Logan, WV

Logan Center

3-star overall rating with 3-star inspections with $38,100 in total fines with 15 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle

Po Box 540, Logan, WV

(304) 752-2273

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

66

Certified beds

Average residents

65

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Genesis Healthcare

Operator or chain grouping

Approved since

2001-09-10

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

193 facilities

Chain averages 2 overall / 2 health / 3 staffing / 3 quality stars

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.58

Registered nurse staffing · state 0.71 · national 0.68

LPN hours / resident day

0.84

Licensed practical nurse staffing · state 0.92 · national 0.87

Aide hours / resident day

1.79

Nurse aide staffing · state 2.07 · national 2.35

Total nurse hours

3.21

All reported nurse hours · state 3.69 · national 3.89

Licensed hours

1.42

RN + LPN hours · state 1.62 · national 1.54

Weekend hours

2.82

Weekend nurse staffing · state 3.18 · national 3.43

Weekend RN hours

0.14

Weekend registered nurse coverage · state 0.39 · national 0.47

Physical therapist

0.01

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

0.49

CMS adjusted RN staffing hours

Adjusted total hours

2.68

CMS adjusted total nurse staffing hours

Case-mix index

1.64

Higher values indicate more complex resident acuity

RN turnover

30%

Annual RN turnover · state 40% · national 45%

Total nurse turnover

43%

Annual nurse turnover · state 43% · national 46%

SNF VBP

Value-based purchasing

Program rank

1,019

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

61.05

Composite VBP score used to determine payment impact.

Payment multiplier

1.0161

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

6

Baseline 24.01% · Performance 19.47% · Measure score 6 · Achievement 4.23 · Improvement 6

Healthcare-associated infections

8.42

Baseline 12.17% · Performance 5.77% · Measure score 8.42 · Achievement 6.90 · Improvement 8.42

Total nurse turnover

10

Baseline 39.66% · Performance 24.49% · Measure score 10 · Achievement 10 · Improvement 9

Adjusted total nurse staffing

0

Baseline 3.15 hours · Performance 2.98 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 10.15%
10.72%
0.6 pts better
No Different than the National Rate · Eligible stays 48 · Observed rate 10.42% · Lower 95% interval 6.84%
Discharge to community 49.31%
50.57%
1.3 pts worse
No Different than the National Rate · Eligible stays 42 · Observed rate 35.71% · Lower 95% interval 32.64%
Medicare spending per beneficiary 1.4
1.02
0.4 pts worse
Drug regimen review with follow-up 98.48%
95.27%
3.2 pts better
Numerator 65 · Denominator 66
Falls with major injury 0%
0.77%
0.8 pts better
Numerator 0 · Denominator 65
Discharge self-care score 27.03%
53.69%
26.7 pts worse
Numerator 10 · Denominator 37
Discharge mobility score 32.43%
50.94%
18.5 pts worse
Numerator 12 · Denominator 37
Pressure ulcers or injuries, new or worsened 0%
2.29%
2.3 pts better
Numerator 0 · Denominator 65 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization 5.77%
7.12%
1.4 pts better
No Different than the National Rate · Eligible stays 42 · Observed rate 2.38% · Lower 95% interval 2.98%
Staff COVID-19 vaccination coverage 0%
8.2%
8.2 pts worse
Numerator 0 · Denominator 71
Staff flu vaccination coverage 55.32%
42%
13.3 pts better
Numerator 78 · Denominator 141
Discharge function score 35.14%
56.45%
21.3 pts worse
Numerator 13 · Denominator 37
Transfer of health information to provider 100%
95.95%
4 pts better
Numerator 30 · Denominator 30
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date 15.56%
25.2%
9.6 pts worse
Numerator 7 · Denominator 45

