I'm pleased with the attentive, friendly staff, clean comfortable rooms, and healthy meals. Activities are engaging, communication with families is prompt, and the community feels safe-overall I'd recommend it.
Loved one of resident
Jul 2026
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3.67·(3)
Overall rating
5
4
3
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1
Care
3.7
Staff
3.7
Meals
3.7
Amenities
3.7
Value
3.7
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Location
Carter, Sandra is located at 1419 S Ave, Princeton, WV, 24740.
About Carter, Sandra
Carter, Sandra sits at 1419 South Ave in Princeton, WV, and what you really notice is how it's a quiet board and care home meant for folks who want some help with daily things like bathing, getting dressed, and managing their medicine, and while it doesn't have a flashy entrance or anything complicated, you do find that the caregivers focus on giving personal attention since there aren't too many residents living here at once. The place works kind of like a shared neighborhood home, which means a handful of people share the space and get help when they need it, so it's not some big facility. Everyone gets support with regular tasks, and meals are taken care of, which does make life simpler, and there are services just for companionship, because some people just want someone around to talk to. Carter, Sandra also calls what they offer by their own unique names, whether that's special programs or the type of help for memory care or assisted living, so you might hear a different word for things than at bigger places, and if you're looking outdoors, you can walk to a nearby park or stop in one of the two close cafes or any of the several restaurants in the area, with fast food or Italian food if that's what you like. There's a few churches nearby and, if you need a doctor, there are 18 physicians around and three hospitals not too far, plus a good number of pharmacies and easy ways to get around with transportation options close by. Carter, Sandra has made sure each resident can count on comfort, safety, and daily support in a smaller, calmer setting without much fuss, so it suits folks who want a bit of help but not a busy crowd.
People often ask...
Carter, Sandra offers assisted living and board and care.
The full address for this community is 1419 S Ave, Princeton, WV 24740.
No, Carter, Sandra does not offer respite care.
Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.
Safety & Compliance
In West Virginia, the Office of Health Facility Licensure & Certification licenses care facilities, conducting health and life-safety surveys, complaint investigations, and revisits.
Identified deficiencies in staff Alzheimer's training, personnel records, and supervision of medications.
64CSR14-5.5.c.Employee Orientation and Training
64CSR14-5.6.a.Personnel Records
64CSR14-7.4.a.Health Care Standards
06 Mar 2018Revisit
06 Mar 2018Revisit
Investigated a complaint, cited deficiencies, and later verified correction of one deficiency on follow-up.
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06 Mar 2018Revisit
06 Mar 2018Revisit
Found deficiencies in staff Alzheimer's training, in confidential personnel records, and in supervision of medication administration by unlicensed personnel.
64CSR14-5.5.c.Employee Orientation and Training
64CSR14-5.6.a.Personnel Records
64CSR14-7.4.a.Health Care Standards
31 Jan 2018Complaint
31 Jan 2018Complaint
Found no deficiencies. The complaint investigation concluded that no violations were cited.
18 Jan 2018Complaint
18 Jan 2018Complaint
Found multiple deficiencies in background checks, staff training, personnel records, service planning, and resident activities.
64CSR14-5.1.gCentral abuse registry screening and nurse aide registry checks
64CSR14-5.4.cOn-duty staff with current first aid and CPR
64CSR14-5.5.aEmployee orientation and training records
64CSR14-5.5.cAlzheimer's disease and related dementias training
64CSR14-5.6.aConfidential personnel records
64CSR14-7.6.gHealth care standards - service plans
64CSR14-8.2.a.-c.Activities program
05 Jan 2018Complaint
05 Jan 2018Complaint
Identified multiple deficiencies in staffing records, discharge notice, service planning, weekly nursing notes, weight monitoring communications, and dietary records.
64CSR14-5.4.g.Staffing Requirements
64CSR14-5.7.g.Admission and Discharge
64CSR14-7.6.h.Health Care Standards
64CSR14-7.6.g.Health Care Standards
64CSR14-7.6.h.Health Care Standards
64CSR14-9.1.d.Dietary Services
64CSR14-9.1.g.Dietary Services
—Complaint Investigation
27 Nov 2017Complaint
27 Nov 2017Complaint
Found no deficiencies cited during the complaint investigation.
20 Nov 2017Revisit
20 Nov 2017Revisit
Investigated a complaint and identified deficiencies E 004 and E 006. Follow-up showed no repeat deficiencies.
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10 Oct 2017Revisit
10 Oct 2017Revisit
Found deficiencies in record-keeping, financial management, resident property information, complaint handling, and activity programming. The issues affected how residents were documented, billed, and engaged in activities.
64CSR14-5.2.c.Maintain accurate records and reports
64CSR14-5.2.d.Operate on a sound financial basis and maintain fiscal records
64CSR14-5.7.d.1-6Provide information to residents about protection of personal property
64CSR14-6.2.n.Resident Rights - prompt action and written response to complaints
64CSR14-8.2.a.-c.Activities program must provide and document activities and monthly calendar
27 Sept 2017Complaint
27 Sept 2017Complaint
Identified multiple deficiencies in records, finances, resident rights, medications, activities, and facility maintenance based on the September 2017 review.
64CSR14-5.2.c.Recordkeeping and reporting accuracy
64CSR14-5.2.d.Finance and records; sound financial basis
64CSR14-5.7.d.1-6Admission and Discharge information; resident property protections
64CSR14-6.2.n.Resident Rights; complaint response
64CSR14-7.4.b.Health Care Standards; prescriptions and orders
64CSR14-8.2.a.-c.Activities; program implementation
64CSR14-11.1.b.Physical Facilities; maintenance and safety
14 Sept 2017Revisit
14 Sept 2017Revisit
Investigated a complaint and deficiencies were corrected on follow-up.
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31 Jul 2017Revisit
31 Jul 2017Revisit
Identified three deficiencies and later confirmed they were corrected after follow-up.
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19 Jul 2017Licensure
19 Jul 2017Licensure
Identified multiple deficiencies across administrative processes, health care planning, infection control, dietary monitoring, and facility maintenance, including failures in background checks, training, screenings, and accurate recordkeeping.
