West Virginia › Roane County › Spencer
Roane General Hospital
200 Hospital Drive, Spencer, WV 25276
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 35 beds, Roane General Hospital serves Spencer in Roane County, West Virginia and has taken Medicare and Medicaid residents since 1989.
CMS gives it 5 of 5 stars overall, above the West Virginia median of 3; the health inspection rating is 4, staffing 4 and quality measures 5.
Inspectors recorded 36 health deficiencies across the three most recent survey cycles (12, 11, 13 by cycle, most recent first), none at the actual-harm level. That is 102.9 per 100 beds, more than the state median of 47.3.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 4.7 hours per resident per day (0.4 RN), above the West Virginia median of 3.5; nursing staff turnover is 43.9%.
Compared with county, state and nation
| Measure | This facility | Roane Co. median | West Virginia median | US average |
|---|---|---|---|---|
| Overall star rating | 5 | 5 | 3 | 3.0 |
| Health citations, 3 cycles | 36 | 41 | 38 | 28.7 |
| Citations per 100 beds | 102.9 | 102.9 | 47.3 | 26.8 |
| Total nurse hours per resident day | 4.7 | 4.7 | 3.5 | 3.9 |
| RN hours per resident day | 0.4 | 0.5 | 0.7 | 0.7 |
| Nursing staff turnover | 43.9% | 44.7% | 43.2% | 45.8% |
| Fines listed | $0 | $0 | $8,021 | — |
County and state figures are medians across facilities (2 in the county, 123 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: West Virginia average per facility for the same cycle, as published by CMS. Standard health survey dates: 25 Sep 2025, 6 Dec 2023.
Severity mix: D ×26 E ×9 F ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 25 Sep 2025 | F0585 | Honor 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. | E | Standard survey | 11 Nov 2025 |
| 25 Sep 2025 | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | E | Standard survey | 11 Nov 2025 |
| 25 Sep 2025 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | Standard survey | 11 Nov 2025 |
| 25 Sep 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 11 Nov 2025 |
| 25 Sep 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 11 Nov 2025 |
| 25 Sep 2025 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 11 Nov 2025 |
| 25 Sep 2025 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 11 Nov 2025 |
| 25 Sep 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 11 Nov 2025 |
| 25 Sep 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 11 Nov 2025 |
| 25 Sep 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 11 Nov 2025 |
| 25 Sep 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 11 Nov 2025 |
| 25 Sep 2025 | F0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | D | Standard survey | 11 Nov 2025 |
| 6 Dec 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 31 Jan 2024 |
| 6 Dec 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 31 Jan 2024 |
| 6 Dec 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 31 Jan 2024 |
| 6 Dec 2023 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 31 Jan 2024 |
| 6 Dec 2023 | F0585 | Honor 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. | D | Standard survey | 31 Jan 2024 |
| 6 Dec 2023 | F0637 | Assess the resident when there is a significant change in condition | D | Standard survey | 31 Jan 2024 |
| 6 Dec 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 31 Jan 2024 |
| 6 Dec 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 31 Jan 2024 |
| 6 Dec 2023 | F0761 | 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. | D | Standard survey | 31 Jan 2024 |
| 6 Dec 2023 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 31 Jan 2024 |
| 6 Dec 2023 | F0908 | Keep all essential equipment working safely. | D | Standard survey | 31 Jan 2024 |
| 18 May 2022 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | F | Standard survey | 24 Jun 2022 |
| 18 May 2022 | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | E | Standard survey | 24 Jun 2022 |
| 18 May 2022 | F0584 | 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. | E | Standard survey | 24 Jun 2022 |
| 18 May 2022 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 24 Jun 2022 |
| 18 May 2022 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 24 Jun 2022 |
| 18 May 2022 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard survey | 24 Jun 2022 |
| 18 May 2022 | F0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | Standard survey | 24 Jun 2022 |
| 18 May 2022 | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Standard survey | 24 Jun 2022 |
| 18 May 2022 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 24 Jun 2022 |
| 18 May 2022 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 24 Jun 2022 |
| 18 May 2022 | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | Standard survey | 24 Jun 2022 |
| 18 May 2022 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 24 Jun 2022 |
| 18 May 2022 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 24 Jun 2022 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the West Virginia average. Turnover: nursing staff 43.9%, RNs —; — administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | West Virginia median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 24.5% | 14.2% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 1.0% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.6% | 4.4% | 2.8% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 31.9% | 15.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.8% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 8.8% | 10.9% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: non-profit, corporation. Legal business name: Hospital Development Co..
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Hospital Development Co. | 5% or greater direct ownership interest | 100% | 01/27/1970 |
| Hospital Development Co. | Operational/managerial control | NOT APPLICABLE | 01/27/1970 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Roane County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Miletree Center | Spencer | 62 | 4 | 4 | 2 | 41 | 66.1 | — | 18 Aug 2025 |
All 2 facilities in Roane County
Questions and answers
How many deficiencies has Roane General Hospital been cited for?
36 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The West Virginia median is 38 per facility.
Has Roane General Hospital been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Roane General Hospital compare?
Reported total nurse staffing is 4.7 hours per resident per day against a West Virginia median of 3.5 and a national average of 3.9.
Who operates Roane General Hospital?
Ownership type is non-profit, corporation. Organisations in the CMS ownership record include Hospital Development Co. and Hospital Development Co.. Individual owners and managers are not listed on this site.
When was Roane General Hospital last inspected?
The most recent survey or investigation in the CMS record is dated 25 Sep 2025; the most recent standard health survey was 25 Sep 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.