Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around November 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Hampshire Center during CMS and state inspections, most recent first.
A resident experienced significant unintended weight loss due to the facility's failure to document meal intake and provide physician-ordered fortified snacks. The resident lost 11.6% of their weight over 60 days, with 42 out of 174 meals undocumented. Staff interviews revealed communication and system access issues, contributing to the oversight.
A privacy breach occurred when a resident was being undressed by a nurse aide in a shower room without a lock or 'in use' signage. A surveyor entered the room after knocking and receiving no response, finding the resident partially undressed. Staff interviews confirmed the lack of privacy measures, with reliance on knowledge of shower schedules instead of physical indicators.
The facility failed to follow physician's orders for wound care, adaptive equipment, and monitoring. A resident did not receive prescribed wound care treatments, another had a bandage not changed as ordered, and a third did not receive a Kennedy cup during meals. Additionally, 15-minute checks for a resident involved in an altercation were not completed as required. The DON confirmed these deficiencies.
The facility failed to serve meals at safe temperatures, as observed when two residents' breakfast trays were left unattended on a food cart for an extended period. The food items were found to be below the recommended safe serving temperatures, contrary to the facility's policy requiring hot foods to be maintained above 135 degrees Fahrenheit.
The facility failed to maintain accurate medical records for two residents. A resident's acute care transfer form contained an incorrect date, and another resident's meal intake documentation was incomplete, with 42 out of 174 meals undocumented. These issues were acknowledged by the DON and the Nursing Home Administrator, respectively.
The facility failed to thoroughly investigate a resident-to-resident altercation that resulted in a fatal injury. Despite staff witnessing an initial altercation, no interviews were conducted to understand the events leading to the injury. The Director of Nursing acknowledged the lack of witnesses to the fatal fall and the investigation relied on assumptions rather than comprehensive inquiry.
The facility failed to document the repositioning of a resident with a pressure ulcer and did not enforce PPE use for another resident under enhanced precautions. The DON admitted to a lack of documentation and insufficient PPE resources.
A resident with a history of falls due to weakness, osteoarthritis, chronic pain, and hypertension experienced an actual fall on a slippery bathroom floor shared with another resident. The care plan was not updated to reflect this incident, as confirmed by the DON during a survey. The care plan continued to indicate only a risk for falls without acknowledging the actual fall event.
A resident in the facility did not receive timely incontinence care despite activating the call light and expressing the need to be changed. Nurse Aides entered the room but left without addressing the resident's request, turning off the call light. The DON confirmed the resident should have received care, as the care plan indicated extensive assistance was needed due to medical conditions.
A resident with cognitive loss was observed spending extended periods in a common area without engagement or entertainment, despite care plans indicating a need for increased participation in activities. Records inaccurately reflected participation in activities the resident was unable to engage in, and the Activity Director confirmed a decline in participation.
A resident did not receive appropriate treatment to prevent a decrease in range-of-motion due to the facility's failure to apply a prescribed hand splint. Despite a physician's order for a SoftPro resting hand splint to be worn during the day, the resident reported and was observed without the splint. A nurse aide indicated the resident usually does not wear the splint, and the DON confirmed the necessity of the splint.
A resident was found with multiple medications in their room without physician's orders, posing a potential safety hazard. The medications, brought in by the resident's family, were not secured despite the presence of a wandering resident in the facility. The DON did not consider this a safety issue, as the resident was believed to prevent others from taking the medications.
A resident in the facility did not receive physician visits every 30 days for the first 90 days as required. The resident expressed a desire to discuss issues with a physician but was usually seen by a nurse practitioner. A review showed inconsistent physician visits, with a missed visit in April. The DON was unaware of the missed visit and lacked a clear policy on visit frequency, despite state guidelines.
The facility failed to maintain effective infection control practices. A resident's bathroom was found unsanitary, with staff failing to clean adequately. During wound care, an RN breached hand hygiene by opening a door with bare hands. Two NAs entered a resident's room without PPE, despite enhanced barrier precautions being in place. The DON acknowledged these issues.