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.5
1.9
0.4 pts better
1.9
0.4 pts better
Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 2.0 · Expected 2.5 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 0.9
1.9
1 pts better
1.8
0.9 pts better
Long Stay · 20240701-20250630 · Adjusted 0.9 · Observed 1.1 · Expected 2.1 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
96.7%
3.3 pts better
93.4%
6.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
97.6%
2.4 pts better
95.5%
4.5 pts better
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury 0.4%
4.5%
4.1 pts better
3.3%
2.9 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.7% · 4Q avg 0.4% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 16.9%
6.8%
10.1 pts worse
11.4%
5.5 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 34.6% · Q2 9.6% · Q3 23.1% · Q4 1.8% · 4Q avg 16.9%
Percentage of long-stay residents who lose too much weight 3.9%
6.6%
2.7 pts better
5.4%
1.5 pts better
Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 3.6% · Q3 5.4% · Q4 5.0% · 4Q avg 3.9%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 27.2%
27.0%
0.2 pts worse
19.6%
7.6 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 25.0% · Q2 25.5% · Q3 28.1% · Q4 30.0% · 4Q avg 27.2%
Percentage of long-stay residents who received an antipsychotic medication 21.6%
15.5%
6.1 pts worse
16.7%
4.9 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 23.5% · Q2 24.3% · Q3 19.4% · Q4 19.5% · 4Q avg 21.6% · Used in QM five-star
Percentage of long-stay residents who were physically restrained 3.0%
0.2%
2.8 pts worse
0.1%
2.9 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.8% · Q3 3.5% · Q4 6.7% · 4Q avg 3.0%
Percentage of long-stay residents whose ability to walk independently worsened 16.3%
19.5%
3.2 pts better
16.3%
About the same
Long Stay · 2024Q4-2025Q3 · Q3 12.4% · Q4 3.8% · 4Q avg 16.3% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 9.2%
17.6%
8.4 pts better
14.9%
5.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 20.8% · Q2 6.1% · Q3 3.9% · Q4 5.7% · 4Q avg 9.2% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0%
0.5%
0.5 pts better
1.0%
1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 0.4%
1.8%
1.4 pts better
1.7%
1.3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.7% · 4Q avg 0.4% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 15.6%
22.4%
6.8 pts better
19.8%
4.2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 16.7% · Q2 14.1% · Q3 16.5% · Q4 15.2% · 4Q avg 15.6%
Percentage of long-stay residents with pressure ulcers 6.3%
4.7%
1.6 pts worse
5.1%
1.2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 5.3% · Q2 7.9% · Q3 8.2% · Q4 4.0% · 4Q avg 6.3% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 94.6%
78.8%
15.8 pts better
81.7%
12.9 pts better
Short Stay · 2024Q4-2025Q3 · Q1 97.9% · Q2 92.5% · Q3 93.8% · Q4 94.4% · 4Q avg 94.6%
Percentage of short-stay residents who had an outpatient emergency department visit 12.4%
12.4%
About the same
12.0%
0.4 pts worse
Short Stay · 20240701-20250630 · Adjusted 12.4% · Observed 15.4% · Expected 13.9% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 2.6%
1.1%
1.5 pts worse
1.6%
1 pts worse
Short Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 0.0% · Q3 3.2% · Q4 3.8% · 4Q avg 2.6% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 90.4%
79.4%
11 pts better
79.7%
10.7 pts better
Short Stay · 2024Q3-2025Q2 · 4Q avg 90.4%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 23.8%
23.0%
0.8 pts worse
23.9%
0.1 pts better
Short Stay · 20240701-20250630 · Adjusted 23.8% · Observed 28.8% · Expected 28.9% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2023-08-09 · Fire 2023-08-09

15 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

6 fire-safety deficiencies

Top issue: Miscellaneous (2 deficiencies)

Cycle 2 Health 2022-04-06 · Fire 2022-04-06

8 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

2 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 3 Health 2019-09-26 · Fire 2019-09-26

11 health deficiencies

Top issue: Resident Assessment and Care Planning (3 deficiencies)

5 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2023-08-09

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2023-10-17

F · Potential for more than minimal harm 2023-08-09

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2023-10-04

F · Potential for more than minimal harm 2023-08-09

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2023-10-04

F · Potential for more than minimal harm 2023-08-09

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2023-10-04

F · Potential for more than minimal harm 2023-08-09

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2023-10-04

F · Potential for more than minimal harm 2023-08-09

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2023-10-04

C · Minimal harm 2022-04-06

K300 · Egress Deficiencies

Fire Safety

Meet other general requirements that are deficient.

Corrected 2022-04-27

C · Minimal harm 2022-04-06

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2022-04-27

C · Minimal harm 2019-09-26

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2019-10-17

C · Minimal harm 2019-09-26

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2019-10-17

C · Minimal harm 2019-09-26

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2019-10-17

C · Minimal harm 2019-09-26

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2019-10-17

C · Minimal harm 2019-09-26

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2019-10-17

Inspection history

Recent health citations

J · Immediate jeopardy 2025-06-11

F805 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Corrected 2024-12-09

E · Potential for more than minimal harm 2025-06-11

F908 · Environmental Deficiencies

Health

Keep all essential equipment working safely.

Corrected 2025-06-11

D · Potential for more than minimal harm 2025-06-11

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2025-06-11

D · Potential for more than minimal harm 2025-06-11

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2025-06-11

D · Potential for more than minimal harm 2025-06-11

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-06-11

G · Actual harm 2023-09-26

F697 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2023-10-26

F · Potential for more than minimal harm 2023-08-09

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-09-19

E · Potential for more than minimal harm 2023-08-09

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2023-09-19

E · Potential for more than minimal harm 2023-08-09

F868 · Administration Deficiencies

Health

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Corrected 2023-09-19

D · Potential for more than minimal harm 2023-08-09

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2023-09-19

D · Potential for more than minimal harm 2023-08-09

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2023-09-19

D · Potential for more than minimal harm 2023-08-09

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2023-09-19

D · Potential for more than minimal harm 2023-08-09

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2023-09-19

D · Potential for more than minimal harm 2023-08-09

F698 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2023-09-19

D · Potential for more than minimal harm 2023-08-09

F770 · Administration Deficiencies

Health

Provide timely, quality laboratory services/tests to meet the needs of residents.