64CSR14-5.1.gCentral abuse registry checks and nurse aide registry checks prior to hire
64CSR14-5.3.cAdministrator Training
—Annual Licensure Survey
64CSR14-5.6.aPersonnel Records
64CSR14-6.1.mResident Rights – Access to inspection results
64CSR14-7.3.bHealth Care Standards – Functional needs assessment within seven days
64CSR14-7.3.cHealth Care Standards – Service plan based on assessment
64CSR14-7.3.dHealth Care Standards – Service plans updated to reflect current needs
64CSR14-7.4.mHealth Care Standards – Infection control
64CSR14-7.7.bHealth Care Standards – Death notification records
64CSR14-7.7.cHealth Care Standards – Release of belongings after death
64CSR14-9.1.dDietary Services – Resident weights
64CSR14-11.1.bPhysical Facilities – Maintenance and housekeeping
64CSR14-11.3.bPhysical Facilities – Sanitary hand drying and supplies
11 Jul 2017Life Safety
11 Jul 2017Life Safety
Found a deficiency in maintaining a safe living environment due to storage of food under the kitchen sink with cleaning supplies; items were removed.
Type B64CSR14-11.1.b.Physical Facilities
02 Jun 2017Complaint
02 Jun 2017Complaint
Found deficiencies related to lack of daily activities, blocked fire exits, and unlocked storage of hazardous materials.
64CSR14-8.2.a.-c.Activities
64CSR14-10.1.a.Fire Safety
64CSR14-11.6.c.Physical Facilities
11 Oct 2016Revisit
11 Oct 2016Revisit
Found no deficiencies cited during the annual licensure survey.
11 Oct 2016Revisit
11 Oct 2016Revisit
Investigated the complaint and found no deficiencies.
07 Sept 2016Revisit
07 Sept 2016Revisit
Found multiple deficiencies in resident care and safety, including improper medication administration by unlicensed personnel, lack of RN oversight contracts, missing activities program and calendar, and unsecured hazardous materials storage.
64CSR14-7.4.a.Medication Administration by Unlicensed Personnel
64CSR14-7.6.a.Nursing Oversight
64CSR14-8.2.a.-c.Activities
64CSR14-11.6.c.Physical Facilities
29 Aug 2016Life Safety
29 Aug 2016Life Safety
Found deficiencies were corrected on follow-up. All citations have been corrected.
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28 Jul 2016Licensure
28 Jul 2016Licensure
Found multiple deficiencies in background checks, personnel records, resident rights, dietary services, infection control, death belongings, and fire safety.
64CSR14-5.1.g.General Administrative Requirements
64CSR14-5.6.a.Personnel Records
64CSR14-6.1.e.Resident Rights
64CSR14-6.1.m.Resident Rights
64CSR14-6.2.n.Resident Rights
64CSR14-7.4.m.Health Care Standards
64CSR14-7.7.c.Health Care Standards
64CSR14-9.1.b.Dietary Services
64CSR14-10.1.a.Fire Safety
12 Jul 2016Life Safety
12 Jul 2016Life Safety
Found deficiencies in cleanliness and repair of the building, hot water temperature monitoring, and separation of soiled and clean laundry. The findings indicated unaddressed maintenance issues, no hot water testing, and improper laundry storage.
64CSR14-11.1.d.Physical Facilities
64CSR14-11.5.b.Physical Facilities
64CSR14-11.6.b.Physical Facilities
05 Jul 2016Revisit
05 Jul 2016Revisit
Investigated a complaint and conducted a follow-up; census counts were recorded during the process.
22 Jun 2016Complaint
22 Jun 2016Complaint
Investigated and identified numerous deficiencies across medication management, admission contracts, care planning, infection control, activities, and facility safety.
64CSR14-5.2.c.Medication administration and record-keeping
64CSR14-5.7.b.1-8Admission contracts
64CSR14-7.3.d.Assessment and service plan updates
64CSR14-7.4.a.Medication administration by unlicensed personnel; licensure and oversight
64CSR14-7.4.b.Prescriptions and orders for medications
64CSR14-7.4.h.Medication storage and labeling
64CSR14-7.4.m.Infection control standards
64CSR14-7.6.g.Service plan development after admission
64CSR14-7.6.i.Staff training on changes in resident condition
64CSR14-8.2.a-cActivities program requirements
64CSR14-11.3.b.Sanitary hand-drying in bathrooms
64CSR14-11.6.c.Locked storage for hazardous materials
06 May 2016Complaint
06 May 2016Complaint
Detected multiple deficiencies including failure to report major incidents, inadequate employee training and personnel records, and improper handling of alleged abuse/neglect.
64CSR14-5.2.f.Major incidents reporting to OHFLAC
—Complaint Investigation
64CSR14-5.5.a.Employee Orientation and Training
64CSR14-5.6.a.Personnel Records
64CSR14-6.2.c.Resident Rights
64CSR14-6.2.d.Resident Rights
15 Dec 2015Complaint
15 Dec 2015Complaint
Found that medications were not stored securely, leaving several residents' medications accessible in an unlocked office.
64CSR14-7.4.gMedication storage and access
18 Sept 2015Revisit
18 Sept 2015Revisit
Investigated compliance and found no deficiencies.
08 Sept 2015Life Safety
08 Sept 2015Life Safety
Found no deficiencies.
17 Aug 2015Complaint
17 Aug 2015Complaint
Found no deficiencies.
10 Aug 2015Complaint
10 Aug 2015Complaint
Investigated a complaint.
16 Jul 2015Licensure
16 Jul 2015Licensure
Identified deficiencies in the CLIA waiver status and in staff TB screenings, including pre-employment and annual requirements.
64CSR14-5.2.aCLIA certificate requirements
64CSR14-5.6.aTB screening requirements for personnel
08 Jul 2015Life Safety
08 Jul 2015Life Safety
Identified deficiencies in cleanliness and maintenance due to debris on a ceiling fan and an east-end bathroom not cleaned properly.
