No sales calls · nothing personal collected unless you ask us to · no facility pays to be here
Text size
Contrast

Crestview Manor Healthcare

199 Court Street, Jane Lew, WV 26378 · For profit - Limited Liability company · 72 certified beds · (304) 884-7811 Medicare & Medicaid certified

Call the home — (304) 884-7811 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
1 actual-harm citation$42,266 in federal fines
Insights

The public record raises real questions here. Weigh the concerns below carefully.

In its favor
  • a strong health-inspection score (4/5) — the hardest rating to game (though it’s ranked within its own state, not nationally)
  • a high payroll-based staffing rating (4/5)
  • lower-than-typical staff turnover (35% vs 45% nationally) — better care continuity
  • fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
Worth asking about
  • it has 1 actual-harm citation
  • a high number of inspection citations overall (21) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • the CMS record shows $42,266 in federal fines (most recent 2024-06-26)

One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.

A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.

4/5
CMS overall
4 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 4 of 5
StaffingFrom payroll records (PBJ) 4 of 5
Quality measuresSelf-reported by the facility 3 of 5

Location & what’s nearby

Hospital
1/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
134 Industrial Park Rd · (304) 884-7880 · Call to confirm hours
Pharmacy
36 Railroad St · (304) 745-3301 · Call to confirm hours
Grocery
116 Hackers Creek Rd · (304) 805-2034 · Call to confirm hours
Park
Main Ave, Jane Lew , 26378, United States · (304) 884-7111 · Typically dawn to dusk
Place of worship
43 Parkway Dr · (304) 884-6682

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

Overall quality measures 3 of 5
Long-stay residentspeople who live here 2 of 5
Short-stay residentsrehab / post-hospital 3 of 5

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.

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating improved from 3 to 4 stars. From monthly CMS archive snapshots.

Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.

Overall rating4★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased17.9%14.7%15.4%worse
Long-stay residents who lose too much weight5.8%6.3%5.4%typical
Long-stay residents with a catheter left in their bladder0.3%0.4%0.9%better than state — see note marked double-dagger below the table
Long-stay residents with a urinary tract infection0.4%1.6%2.0%better
Long-stay residents with depressive symptoms0.0%7.6%6.5%check this — see note marked star below the table
Long-stay residents who were physically restrained0.0%0.2%0.1%better
Long-stay residents with falls causing major injury8.3%4.4%3.3%worse
Long-stay residents whose ability to walk worsened24.3%15.9%16.1%worse
Long-stay residents on antianxiety or hypnotic medication22.2%27.0%18.9%worse
Long-stay residents given the seasonal flu vaccine100.0%97.6%95.3%typical
Long-stay residents with pressure ulcers4.6%4.2%4.7%typical
Long-stay residents with worsening bladder/bowel control29.3%22.1%21.2%worse
Long-stay residents who got an antipsychotic medication — see the note below the table18.0%13.4%17.1%typical
Short-stay residents who newly got an antipsychotic medication0.0%1.0%1.4%better
Short-stay residents given the seasonal flu vaccine69.4%79.4%79.4%worse
Short-stay residents rehospitalized after admission26.9%22.5%22.6%worse
Short-stay residents with an outpatient ER visit7.8%11.3%12.0%better
Long-stay hospitalizations per 1,000 resident days2.081.801.67worse
Long-stay outpatient ER visits per 1,000 resident days2.711.841.80worse

* This home reported 0% on a measure where lower is better. That can mean genuinely excellent care — but because the number is self-reported, a zero can also mean the problem was not recorded. Weigh it against the inspection record above.

On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.

§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.

CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.

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.

35.6% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 30 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

35.6%U.S. median 51.5%
Got home and stayed home
10.1%U.S. median 10.7%
Went back to hospital
73.9%U.S. median 56.6%
Met the expected recovery
0.32U.S. median 0.31
Therapy hours / resident / day
0.16hours / resident / day
Physical therapy
0.08hours / resident / day
Occupational therapy
0.08hours / resident / day
Speech therapy

Met the expected recovery: 73.9% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 23 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.32 therapist hours per resident per day in 2026Q1 — more than 53% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 4% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. 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.

