Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around February 2027
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 Seneca Trail Healthcare Center during CMS and state inspections, most recent first.
The facility failed to maintain sanitary conditions in food storage and service, with unlabeled and expired items found in the kitchen and pantry. Additionally, food temperatures were not logged for several meals, and a staff member improperly handled used adaptive cups. The Culinary Director acknowledged these oversights, attributing some to a new staff member.
The facility was found deficient in waste disposal practices as the dumpster lid was observed open without staff presence, and there was no policy in place for waste management. The Administrator acknowledged the issue, and the Culinary Director confirmed the lack of a waste disposal policy.
A facility failed to correctly complete the MDS for a resident who discharged against medical advice (AMA). The discharge assessment inaccurately anticipated the resident's return, and the section on providing a reconciled medication list was incomplete. The resident left shortly after arrival, and discharge planning was not completed. An APS referral was made due to the unplanned discharge, and the DON and Administrator acknowledged the MDS coding error.
A facility failed to implement a care plan for a resident regarding education on end-of-life decisions. The resident had a DNR-CC status, and the care plan required education on the implications of discontinuing certain medical interventions. However, the facility could not provide documentation of such education, despite policy requirements for documenting treatment refusals and education provided.
A facility failed to update a resident's care plan to include non-pharmacological interventions for an anxiety disorder after discontinuing medication. Despite recommendations for interventions like music therapy and relaxation techniques, the care plan only addressed inappropriate behaviors and resistance to care. The DON acknowledged the oversight during a review.
A resident experienced significant weight loss due to the facility's failure to document enteral feeding volumes and address the issue. Despite the resident's care plan requiring monitoring of enteral intake and notifying medical providers of weight changes, the facility did not ensure these actions were taken. The dietician assumed full bolus intake without verification, and the nurse practitioner did not follow up on the resident's weight loss.
The facility inaccurately reported nurse staffing information by including administrative hours in direct care totals, contrary to CMS guidelines. Additionally, the facility failed to retain staffing posting forms for the required 18 months, as they were sent to the corporate office and disposed of. The administrator acknowledged these deficiencies.
A facility failed to accurately complete a resident's medical record, indicating ongoing occupational and physical therapy services that had been discontinued. The discrepancy was identified during a survey, and the DON and Administrator confirmed the inaccuracy.
The facility failed to maintain an effective pest control program for flies, as observed when a resident was found with a fly on her ankle. The resident complained about the persistent fly issue, which was confirmed by an LPN. The administrator attributed the problem to the nearby Virginia State Fair Grounds and their dumpsters.
Sanitation and Temperature Logging Deficiencies in Food Service
Penalty
Summary
The facility failed to ensure food was stored and served under sanitary conditions, and food temperatures were not consistently logged for three meals. During an initial tour of the kitchen, a bag of breakfast sandwiches in the walk-in freezer was found without a label or date, and a large container of an unknown beverage in the walk-in cooler was also unlabeled and undated. In the dry storage area, four bags of grits were found with expired best-by dates. Additionally, an open packet of coffee was found exposed to the air on a shelf in the floor pantry without any dates. The Culinary Director acknowledged these oversights and stated that the items would be disposed of. Furthermore, a review of the Service Line Checklist revealed that cooking and holding temperatures were not recorded for several meals, which the Culinary Director attributed to a new staff member's oversight. In the dining room, a staff member was observed handling used adaptive equipment cups without proper sanitary measures. The staff member took two used cups in her bare hand to the nutritional room for refilling, which was acknowledged by the Activities Leader. The facility's policy requires that food be prepared and served under sanitary conditions, including recording temperatures for Time/Temperature Control for Safety (TCS) items. These deficiencies indicate a failure to adhere to professional standards for food storage, preparation, and service, as well as proper handling of used items.
Improper Waste Disposal Practices
Penalty
Summary
The facility failed to ensure that trash and debris were stored in a safe and sanitary manner, as evidenced by the observation of an open dumpster lid when not in use. This deficiency was identified during an observation on September 9, 2024, at 12:43 PM, when the facility's dumpster lid was found open without any staff present. During an interview at 12:46 PM, the Administrator acknowledged the open dumpster lid and confirmed that it should have been closed, subsequently closing it after the interview. Additionally, during a separate interview at 3:55 PM, the Culinary Director reported that there was no existing policy or procedure regarding waste disposal, including the management of the dumpster.
Incorrect MDS Coding for AMA Discharge
Penalty
Summary
The facility failed to ensure the Minimum Data Set (MDS) record was completed correctly for a resident's discharge. During a medical record review, it was found that the MDS for a resident who discharged against medical advice (AMA) was not accurately coded. Specifically, the discharge assessment anticipated the resident's return, and the section indicating whether a reconciled medication list was provided at discharge was incomplete. The resident had discharged AMA shortly after arriving at the facility, and the discharge planning was not completed. An Adult Protective Services (APS) referral was made due to the unplanned discharge. The Director of Nursing and the Administrator acknowledged the incorrect MDS coding during an interview.