64CSR14-11.1.d.Physical Facilities
06 May 2015Complaint
06 May 2015Complaint
Identified that major incident reporting to OHFLAC was not completed within the required timeframe after a resident eloped.
64CSR14-5.2.F.Major incident reporting to OHFLAC
30 Mar 2015Complaint
30 Mar 2015Complaint
Found multiple deficiencies in background checks, staff screening, scheduling, training, personnel records, and resident activities.
64CSR14-5.1.g.General Administrative Requirements - Central abuse registry screening and nurse aide registry check
64CSR14-5.2.e.Notification of permanent changes in administrator or supervising RN
64CSR14-5.4.g.Staffing Requirements - maintain accurate staffing records
64CSR14-5.5.a.Employee Orientation and Training - training prior to unsupervised work
64CSR14-5.5.c.Employee Orientation and Training - Alzheimer's disease training
64CSR14-5.6.a.Personnel Records - confidentiality and required documents
64CSR14-8.2.a.-c.Activities - minimum one hour daily and documentation
64CSR14-5.4.g.Complaint Investigation - staffing and scheduling issues
24 Mar 2015Revisit
24 Mar 2015Revisit
Investigated a complaint concerning care services and resident census; detailed findings are not provided in the available data.
23 Mar 2015Revisit
23 Mar 2015Revisit
Found no deficiencies. Survey conducted January 26-27, 2015 with 16 residents.
23 Mar 2015Revisit
23 Mar 2015Revisit
Investigated a complaint and found no deficiencies.
09 Feb 2015Revisit
09 Feb 2015Revisit
Investigated the complaint and found no deficiencies.
30 Jan 2015Complaint
30 Jan 2015Complaint
Found that a copy of the document granting legal authority to a representative was not kept in the record for one resident. The deficiency involved documentation of a legal representative.
64CSR14-6.1.f.Resident Rights
30 Jan 2015Complaint
30 Jan 2015Complaint
Investigated identified multiple deficiencies including over-capacity, safety hazards, improper medication practices, financial mismanagement, and inadequate record-keeping.
Type A64CSR14-5.2.aLicensee shall comply with license terms
Type B64CSR14-5.2.bProtection of physical and mental well-being of residents
d64CSR14-5.2.dAdminister residence on a sound financial basis
—Complaint Investigation
h64CSR14-5.7.hAdmission and Discharge
Type B64CSR14-6.2.bResident Rights
Type B64CSR14-7.4.bHealth Care Standards
c64CSR14-11.6.cHazardous materials storage
27 Jan 2015Complaint
27 Jan 2015Complaint
Investigated found serious deficiencies in resident safety and care, including a resident sustaining burns from baseboard heaters, lacking transfer summaries, inadequate monitoring after an incident, and poor interior cleanliness.
64CSR14-5.2.b.The licensee shall protect the physical and mental well-being of residents.
64CSR14-6.2.b.Resident Rights
64CSR14-7.1.g.Health Care Standards Prior to transfer or discharge—summary accompanying resident
64CSR14-7.5.c.Health Care Standards Monitoring after accident
64CSR14-11.1.d.Physical Facilities—Interior cleanliness and maintenance
09 Dec 2014Revisit
09 Dec 2014Revisit
Investigated a complaint and follow-up; found no deficiencies.
07 Oct 2014Revisit
07 Oct 2014Revisit
Found deficiencies related to health care monitoring and fire safety, including failure to contact a licensed professional for a resident's illness, inadequate monitoring after illness, and blocked fire exits.
64CSR14-7.5.b.Health Care Standards
64CSR14-7.5.c.Health Care Standards
64CSR14-10.1.a.Fire Safety
22 Sept 2014Revisit
22 Sept 2014Revisit
Found deficiencies in administrator training; the eight-hour annual requirement beyond standard training was not documented as completed, and required records must be on file.
—Administrator training requirement
—Administrator training requirement
09 Sept 2014Complaint
09 Sept 2014Complaint
Investigated a complaint; no violations were cited.
27 Aug 2014Revisit
27 Aug 2014Revisit
Found no deficiencies.
30 Jul 2014Complaint
30 Jul 2014Complaint
Found deficiencies in protecting a resident's rights to exercise citizenship and to private visitation, including issues with medical power of attorney.
64 CSR 14-6.1Resident Rights
64 CSR 14-6.3Resident Rights
14 Jul 2014Life Safety
14 Jul 2014Life Safety
Identified twelve deficiencies.
10 Jul 2014Revisit
10 Jul 2014Revisit
Identified multiple deficiencies in administration and care practices, including failure to check abuse registries before hiring, incomplete resident records, inadequate health assessments and service plans, poor monitoring after incidents, insufficient staff training, and improper weight monitoring.
64CSR14-5.1.g.General Administrative Requirements – Central Abuse Registry and Nurse Aide Abuse Registry checks
64CSR14-5.2.f.Reporting Major Incidents to OHFLAC
64CSR14-7.2.b.Admission Records – Initial resident record
64CSR14-7.3.a.Health Assessment at Admission
64CSR14-7.3.b.Functional Needs Assessment
64CSR14-7.3.c.Service Plan Based on Functional Needs Assessment
64CSR14-7.5.c.Post-Illness/Accident Monitoring
64CSR14-7.5.d.Notification of Physician and Next of Kin
64CSR14-7.6.i.Staff Training on When to Contact RN
Found multiple deficiencies related to training, staffing, record-keeping, and resident transfer documentation.
64CSR14-5.3.c.Administrator
64CSR14-5.4.c.Staffing Requirements
64CSR14-5.5.a.Employee Orientation and Training
64CSR14-5.5.b.Employee Orientation and Training
64CSR14-5.5.b.Employee Orientation and Training
64CSR14-5.7.h.Admission and Discharge
64CSR14-7.1.g.Health Care Standards
64CSR14-7.4.a.Health Care Standards
28 Apr 2014Complaint
28 Apr 2014Complaint
Multiple deficiencies were found in administrative oversight, health care, and facility operations, including failure to perform registry checks, inadequate incident reporting, improper medication practices, insufficient resident assessments and service plans, and unsafe facility conditions.
