McDowell Healthcare Center

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

29.7% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that worse than the national rate. This is CMS’s risk-adjusted rate over 33 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Therapy staffing: this home’s payroll records show 0.30 therapist hours per resident per day in 2026Q1 — more than 49% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 16% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 120 beds and averages 94.8 residents a day — about 79% occupied, or roughly 25 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.49 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.51 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.91 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.04 hrs/resident/day on weekends vs 3.67 on weekdays — 17% thinner on weekends. RN hours go from 0.63 to 0.22 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 45% is about the same as the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

25 citations, most serious first. The 10 most serious are shown; the remaining 15 are one tap away and print in full.

• Potential for harm · E2026-02-26 · tag F0880 — failed to prevent and control infections — pattern
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review, policy review, observation, and interview, the facility failed to provide a sanitary environment to help prevent the development and prevention of communicable disease and infection by not providing hand hygiene to multiple residents in the first floor dining room before lunch. This was a random opportunity for discovery in the long-term care survey process and had the potential to affect more than an isolated number of residents. Resident identifiers: #81, #24, #41, #82, and #12. Facility Census: 91. In a policy titled Standard Precautions given to State Agency by DON, hand hygiene is defined as cleaning hands by using handwashing, antiseptic hand wash, antiseptic hand rub, or surgical hand antisepsis. The policy stated the facility would adhere to Center for Disease Control and Prevention CDC guidelines and recommendations for hand hygiene by using soap and water before eating. During the dining observation on 02/26/26 beginning at 11:15 AM in the first floor dining room, residents were observed entering the dining room propelling their wheelchairs until…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-02-26 · tag F0656 — failed to write and follow a full care plan — isolated
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and staff interview the facility failed to implement comprehensive care plan for one (1) of 19 residents. Resident identifier: #7. Facility census: 91. Record review revealed physician orders and the resident's care plan directed staff to: Perform a fingerstick blood glucose test. If the blood glucose is less than 60 mg/dl or greater than 400 mg/dl (milligram per deciliter), notify the provider.Review of blood glucose monitoring records revealed elevated readings as follows:01/24/26 - 416 mg/dl01/29/26 - 477 mg/dl02/11/26 - 448 mg/dl02/18/26 - 440 mg/dlFurther review of the medical record revealed no evidence documenting that the provider was notified on 01/24/26, 01/29/26, 02/11/26, or 02/18/26 regarding blood glucose levels greater than 400 mg/dl (milligram per deciliter) .During interview on 02/26/26 at 12:50 PM, the Director of Nursing (DON) was informed of the above findings. The DON reviewed the record and confirmed there was no documentation indicating the provider had been notified of the elevated blood glucose readings as required by the care plan.The…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-02-26 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
  Provide care and assistance to perform activities of daily living for any resident who is unable.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on resident interview, observation, and staff interview, the facility failed to ensure one (1) of two (2) residents received the assistance needed with activities of daily living. Resident #88 did not receive the assistance needed to maintain personal grooming according to his preferences. Resident identifier: #88. Facility census: 91. Findings include: a) Resident #88 In an initial interview on 02/24/26 at 10:35 AM Resident #88 stated that his electric razor had broken and he had not been shaved since then. The resident said he preferred to be clean-shaven. Resident #88 had several days of beard growth noted. During an interview with Resident #88 on 02/25/26 at 1:54 PM he stated he would like to have someone shave him. The surveyor spoke to Nurse #103 and let her know the resident would like to be shaved. She said she would let the aides know. The surveyor spoke to Resident #88 on 02/26/26 at 10:40 AM, and he stated no one had asked to help him shave. Observation revealed Resident #88 was still unshaven. He stated he would like to be shaved and would allow the aides to shave…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-08-07 · tag F0644 — pattern
  Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY . Based on medical record review and staff interview the facility failed to update the [NAME] Virginia Department of Health and Human Resources Pre-admission Screening and Resident Review (PASRR) with new qualifying diagnoses for five (5) out of 30 residents reviewed during the long term survey process. Residents identifiers: #26, #49, #14, #17, #45. Facility Census: 93. Findings include: a) Resident #17 During a medical record review on 08/06/24 at 9:30 AM, Resident #17's PASRR was reviewed. The PASRR was dated 08/19/16 with no level two required. A further review of the medical diagnosis of Resident #17 found a new diagnosis of unspecified dementia, moderate with psychotic disturbances, dated 05/13/24, unspecified dementia unspecified severity with other behavioral disturbance dated 10/01/22, unspecified psychosis not due to a substance or known physiological condition dated 09/16/24. During an interview with Director of Social Services (DSS) #78 on 08/06/24 at approximately 10:00 AM, DSS #78 stated she was…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-08-07 · tag F0645 — pattern
  PASARR screening for Mental disorders or Intellectual Disabilities
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY . Based on record review and staff interview, the facility failed to ensure the correct diagnoses on the Pre-admission Screening and Resident Review (PASRR) and, if necessary, submit a new one, at the time of admission. This was true for five (5) of thirty (30) residents reviewed for PASRRs during the survey process. Resident identifiers: #53, #33, #7, #17, #29. Facility census: 93. Findings include: A) Resident #53 At approximately 2:00 PM on 08/05/2024, a record review was conducted for Resident #53. During the review, it was determined Resident #53 was admitted to the facility on [DATE] and was diagnosed with major depressive disorder upon admission, on 08/16/22. The original PASRR was missing a diagnosis of major depressive disorder, and the facility did not submit a new PASRR upon the diagnosis of major depressive disorder. At approximately 10:00 AM on 08/07/2024, an interview was conducted with the Social Worker (SW) at the facility. The SW stated there was a backlog of PASRRs that needed resubmitted, and…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-08-07 · tag F0684 — failed to provide proper treatment and quality of care — pattern