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF35.6%CMS range 21.5–53.651.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF10.1%CMS range 6.4–15.110.7%Oct 2022–Sep 2024no different from U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge73.9%56.6%Oct 2024–Sep 2025CMS makes no comparison for this measure
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge47.8%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge60.9%50.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified100.0%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care settingnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay0.0%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened5.7%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization6.9%CMS range 4.1–12.77.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.081.02Oct 2022–Sep 2024CMS makes no comparison for this measure

From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.

Staffing

0.59
RN hours/ resident / day
0.96
LPN hours/ resident / day
2.12
Aide hours/ resident / day
3.67
Total nurse hours/ resident / day
0.30
RN hoursweekends
35.4%
Total nursing turnover
25.0%
RN turnover

How full it usually is: this home is certified for 72 beds and averages 66.9 residents a day — about 93% occupied, or roughly 5 beds typically open. It runs fairly full. 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 3.67 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.59 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.12 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 3.37 hrs/resident/day on weekends vs 3.79 on weekdays — 11% thinner on weekends. RN hours go from 0.71 to 0.30 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 35% is below 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

4
deficiencies at the latest standard inspection (2026-02-11)
7
at the previous standard inspection (2024-06-26)

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.

ABCDEFGHIJKL

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.

21 citations, most serious first. The 11 most serious are shown; the remaining 10 are one tap away and print in full.

  • Actual harm · G2024-06-26 · 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 record review, and resident, family, and staff interviews, the facility failed to provide the necessary supervision required to keep the environment for Resident #273 as free from accidents as possible, causing Resident #273 to have multiple falls in which she sustained multiple injuries. This was true for one (1) of three (3) residents reviewed for falls during the survey process. Resident Identifier: #273. Facility census: 69. Additionally, based on observation and resident and staff interview, the facility failed to keep the resident environment, over which it had control, was as free of accident hazards as possible, by leaving a potentially toxic substance on Resident #66's bedside table, making it accessible to other residents in the facility. This was a random opportunity for discovery. This has the potential to affect more than a limited number of residents. Resident identifier:66. Facility census: 69. Findings included: a) Resident #273 Resident #273 was admitted to the facility on [DATE] with a…

    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 · E2026-02-11 · tag F0804 — failed to serve food at safe, palatable temperature — pattern
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    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 and interviews, the facility failed to ensure meals were served at a palatable temperature at time of delivery. This failed practice had the potential to affect more than a minimal number of residents residing in the long term care facility. Census: 69 Findings included:a) ObservationOn 02/10/26, a request was made of the Nursing Aides (NAs) on [NAME] wing to allow the State Agency (SA) to test the temperature of the last regular tray on the cart. The NA alerted the dietary manager (DM) to bring a new tray for the resident and a thermometer. The DM #84 and corporate dietary #104 tested the temperatures at 12:40 PM with the following results:-Hamburger = 114.4 degrees Fahrenheit (F)-Potatoes = 107.8 degrees F-Corn = 92.7 degrees F-Fruit = 54.7 degrees Fb) InterviewDuring an interview on 02/10/26 at 12:40 PM, the corporate dietary #104 stated temperatures at time of service should be greater than 120 degrees F for hot foods and less than 41 degrees F for cold food. Another interview with 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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2026-02-11 · 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 record review, resident interview, and staff interviews, the facility failed to review Resident #40's care plan related to activities. This failed practice was found to be true for one (1) of 16 resident care plans reviewed during the long-term care survey process. Resident identifier: #40. Facility census: 69.Findings included:a) Record reviewRecord review, completed on 02/10/26, of the care plan for Resident #40 reads as follows: Resident receives three (3) one-to-one's (1:1's) weekly. Date Initiated: 12/12/25. Further record review of the 1:1 list provided by the Activity Director revealed Resident #40 was not on the list.b) InterviewsDuring an interview on 02/09/2026 at 2:01 PM, Resident #40 stated he does not go to Bingo or other activities but does enjoy playing dominoes. Resident stated he does not have anyone come to his room to offer in room activities.In an interview on 02/10/26 with the Activities Director (AD) at 2:39 PM, it was confirmed that the resident had no documented 1:1 visits.In an interview on 02/10/26 with the Administrator at 2:46 PM, it 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 · D2026-02-11 · tag F0679 — failed to provide activities — isolated
    Provide activities to meet all resident's needs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on resident interview, staff interviews, and record review, the facility failed to ensure activity programming was based on Resident #40's person centered care plan and personal interests. The facility had no documentation to reflect Resident #40 received activities of interests. This failed practice was found true for one (1) of two (2) residents reviewed for the care area of activities during the long-term care survey process. Resident identifier: #40 Facility census: 69.Findings included:a) InterviewsDuring an interview on 02/09/2026 at 2:01 PM, Resident #40 stated he does not go to Bingo or other activities but does enjoy playing dominoes. Resident stated he does not have anyone come to his room to offer in room activities.In an interview on 02/10/26 with the Activities Director (AD) at 2:39 PM, it was confirmed that the resident had no documented 1:1 visits.In an interview on 02/10/26 with the Administrator at 2:46 PM, it was confirmed 1:1 visits were not documented as being completed by the activity staff.b) Record reviewRecord review, completed on 02/10/26, of the care…