64CSR14-5.1.gGeneral Administrative Requirements
64CSR14-5.2.fMajor Incident Reporting
64CSR14-5.3.dAdministrator Responsibilities
64CSR14-5.6.aPersonnel Records
64CSR14-5.7.cAdmission and Discharge Contracts
64CSR14-6.2.bResident Rights - Restraints
64CSR14-6.2.cResident Rights - Neglect/APS
64CSR14-6.2.nResident Rights - Complaint Response
64CSR14-7.1.aHealth Care Standards - Waiver for Nursing Care
64CSR14-7.3.aHealth Care Standards - Health Assessment
64CSR14-7.3.bHealth Care Standards - Functional Needs Assessment
64CSR14-7.3.cHealth Care Standards - Service Plans
64CSR14-7.4.aMedication Administration by Unlicensed Personnel
64CSR14-7.5.bIllness/Accident Documentation - Notify Licensed Professional
64CSR14-7.5.cPost-Incident Monitoring
64CSR14-7.5.dMajor Incidents - Notification to Physician/Next of Kin
64CSR14-7.6.bRN Notification of Nursing Needs
64CSR14-7.6.hRN Weekly Visits
64CSR14-7.6.iRN Training of Staff
64CSR14-9.1.dDietary Services - Weight and Nutrition Monitoring
64CSR14-10.1.aFire Safety
64CSR14-11.1.iCall System Accessibility
64CSR14-11.2.k.1-4Bedroom Furnishings
64CSR14-11.2.lBedroom Furnishings - Condition
64CSR14-11.3.bToilet and Bath Facilities - Supplies
09 Dec 2013Revisit
09 Dec 2013Revisit
Found that required central abuse registry and nurse aide registry checks were not completed before hire for two employees, and required new-employee orientation and dementia training were not provided within mandated timelines.
64CSR14-5.1.gGeneral Administrative Requirements
Type A64CSR14-5.5.aEmployee Orientation and Training
c64CSR14-5.5.cEmployee Orientation and Training (Alzheimer's disease and related dementias)
15 Oct 2013Revisit
15 Oct 2013Revisit
Identified deficiencies in TB pre-employment/annual screenings for staff and missing required disclosures in resident contracts. Found multiple records with outdated TB tests and incomplete contract terms.
64CSR14-5.6.aPersonnel Records
64CSR14-5.7.cAdmission and Discharge
16 Jul 2013Licensure
16 Jul 2013Licensure
Found multiple deficiencies in TB screening for staff, contract information for residents, notices about monitoring devices, activity programming, and facility repairs.
64CSR14-5.6.a.Personnel Records
64CSR14-5.7.c.Admission and Discharge
64CSR14-6.2.k.Resident Rights
64CSR14-8.2.a.-c.Activities
64CSR14-11.1.d.Physical Facilities
01 Jul 2013Life Safety
01 Jul 2013Life Safety
Found no deficiencies. Census count was 14.
27 Jan 2013Revisit
27 Jan 2013Revisit
Found no deficiencies.
12 Dec 2012Complaint
12 Dec 2012Complaint
Found improper restraint use outside emergencies and failure to secure medications, including a family member applying a belt restraint and unlocked meds observed during a visit.
64CSR14-5.2.aRestraint policy compliance
64CSR14-6.2.bResident rights - restraints
64CSR14-7.4.gMedications secured
21 Aug 2012Revisit
21 Aug 2012Revisit
Identified no repeat deficiencies and provided technical assistance during follow-up.
17 Jul 2012Life Safety
17 Jul 2012Life Safety
Found no deficiencies.
02 Jul 2012Revisit
02 Jul 2012Revisit
Identified multiple deficiencies across clinical governance, staffing, record keeping, and medication administration, indicating broad noncompliance with applicable rules and policies.
64CSR14-5.2.c.The Licensee shall maintain accurate records and reports (training and resident records)
64CSR14-5.2.f.The Licensee shall report major incidents timely
64CSR14-5.4.b.Staffing requirements—additional direct care staff
64CSR14-5.4.g.Staffing records must reflect actual employees and hours
64CSR14-5.5.a.Employee orientation and training
64CSR14-6.1.m.Resident Rights—access to inspection results
64CSR14-7.1.a.Health Care Standards—admission of residents with extensive nursing care
64CSR14-7.2.c.Health Care Standards—health status documentation in resident records
64CSR14-7.3.d.Health Care Standards—service plans reflect current needs
64CSR14-7.4.a.Health Care Standards—medications and treatments administered per orders
64CSR14-7.6.a.Health Care Standards—nursing oversight by licensed nurse
64CSR14-7.6.i.Health Care Standards—RN training regarding when to contact the RN
64CSR14-7.7.b.Health Care Standards—death notifications and documentation
15 May 2012Licensure
15 May 2012Licensure
Found extensive deficiencies across administration, staffing, health care services, and medication management, including missing policy copies, incomplete background checks, poor recordkeeping, and unsafe medication practices.