Failure to Prevent Significant Weight Loss
Penalty
Summary
The facility failed to prevent significant unintended weight loss for a resident, identified as Resident #8, who experienced an 11.6 percent weight loss over 60 days. This deficiency was identified during a survey process, where it was found that the facility did not adequately document meal intake and failed to provide physician-ordered fortified snacks. The resident's weight decreased from 120.4 pounds to 106.6 pounds over the specified period. A Registered Dietician had recommended re-weighing the resident and providing fortified pudding daily, which was ordered by the physician. However, the resident did not receive the fortified pudding on four out of twelve days in August. Further investigation revealed that the resident's meal intake was not properly documented, with 42 out of 174 meals lacking documentation. Interviews with facility staff, including a Registered Nurse and the Certified Dietary Manager, indicated a lack of communication and system access issues that contributed to the oversight. Additionally, the resident's Physician Orders for Scope of Treatment form indicated a provision for feeding through surgically-placed tubes, but the Registered Dietician believed the weight loss was related to TSH levels, which were reportedly under control. The Director of Nursing confirmed the improper documentation of meal intakes.
Privacy Breach During Resident Shower Assistance
Penalty
Summary
The facility failed to provide privacy to residents during shower assistance, as observed during a survey. An incident was noted involving a resident who was being undressed by a nurse aide in a shower room that lacked a lock or 'in use' signage. The surveyor entered the room after knocking and receiving no response, finding the resident partially undressed. Interviews with staff, including a nurse aide and the administrator, confirmed the absence of privacy measures, with staff typically relying on their knowledge of shower schedules rather than physical indicators to ensure privacy.
Failure to Follow Physician's Orders for Multiple Residents
Penalty
Summary
The facility failed to adhere to physician's orders for several residents, leading to deficiencies in care. For Resident #9, multiple physician's orders for wound care treatments, including the application of various creams and gauze, were not followed on several occasions. The Director of Nursing (DON) confirmed that these treatment orders were not executed as required. Similarly, Resident #36 had a bandage on her left shin that was not changed according to the physician's order, which specified daily changes. The DON acknowledged that the bandage had not been changed as ordered. Additionally, Resident #8 did not receive the adaptive equipment specified in her physician's order during a meal observation. The resident was supposed to have a Kennedy cup with all meals, but this was not provided. A nursing assistant confirmed the oversight and attributed it to a lack of familiarity with the dining room procedures. Furthermore, Resident #35 was involved in a possible altercation with another resident, and the prescribed 15-minute checks for 72 hours were not completed, as records for the checks on the third day were missing. The DON confirmed the lapse in completing the checks as ordered.
Failure to Serve Meals at Safe Temperatures
Penalty
Summary
The facility failed to serve meals at a palatable temperature, as observed during a survey. On the morning of August 13, 2024, breakfast trays for two residents were left on a food cart in hallway 400 for an extended period without being served. The trays were initially brought out at 7:45 AM, but by 8:10 AM, they were still on the cart, and no staff were present to assist the residents. This delay in serving meals resulted in the food cooling to temperatures below the recommended safe serving levels. When the Certified Dietary Manager (CDM) checked the temperature of one resident's breakfast tray at 8:26 AM, the food items were found to be significantly below the required temperature for safe consumption. The puree sausage was at 83.3 degrees Fahrenheit, puree pancakes at 90.5 degrees Fahrenheit, and oatmeal at 94.1 degrees Fahrenheit. According to the facility's policy, hot foods should be maintained at temperatures above 135 degrees Fahrenheit, and any food dropping into the danger zone must be reheated to 165 degrees Fahrenheit for 15 seconds. The failure to adhere to these standards was confirmed by the CDM during an interview.
Deficiencies in Medical Record Accuracy and Meal Intake Documentation
Penalty
Summary
The facility failed to maintain accurate and complete medical records for two residents, leading to deficiencies identified during a survey. For Resident #9, the record review revealed an incorrect transfer date on the acute care transfer form, which was noted as 07/08/23 instead of the actual transfer date of 02/22/24. This discrepancy was brought to the attention of the Director of Nursing, who acknowledged the need to investigate further. For Resident #8, a review of meal intake documentation from 06/16/24 to 08/12/24 showed that 42 out of 174 meals were not documented. This lack of documentation was confirmed by the Nursing Home Administrator, indicating a failure to accurately record the resident's meal intake over the specified period.
