Severe reports

The most serious findings in the state inspection reports we hold: deaths, sexual and physical abuse, restraints that injured a child, suicide attempts, medical neglect and hospitalisations. Every quote below is the licensing agency's own wording, and each one was read against its report by a person before it was listed here.

Death in West Virginia

Braley & Thompson WV

Inspected February 22, 2007 Death Self-harm

(b) Review of the medical record for Consumer #1 revealed a swallowing evaluation was completed on 06/16/04. This swallowing evaluation revealed the following: "There was frank laryngeal penetration and tracheal aspiration upon ingestion of thin and thick liquid and puree material. [...] Theses issues were identified as needs as early as 03/13/06, almost one (1) year prior to the death of the consumer.
(xi) On 2/12/07 at approximately 12:30 p.m., while at the day program, Consumer #1, aspirated a piece of hot dog and died.
These issues were identified as needs as early as 03/13/06, almost one (1) year prior to the death of the consumer.

From the state's report. Deficiency cited, complaint survey. Cited: C 242 64-11-7.3.c. Treatment Plan; C 123 64-11-5.5.b.4. Center Responsibility; C 240 64-11-7.3.a. Treatment Plan. "[...]" marks text left out between sentences.

State source WV tracker: every report for this state

How a report gets on this page

A program reads every inspection report we collect and picks out findings that describe serious harm, using the state's own severity rating or complaint outcome where there is one. A person then reads the report and approves or rejects each one. Only findings the state substantiated are listed: a citation, or a complaint the investigator upheld. A child running away is listed only when it ended in a death or a serious injury. This page is not complete: it covers the states and reports reviewed so far, and a facility's absence here says nothing about its record. Every report we hold, flagged or not, is on the state trackers.