64CSR14-5.1.b.General Administrative Requirements
64CSR14-5.1.g.Central abuse registry checks and nurse aide abuse registry checks prior to hire
64CSR14-5.2.a.Compliance with CLIA, licensing, and related requirements
64CSR14-5.2.c.Maintenance of accurate records and reports
64CSR14-5.2.f.Major incident reporting
64CSR14-5.4.b.Staffing requirements - daily care needs
64CSR14-5.4.c.On-duty staffing and medication administration coverage
64CSR14-5.5.a.Employee orientation and training
64CSR14-5.5.c.Alzheimer's disease and dementias training
64CSR14-5.6.a.Personnel records
64CSR14-5.7.b.Admission contracts
64CSR14-6.1.m.Resident rights – access to inspections and complaints results
64CSR14-7.1.a.Health care standards – admission of residents with extensive nursing needs
64CSR14-7.3.a.Health care standards – transfer summaries
64CSR14-7.2.c.Health care standards – health status documentation
64CSR14-7.3.a.Health care standards – tuberculosis screening
64CSR14-7.3.d.Health care standards – service plans reflect current needs
64CSR14-7.4.a.Health care standards – medication administration and orders
64CSR14-7.4.f.Health care standards – medication records and routes
64CSR14-7.5.b.Health care standards – staff notify RN for illnesses/accidents
64CSR14-7.5.c.Health care standards – 24-hour monitoring after illness/accident
64CSR14-7.6.a.Health care standards – RN oversight and contract
64CSR14-7.6.i.Health care standards – RN training on when to contact
64CSR14-7.7.b.Health care standards – documenting death notifications
64CSR14-11.3.b.Dietary services – monthly weights
64CSR14-11.3.c.Physical facilities – toilet tissue and hand-drying provisions
12 Feb 2012Revisit
12 Feb 2012Revisit
Found deficiencies during a complaint investigation and later confirmed corrections on follow-up.
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14 Nov 2011Revisit
14 Nov 2011Revisit
Identified deficiencies in admission health assessments and TB screening timelines, and infection control practices.
64CSR14-7.3.a.Health Care Standards
64CSR14-7.4.m.Health Care Standards
25 Oct 2011Revisit
25 Oct 2011Revisit
Investigated a complaint and identified a deficiency that was corrected.
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20 Sept 2011Complaint
20 Sept 2011Complaint
Identified deficiencies in fire safety and living space standards, including unapproved impractical rooms, undersized bedrooms, privacy gaps, and missing resident furniture.
64CSR14-10.1.aFire Safety
64CSR14-11.2.bPhysical Facilities
64CSR14-11.2.jPhysical Facilities
64CSR14-11.2.k.1-4Physical Facilities
14 Sept 2011Revisit
14 Sept 2011Revisit
Cited multiple deficiencies in staff training, health assessments, care planning, medication administration, and facility upkeep. Violations were cited.
64CSR14-5.5.a.Employee Orientation and Training
64CSR14-7.3.a.Health Care Standards
64CSR14-7.3.b.Health Care Standards
64CSR14-7.3.c.Health Care Standards
64CSR14-7.4.b.Health Care Standards
64CSR14-7.4.b.Health Care Standards
64CSR14-7.6.i.Health Care Standards
64CSR14-11.1.d.Physical Facilities
23 Aug 2011Life Safety
23 Aug 2011Life Safety
Corrected deficiencies identified during the initial survey were addressed on follow-up.
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06 Jul 2011Complaint
06 Jul 2011Complaint
Investigated the complaint and concluded there were no deficiencies; provided technical assistance.
28 Jun 2011Life Safety
28 Jun 2011Life Safety
Identified deficiencies in emergency preparedness and facility safety. No disaster rehearsal occurred in the past year, and several hazardous conditions were observed, including unprotected lighting, lack of warning signs for oxygen, and an unlocked laundry area containing flammable materials.
64CSR14-10.2.g.Disaster & Emergency Preparedness
64CSR14-11.1.b.Physical Facilities
64CSR14-11.6.c.Physical Facilities
15 Jun 2011Licensure
15 Jun 2011Licensure
Observed numerous deficiencies across administration, personnel, resident care, infection control, dietary practices, and facility safety, including improper hiring procedures, inadequate training, incomplete resident assessments and care plans, medication management issues, and safety/privacy concerns.
64CSR14-5.1.gGeneral Administrative Requirements
64CSR14-5.3.cAdministrator Training
64CSR14-5.5.aEmployee Orientation and Training
64CSR14-5.5.bEmployee Orientation and Training
64CSR14-5.5.cEmployee Orientation and Training - Dementia
64CSR14-5.6.aPersonnel Records
64CSR14-6.1.mResident Rights - Posting inspections
64CSR14-7.1.aHealth Care Standards - Nursing care approvals
64CSR14-7.3.aHealth Care Standards - Admission health assessments
64CSR14-7.3.bHealth Care Standards - Functional needs assessments
64CSR14-7.3.cHealth Care Standards - Service plans
64CSR14-7.4.aHealth Care Standards - Licensed staff and care
64CSR14-7.4.bHealth Care Standards - Medication orders and documentation
64CSR14-7.4.gHealth Care Standards - Medication storage
64CSR14-7.4.mHealth Care Standards - Infection control
64CSR14-7.6.fHealth Care Standards - Nursing assessments and progress notes
64CSR14-7.6.hHealth Care Standards - Weekly nurse visits and updates
64CSR14-9.1.iDietary Services - Food handling and thawing
64CSR14-11.6.cPhysical Facilities - Storage of toxic substances
23 Apr 2011Revisit
23 Apr 2011Revisit
Identified deficiencies during the licensing process, with one corrected under the compliance agreement, and one repeat and one new deficiency noted.
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22 Feb 2011Revisit
22 Feb 2011Revisit
Observed deficiencies in infection control and housekeeping practices, including unsanitary bathroom conditions and unlabeled grooming items, observed across multiple visits.
64CSR14-7.4.m.Health Care Standards
64CSR14-11.1.b.Physical Facilities
24 Nov 2010Revisit
24 Nov 2010Revisit
Identified deficiencies were corrected after follow-up visits, with technical assistance provided.
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27 Oct 2010Complaint
27 Oct 2010Complaint
Investigated found that admission contracts lacked discharge criteria and notification policies, and 30-day notices for rate increases and discharge notices were not provided in resident records.
64CSR14-5.7.b.1-8Admission and Discharge - Discharge criteria and notification policies
64CSR14-5.7.fAdmission and Discharge - Rate increase notice
64CSR14-5.7.gAdmission and Discharge - Discharge notice
14 Oct 2010Revisit
14 Oct 2010Revisit
Identified deficiencies in bed rail safety and in-call bell accessibility for residents.
64CSR14-6.2.b.Resident Rights
64CSR14-11.1.i.Physical Facilities
24 Aug 2010Revisit
24 Aug 2010Revisit
Found deficiencies in medication administration oversight, activity programming, and call bell accessibility.