    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 · Dcited before2026-02-11 · tag F0812 — failed to store, cook, and serve food safely — isolated
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation and staff interviews, the facility failed to ensure foods and equipment were stored under sanitary conditions. This failed practice had the potential to contaminate food-contact surfaces and cause foodborne illness. It also had the potential to affect more than a minimal number of residents who receive nutrition through the kitchen. These were random opportunities of discovery during the follow up kitchen tour. Census: 69.a) ObservationDuring a kitchen tour on 02/10/26, there was buildup noted in the bottom of the walk-in refrigerator. This was verified by corporate dietary #104 at 9:03 AM.There was a storage bin full of lids that had a brown sticky substance along the bottom of the bin. This was verified by corporate dietary #104 at 9:00 AM.Wet nesting (the practice of stacking wet dishware that does not allow air drying and can create an environment that supports bacterial growth) was identified in metal bowls and in insulated serving bowls. There were also three (3) melted/damaged insulated bowls identified and discarded by Dietician #105. b) InterviewAn…

    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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-06-26 · tag F0803 — failed to meet residents' dietary needs — pattern
    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on resident interview, staff interview and observation, the facility failed to ensure hot food were served at a temperature of at least 120 degrees Fahrenheit (F). This failed practice had the potential to affect more than a limited number of residents. Resident identifiers: #21, #50, #66, and #51. Facility Census 69. Findings included: a) Resident #21 During the initial interview on 06/24/24 at 1:30 PM, Resident #21 stated, Hell no my food isn't hot. During an observation on 06/25/24 at 12:25 PM, the temperature of the lunch food at point of service was as follows: Ground chicken thigh: 115.5 degrees F. Spinach: 117 degrees F. Further observation showed that Resident #21 had refused the lunch tray and the lunch tray was tempt immediately after the last tray was delivered. The Corporate dietary manager confirmed that temperature at point of service should be at 120 degrees F. b) Resident #50 During the initial interview on 06/24/24 at 2:00 PM, Resident #50 states, The Food is cold, to get a hot cup of coffee around here would be a miracle. During an observation on 06/25/24 at…

