Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around December 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 Lewisburg Healthcare Center during CMS and state inspections, most recent first.
A resident with cerebral palsy, autism, a PEG tube, and an NPO order was given a cola by a staff member unfamiliar with the resident, after the resident requested the drink. The resident, who had moderate cognitive impairment and had been determined incapacitated, drank the cola and immediately coughed, and the episode was documented as a choking event. Review of records showed other residents had orders for nectar- and honey-thick liquids, and the facility acknowledged that a CNA provided the cola without checking the Kardex and diet orders. Subsequent staff interviews showed that staff could describe the need to verify diet orders or involve nursing before providing food or drink, but prior training materials did not explicitly address checking and following physician diet orders before giving residents any food or fluids.
The facility failed to maintain accurate documentation for narcotic medication administration across three medication carts, affecting multiple residents. The policy requires controlled drugs to be verified and signed by both oncoming and off-going nurses at each shift change. However, numerous entries were missing signatures or had incorrect card counts. Interviews with LPNs and the DON confirmed these discrepancies, and an audit was underway to address the issue.
The facility failed to maintain accurate medical records for two residents regarding RSV vaccine consent. Both residents' records showed the vaccine was administered, with verbal consent obtained and witnessed, but the consent forms lacked dates. The residents' representatives expressed confusion, and the DON acknowledged the issue.
A facility failed to maintain proper infection control during medication administration when an LPN placed medications directly on a resident's over-the-bed table without using a barrier. The LPN admitted to using an activity sheet instead of the provided wax paper barrier. The facility lacked a formal policy on barrier use, although it was considered common sense by staff.
A facility failed to notify a resident's MPOA before administering an RSV vaccine and regarding the resident's shingles diagnosis and treatment. The MPOA was unaware of these actions, despite records indicating verbal consent for the vaccine. The DON acknowledged the oversight after an audit revealed the issues.
Failure to Follow NPO and Thickened Liquid Orders Resulting in Choking Episode
Penalty
Summary
The deficiency involves the facility’s failure to follow a physician’s order for a resident who was ordered nothing by mouth (NPO). A resident with cerebral palsy and autism, who had a PEG tube and an NPO order dated 04/21/25, was given a cola by a staff member who was not familiar with the resident. The resident, who had been determined incapacitated on 04/21/25 and had a BIMS score of 9 indicating moderate cognitive impairment, requested the cola, took a drink, and immediately coughed. Nursing documentation noted that the resident was aware of her NPO status but still requested the cola, and that the cola was removed after the choking episode and the resident was taken to the nurse for assessment. The incident was documented in nursing notes as a choking episode that occurred during activities when the resident was in the dining room post-activity, before the noon meal. Record review also showed that several other residents in the facility had orders for specialized liquid consistencies, including nectar thick liquids and honey thick liquids. The facility acknowledged that a CNA provided the soft drink without checking the Kardex and diet orders. Interviews conducted later with various staff members, including dietary, nursing assistants, activities, therapy, environmental services, maintenance, and administration, revealed that staff could verbalize the need to verify a resident’s diet or refer the request to nursing before providing food or drink. However, the documentation provided from prior staff trainings did not specifically address the requirement to follow physician orders and to check those orders before giving residents any food or liquids.
Inaccurate Documentation of Narcotic Medication Administration
Penalty
Summary
The facility failed to maintain accurate documentation for the administration and dispensing of narcotic medication across three medication carts, potentially affecting more than a limited number of residents. The facility's policy requires controlled drugs and count sheets to be verified and signed by both the oncoming and off-going nurses at each shift change. However, record reviews and staff interviews revealed numerous instances where this procedure was not followed, leading to incomplete and inaccurate records. For the 100 Hall Medication Cart, several entries were missing the off-duty nurse's signature, and in some cases, the total number of cards was either missing or incorrect. Similar issues were observed with the 500 Hall Medication Cart, where entries lacked signatures from both on-duty and off-duty nurses, and some entries had illegible or missing card counts. The 600 Hall Odd Medication Cart also had multiple entries with missing signatures, indicating a systemic issue with the documentation process. Interviews with LPNs and the DON confirmed the discrepancies in the narcotic logbooks. The DON acknowledged the incomplete and inaccurate records and stated that the facility was working to address the issue. The Regional Director of Operations also confirmed that an audit was underway to resolve the narcotic book issues, highlighting the need for improved accuracy in the facility's documentation practices.
Inaccurate Medical Records for RSV Vaccine Consent
Penalty
Summary
The facility failed to maintain accurate medical records for two residents regarding the Respiratory Syncytial Virus (RSV) vaccine consent. For one resident, the medical record indicated that the RSV vaccine was administered in the left deltoid, and a verbal consent was obtained from the resident's representative, witnessed by two staff members, but the consent form lacked a date. The resident's representative expressed confusion during an interview, stating they were contacted for consent again despite believing the vaccine had already been administered. Similarly, for another resident, the medical record showed the RSV vaccine was given in the right deltoid, with verbal consent obtained and witnessed by two staff members, yet the consent form also lacked a date. The Director of Nursing acknowledged the absence of dates on the RSV consent forms during an interview.
Infection Control Deficiency in Medication Administration
Penalty
Summary
The facility failed to maintain an effective infection prevention and control program, as evidenced by an incident involving the improper administration of medication to a resident. During a facility tour, an LPN was observed administering medication to a resident without using a proper barrier on the over-the-bed table. The medications, including Refresh Tear Solution, Trelegy Inhaler, and Ipratropium Bromide Nasal Solution, were placed directly on the table, which is not in line with infection control practices. The LPN admitted to using an activity sheet as a barrier instead of the wax paper barrier provided on the medication cart. Further investigation revealed that there was no formal facility policy regarding the use of barriers during medication administration, although it was considered common sense by the staff. The Director of Nursing and a Corporate Registered Nurse acknowledged the oversight and confirmed that the medications should have been placed on a barrier. Despite a subsequent Medication Barrier Audit indicating satisfactory results, the initial failure to use a barrier during medication administration was a clear deficiency in the facility's infection control practices.
Failure to Notify MPOA of Vaccination and Medical Condition
Penalty
Summary
The facility failed to notify the Medical Power of Attorney (MPOA) for a resident prior to administering vaccinations and regarding a change in the resident's condition and treatment for shingles. The resident was determined to lack the capacity to make medical decisions, necessitating the involvement of the MPOA. Despite this, the MPOA was not informed about the administration of the RSV vaccine, nor was she notified about the resident's shingles diagnosis and subsequent treatment, which included medication and isolation. The MPOA confirmed during interviews that she was unaware of the RSV vaccination and the shingles diagnosis and treatment. The facility's records indicated that verbal consent for the RSV vaccine was obtained, but the MPOA denied this, stating she was only contacted about a COVID-19 vaccine. The Director of Nursing acknowledged the oversight and initiated a grievance after the issues were brought to light during an audit.
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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 Ronceverte
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Seneca Trail Healthcare Center | 1.2 mi | — | 18 | 0 |
| White Sulphur Springs Center | 12.7 mi | — | 15 | 1 |
| Summers Healthcare Center | 18.9 mi | — | 0 | 0 |
| Rainelle Healthcare Center | 21.5 mi | — | 0 | 0 |
| Lindside Healthcare Center | 21.9 mi | — | 24 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.