W. Va. Code 16-5O-1 et seq.; 64CSR60Medication administration by unlicensed personnel
64CSR14-8.2.a.-c.Activities
64CSR14-11.1.i.Physical Facilities - Call system
13 Jul 2010Life Safety
13 Jul 2010Life Safety
Found no deficiencies. The annual environment survey noted no violations.
23 Jun 2010Licensure
23 Jun 2010Licensure
Identified multiple deficiencies in staff training, resident records, health assessments, medication administration, activities, and dietary services.
64CSR14-5.5.a.Employee Orientation and Training
Type A64CSR14-5.7.h.Admission and Discharge
Type B64CSR14-5.7.h.Admission and Discharge
64CSR14-7.3.a.Health Care Standards
64CSR14-7.3.b.Health Care Standards
64CSR14-7.4.a.Medication Administration by Unlicensed Personnel
64CSR14-7.4.b.Health Care Standards
64CSR14-7.4.g.Health Care Standards
64CSR14-8.2.a.-c.Activities
64CSR14-9.1.c.Dietary Services
64CSR14-9.1.d.Dietary Services
13 May 2010Complaint
13 May 2010Complaint
Investigated and determined the complaint was unsubstantiated. No deficiencies were cited.
08 Apr 2010Revisit
08 Apr 2010Revisit
Investigated a complaint and identified a deficiency under code E 006; deficiencies were corrected after follow-up, with technical assistance provided.
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02 Mar 2010Complaint
02 Mar 2010Complaint
Found staffing and dietary documentation deficiencies, including insufficient direct care staff on duty, schedules not reflecting actual employees, and missing meal records.
64CSR14-5.4.b.Staffing Requirements
64CSR14-5.4.g.Staffing Requirements
64CSR14-5.4.b.Staffing Records
64CSR14-9.1.g.Dietary Services
10 Jan 2010Revisit
10 Jan 2010Revisit
Investigated the complaint and found deficiencies that were corrected; the complaint was closed.
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—
04 Nov 2009Revisit
04 Nov 2009Revisit
Investigated the complaint and conducted follow-up visits. Census counts were recorded during the visits.
05 Oct 2009Revisit
05 Oct 2009Revisit
Corrected deficiencies cited during the licensing process, with corrections verified on follow-up.
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—
05 Oct 2009Revisit
05 Oct 2009Revisit
Investigated complaint identified deficiencies in staffing and in handling abuse allegations, with inadequate supervision of residents; problems with medication oversight during overnight hours were noted.
64CSR14-5.4.h.Staffing Requirements
64CSR14-6.2.d.Resident Rights
12 Aug 2009Revisit
12 Aug 2009Revisit
Identified multiple deficiencies related to pre-employment central abuse registry screening and nurse aide registry checks, incomplete TB screening documentation in staff files, and dietary-service management failures.
64CSR14-5.1.gGeneral Administrative Requirements - Central abuse registry screening and nurse aide registry checks
64CSR14-5.6.aPersonnel Records
64CSR14-9.1.cDietary Services - Therapeutic diets
14 Jul 2009Complaint
14 Jul 2009Complaint
Identified widespread deficiencies in safety and resident care, including untrained staff handling meals and medications, failure to report elopements or abuse, inadequate staffing, and poor resident rights practices.
64CSR14-5.2.a.Food Service Sanitation - food handler cards
64CSR14-5.2.f.Major incident reporting elopement
64CSR14-5.4.c. Staffing Requirements
64CSR14-5.4.h. Staffing Requirements First Aid CPR
WV00005037, WV00005047 Complaint Investigation
64CSR14-5.5.a. Employee Orientation and Training
64CSR14-6.2.c. Resident Rights Neglect Abuse Reporting
64CSR14-6.2.d. Resident Rights Immediate Investigation of Allegations
64CSR14-6.2.f. Resident Rights Notify Licensing Agency
64CSR14-6.2.l. Resident Rights Knock and Identify When Entering Rooms
64CSR14-6.2.n. Resident Rights Respond to Complaints in Writing
64CSR14-6.3.g. Resident Rights Visiting Rights
64CSR14-7.4.a. Health Care Standards Medications by AMAP
64CSR14-7.4.b. Health Care Standards Prescriptions and Orders
64CSR14-7.4.g. Health Care Standards Access to Medications
64CSR14-8.2.a-c. Activities
64CSR14-9.1.c. Dietary Services Therapeutic Diets
64CSR14-9.1.c. Dietary Services Diet Orders and Diet Provision
14 Jul 2009Life Safety
14 Jul 2009Life Safety
Found no deficiencies.
08 Jun 2009Licensure
08 Jun 2009Licensure
Identified multiple deficiencies across hiring practices, staff training, TB screening, personnel records, medication administration, drug storage, and dietary/weight monitoring.
64CSR14-5.1.gGeneral Administrative Requirements
64CSR14-5.3.cAdministrator
64CSR14-5.3.cAdministrator
64CSR14-5.6.aPersonnel Records
64CSR14-7.4.aHealth Care Standards
64CSR14-7.4.jHealth Care Standards
64CSR14-9.1.cDietary Services
64CSR14-9.1.dDietary Services
05 Nov 2008Revisit
05 Nov 2008Revisit
Investigated a complaint and found that deficiencies were corrected.
08 Sept 2008Revisit
08 Sept 2008Revisit
Identified major deficiencies: incidents were not reported to the licensing agency within the required timeframe, staffing records were inaccurate, medications were not kept in locked storage, and RN assessments were not completed within 24 hours of significant changes.
64CSR14-5.2.fMajor incidents reporting
64CSR14-5.4.gStaffing Requirements
64CSR14-7.4.gHealth Care Standards - Medication storage
64CSR14-7.6.fHealth Care Standards - Nursing assessments
21 Jul 2008Life Safety
21 Jul 2008Life Safety
Found no deficiencies.
16 Jul 2008Complaint
16 Jul 2008Complaint
Found deficiencies in staffing records, discharge notices, resident rights, assessments, medications, and infection control.
