The Vardell Report.Peterson Rehabilitation and Healthcare

Across 6 inspections from June 2023 to July 2026, state surveyors documented 54 findings at Peterson Rehabilitation and Healthcare; 40 have a recorded correction and 14 await one; CMS lists 2 enforcement actions in the window.

Inspections

6

2023–2026, standard and complaint

Findings

54

Deficiencies cited by state inspectors

Corrected

40

Of 54 findings, with a recorded correction date

Penalties

2

2 fines; payment not published

Every inspection in the record window, newest first. A finding is a deficiency an inspector cited. CMS publishes what a complaint investigation cited, not what the complaint alleged.

1. Jul 12026

   Standard health inspection

   8 findings

   The same visit included a complaint investigation.

   • F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Level ENo actual harm, potential for moreCorrected Aug 12, 2026
   • F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Level ENo actual harm, potential for moreCorrected Aug 12, 2026
   • F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Level ENo actual harm, potential for moreCorrected Aug 12, 2026
   • F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Level ENo actual harm, potential for moreCorrected Aug 12, 2026
   • F880Provide and implement an infection prevention and control program.Level ENo actual harm, potential for moreCorrected Aug 12, 2026
   • F645PASARR screening for Mental disorders or Intellectual DisabilitiesLevel DNo actual harm, potential for moreCorrected Aug 12, 2026
   • F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Level DNo actual harm, potential for moreCorrected Aug 12, 2026
   • F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Level DNo actual harm, potential for moreCorrected Aug 12, 2026

   Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)

2. Oct 82025

   Complaint investigation

   7 findings

   • F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Level ENo actual harm, potential for moreCorrected Nov 25, 2025
   • F610Respond appropriately to all alleged violations.Level ENo actual harm, potential for moreCorrected Nov 25, 2025
   • F585Honor 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.Level DNo actual harm, potential for moreCorrected Nov 25, 2025
   • F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Level DNo actual harm, potential for moreCorrected Nov 25, 2025
   • F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Level DNo actual harm, potential for moreCorrected Nov 25, 2025
   • F697Provide safe, appropriate pain management for a resident who requires such services.Level DNo actual harm, potential for moreCorrected Nov 25, 2025
   • F880Provide and implement an infection prevention and control program.Level DNo actual harm, potential for moreCorrected Nov 25, 2025

   Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)

3. Feb 132025

   Standard health inspection

   14 findings

   The same visit included a complaint investigation.

   • F577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.Level ENo actual harm, potential for moreDeficient, Provider has date of correction
   • F585Honor 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.Level ENo actual harm, potential for moreDeficient, Provider has date of correction
   • F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Level ENo actual harm, potential for moreDeficient, Provider has date of correction
   • F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Level ENo actual harm, potential for moreDeficient, Provider has date of correction
   • F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Level ENo actual harm, potential for moreDeficient, Provider has date of correction
   • F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Level ENo actual harm, potential for moreDeficient, Provider has date of correction
   • F558Reasonably accommodate the needs and preferences of each resident.Level DNo actual harm, potential for moreDeficient, Provider has date of correction
   • F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.Level DNo actual harm, potential for moreDeficient, Provider has date of correction
   • F645PASARR screening for Mental disorders or Intellectual DisabilitiesLevel DNo actual harm, potential for moreDeficient, Provider has date of correction
   • F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Level DNo actual harm, potential for moreDeficient, Provider has date of correction
   • F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Level DNo actual harm, potential for moreDeficient, Provider has date of correction
   • F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Level DNo actual harm, potential for moreDeficient, Provider has date of correction
   • F761Ensure 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.Level DNo actual harm, potential for moreDeficient, Provider has date of correction
   • F880Provide and implement an infection prevention and control program.Level DNo actual harm, potential for moreDeficient, Provider has date of correction

   Enforcement Action

   Civil money penalty, $14,518 imposed February 13, 2025. CMS publishes the fine, not whether it has been paid. CMS does not tie a penalty to a survey; listed with the standard health inspection of February 13, 2025, the nearest before the penalty date.

   Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)

4. May 282024

   Complaint investigation

   6 findings

   • F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Level JImmediate jeopardyCorrected May 31, 2024
   • F605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.Level JImmediate jeopardyCorrected May 31, 2024
   • F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Level JImmediate jeopardyCorrected May 31, 2024
   • F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Level GActual harmCorrected May 31, 2024
   • F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Level DNo actual harm, potential for moreCorrected May 31, 2024
   • F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Level DNo actual harm, potential for moreCorrected May 31, 2024

   Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)

5. Oct 172023

   Complaint investigation

   1 finding

   • F584Honor 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.Level DNo actual harm, potential for moreCorrected Nov 29, 2023

   Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)

6. Jun 72023

   Standard health inspection

   18 findings

   • F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Level FNo actual harm, potential for moreCorrected Jul 25, 2023
   • F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Level ENo actual harm, potential for moreCorrected Jul 25, 2023
   • F732Post nurse staffing information every day.Level ENo actual harm, potential for moreCorrected Jul 25, 2023
   • F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Level ENo actual harm, potential for moreCorrected Jul 25, 2023
   • F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Level DNo actual harm, potential for moreCorrected Jul 25, 2023
   • F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Level DNo actual harm, potential for moreCorrected Jul 25, 2023
   • F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.Level DNo actual harm, potential for moreCorrected Jul 25, 2023
   • F585Honor 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.Level DNo actual harm, potential for moreCorrected Jul 25, 2023
   • F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Level DNo actual harm, potential for moreCorrected Jul 25, 2023
   • F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Level DNo actual harm, potential for moreCorrected Jul 25, 2023
   • F685Assist a resident in gaining access to vision and hearing services.Level DNo actual harm, potential for moreCorrected Jul 25, 2023
   • F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Level DNo actual harm, potential for moreCorrected Jul 25, 2023
   • F695Provide safe and appropriate respiratory care for a resident when needed.Level DNo actual harm, potential for moreCorrected Jul 25, 2023
   • F698Provide safe, appropriate dialysis care/services for a resident who requires such services.Level DNo actual harm, potential for moreCorrected Jul 25, 2023
   • F758Implement 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.Level DNo actual harm, potential for moreCorrected Jul 25, 2023
   • F761Ensure 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.Level DNo actual harm, potential for moreCorrected Jul 25, 2023
   • F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Level DNo actual harm, potential for moreCorrected Jul 25, 2023
   • F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.Level DNo actual harm, potential for moreCorrected Jul 25, 2023

   Enforcement Action

   Civil money penalty, $127,823 imposed May 28, 2024. CMS publishes the fine, not whether it has been paid. CMS does not tie a penalty to a survey; listed with the standard health inspection of June 7, 2023, the nearest before the penalty date.

   Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)

Severity levels follow the CMS scope and severity grid. A–C: potential for minimal harm. D–F: no actual harm, potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy.

A repeated citation can merit attention, but context and corrective action must be reviewed before drawing a conclusion.

1. 1

   Reporting Suspected Abuse, Cited in Two Inspections

   Inspectors cited F609 in May 2024 and October 2025. This citation covers whether suspected abuse, neglect or theft is reported to the authorities on time, with the results of the home’s investigation. None rose above level E (no actual harm, potential for more). Each citation has a recorded correction, and a repeat after correction is worth a direct question.

   232324252526F609 across all 6 inspections, oldest to newest
2. 2

   Needs and Preferences, No Recorded Correction

   F558 was cited in February 2025. This citation covers whether the home reasonably accommodates each resident’s needs and preferences. The most serious was level D (no actual harm, potential for more). The February 2025 citation has no recorded correction date; its status reads “Deficient, Provider has date of correction.” The record does not show whether the problem was fixed.

   232324252526F558 across all 6 inspections, oldest to newest
3. 3

   Citation F577, No Recorded Correction

   F577 was cited in February 2025. The agency describes it this way: Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. The most serious was level E (no actual harm, potential for more). The February 2025 citation has no recorded correction date; its status reads “Deficient, Provider has date of correction.” The record does not show whether the problem was fixed.

   232324252526F577 across all 6 inspections, oldest to newest
4. 4

   Grievances, No Recorded Correction

   F585 was cited in June 2023, February 2025 and October 2025. This citation covers residents’ right to voice grievances without reprisal, and the home’s process for resolving them. The most serious was level E (no actual harm, potential for more). The February 2025 citation has no recorded correction date; its status reads “Deficient, Provider has date of correction.” The record does not show whether the problem was fixed.

   232324252526F585 across all 6 inspections, oldest to newest
5. 5

   Coordinating Mental Health Screening, No Recorded Correction

   F644 was cited in February 2025. This citation covers whether assessments are coordinated with the state’s pre-admission screening for mental illness and intellectual disability (PASARR), and referrals made. The most serious was level D (no actual harm, potential for more). The February 2025 citation has no recorded correction date; its status reads “Deficient, Provider has date of correction.” The record does not show whether the problem was fixed.