Failure to Investigate Resident Altercation Leading to Death
Penalty
Summary
The facility failed to conduct a complete and thorough investigation into a possible resident-to-resident altercation that resulted in the death of a resident. The incident involved two residents, one of whom was found on the floor with a head injury and later passed away due to a cerebral hemorrhage. The initial altercation was witnessed by four staff members, where one resident grabbed the sleeve of another, causing a fall. Despite the severity of the incident, the facility did not interview any staff or residents to gather more information about the events leading to the injury and subsequent death. The Director of Nursing stated that there were no witnesses to the fall that resulted in the fatal injury, and the investigation was limited because neither resident could provide an account of what happened. The facility's response was based on assumptions rather than a thorough investigation, as no staff interviews were conducted despite the presence of staff during the initial altercation. The lack of a comprehensive investigation into the incident represents a significant deficiency in the facility's response to alleged violations.
Failure to Implement Care Plan and PPE Protocols
Penalty
Summary
The facility failed to implement a documented intervention for Resident #54, who was receiving wound care for an unstageable pressure ulcer on the left heel. The care plan required the resident to be turned and repositioned every hour and as needed. However, during the survey, the Director of Nursing (DON) admitted that there was no documentation to verify that this intervention was completed, indicating a lapse in following the care plan. Additionally, the facility did not enforce the use of personal protective equipment (PPE) for Resident #50, who was under enhanced barrier precautions due to an indwelling medical device. Nurse Aides #71 and #17 entered the resident's room without wearing the required gown and gloves, despite signage indicating the need for enhanced precautions. The DON acknowledged that there was only one PPE cart per hallway, which contributed to the oversight.
Failure to Update Care Plan After Resident Fall
Penalty
Summary
The facility failed to update the care plan for a resident who experienced an actual fall. The resident, identified as having a risk for falls due to weakness, osteoarthritis, chronic pain, and hypertension, fell on a slippery bathroom floor shared with another resident. The fall occurred because of powder used by the other resident, which made the floor slippery. Despite this incident, the care plan was not revised to reflect the actual fall that took place. The deficiency was identified during a record review and staff interview, where it was noted that the care plan still only indicated a risk for falls without acknowledging the actual fall event. The Director of Nursing confirmed that the care plan had not been updated to include the fall that occurred on the specified date.
Failure to Provide Timely ADL Care to Resident
Penalty
Summary
The facility failed to provide adequate Activities of Daily Living (ADL) care to a dependent resident, identified as Resident #50, during the survey process. On the specified date, Resident #50 activated the call light at 5:00 PM, which remained on until 5:10 PM. When Nurse Aide (NA) #71 and NA #17 entered the room at 5:16 PM, Resident #50 expressed a need to be changed due to feeling wet. However, NA #17 responded by saying they would return with a meal tray, and both aides left the room without addressing the resident's immediate need for incontinence care. The call light was turned off without the issue being resolved. The Director of Nursing (DON) later confirmed that Resident #50 should have received incontinence care when requested. A review of Resident #50's care plan revealed that the resident required assistance with ADLs due to a history of cerebrovascular accident (CVA) with monoplegia, weakness, left below-knee amputation (BKA), left knee contracture, and arthritis. The care plan indicated that the resident was independent with eating and locomotion but required extensive assistance with bathing, transfers, and other ADLs, including toileting. The failure to provide timely incontinence care was a deviation from the resident's care plan and needs.
Failure to Provide Meaningful Activities for Resident
Penalty
Summary
The facility failed to provide an ongoing program of activities to meet the needs and interests of its residents, specifically Resident #36. Observations over two days revealed that Resident #36 spent extended periods in the common area in front of the nurses' station without any engagement or entertainment, such as television or music. The resident was observed eating meals and sitting for hours without interaction or stimulation, and at one point, was seen crying. The activity care plan for Resident #36 indicated a need for increased participation in activities, yet there was no evidence of efforts to engage the resident in meaningful activities during the observed times. Further record reviews showed discrepancies in the documentation of Resident #36's activity participation. The Minimum Data Set (MDS) indicated that group activities were important to the resident, but the section was not assessed in the most recent update. Additionally, the activity participation records inaccurately reflected active participation in activities that the resident was not physically or cognitively able to engage in, such as exercise and watching TV. The Activity Director acknowledged a decline in the resident's participation and confirmed the resident's prolonged presence in the common area without engagement.