Failure to Implement End-of-Life Education Care Plan
Penalty
Summary
The facility failed to implement a care plan for a resident regarding education on end-of-life decisions. The resident, who had a history of acute hospitalization for urinary tract infection, pneumonia, and chronic obstructive pulmonary disease, had a care plan that included a Do Not Resuscitate-Comfort Care (DNR-CC) status. The care plan required the facility to provide education to the resident or their representative about end-of-life decisions, including the risks and benefits of discontinuing certain medical interventions such as weights, labs, and hospital transfers. Despite this requirement, the facility was unable to provide documentation that such education was provided. Interviews with the facility's Nurse Practitioner (NP) and administrative staff revealed that while the NP discussed the implications of the resident's heart stopping, there was no documented evidence of a comprehensive discussion about the broader implications of the resident's end-of-life care choices. The facility's policy required documentation of any treatment refusals and the education provided, but this was not adhered to in the case of this resident.
Failure to Revise Care Plan for Anxiety Disorder
Penalty
Summary
The facility failed to revise the comprehensive care plan for a resident diagnosed with an anxiety disorder. The resident, who has a history of anxiety, depression, insomnia, mood disorder, and inappropriate sexual behaviors, was seen for psychiatric services due to these behaviors. The physician recommended non-pharmacological interventions for the anxiety disorder, including offering a calm environment, music therapy, pet therapy, and other relaxing activities. However, the care plan was not updated to include these recommendations after the anxiety medication was discontinued. The care plan initially addressed the resident's sexually inappropriate behaviors and resistance to care but did not incorporate the suggested non-pharmacological interventions for anxiety. The Director of Nursing acknowledged that the care plan was resolved when the medication was discontinued but agreed that it would have been appropriate to include non-pharmacological interventions given the resident's ongoing behaviors. This oversight was identified during a medical record review and staff interview, highlighting a deficiency in the facility's care planning process.
Failure to Monitor Enteral Feeding Volume and Address Weight Loss
Penalty
Summary
The facility failed to ensure that care and services provided to a resident receiving enteral feeding were in accordance with professional standards of practice. The resident experienced significant weight loss, and the facility did not document the volume of enteral feeding administered. Despite the resident's weight loss, the nurse practitioner did not follow up on concerns regarding the resident's condition. The resident, who had a history of dysphagia and was receiving both a PO diet and enteral feedings, experienced a weight loss of over 10% within six months. The resident's care plan included monitoring the intake of enteral tube feeding and notifying the medical provider of unplanned weight changes. However, the facility failed to document the volume of enteral feed consumed, and the dietician assumed the resident was receiving the full bolus without verification. The dietician had not communicated with the physician since May, despite the ongoing weight loss. Interviews with facility staff, including the dietician and the Director of Nursing, revealed that the enteral feeding volume was not monitored as per the care plan. The nurse practitioner acknowledged the resident's weight loss but did not examine or treat the resident for this issue. The facility's policy required flush volumes to be recorded, suggesting that enteral feeding volumes should also be documented, but this was not done.
Inaccurate Nurse Staffing Information and Record Retention Failure
Penalty
Summary
The facility failed to ensure the accuracy of its daily nurse staffing information, as required by regulations. During a review of the staff posting forms, it was found that the total count of direct care nursing staff and their hours inaccurately included nursing staff with administrative duties and their administrative hours. For instance, on one occasion, the count of Registered Nurses (RNs) included hours from an RN Unit Manager, which should not have been counted as direct care hours. Similarly, Licensed Practical Nurses (LPNs) and RNs with administrative duties were incorrectly included in the direct care staff totals. The facility's administrator acknowledged that these inaccuracies were against the guidelines set by the Centers for Medicare & Medicaid Services (CMS), which require reporting based on the employee's primary role. Additionally, the facility did not retain the staffing posting forms for the required 18 months. During the survey, it was revealed that the facility did not maintain these forms, as they were sent to the corporate office for data entry and then disposed of. The facility's Medical Records representative confirmed that they were unaware of the requirement to keep these forms. The administrator also agreed that the original staffing posting forms should have been maintained, acknowledging the facility's failure to comply with this requirement.
Inaccurate Medical Record Documentation
Penalty
Summary
The facility failed to ensure the accurate completion of a resident's medical record during the skilled documentation process. This deficiency was identified for one of the 24 residents whose medical records were reviewed during the long-term care survey. Specifically, the medical record for a resident indicated that they were receiving occupational and physical therapy services daily from August 15 to September 2. However, upon further review, it was found that these therapy services had been discontinued as of August 14 and were not included in the resident's care plan. During an interview with the Director of Nursing and the Administrator, it was confirmed that the skilled documentation was inaccurately completed, reflecting services that were no longer being provided.
Pest Control Deficiency Due to Flies
Penalty
Summary
The facility failed to maintain an effective pest control program for flies, as observed during a long-term care survey. This deficiency was identified when a resident was found lying in bed with a fly sitting on her left ankle. The resident expressed that flies were a persistent issue in the facility. An LPN confirmed the presence of the fly, noting that it continued to land on the resident's leg. The facility's administrator acknowledged the problem, attributing it to the proximity of the Virginia State Fair Grounds and their dumpsters, which are located along the property line behind the facility.
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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 Lewisburg
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Lewisburg Healthcare Center | 1.2 mi | — | 11 | 1 |
| White Sulphur Springs Center | 12 mi | — | 15 | 1 |
| Summers Healthcare Center | 19.7 mi | — | 0 | 0 |
| Rainelle Healthcare Center | 21.1 mi | — | 0 | 0 |
| Lindside Healthcare Center | 23.1 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.