ROANE GENERAL HOSPITAL in Spencer, WV has an overall 5-star rating, with 4 stars for health inspections and staffing and 5 stars for quality measures. Reported nurse staffing is 4.64 hours per resident per day, above the 4.1 federal benchmark, with $0 in fines in the last 24 months and cited inspection issues in pharmacy reviews, grievances, and timely resident assessments.
Last inspection: September 25, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.6352.
Staffing detail
Registered nurses
0.48
Licensed practical nurses
1.41
Nurse aides
2.74
Weekend nursing
3.87
Hours per resident per day.
Total staff turnover: 47%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
10.3%Improving
Residents with a fall causing major injury
1.6%Improving
Residents with pressure ulcers (bedsores)
4.9%Improving
Residents with a urinary tract infection
0%Steady
Residents who lost too much weight
4.3%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
22%Worsening
Residents whose ability to walk got worse
28.4%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
21.4%Improving
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
16%Improving
Residents with depressive symptoms
10.8%Worsening
Long-stay residents given the seasonal flu vaccine
90.9%Steady
Long-stay residents given the pneumonia vaccine
89.8%Worsening
Short-stay residents given the pneumonia vaccine
30%Steady
What the inspectors found
The home failed to ensure a licensed pharmacist reviewed residents' medications each month and reported any problems as required. Cited May 2022 — widespread issue, potential for harm.
View the original federal record
F-Tag 756 — 42 CFR §483.45(c) — S/S: F
The home failed to protect residents’ right to complain without fear and did not ensure grievances were handled promptly. Cited September 2025 — limited pattern, potential for harm.
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F-Tag 585 — 42 CFR §483.10 — S/S: E
The nursing home failed to fully assess a resident promptly on admission and then keep that assessment updated regularly. Cited September 2025 — limited pattern, potential for harm.
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F-Tag 636 — 42 CFR §483.20 — S/S: E
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited September 2025 — limited pattern, potential for harm.
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F-Tag 880 — 42 CFR §483.80(a) — S/S: E
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited December 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: E
Recent history
STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
INSPECTION
Health inspection found 12 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 11 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 13 health deficiencies.
See what inspectors found
Operator & ownership
Ownership
Non profit - Corporation
Occupancy
32.4 residents on an average day (93% of 35 beds)
Resident voice
Resident council
Medicare history
Certified for 37 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.