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  This will be cited as past noncompliance because the facility identified what had happened and took immediate steps to correct the failure to ensure it does not recur. All components of the plan of correction were completed prior to this survey beginning. On 08/07/24 at 9:05 AM record review shows the facility reported incident concerning wound dressings that were not changed according to the Physicians order. Resident #45 has an order to change the dressing to the coccyx daily. On 07/21/24 when Registered Nurse (RN) #73 went to change Resident #45's wound dressing she found the old dressing to be dated 07/18/24 and the initials of Licensed Practical Nurse (LPN) #180. The documentation in Point Click Care reflected the dressing was changed on 07/20/24 when in fact it had not been changed since 07/18/24 reflecting it had not been changed for three (3) days. This allegation was reported to the appropriate offices and investigated. It was substantiated by the investigating staff. There were audits performed of all residents in house that have dressings ordered. There was a mandatory in…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Past Non-Compliance
• Potential for harm · D2024-08-07 · tag F0585 — failed to handle grievances — isolated
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and staff interview the facility failed to properly investigate and make prompt efforts to resovle a grievance from Resident #19. This was true for 1 (one) of 1 (one) resident's reviewed for the Long Term Care Survey Process. Resident identifier: #19. Facility census: 93. Findings included: a) Resident #19 On 08/05/24 at 1:04 PM, an interview was conducted with Resident #19. During this interview, Resident #19 stated, Employee #86 is hateful to her when Resident #19 uses her call bell. Resident #19 further stated that when Employee #86 answers her call bell, Employee #86 states, What do you want now? This Surveyor then notified the facility Administrator of what Resident #19 stated. The Administrator stated she will have the facility Social Worker (SW) speak with Resident #19. On 08/06/24 at 1:19 PM, an interview was conducted with the facility Administrator and SW. At this time, Resident #19's complaint was discussed along with how the facility resolved it. The Administrator and SW stated a facility form entitled, Grievance/Complaint Report had been…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-08-07 · tag F0657 — failed to keep the care plan current — isolated
  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on medical record review and staff interview, the facility failed to update the care plan for a new diagnosis. This was true for three (3) out of 30 residents reviewed during the long-term care process. Resident identifiers: #17, # 26 and #29. Facility census: 93. Findings included: a) Resident #17 During a medical record review on 08/06/24 at approximately 9:46 AM the medical record for Resident #17 identified a diagnosis of Major Depression Disorder. A further review of the care plan identified Resident #17 was being monitored for the use of an anti-depressant only and not the diagnosed condition of Major Depression Disorder. During an interview with the Clinical Manager Registered Nurse (CM RN) #51 on 08/06/24 at approximately 10:00 AM, The CM RN #51 agreed the Major Depression disorder was not care- planned. b) Resident #26 During a medical record review on 08/06/24 at approximately 9:50 AM the medical record for Resident #26 identified a diagnosis of schizoaffective disorder, bipolar type. A further review of the care plan identified Resident #26 is being monitored for…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-08-07 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY . Based on observation, record review, and resident and staff interview, the facility failed to ensure resident environment, over which it had control, was as free of accident hazards as possible, by failing to complete a smoking assessment, upon admission, for smokeless tobacco use for Resident #25. This was true for one (1) of eight (8) residents reviewed for accident hazards during the survey process. Resident identifier: #25. Facility census: 93. Findings included: A) Resident #25 At approximately 2:07 PM on 08/05/24, an interview was conducted with Resident #25. During the interview, the resident was observed using smokeless tobacco in his room. When asked if he had used smokeless tobacco since he had been at the facility, Resident #25 replied, yes. At approximately 3:00 PM on 08/05/24, a record review was conducted for Resident #25. During the review, it was determined there was no smoking assessment completed for Resident #25, despite being admitted to the facility on [DATE]. At approximately 10:30 AM on…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-08-07 · tag F0758 — failed to limit and justify psychotropic drugs — isolated
  Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY .Based on record review and staff interview, the facility failed to monitor Resident #30, #29, and #82 for side effects of antidepressant, antianxiety, and antipsychotic medications as ordered. This was true for three (3) out of five (5) residents monitored for unnecessary medications during the survey process. Resident identifiers: #30, #29, #82. Facility census: 93. Findings include: A) Resident #30 On 08/06/2024 at approximately 11:30 AM during a record review for Resident #49, it was discovered side effects were not monitored for antidepressant, antianxiety, and antipsychotic medications, according to the Medication Administration Record (MAR) for the following days: -Day and night shift on 06/01/2024 -Day and night shift on 06/02/2024 -Day Shift on 06/03/2024 -Day shift on 07/20/2024 -Day shift on 07/21/2024 -Day shift on 07/24/2024 -Day shift on 07/25/2024 -Day shift on 07/30/2024 -Day and night shift on 08/01/2024 At approximately 10:05 AM on 08/07/2024, an interview was conducted with the Interim…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to COMMUNICARE HEALTH — 110 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 12 rows in the source record cover these 8 parties — each is shown once here with every role it holds. Nothing is omitted.

2 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

About 95% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $1.1M paid to related parties — landlords or management companies under common ownership — equal to about 12% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in WV