64CSR14-5.4.g.Staffing Requirements
64CSR14-5.7.g.Admission and Discharge
64CSR14-6.2.n.Resident Rights
64CSR14-6.3.g.Resident Rights - Visiting
64CSR14-7.3.b.Health Care Standards - Functional Needs Assessments
64CSR14-7.4.a.Health Care Standards - Medications
64CSR14-7.4.m.Health Care Standards - Infection Control
15 Apr 2008Revisit
15 Apr 2008Revisit
Investigated a complaint; deficiencies were corrected and technical assistance provided during follow-up.
—
13 Mar 2008Revisit
13 Mar 2008Revisit
Investigated staffing and supervision concerns; found inadequate direct care staffing leading to safety risks during meals and observed choking incidents.
64CSR14-5.4.hStaffing Requirements
29 Jan 2008Complaint
29 Jan 2008Complaint
Found multiple deficiencies related to restraints, incident reporting, staffing Records, supervision, and volunteers. These issues indicated noncompliance with multiple rules.
64CSR14-5.2.a.Restraint policy and use
64CSR14-5.2.f.Major incident reporting
64CSR14-5.4.g.Staffing records accuracy
64CSR14-5.4.h.Minimum staffing/supervision
64CSR14-5.6.a.Volunteer personnel records
64CSR14-6.2.b.Resident restraint safety
20 Nov 2007Revisit
20 Nov 2007Revisit
Identified a deficiency that was corrected, with technical assistance provided.
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18 Oct 2007Revisit
18 Oct 2007Revisit
Identified deficiencies in background checks, abuse registry screening, TB screening, staff training on abuse reporting, and immediate reporting of abuse.
64CSR14-5.1.g.General Administrative Requirements
64CSR14-5.5.b.Employee Orientation and Training
64CSR14-5.6.a.Personnel Records
64CSR14-6.2.c.Resident Rights
28 Aug 2007Life Safety
28 Aug 2007Life Safety
Verified deficiencies corrected on follow-up.
23 Aug 2007Revisit
23 Aug 2007Revisit
Identified multiple deficiencies related to failure to conduct pre-employment abuse registry checks, incomplete tuberculosis screening, inadequate abuse reporting training, and incomplete or missing personnel records and abuse reporting documentation.
64CSR14-5.1.gGeneral Administrative Requirements
64CSR14-5.1.gGeneral Administrative Requirements
64CSR14-5.1.gGeneral Administrative Requirements
64CSR14-5.5.bEmployee Orientation and Training
64CSR14-5.6.aPersonnel Records
64CSR14-6.2.cResident Rights
26 Jul 2007Licensure
26 Jul 2007Licensure
Identified multiple deficiencies related to pre-employment checks, personnel records, TB screening, abuse reporting, and medication administration.
64CSR14-5.1.gGeneral Administrative Requirements
64CSR14-5.6.aPersonnel Records
64CSR14-6.2.cResident Rights
64CSR14-7.4.aHealth Care Standards
09 Jul 2007Life Safety
09 Jul 2007Life Safety
Identified deficiencies in interior maintenance and bed-side call systems, including doors that do not latch and call bells not accessible from beds.
64CSR14-11.1.d.Physical Facilities
64CSR14-11.1.i.Physical Facilities
21 Sept 2006Revisit
21 Sept 2006Revisit
Found one deficiency cited and corrected during follow-up.
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05 Sept 2006Life Safety
05 Sept 2006Life Safety
Investigated a deficiency cited during the annual licensure survey and confirmed it was corrected.
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09 Aug 2006Revisit
09 Aug 2006Revisit
Found deficiencies in medication administration oversight, MAR accuracy, and resident weight monitoring. These issues were cited as violations.
64CSR14-7.4.a.HEALTH CARE STANDARDS
64CSR14-7.4.b.HEALTH CARE STANDARDS
64CSR14-9.1.d.DIETARY SERVICES
31 Jul 2006Life Safety
31 Jul 2006Life Safety
Found deficiencies related to facility maintenance and resident safety, including a noisy exhaust fan, absence of a call system, and insufficient storage space.
64CSR14-11.1.d.PHYSICAL FACILITIES
64CSR14-11.1.i.PHYSICAL FACILITIES
64CSR14-11.1.k.PHYSICAL FACILITIES
06 Jul 2006Licensure
06 Jul 2006Licensure
Identified multiple deficiencies across reporting of major incidents, medication administration, staffing records, health documentation, incident notification, activities scheduling, and dietary services.
64CSR14-5.2.f.The licensee shall report major incidents, as defined in Subsection 3.23, to the office of health facility licensure and certification as soon as possible, and no later than the next business day.
64CSR14-5.4.g.STAFFING REQUIEMENTS
64CSR14-7.2.c.KEEP HEALTH STATUS DOCUMENTATION
64CSR14-7.4.a.HEALTH CARE STANDARDS (MEDICATION ADMINISTRATION BY UNLICENSED PERSONNEL)
64CSR14-7.4.b.HEALTH CARE STANDARDS (MEDICATION ORDERS, PRESCRIPTIONS)
64CSR14-7.4.b.HEALTH CARE STANDARDS (MEDICATION ORDERS, PRESCRIPTIONS)
64CSR14-7.5.d.HEALTH CARE STANDARDS (NOTIFICATION AFTER INCIDENT)
64CSR14-8.2.a-c.ACTIVITIES
64CSR14-9.1.b.1-2.DIETARY SERVICES
64CSR14-9.1.d.DIETARY SERVICES
08 Nov 2005Revisit
08 Nov 2005Revisit
Conducted the annual licensure survey and subsequent follow-up actions during 2005.
07 Nov 2005Life Safety
07 Nov 2005Life Safety
Deficiencies corrected after follow-up on an identified finding.
—
15 Sept 2005Revisit
15 Sept 2005Revisit
Found deficiencies in pre-employment abuse registry checks, medication administration according to orders, and timely assessment of injuries or medication side effects.