    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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-06-26 · 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, resident interview and staff interview, the facility failed to adequately resolve a grievance. This was true for one (1) of two (2) residents reviewed for personal property. Resident identifier: #27. Facility census 59. Findings included: On 6/24/24 at 12:45 PM, Resident #27 reported that she had some clothing come up missing a couple of months ago and the facility told her family to replace the clothing and they would refund resident's family the money. She reported that the money had not yet been refunded, she can't remember if she had filed a grievance or complaint. On 06/24/24 at 3:44 PM, review of resident's grievance from 04/22/24 stated that resident had missing clothing. 8 (eight) items- green sweater, solid green shirt, denim pants, pjs, socks white, gray bra, solid red shirt, pink shirt. This grievance completed by Social Worker (SW) stated Have family replace missing items and reimburse family for money spent to replace items. On 06/25/24 at 2:25 PM, an interview with the Social Worker (SW) who reported that resident's family was reimbursed for 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 Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-06-26 · tag F0644 — isolated
    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

    Based on record review and staff interview, the facility failed to update the Preadmission Screening and Resident Review (PASSAR) for Resident #3, after being diagnosed with major depressive disorder. Resident #51's PASSAR was not updated after being diagnosed with Post Traumatic Stress Disorder (PTSD) and Unspecified Psychosis. This was true for two (2) of two (2) residents reviewed for PASSAR's during the survey process. Resident identifiers: #3, #51. Facility census: 69. Findings included: a) Resident #3 At approximately 12:30 PM on 06/25/2024, a review of the electronic health record of Resident #3 was conducted. During this review, it was revealed Resident #3 was diagnosed with major depressive disorder on 09/28/2022. However, the most recent PASSAR completed for Resident #3 was on 06/10/2022, and makes no mention of the diagnosis of major depressive disorder. At approximately 1:53 PM on 06/26/2024, an interview was conducted with the Minimum Data Set (MDS) Coordinator concerning the PASSAR for Resident #3. The MDS Coordinator acknowledged the diagnosis of major depressive…

    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 · Dcited before2024-06-26 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff interview, the facility failed to accurately develop care plans related to capacity and one on one supervision. This failed practice was found true for (2) two of 17 residents reviewed for care plans during the Long-Term Care Survey Process. Resident identifiers: #50 and #273. Facility census: 69. Findings Included: a) Resident #50 A record review on 06/25/24 at 11:06 AM, of Resident #50's care plan revealed the following: Intervention revised on 03/06/24: The resident has a communication problem r/t vision deficit/lacks capacity to make medical decisions. Further record review revealed a capacity form completed on 01/05/24 that is marked as Resident #50 demonstrates capacity to make decisions. During an interview on 06/26/24 at 12:15 PM, The Director of Social Services (DSS) confirmed that Resident #50 does have capacity and the care plan was wrong. b) Resident #273 Resident #273 was admitted to the facility on [DATE] with a diagnosis of a nondisplaced fracture of base of neck…

    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 · D2024-06-26 · tag F0661 — isolated
    Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on record review and staff interview the facility failed to complete a discharge summary of Resident #72. This failed practice was found true for (1) one of (1) residents reviewed for unplanned discharge during the Long-Term Care Survey Process. Resident identifier #72. Facility census 69. Findings Include a) Resident #72 A record review on 06/26/24 at 12:54 PM, revealed that Resident #72 had an unplanned discharge from the facility. Further record review revealed that a discharge summary was not completed in its entirety. During an interview on 06/26/24 at 12:57 PM, the Director of Nursing (DON) stated, Her discharge was so confusing. It was planned in the fact that she was going home, but unplanned because we did not know when her son was coming to get her. The DON further stated, We do have a problem with our discharge process and we are working on it,

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-06-26 · tag F0761 — failed to label and store drugs safely — isolated
    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.
    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 staff interview, the facility failed to ensure medications were stored and labeled in accordance with currently accepted professional principles. A multidose medication vial was not dated when opened. This was a random opportunity for discovery made during the medication storage task. Facility census: 69. Findings included: a) Medication Storage During investigation of the [NAME] and [NAME] hallways medication preparation room on 06/25/24 at 9:35 AM, a multidose vial of Tubersol tuberculin purified protein derivative was found to not have been dated when opened. Tuberculin purified protein derivative is given by injection to aid in the diagnosis of tuberculosis. According to the Tubersol package insert accompanying the vial and available on the Food and Drug Administration website, A vial of Tubersol which has been entered and in use for 30 days should be discarded. Because the vial had not been dated when opened, it could not be determined when the vial should be…

