Independent · Federal inspection records, searchable
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Facility profile · CCN 515131

Sistersville Center

74 federal citations on record , including 4 at the Immediate Jeopardy level, and 2 federal enforcement actions totaling $88,357.

4 Immediate Jeopardy

Record summary

Federal record · Q1 2026
74
Total citations
37
Last 3 years
5
Actual harm+
2
Federal penalties
$88,357
Total fines
1
Overall ★ rating

Most common violation categories here

Most common F-tags at this facility

Citation history

74 on record
SurveyF-TagViolationSeveritySource
Apr 3, 2025F883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard
Apr 3, 2025F880Provide and implement an infection prevention and control program.EStandard
Apr 3, 2025F868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyFStandard
Apr 3, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EStandard
Apr 3, 2025F814Dispose of garbage and refuse properly.FStandard
Apr 3, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Apr 3, 2025F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EStandard
Apr 3, 2025F803Ensure 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.EStandard
Apr 3, 2025F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EStandard
Apr 3, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Apr 3, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
Apr 3, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EStandard
Apr 3, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EStandard
Apr 3, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard
Apr 3, 2025F641Ensure each resident receives an accurate assessment.DStandard
Apr 3, 2025F622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.DStandard
Apr 3, 2025F584Honor 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.DStandard
Apr 3, 2025F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.EStandard
Apr 3, 2025F558Reasonably accommodate the needs and preferences of each resident.DStandard
Apr 3, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EStandard
Oct 8, 2024F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DComplaint
Oct 8, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Oct 8, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Oct 8, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Apr 2, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EComplaint
Apr 2, 2024F680Ensure the activities program is directed by a qualified professional.EComplaint
Apr 2, 2024F679Provide activities to meet all resident's needs.EComplaint
Apr 2, 2024F584Honor 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.EComplaint
Feb 14, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Feb 14, 2024F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.HComplaint
Feb 14, 2024F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.EComplaint
Feb 14, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Feb 14, 2024F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDComplaint
Feb 14, 2024F610Respond appropriately to all alleged violations.KComplaint
Feb 14, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.KComplaint
Feb 14, 2024F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.KComplaint
Feb 14, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.KComplaint
Apr 11, 2023F880Provide and implement an infection prevention and control program.EStandard
Apr 11, 2023F868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyEStandard
Apr 11, 2023F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
Apr 11, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Apr 11, 2023F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.EStandard
Apr 11, 2023F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.EStandard
Apr 11, 2023F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard
Apr 11, 2023F732Post nurse staffing information every day.EStandard
Apr 11, 2023F730Observe each nurse aide's job performance and give regular training.EStandard
Apr 11, 2023F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.EStandard
Apr 11, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Apr 11, 2023F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
Apr 11, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EStandard
Apr 11, 2023F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Apr 11, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard
Apr 11, 2023F641Ensure each resident receives an accurate assessment.DStandard
Apr 11, 2023F636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.DStandard
Apr 11, 2023F625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.EStandard
Apr 11, 2023F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.EStandard
Apr 11, 2023F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard
Apr 11, 2023F585Honor 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.EStandard
Apr 11, 2023F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard
Mar 23, 2022F908Keep all essential equipment working safely.EStandard
Mar 23, 2022F887Educate 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.DStandard
Mar 23, 2022F886Perform COVID19 testing on residents and staff.DStandard
Mar 23, 2022F882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.FStandard
Mar 23, 2022F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Mar 23, 2022F757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard
Mar 23, 2022F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
Mar 23, 2022F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.EStandard
Mar 23, 2022F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EStandard
Mar 23, 2022F695Provide safe and appropriate respiratory care for a resident when needed.EStandard
Mar 23, 2022F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Mar 23, 2022F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
Mar 23, 2022F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.EStandard
Mar 23, 2022F584Honor 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.DStandard
Mar 23, 2022F578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.EStandard

Federal enforcement history

Federal regulators have imposed 2 enforcement actions against this facility, including 2 civil money penalties totaling $88,357 .

DateTypeFinePayment denial
Feb 14, 2024Fine$38,255
Apr 11, 2023Fine$50,102
About this record A citation is a finding by a state survey team working under federal contract. It is not a court judgment. The description above is drawn verbatim from federal public datasets. Facilities have the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.

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