AM found Resident #68 had been transferred to a local hospital and was discharged from the facility on 08/04/25.

The family requested the discharge so that Resident #68 could be closer to family.

There was no evidence that the Ombudsman had been notified.

An interview with the Nursing Home Administrator (NHA) and the Social Worker (SW) on 09/04/25 at 12:12 PM, revealed they were not aware that the Ombudsman was to be notified of discharges/transfers.

The Ombudsman had not been notified of any discharges/transfers.

The facility was now going to send a monthly list to the Ombudsman.

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.

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Federal health inspectors cited WHITE SULPHUR SPRINGS CENTER in WHITE SULPHUR SPRING, WV for a deficiency under regulatory tag F-F0644 during a standard health inspection conducted on 2025-09-10.

Category: Resident Assessment and Care Planning Deficiencies

The facility was found deficient in the following area: Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

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 9 deficiencies cited during this inspection of WHITE SULPHUR SPRINGS CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-21.

Federal health inspectors cited WHITE SULPHUR SPRINGS CENTER in WHITE SULPHUR SPRING, WV for a deficiency under regulatory tag F-F0677 during a standard health inspection conducted on 2025-09-10.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide care and assistance to perform activities of daily living for any resident who is unable.

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 9 deficiencies cited during this inspection of WHITE SULPHUR SPRINGS CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-21.

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Federal health inspectors cited WHITE SULPHUR SPRINGS CENTER in WHITE SULPHUR SPRING, WV for a deficiency under regulatory tag F-F0684 during a standard health inspection conducted on 2025-09-10.

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 9 deficiencies cited during this inspection of WHITE SULPHUR SPRINGS CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-21.

Federal health inspectors cited WHITE SULPHUR SPRINGS CENTER in WHITE SULPHUR SPRING, WV for a deficiency under regulatory tag F-F0803 during a standard health inspection conducted on 2025-09-10.

Category: Nutrition and Dietary Deficiencies

The facility was found deficient in the following area: Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

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 9 deficiencies cited during this inspection of WHITE SULPHUR SPRINGS CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-21.

Federal health inspectors cited WHITE SULPHUR SPRINGS CENTER in WHITE SULPHUR SPRING, WV for a deficiency under regulatory tag F-F0805 during a standard health inspection conducted on 2025-09-10.

Category: Nutrition and Dietary Deficiencies

The facility was found deficient in the following area: Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Scope/Severity Level K: pattern, immediate jeopardy to resident health or safety.

This represents an immediate jeopardy situation, the most serious level of deficiency.

This was one of 9 deficiencies cited during this inspection of WHITE SULPHUR SPRINGS CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-21.

Federal health inspectors cited WHITE SULPHUR SPRINGS CENTER in WHITE SULPHUR SPRING, WV for a deficiency under regulatory tag F-F0812 during a standard health inspection conducted on 2025-09-10.

Category: Nutrition and Dietary Deficiencies

The facility was found deficient in the following area: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

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 9 deficiencies cited during this inspection of WHITE SULPHUR SPRINGS CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-21.

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Federal health inspectors cited WHITE SULPHUR SPRINGS CENTER in WHITE SULPHUR SPRING, WV for a deficiency under regulatory tag F-F0880 during a standard health inspection conducted on 2025-09-10.

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 9 deficiencies cited during this inspection of WHITE SULPHUR SPRINGS CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-21.

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 WHITE SULPHUR SPRING, 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 WHITE SULPHUR SPRINGS CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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