    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
Show the remaining 10 citations
  • Potential for harm · F2023-09-07 · tag F0880 — failed to prevent and control infections — widespread
    Provide and implement an infection prevention and control program.
    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 Infection Prevention and Control Program (IPCP) policy and procedures were reviewed annually in accordance with the federal guidance and the facility assessment. This had a potential to affect all residents residing in the facility. Facility Census: 63 Findings included: a) IPCP policy and procedures During an record review on [DATE] at 9:00 AM the facility policies and procedures were not reviewed annually were as follows: -A facility policy and procedure titled Infection Prevention Program with a reviewed date of [DATE] -A facility policy and procedure titled CPR(Cardiopulmonary resuscitation) Guidance during the COVID-19 Pandemic with a reviewed date of [DATE]. During a review on [DATE] at 9:13 AM the facility assessment read as follows. .Part 3: Facility resources needed to provide competent support and care for our resident population every day and during emergencies. .Policies and Procedures for provision of care 3.5 .Policies 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.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2023-09-07 · tag F0812 — failed to store, cook, and serve food safely — pattern
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, facility policy, record review and staff interview, the facility failed to ensure foods were stored and prepared in a safe, clean, and sanitary environment. During the observation of the kitchen, unsanitary and unclean areas were discovered. This had the potential to affect all residents receiving nourishment from the kitchen. Facility Census: 63. Findings included: A review of the facility policy titled Equipment with a revision date of 09/2017 read as follows. Procedures: 1. All equipment will be routinely cleaned and maintained in accordance with manufacturer's directors and training materials. 2. All staff members will be properly trained in the cleaning and maintenance of all equipment. 3. All food contact equipment will be clean and sanitized after every use. 4. All non food contact equipment will be clean and free of debris A review of the facility policy titled Environment with a revision date of 09/2017 reads as follows. Procedures: 1. The Dining Services Director will ensure that the kitchen is maintained in a clean and sanitary manner, including…

    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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2023-09-07 · tag F0814 — failed to dispose of garbage properly — pattern
    Dispose of garbage and refuse properly.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation and staff interview the facility failed to maintain sanitary condition of the outside garbage receptacle to prevent the harborage and feeding of pests. This deficient practice has the potential to affect all the residents that reside in the facility. Facility Census:63 Findings included: a) Garbage Receptacle During several observations of the outside garbage receptacle lids not closed on the follow date and times: -09/06/23 at 8:30 AM -09/06/23 at 8:48 AM -09/06/23 at 9:11 AM -09/06/23 at 9:42 AM -09/06/23 at 10:30 AM -09/06/23 at 11:03 AM -09/06/23 at 12:08 AM During a tour of outside of the facility on 09/06/23 at 12:15 PM Laundry Staff #83 was pushing a cart labeled Trash I observed her with the trash removal into the garbage receptacle. Laundry Staff #83 was trying to close the lid to the garbage receptacle but was unsuccessful. Laundry Staff #83 stated it was too bent and too heavy for me to close, and left the garbage receptacle lid open. During an interview, on 09/06/23 at 12:38 PM, the Executive Director and the Director of Plant Maintenance,…

    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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2023-09-07 · tag F0925 — failed to control pests — pattern
    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation,record review and staff interview the facility failed to ensure an environment for residents that was free of rodents. The practice had the potential to affect more than a limited number of residents receiving nourishment from the facility kitchen. Facility Census: 63 Findings Included: a) Kitchen During an initial tour of the kitchen with the Culinary Director (CD) beginning on 09/06/23 at 8:49 AM revealed the following pest control traps. On the floor under the steam table/serving table were the following pest control traps A round ant bait trap A white carbon bait box with large of amount of bugs inside, including roaches A white flat adhesive bait pad with large amount of bugs attached including 4 roaches During an immediate interview the Culinary Director (CD) and [NAME] #18 acknowledged the bugs inside and on the bait. On the floor behind the stove an observation revealed a flat adhesive bait pad which had a large amount of bugs attached including a few dead and 2 alive roaches During an immediate interview the Culinary Director (CD) and [NAME] #18…

    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.