   232324252526F644 across all 6 inspections, oldest to newest
6. 6

   Pre-Admission Screening, No Recorded Correction

   F645 was cited in February 2025 and July 2026. This citation covers the required screening for mental illness or intellectual disability before admission (PASARR). The most serious was level D (no actual harm, potential for more). The February 2025 citation has no recorded correction date; its status reads “Deficient, Provider has date of correction.” The record does not show whether the problem was fixed.

   232324252526F645 across all 6 inspections, oldest to newest
7. 7

   Care Plans, No Recorded Correction

   F656 was cited in June 2023, May 2024, February 2025 and July 2026. This citation covers whether each resident has a written care plan that meets their needs, with goals that can be measured. The most serious was level G (actual harm). The February 2025 citation has no recorded correction date; its status reads “Deficient, Provider has date of correction.” The record does not show whether the problem was fixed.

   232324252526F656 across all 6 inspections, oldest to newest
8. 8

   Care Plan Timing and Review, No Recorded Correction

   F657 was cited in June 2023, May 2024, February 2025, October 2025 and July 2026. This citation covers whether care plans are written on time and revised by a team that includes the resident’s caregivers. The most serious was level D (no actual harm, potential for more). The February 2025 citation has no recorded correction date; its status reads “Deficient, Provider has date of correction.” The record does not show whether the problem was fixed.

   232324252526F657 across all 6 inspections, oldest to newest
9. 9

   Quality of Care, No Recorded Correction

   F684 was cited in June 2023, February 2025 and October 2025. This citation covers whether residents receive the treatment their orders, preferences and goals call for. The most serious was level E (no actual harm, potential for more). The February 2025 citation has no recorded correction date; its status reads “Deficient, Provider has date of correction.” The record does not show whether the problem was fixed.

   232324252526F684 across all 6 inspections, oldest to newest
10. 10

    Accident Hazards and Supervision, No Recorded Correction

    F689 was cited in May 2024, February 2025 and July 2026. This citation covers whether residents are protected from accident hazards and supervised closely enough to prevent accidents, including falls. The most serious was level J (immediate jeopardy). The February 2025 citation has no recorded correction date; its status reads “Deficient, Provider has date of correction.” The record does not show whether the problem was fixed.

    232324252526F689 across all 6 inspections, oldest to newest
11. 11

    Medication Labeling and Storage, No Recorded Correction

    F761 was cited in June 2023 and February 2025. This citation covers how drugs are labeled and kept locked, including controlled drugs. The most serious was level D (no actual harm, potential for more). The February 2025 citation has no recorded correction date; its status reads “Deficient, Provider has date of correction.” The record does not show whether the problem was fixed.

    232324252526F761 across all 6 inspections, oldest to newest
12. 12

    Food Quality and Temperature, No Recorded Correction

    F804 was cited in June 2023, February 2025 and July 2026. This citation covers whether food and drink are palatable, attractive and served at a safe temperature. The most serious was level E (no actual harm, potential for more). The February 2025 citation has no recorded correction date; its status reads “Deficient, Provider has date of correction.” The record does not show whether the problem was fixed.

    232324252526F804 across all 6 inspections, oldest to newest
13. 13

    Kitchen and Food Safety, No Recorded Correction

    F812 was cited in June 2023, February 2025 and July 2026. This citation covers how food is stored, prepared and served. The most serious was level E (no actual harm, potential for more). The February 2025 citation has no recorded correction date; its status reads “Deficient, Provider has date of correction.” The record does not show whether the problem was fixed.

    232324252526F812 across all 6 inspections, oldest to newest
14. 14

    Medical Records, No Recorded Correction

    F842 was cited in June 2023, February 2025 and July 2026. This citation covers whether resident records are complete, accurate and kept confidential. The most serious was level F (no actual harm, potential for more). The February 2025 citation has no recorded correction date; its status reads “Deficient, Provider has date of correction.” The record does not show whether the problem was fixed.

    232324252526F842 across all 6 inspections, oldest to newest
15. 15

    Infection Control, No Recorded Correction

    F880 was cited in February 2025, October 2025 and July 2026. This citation covers hand hygiene, isolation practice and the home’s infection-prevention program. The most serious was level E (no actual harm, potential for more). The February 2025 citation has no recorded correction date; its status reads “Deficient, Provider has date of correction.” The record does not show whether the problem was fixed.

    232324252526F880 across all 6 inspections, oldest to newest

Bring these to the tour. Each one comes from something in the record; the reason is under the question.

1. 01

   How are staff trained to report suspected abuse or neglect, and who reports it to the state?

   Reporting Suspected Abuse: cited in two inspections, most seriously at level E.

2. 02

   How do you adjust rooms, schedules and routines to a resident’s needs and preferences?

   Needs and Preferences: cited in one inspections, most seriously at level D. The February 13, 2025 citation has no recorded correction date.

