All citations for Berkeley Springs Healthcare Center

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Berkeley Springs Healthcare Center

Last standard health inspection on record

July 8, 2026

Showing 1 to 25 of 51 citations

  1. Immediate jeopardy to resident health or safety

    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

    Isolated (one or a few residents). CMS level J.

    Health citation F-0693, Quality of Life and Care Deficiencies. Inspection of March 29, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 31, 2023).

  2. No harm, with potential for more than minimal harm

    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0222, Egress Deficiencies. Inspection of July 8, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 30, 2026).

  3. No harm, with potential for more than minimal harm

    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.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0584, Resident Rights Deficiencies. Inspection of July 8, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 18, 2026).

  4. No harm, with potential for more than minimal harm

    PASARR screening for Mental disorders or Intellectual Disabilities

    Pattern (more than a few residents). CMS level E.

    Health citation F-0645, Resident Assessment and Care Planning Deficiencies. Inspection of July 8, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 18, 2026).

  5. No harm, with potential for more than minimal harm

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of July 8, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 18, 2026).

  6. No harm, with potential for more than minimal harm

    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.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0584, Resident Rights Deficiencies. Inspection of March 27, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 8, 2025).

  7. No harm, with potential for more than minimal harm

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of March 27, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 8, 2025).

  8. No harm, with potential for more than minimal harm

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0804, Nutrition and Dietary Deficiencies. Inspection of March 27, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 8, 2025).

  9. No harm, with potential for more than minimal harm

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of March 27, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 8, 2025).

  10. No harm, with potential for more than minimal harm

    Keep residents' personal and medical records private and confidential.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0583, Resident Rights Deficiencies. Inspection of March 29, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 22, 2023).

  11. No harm, with potential for more than minimal harm

    Ensure each resident receives an accurate assessment.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of March 29, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 31, 2023).

  12. No harm, with potential for more than minimal harm

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of March 29, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 31, 2023).

  13. No harm, with potential for more than minimal harm

    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0727, Nursing and Physician Services Deficiencies. Inspection of March 29, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 31, 2023).

  14. No harm, with potential for more than minimal harm

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of March 29, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 31, 2023).

  15. No harm, with potential for more than minimal harm

    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.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0803, Nutrition and Dietary Deficiencies. Inspection of March 29, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 31, 2023).

  16. No harm, with potential for more than minimal harm

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of March 29, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 22, 2023).

  17. No harm, with potential for more than minimal harm

    Dispose of garbage and refuse properly.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0814, Nutrition and Dietary Deficiencies. Inspection of March 29, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 31, 2023).

  18. No harm, with potential for more than minimal harm

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0842, Resident Assessment and Care Planning Deficiencies. Inspection of March 29, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 22, 2023).

  19. No harm, with potential for more than minimal harm

    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

    Pattern (more than a few residents). CMS level E.

    Health citation F-0868, Administration Deficiencies. Inspection of March 29, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 31, 2023).

  20. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0880, Infection Control Deficiencies. Inspection of March 29, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 22, 2023).

  21. No harm, with potential for more than minimal harm

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0883, Infection Control Deficiencies. Inspection of March 29, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 31, 2023).

  22. No harm, with potential for more than minimal harm

    Put firmly secured handrails on each side of hallways.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0924, Environmental Deficiencies. Inspection of March 29, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 31, 2023).

  23. No harm, with potential for more than minimal harm

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0550, Resident Rights Deficiencies. Inspection of July 8, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 18, 2026).

  24. No harm, with potential for more than minimal harm

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of July 8, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 18, 2026).

  25. No harm, with potential for more than minimal harm

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of July 8, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 18, 2026).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.