    Environmental Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2022-09-14 · tag F0812 — failed to store, cook, and serve food safely — pattern
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on observations during the kitchen tour and staff interview the facility failed to store food in a safe and sanitary manner in accordance with professional standards for food service safety. It was discovered during the kitchen tour that food items were not stored properly after opening and the walk-in cooler was very dirty. This had the potential to affect any residents receiving nourishment from the kitchen. Facility census: 63. Findings included: a) Kitchen tour During the kitchen tour on 09/12/22 at 10:55 AM, it was discovered a five (5) pound bag of potato squares had been damaged and the contents were spilling onto the floor. A package of pancakes were not dated after opening. In addition, the walk-in cooler had a buildup of a black tarry substance on the floor. The platforms used to keep food off the floor had debris under them. An interview with the Dietary Manager on 09/12/22 at 11:00 AM, verified the package of potato squares was damaged and the pancakes were not dated after opening. Also the floor of the walk-in cooler was dirty and needed to be cleaned.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2022-09-14 · 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 — the official record, unedited, may be distressing

    Based on medical record review and staff interview the facility failed to develop a comprehensive care plan in the area of dialysis services. This was discovered for one (1) of one (1) residents reviewed for dialysis services. Resident #11's care plan interventions did not include the specified days hemodialysis services were being provided. Resident identifier: #11 Facility census: 63 Findings included: a) Resident #11 A medical record review for Resident #11 on 09/13/22, revealed the care plan interventions for dialysis services were incomplete. It did not specify on what days hemodialysis services were being provided for Resident #11. An interview with the Director of Nursing (DON) on 09/14/22 at 10:30 AM, verified the care plan interventions for dialysis services did not include the days of the week Resident #11 received hemodialysis.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2022-09-14 · 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 — the official record, unedited, may be distressing

    Based on record review and staff interview, the facility failed to revise a care plan for the care area of risk for falls. This is true for one (1) of two (2) residents reviewed for the care area of accidents during the long-term survey. Resident #7. Facility Census: 63. Findings Included: a) Resident #7 On 09/13/22 at 2:00 PM, the care plan with the focus area of risk for falls was reviewed. An intervention of hourly rounds at night was found. A review of the record found no evidence of the hourly rounds at night being completed. An interview on 09/13/22 at 2:38 PM with Assistant Director of Nursing (ADON) #32 was held. The ADON #32 stated, the intervention of hourly rounds at night was discontinued in June. The ADON #32 confirmed the care plan had not been revised to discontinue the intervention. No further information was provided during the survey process.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2022-09-14 · tag F0684 — failed to provide proper treatment and quality of care — isolated
    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

    Based on medical record review and staff interview, the facility failed to notify the residents physician when a change of condition occurred. This was a random opportunity for discovery. Resident identifier: 163. Facility census: 63. Findings include: a) Resident #163 Review of Resident #163's original discharge summary from the hospital dated 02/25/22, revealed the resident had a pacemaker with an ICD implanted due to manage his atrial fibrillation with rapid ventricular rhythm. A implantable cardioverter-defibrillator (ICD) is a device that detects any life-threatening, rapid heartbeat. This abnormal heartbeat is called an arrhythmia. If it occurs, the ICD quickly sends an electrical shock to the heart. The shock changes the rhythm back to normal. This is called defibrillation. Review of Resident #163's nurses note, written by Employee #12, a Licensed Practical Nurse (LPN), dated 05/20/22 at 11:49 am, found a note which read: Daughter called the facility and spoke to the Minimum Data Set (MDS) nurse. Daughter stated that the resident's cardiology office had called her and stated…

