Quick answers
- Where is Roane General Hospital?
- 200 Hospital Drive, Spencer, WV 25276, in Roane County, West Virginia.
- What is the phone number of Roane General Hospital?
- (304) 927-4444, as listed by Medicare (CMS).
- What is the Medicare star rating of Roane General Hospital?
- Medicare overall rating: 4 out of 5 stars (CMS data updated 2026-10-01).
- Has Roane General Hospital been fined?
- Medicare lists no fines for Roane General Hospital.
- What did inspectors find at Roane General Hospital?
- In its last three inspection cycles (May 18, 2022 to September 25, 2025), Medicare lists 36 health citations; the most serious was level F. See the list below (CMS data updated 2026-10-01).
Medicare ratings, explained
Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.
Inspections, fines and staffing
In its last three inspection cycles (May 18, 2022 to September 25, 2025), Roane General Hospital had 36 health citations; the most serious was level F (no actual harm, potential for more than minimal harm). Medicare lists no fines or payment denials for it in the last three years. Nurse staffing is 4.16 hours per resident per day; the West Virginia average is 3.71 and the national average is 3.90.
Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.
Inspection history: last three cycles
State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.
What the letters A to L mean
| Seriousness | Isolated (a few residents) | Pattern (some) | Widespread (many) |
|---|---|---|---|
| No actual harm, potential for minimal harm | A | B | C |
| No actual harm, potential for more than minimal harm | D | E | F |
| Actual harm to residents | G | H | I |
| Immediate jeopardy to resident health or safety | J | K | L |
Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.
Most recent cycle: September 25, 2025 — 12 health citations
Inspections in this cycle: September 25, 2025 (standard health inspection).
Show 12 citations (levels A to F, no actual harm)
F0585 Level E
“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.”
F0636 Level E
“Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.”
F0756 Level E
“Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.”
F0880 Level E
“Provide and implement an infection prevention and control program.”
F0609 Level D
“Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.”
F0610 Level D
“Respond appropriately to all alleged violations.”
F0645 Level D
“PASARR screening for Mental disorders or Intellectual Disabilities”
F0656 Level D
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0657 Level D
“Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.”
F0684 Level D
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
F0755 Level D
“Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.”
F0887 Level D
“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.”
Previous cycle: December 6, 2023 — 11 health citations
Inspections in this cycle: December 6, 2023 (standard health inspection); September 25, 2025 (complaint investigation).
Show 11 citations (levels A to F, no actual harm)
F0812 Level E
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0880 Level E
“Provide and implement an infection prevention and control program.”
F0550 Level D
“Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”
F0558 Level D
“Reasonably accommodate the needs and preferences of each resident.”
F0585 Level D
“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.”
F0637 Level D
“Assess the resident when there is a significant change in condition”
F0656 Level D
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0684 Level D
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
F0761 Level D
“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.”
F0842 Level D
“Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.”
F0908 Level D
“Keep all essential equipment working safely.”
Earlier cycle: May 18, 2022 — 13 health citations
Inspections in this cycle: May 18, 2022 (standard health inspection).
Show 13 citations (levels A to F, no actual harm)
F0756 Level F
“Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.”
F0578 Level E
“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.”
F0584 Level E
“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.”
F0880 Level E
“Provide and implement an infection prevention and control program.”
F0558 Level D
“Reasonably accommodate the needs and preferences of each resident.”
F0623 Level D
“Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.”
F0625 Level D
“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.”
F0636 Level D
“Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.”
F0656 Level D
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0657 Level D
“Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.”
F0744 Level D
“Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.”
F0812 Level D
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0842 Level D
“Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.”
Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.
Full inspection reports on Medicare Care Compare →
Fire safety citations (4)
K0353 Level F
“Inspect, test, and maintain automatic sprinkler systems.”
K0347 Level C
“Properly provide smoke detection systems in areas open to corridors.”
K0761 Level C
“To conduct inspection, testing and maintenance of fire doors by qualified individuals.”
K0918 Level C
“Have generator or other power source capable of supplying service within 10 seconds.”
Staffing
Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.
| Measure | This home | West Virginia | National |
|---|---|---|---|
| Registered nurse (RN) hours per resident per day | 0.43 | 0.74 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 1.15 | 0.90 | 0.86 |
| Nurse aide hours per resident per day | 2.58 | 2.07 | 2.35 |
| Total nurse staff hours per resident per day | 4.16 | 3.71 | 3.90 |
| Total nurse staff hours per resident per day on the weekend | 3.32 | 3.17 | 3.43 |
| RN hours per resident per day on the weekend | 0.29 | 0.40 | 0.48 |
| Nursing staff turnover (per year) | 39.5% | 43.7% | 45.3% |
Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.
Owners and operator
Legal business name: Hospital Development Co..
Owners and managers Medicare lists (2)
| Name | Role | Share | Since |
|---|---|---|---|
| Hospital Development Co. | Direct owner | 100% | January 27, 1970 |
| Hospital Development Co. | Management company (operational or managerial control) | NOT APPLICABLE | January 27, 1970 |
Source: Medicare (CMS) Ownership file, data updated October 1, 2026. Only owners with an ownership interest and management companies are shown.
Compare with other nursing homes
Key facts
| Type | Nursing home |
|---|---|
| Certified beds | 35 |
| Average residents per day | 33.3 |
| Takes part in | Medicare and Medicaid |
| Ownership | Non-profit – corporation |
| Legal business name | Hospital Development Co. |
| First approved by Medicare/Medicaid | 1989-02-09 |
| Located inside a hospital | Yes |
| Resident and family councils | Resident council |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | No |
| Address | 200 Hospital Drive, Spencer, WV 25276 |
| County | Roane County |
| State | West Virginia |
| Phone | (304) 927‑4444 |
| CMS Certification Number | 515099 |
| Name in Medicare records | ROANE GENERAL HOSPITAL |
| Corrections | Report an error or suggest an update → |
What to ask when you call or visit
A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.
- Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
- Can you see the latest state inspection report? Ask how any problems found were fixed.
- How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
- Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
- What therapy (physical, occupational, speech) is offered, and how many days a week?
- Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
- What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
- Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
- Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
- Visit more than once, including at a mealtime or in the evening, without an appointment.
Other nursing homes nearby
By straight-line distance (not driving distance).
- Miletree Center0.3 mi · Spencer, WV · 3 of 5 stars
- Elizabeth Care Center17 mi · Elizabeth, WV · 5 of 5 stars
- Minnie Hamilton Health Care17 mi · Grantsville, WV · 3 of 5 stars
- Mountain View Care Center19 mi · Ripley, WV · 1 of 5 stars
- Clay Healthcare Center22 mi · Ivydale, WV · 5 of 5 stars
Nearest hospital emergency rooms
- Roane General Hospital0.0 mi · Spencer, WV · Critical Access Hospital
- Minnie Hamilton Health System17 mi · Grantsville, WV · Critical Access Hospital
- Jackson General Hospital18 mi · Ripley, WV · Critical Access Hospital
Sources
- Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this provider
- Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
- State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13