3. 03

   What changed after F577 was cited, and how do you check it now?

   Citation F577: cited in one inspections, most seriously at level E. The February 13, 2025 citation has no recorded correction date.

4. 04

   How do we file a grievance, who answers it, and how quickly?

   Grievances: cited in three inspections, most seriously at level E. The February 13, 2025 citation has no recorded correction date.

5. 05

   How do you arrange services for residents with a mental illness or an intellectual disability?

   Coordinating Mental Health Screening: cited in one inspections, most seriously at level D. The February 13, 2025 citation has no recorded correction date.

6. 06

   Was the required pre-admission screening done for every resident, and how is it tracked?

   Pre-Admission Screening: cited in two inspections, most seriously at level D. The February 13, 2025 citation has no recorded correction date.

7. 07

   How is a care plan written and reviewed here, and how do families take part in it?

   Care Plans: cited in four inspections, most seriously at level G. The February 13, 2025 citation has no recorded correction date.

8. 08

   How often are care plans revised, and who takes part in the review?

   Care Plan Timing and Review: cited in five inspections, most seriously at level D. The February 13, 2025 citation has no recorded correction date.

9. 09

   How do nurses make sure a doctor’s orders are carried out, and how are families told when something is missed?

   Quality of Care: cited in three inspections, most seriously at level E. The February 13, 2025 citation has no recorded correction date.

10. 10

    What changed in fall prevention and supervision after the last citation, and how do you check that it is still working?

    Accident Hazards and Supervision: cited in three inspections, most seriously at level J. The February 13, 2025 citation has no recorded correction date.

11. 11

    How are medications stored and secured, and who checks the medication carts?

    Medication Labeling and Storage: cited in two inspections, most seriously at level D. The February 13, 2025 citation has no recorded correction date.

12. 12

    May we try a meal, and how do you check food temperature by the time it reaches residents?

    Food Quality and Temperature: cited in three inspections, most seriously at level E. The February 13, 2025 citation has no recorded correction date.

13. 13

    May we see the kitchen, and what do your own sanitation checks look like week to week?

    Kitchen and Food Safety: cited in three inspections, most seriously at level E. The February 13, 2025 citation has no recorded correction date.

14. 14

    How can a family request a resident’s records, and how are they kept accurate?

    Medical Records: cited in three inspections, most seriously at level F. The February 13, 2025 citation has no recorded correction date.

15. 15

    Who leads infection control here, and how often are hand-hygiene and isolation practices audited?

    Infection Control: cited in three inspections, most seriously at level E. The February 13, 2025 citation has no recorded correction date.

16. 16

    How many nurses and aides are on each shift, including nights and weekends, for the unit we are considering?

    No staffing citation appears in this window. Staffing levels are published separately by CMS and are worth asking about directly.

17. 17

    What led to the 2025 fine, and has it been paid?

    A $14,518 civil money penalty was imposed February 13, 2025. CMS publishes the fine, not whether it has been paid. The record holds two enforcement actions in the window.

Inspection results and penalties are published by the Centers for Medicare & Medicaid Services from surveys conducted by the West Virginia state survey agency.

• Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)

  West Virginia state survey agency

  Inspection Jun 7, 2023 · Published Oct 1, 2026 · Retrieved Nov 1, 2026

• Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)

  West Virginia state survey agency

  Inspection Oct 17, 2023 · Published Oct 1, 2026 · Retrieved Nov 1, 2026

• Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)

  West Virginia state survey agency

  Inspection May 28, 2024 · Published Oct 1, 2026 · Retrieved Nov 1, 2026

• Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)

  West Virginia state survey agency

  Inspection Feb 13, 2025 · Published Oct 1, 2026 · Retrieved Nov 1, 2026

• Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)

  West Virginia state survey agency

  Inspection Oct 8, 2025 · Published Oct 1, 2026 · Retrieved Nov 1, 2026

• Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)

  West Virginia state survey agency

  Inspection Jul 1, 2026 · Published Oct 1, 2026 · Retrieved Nov 1, 2026

• Penalties, Provider Data Catalog

  Centers for Medicare & Medicaid Services

  Published Oct 1, 2026 · Retrieved Nov 1, 2026

  View Dataset ↗
• Provider Information, Provider Data Catalog

  Centers for Medicare & Medicaid Services · 515002

  Published Oct 1, 2026 · Retrieved Nov 1, 2026

  View Dataset ↗

Historical coverage varies by agency and location. Missing records do not mean that no complaint or violation occurred.

Data architecture: Cierto supplies the source-backed machine-readable bundle. Life by Vardell independently creates the narrative, design, and consumer report.