Failure to Apply Prescribed Hand Splint
Penalty
Summary
The facility failed to provide appropriate treatment to prevent further decrease in range-of-motion for a resident identified as Resident #11. During an interview, the resident reported that after a shower, the splint for her right hand was not applied as per the physician's order. A review of the resident's records confirmed a physician's order for a SoftPro resting hand splint to be applied to the right hand in the morning when the resident is in her wheelchair and removed at bedtime, with skin checks to be performed twice daily. An observation later confirmed that the resident was not wearing the splint. A nurse aide stated that the resident usually does not wear the splint, and a registered nurse confirmed the existence of the physician's order. The Director of Nursing was notified and confirmed the necessity of the splint to prevent further decrease in range-of-motion.
Unsecured Medications in Resident's Room Without Physician's Orders
Penalty
Summary
The facility failed to ensure the resident environment was as free from accident hazards as possible, as evidenced by the presence of multiple medications in a resident's room without physician's orders. During an interview with the resident, it was observed that several medications were left on the over-the-bed table and bed. The resident indicated that having these medications in the room was not a concern. When questioned, the RN was unaware of why the medications were present, and the Director of Nursing (DON) mentioned that the resident's family brought them in, and the resident refused a lock box for storage. Further investigation revealed that the medications found in the room included inhalers, nasal sprays, eye drops, muscle rub, and other over-the-counter medications, none of which had corresponding physician's orders. The DON confirmed that the physician would not provide orders for these medications, as the resident already had sufficient as-needed medication. Despite the presence of a wandering resident in the facility, the DON did not perceive the unsecured medications as a safety issue, asserting that the resident would not allow anyone to take them.
Failure to Ensure Timely Physician Visits
Penalty
Summary
The facility failed to ensure that physician visits were completed every 30 days for the first 90 days for a resident, as required. The resident expressed a desire to discuss certain matters with a physician, but noted that they were usually seen by a nurse practitioner instead. A review of the resident's records revealed that the facility physician's visits were inconsistent, with a notable absence of a visit in April 2023. The Director of Nursing (DON) was unaware of the missed physician visit and was unable to provide a clear policy on the frequency of physician visits, although state guidelines require an initial visit within 72 hours of admission and follow-up visits every 30 days for the first 90 days.
Infection Control Deficiencies in LTC Facility
Penalty
Summary
The facility failed to maintain an effective infection control program, as evidenced by several observations and interviews during the survey process. For Resident #9, the bathroom was found in an unsanitary condition with two bed pans in the bathtub, one containing a brown substance and liquid, and a commode with urine and a black ring. Mixed vegetables were also found on the sink stopper. Resident #9 expressed dissatisfaction with the cleanliness, stating that staff did not adequately clean the area. The Director of Nursing acknowledged the issue upon being informed. For Resident #54, a breach in infection control was observed during wound care performed by RN #41. The nurse repeatedly opened the bathroom door with bare hands to retrieve gloves, compromising hand hygiene. RN #41 admitted to the oversight, acknowledging that gloves should have been prepared in advance. Additionally, for Resident #50, Nurse Aides #71 and #17 entered the room without wearing the required PPE for enhanced barrier precautions, despite signage indicating such precautions were necessary. The aides were unaware of the precautions due to the absence of a cart outside the door, which the Director of Nursing confirmed was a known issue.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Romney
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Hampshire Memorial Hospital | 0.1 mi | — | 6 | 1 |
| Complete Care At Dawnview Llc | 13 mi | — | 0 | 0 |
| Keyser Healthcare Center | 17.1 mi | — | 19 | 1 |
| E.a. Hawse Healthcare Center | 18.9 mi | — | 0 | 0 |
| Cumberland Healthcare Center | 21.8 mi | — | 22 | 0 |
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