    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 · D2022-09-14 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    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 interviews, the facility failed to provide care and services to promote healing of a known pressure ulcer and to prevent further pressure ulcers from developing. The facility failed to accurately assess and/or correctly document the location of the coccyx/buttocks wound care site (incorrect measurements and staging were conducted on 04/28/22, 05/10/22 and 05/17/22. Resident identifier: #163. Facility census: 63. Findings include: a) Resident #163 Resident #163 was originally admitted to the facility on [DATE]. Admitting diagnosis included: atrial fibrillation, acute and chronic respiratory distress with hypoxia, and rheumatoid arthritis. Review of the admission assessment dated [DATE] at 2:39 PM, revealed the resident required extensive assistant with bed mobility, dressing, toilet use and personal hygiene; total dependence on staff for transfers; and independent with feeding after initial setup. No skin issues were noted on initial assessment. The Resident was alert to…

    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 · D2022-09-14 · tag F0698 — failed to provide proper dialysis care — isolated
    Provide safe, appropriate dialysis care/services for a resident who requires such services.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on medical record review and staff interview the facility failed to provide a dialysis order to include the designated days of treatment. This was discovered for one (1) of one (1) residents reviewed for the care area of dialysis services. The dialysis order for Resident #11 did not indicate what days dialysis services were being received. Resident identifier: #11. Facility census: 63. Findings included: a) Resident #11 A medical record review for Resident #11 on 09/13/22, revealed the dialysis order did not specify what days Resident #11 received his dialysis services. An interview with the Director of Nursing (DON) on 09/14/22 at 10:45 AM, verified the dialysis order did not indicate which days of the week Resident #11 was to receive dialysis.

    Quality of Life and Care 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.

Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
  • Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
  • State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

Fines & penalties

$42,266 in federal fines across 1 penalty.

  • $42,266 — penalty dated 2024-06-26

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

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 →

RatingThis homeChain avg
Overall 4 of 53.2+0.8 vs chain
Health inspection 4 of 52.7+1.3 vs chain
Staffing 4 of 52.6+1.4 vs chain
Quality measures 3 of 54.5-1.5 vs chain
The other 109 homes this chain runs (chain average 3.2★, per CMS)
1 of 5Allen View Healthcare CenterSpringfield, OH 1 of 5Annandale Healthcare CenterAnnandale, VA 1 of 5Canfield Healthcare CenterYoungstown, OH 1 of 5Dixon Healthcare CenterWintersville, OH 1 of 5Holbrook Healthcare CenterBuckhannon, WV 1 of 5Mount Vernon Healthcare CenterAlexandria, VA 1 of 5Southwood Healthcare CenterTerre Haute, IN 1 of 5Summers Healthcare CenterHinton, WV 1 of 5Valley View Healthcare CenterElkhart, IN 2 of 5Allison Pointe Healthcare CenterIndianapolis, IN 2 of 5Battlefield Park Healthcare CenterPetersburg, VA 2 of 5Beckley Healthcare CenterBeckley, WV 2 of 5Belmont Healthcare CenterBelmont, WV 2 of 5Berkeley Springs Healthcare CenterBerkeley Springs, WV 2 of 5Cedars Healthcare CenterCharlottesville, VA 2 of 5Columbus Healthcare CenterColumbus, OH 2 of 5Crestwood Care CenterShelby, OH 2 of 5Cumberland Healthcare CenterCumberland, MD 2 of 5Eagle Pointe Healthcare CenterParkersburg, WV 2 of 5Ellicott City Healthcare CenterEllicott City, MD 2 of 5Evergreen Crossing And The LoftsIndianapolis, IN 2 of 5Grande Pointe Healthcare CommuRichmond Heights, OH 2 of 5Great Lakes Healthcare CenterDyer, IN 2 of 5Greenbrier Health CenterParma Heights, OH 2 of 5Hagerstown Healthcare CenterHagerstown, MD 2 of 5Hanover Healthcare CenterMassillon, OH 2 of 5Holly Hill Healthcare CenterTowson, MD 2 of 5Keyser Healthcare CenterKeyser, WV 2 of 5Mercer Healthcare CenterBluefield, WV 2 of 5Morgantown Healthcare CenterMorgantown, WV 2 of 5Mount Airy Nursing and Rehab CenterMount Airy, MD 2 of 5Petersburg Healthcare CenterPetersburg, VA 2 of 5Riverside Nursing And Rehabilitation CenterDayton, OH 2 of 5Rolling Hills Healthcare CenterNew Albany, IN 2 of 5Salem West Healthcare CenterSalem, OH 2 of 5Wedgewood Healthcare CenterClarksville, IN 2 of 5Westminster Rehabilitation and Wellness CenterWestminster, MD 2 of 5Wildwood Healthcare CenterIndianapolis, IN 2 of 5Worthington Healthcare CenterParkersburg, WV 2 of 5Wyant Woods Healthcare CenterAkron, OH