Corrected 2023-09-19

D · Potential for more than minimal harm 2023-08-09

F883 · Infection Control Deficiencies

Health

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2023-09-19

D · Potential for more than minimal harm 2023-04-25

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2023-05-25

D · Potential for more than minimal harm 2023-04-25

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2023-05-25

D · Potential for more than minimal harm 2023-04-25

F726 · Nursing and Physician Services Deficiencies

Health

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Corrected 2023-05-25

D · Potential for more than minimal harm 2022-04-06

F578 · Resident Rights Deficiencies

Health

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.

Corrected 2022-04-29

D · Potential for more than minimal harm 2022-04-06

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2022-04-29

D · Potential for more than minimal harm 2022-04-06

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2022-04-29

D · Potential for more than minimal harm 2022-04-06

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2022-04-29

D · Potential for more than minimal harm 2022-04-06

F693 · Quality of Life and Care Deficiencies

Health

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Corrected 2022-04-29

D · Potential for more than minimal harm 2022-04-06

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2022-04-29

D · Potential for more than minimal harm 2022-04-06

F756 · Pharmacy Service Deficiencies

Health

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2022-04-29

D · Potential for more than minimal harm 2022-04-06

F810 · Nutrition and Dietary Deficiencies

Health

Provide special eating equipment and utensils for residents who need them and appropriate assistance.

Corrected 2022-04-29

K · Immediate jeopardy 2019-09-26

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2019-10-31

D · Potential for more than minimal harm 2019-09-26

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2019-10-31

D · Potential for more than minimal harm 2019-09-26

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2019-10-31

D · Potential for more than minimal harm 2019-09-26

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2019-10-31

D · Potential for more than minimal harm 2019-09-26

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2019-10-31

D · Potential for more than minimal harm 2019-09-26

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2019-10-31

D · Potential for more than minimal harm 2019-09-26

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2019-10-31

Penalties and ownership

What sits behind the stars

$16,981 2025-06-11

Fine

Fine · fine $16,981

Fine

$21,119 2023-08-09

Fine

Fine · fine $21,119

Fine

Ownership

Genesis Operations V LLC

5% Or Greater Direct Ownership Interest · Organization

100% 4 facilities 2011-12-31
Berg, Michael

Corporate Officer · Individual

0% 175 facilities 2012-12-01
Bridgeford, Laura

Corporate Officer · Individual

0% 150 facilities 2024-06-01
Fc-Gen Operations Investment LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 171 facilities 2015-02-02
Fishman, Steven

5% Or Greater Indirect Ownership Interest · Individual

0% 161 facilities 2011-12-31
Frazier, Dorothy

Operational/Managerial Control · Individual

0% 1 facilities 2024-01-15
Gen Operations I LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 183 facilities 2015-02-02
Gen Operations Ii LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 183 facilities 2015-02-02
Genesis Healthcare Inc

5% Or Greater Indirect Ownership Interest · Organization

0% 180 facilities 2015-02-02
Genesis Healthcare LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 181 facilities 2015-02-02
Genesis Holdings LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 169 facilities 2015-02-02
Ghc Holdings LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 124 facilities 2015-02-02
Hccf Management Group Xi LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 184 facilities 2011-12-31
Mendelson, Avi

Corporate Officer · Individual

0% 149 facilities 2024-06-01
Sun Healthcare Group Inc

5% Or Greater Indirect Ownership Interest · Organization

0% 174 facilities 2015-02-02
Sundance Rehabilitation Holdco Inc

5% Or Greater Indirect Ownership Interest · Organization

0% 163 facilities 2016-01-01
Toothman, James

Operational/Managerial Control · Individual

0% 5 facilities 2023-02-25
Welltower Op LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 197 facilities 2024-03-01
Whitman, Arnold

5% Or Greater Indirect Ownership Interest · Individual

0% 170 facilities 2015-02-02
Zac Properties Xi LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 175 facilities 2011-12-31

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Staffing
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Fines
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4-star overall rating with 4-star inspections with $25,623 in total fines with 9 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

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Staffing
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Fines
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#3

Trinity Health Care Of Mingo

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3-star overall rating with 4-star inspections with $25,237 in total fines with 7 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

Overall
3 / 5
Health
4 / 5
Staffing
3 / 5
Fines
$25,237

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