64CSR14-5.1.gADMINISTRATIVE REQUIREMENTS
64CSR14-7.4.bHEALTH CARE STANDARDS
64CSR14-7.5.bHEALTH CARE STANDARDS
15 Aug 2005Life Safety
15 Aug 2005Life Safety
Observed deficiencies in keeping the interior clean and in good repair, with multiple conditions noted.
—Keep interior and exterior of residence clean and in good repair
Investigated the complaint; found no deficiencies.
04 Nov 2004Revisit
04 Nov 2004Revisit
Investigated deficiencies and found they were corrected during follow-up.
01 Nov 2004Complaint
01 Nov 2004Complaint
Found deficiencies in activities, snacks, and diet documentation, including insufficient weekly activities, inconsistent snack provision, and missing therapeutic diet instructions.
64CSR14-8.2.a-c.Activities
64CSR14-9.1.b.1-2.DIETARY SERVICES
64CSR14-9.1.c.DIETARY SERVICES
16 Sept 2004Life Safety
16 Sept 2004Life Safety
Corrected deficiencies identified during an environmental survey and subsequent follow-up.
17 Aug 2004Revisit
17 Aug 2004Revisit
Identified multiple deficiencies, including incomplete annual staff training, missing required elements in the admission contract, and insufficient oversight of medication administration by unlicensed personnel.
64CSR14-5.5.bEmployee Orientation and Training
64CSR14-5.7.b.1-8Admission and Discharge
64CSR14-7.4.aHealth Care Standards
13 Jul 2004Complaint
13 Jul 2004Complaint
Identified multiple deficiencies in training, contracts, assessments, medication management, activities, and dietary services; timely records and plans were not completed.
64CSR14-5.5.bEmployee orientation and training
64CSR14-5.7.b.1-8Admission and discharge contracts
64CSR14-7.3.bFunctional needs assessments
64CSR14-7.4.aMedication administration by licensed health care professionals
64CSR14-7.4.bPrescriptions and medical record documentation
64CSR14-7.6.fNursing assessments within 24 hours of admission or significant change
64CSR14-7.6.gService plans within seven days of admission
64CSR14-8.2Activities
64CSR14-9.1.b.1-2Dietary services - meals and nutrition
64CSR14-9.1.gDietary services - daily foods served
12 Jul 2004Life Safety
12 Jul 2004Life Safety
Observed improper restraint use and multiple safety hazards, including unsafe bed rails, unsecured oxygen, and hot water temperatures exceeding 115°F.
64CSR14-6.2.b.RESIDENT RIGHTS
64CSR14-11.1.b.PHYSICAL FACILITIES
64CSR14-11.5.b.PHYSICAL FACILITIES
08 Sept 2003Revisit
08 Sept 2003Revisit
Identified that the admission agreement did not specify whether liability insurance coverage was available.
Identified two technical assistance items; no deficiencies cited.
09 Jul 2003Inspection
09 Jul 2003Inspection
Found that liability insurance coverage did not cover all resident injuries and that several AMAP staff lacked current CPR certifications.
64CSR65-5.2.d.Liability insurance
64CSR65-8.5.a.Medications
12 Dec 2002Revisit
12 Dec 2002Revisit
Investigated found failures to update resident service plans when significant changes occurred, leaving care needs inadequately addressed for multiple residents.
64CSR65-8.3.a.PLANNING
15 Aug 2002Complaint
15 Aug 2002Complaint
Investigated complaint found multiple deficiencies across personnel records, resident care, medications, planning, complaints handling, and dietary services, including unsafe restraint practices and unsecure medication storage.
64CSR65-6.5.a.2PERSONNEL RECORDS
64CSR65-7.3.bTREATMENT
64CSR65-5.2.dTHE LICENSEE
64CSR65-6.3.aEMPLOYEE ORIENTATION & TRAINING
64CSR65-7.7.aCOMPLAINTS
64CSR65-7.7.bCOMPLAINTS
64CSR65-8.3.aPLANNING
64CSR65-8.5.aMEDICATIONS
64CSR65-8.5.jMEDICATIONS
64CSR65-8.6.a.1-3ACCIDENT ILLNESS & INCIDENT
64CSR65-8.6.bACCIDENT ILLNESS & INCIDENT
64CSR65-9.1.bDIETETIC SERVICES
15 Aug 2002Life Safety
15 Aug 2002Life Safety
Found deficiencies in disaster preparedness communication and drills, and multiple sanitation and safety issues affecting residents' safety and care.
64CSR65-10.2.fDisaster & Emergency Preparedness - communication to residents
64CSR65-11.2Sanitation and Safety - general condition
64CSR65-11.2.h.2Dishwashing and sanitation
64CSR65-11.2.k.1-3Laundry procedures and sanitizer use
15 Mar 2002Inspection
15 Mar 2002Inspection
Determined that there was no liability insurance policy in place to cover resident injuries. Attempts to obtain coverage had not resulted in procurement.
Identified that a resident requiring extensive nursing services was admitted and syringe-fed by aides; records did not document nursing oversight or proper feeding methods.
64 CSR 65 5.5.bRestricted Admissions
28 Aug 2001Licensure
28 Aug 2001Licensure
Identified deficiencies in personnel records, resident records, staff training, and activity scheduling.
64CSR65-6.5.a.5PERSONNEL RECORDS
64CSR65-5.8.c.6RESIDENT RECORDS
64CSR65-6.3.aEMPLOYEE ORIENTATION & TRAINING
64CSR65-6.3.b.1-9EMPLOYEE ORIENTATION & TRAINING
64CSR65-8.4.f.1-5SERVICES
15 Aug 2001Life Safety
15 Aug 2001Life Safety
Found deficiencies in communicating disaster and emergency procedures within 24 hours of admission, not documenting an annual disaster drill, and not providing soap and towels in bathrooms.
64CSR65-10.2.f.DISASTER & EMERGENCY PREPAREDNESS
64CSR65-10.2.g.DISASTER & EMERGENCY PREPAREDNESS
64CSR65-11.6.f.TOILET AND BATHING FACILITIES
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