Showing 40 of 109; lowest-rated first.

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

Owner / managerTypeRoleSince
OMG MSTR LSCO, LLCOrganizationDIRECT OWNERSHIP INTERESTsince 05/01/2023
C.R. STOLTZ FAMILY INVESTMENT COMPANY INCOrganizationINDIRECT OWNERSHIP INTERESTsince 05/01/2023
C.R. STOLTZ IRREVOCABLE TRUSTOrganizationINDIRECT OWNERSHIP INTERESTsince 05/01/2023
HEALTH CARE HOLDINGS, LLCOrganizationINDIRECT OWNERSHIP INTERESTsince 05/01/2023
I. ROSEDALE FAMILY INVESTMENT COMPANY INCOrganizationINDIRECT OWNERSHIP INTERESTsince 05/01/2023
I. ROSEDALE IRREVOCABLE TRUSTOrganizationINDIRECT OWNERSHIP INTERESTsince 05/01/2023
R.S. WILHEIM IRREVOCABLE TRUSTOrganizationINDIRECT OWNERSHIP INTERESTsince 05/01/2023
RONALD S WILHEIM 2012 SPOUSAL TRUSTOrganizationINDIRECT OWNERSHIP INTERESTsince 05/01/2023
ROSEDALE FAMILY INVESTMENT COMPANY, INCOrganizationINDIRECT OWNERSHIP INTERESTsince 05/01/2023
RRW, LLCOrganizationINDIRECT OWNERSHIP INTERESTsince 05/01/2023
S.L. ROSEDALE IRREVOCABLE TRUSTOrganizationINDIRECT OWNERSHIP INTERESTsince 05/01/2023
WILHEIM FAMILY INVESTMENT COMPANY, INC.OrganizationINDIRECT OWNERSHIP INTERESTsince 05/01/2023
OHI ASSET (WV) JANE LEW, LLCOrganization5% OR GREATER SECURITY INTEREST; ADP OF THE SNFsince 05/01/2023
ROMEO, DOMINICIndividualCORPORATE OFFICERsince 05/01/2023
STOLTZ, CHARLESIndividualCORPORATE OFFICERsince 05/01/2023
WILHEIM, RONALDIndividualCORPORATE OFFICERsince 05/01/2023
COURT MGT CO., LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 05/01/2023
EBERHART, ERICIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 05/31/2024
GROVES, DONNAIndividualOPERATIONAL/MANAGERIAL CONTROLsince 05/01/2023
JACKSON, JEANETTEIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 05/01/2023
ODENTHAL, RICHARDIndividualINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFsince 09/09/2025

CMS files one row per role, so the 25 rows in the source record cover these 21 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

14 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.

What families pay in WV

Paying with Medicaid

This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the West Virginia Medicaid page.

Typical monthly cost in West Virginia
$12,836/mo
Nursing home (semi-private)
$13,262/mo
Nursing home (private)
$6,340/mo
Assisted living

Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.

Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 515160. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-02-11, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →

Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →

Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.

What to do next