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Madison, The

161 Bakers Ridge Road, Morgantown, WV 26508 · For profit - Corporation · 62 certified beds · (304) 285-0692 Medicare & Medicaid certified

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3 immediate-jeopardy citations$57,113 in federal fines
Insights

This home has serious findings on its record. Read them closely before you consider it.

In its favor
  • lower-than-typical staff turnover (20% 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
  • inspectors cited 3 immediate-jeopardy problems — the most serious level
  • a high number of inspection citations overall (34) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • the CMS record shows $57,113 in federal fines (most recent 2026-01-21)
  • its facility-reported quality-measure score sits well above its independent inspection score
  • its independent health-inspection rating is low (2/5)
  • about 30% of its spending goes to commonly-owned related companies

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.

2/5
CMS overall
2 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 2 of 5
StaffingFrom payroll records (PBJ) 3 of 5
Quality measuresSelf-reported by the facility 4 of 5

Worth a closer look. This home's quality-measure rating runs 2 stars above its independent health-inspection score. The inspection is done by state surveyors; the quality-measure score leans on data the facility reports about itself — so a gap this large is worth reading the inspection record for.

Location & what’s nearby

Hospital
★★★★ 4/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
1322 Pineview Dr · (304) 599-8790 · Call to confirm hours
Pharmacy
1200 J D Anderson Dr · (304) 285-2285 · Call to confirm hours
Grocery
Kroger2.0 mi
500 Suncrest Town Centre Dr · (304) 285-6780 · Call to confirm hours
Park
3 Ira Errett Rodgers Dr · Typically dawn to dusk
Place of worship

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 4 of 5
Long-stay residentspeople who live here 4 of 5
Short-stay residentsrehab / post-hospital 5 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 held steady at 2 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 rating2★
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 increased20.0%14.7%15.4%worse
Long-stay residents who lose too much weight6.2%6.3%5.4%worse
Long-stay residents with a catheter left in their bladder0.0%0.4%0.9%better than state — see note marked double-dagger below the table
Long-stay residents with a urinary tract infection1.6%1.6%2.0%better
Long-stay residents with depressive symptoms2.4%7.6%6.5%better
Long-stay residents who were physically restrained0.0%0.2%0.1%better
Long-stay residents with falls causing major injury0.8%4.4%3.3%better
Long-stay residents whose ability to walk worsened33.4%15.9%16.1%worse
Long-stay residents on antianxiety or hypnotic medication24.1%27.0%18.9%worse
Long-stay residents given the seasonal flu vaccine100.0%97.6%95.3%typical
Long-stay residents with pressure ulcers16.3%4.2%4.7%worse
Long-stay residents with worsening bladder/bowel control33.6%22.1%21.2%worse
Long-stay residents who got an antipsychotic medication — see the note below the table16.3%13.4%17.1%typical
Short-stay residents who newly got an antipsychotic medication0.9%1.0%1.4%better
Short-stay residents given the seasonal flu vaccine96.2%79.4%79.4%better
Short-stay residents rehospitalized after admission15.3%22.5%22.6%better
Short-stay residents with an outpatient ER visit8.1%11.3%12.0%better

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.

49.4% 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 116 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

49.4%U.S. median 51.5%
Got home and stayed home
10.2%U.S. median 10.7%
Went back to hospital
64.4%U.S. median 56.6%
Met the expected recovery
0.54U.S. median 0.31
Therapy hours / resident / day
0.26hours / resident / day
Physical therapy
0.19hours / resident / day
Occupational therapy
0.09hours / resident / day
Speech therapy

Met the expected recovery: 64.4% 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 87 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 0.54 therapist hours per resident per day in 2026Q1 — more than 84% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 6% 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.

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 SNF49.4%CMS range 42.8–57.051.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF10.2%CMS range 6.8–15.110.7%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 discharge64.4%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 discharge51.7%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 discharge67.8%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 setting100.0%100.0%Oct 2024–Sep 2025CMS makes no comparison for this 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 discharge100.0%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay1.7%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 worsened7.0%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 hospitalization7.1%CMS range 4.2–12.07.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.031.02Oct 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

0.69
RN hours/ resident / day
0.85
LPN hours/ resident / day
1.89
Aide hours/ resident / day
3.43
Total nurse hours/ resident / day
0.28
RN hoursweekends
20.5%
Total nursing turnover
28.6%
RN turnover

How full it usually is: this home is certified for 62 beds and averages 55.1 residents a day — about 89% occupied, or roughly 7 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 3.43 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.69 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 1.89 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 2.94 hrs/resident/day on weekends vs 3.62 on weekdays — 19% thinner on weekends. RN hours go from 0.86 to 0.28 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 20% is below the national median of 45%. 1 administrator has left in the past year.

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

6
deficiencies at the latest standard inspection (2026-01-21)
17
at the previous standard inspection (2024-11-21)

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.

34 citations, most serious first. The 13 most serious are shown; the remaining 21 are one tap away and print in full.

  • Immediate jeopardy · J2026-01-21 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff interview, the facility failed to ensure Resident #65's Physician Orders for Scope of Treatment (POST) form was honored by directions specified by the [NAME] Virginia Center for End-of-Life Care in conjunction with the [NAME] Virginia Health Care Decisions Act (16-30-1).This has to potential to affect all residents that reside in the facility. Resident identifiers: 65.The facility was notified of the Immediate Jeopardy (IJ) at 4:35 PM on [DATE]. The facility submitted their first abatement plan of correction (POC) at[DATE] at 5:29 PM. The state agency requested changes and the second abatement POC was submitted [DATE] at 6:01PM. The abatement POC was accepted by the state agency at 6:05 PM on [DATE]. After observation of the implementation of the abatement POC, the IJ was abated on [DATE] at 10:20 AM. The IJ started on [DATE] and ended on [DATE].The facility's approved abatement POC consisted of the following:Correction action for area of concern-Resident #65 was found…

    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
  • Immediate jeopardy · J2024-11-21 · 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 resident interview, record review, staff interview and observation, the facility failed to ensure a resident did not develop avoidable pressure ulcers. Resident #8 returned from the emergency room with bilateral leg immobilizes. The facility failed to implement a plan to prevent Resident #8 from developing pressure ulcers because of the leg immobilizers. Resident #8 developed bilateral unstageable pressure ulcers to both calves. The wounds have worsened and required the resident to be hospitalized and undergo debridement procedures on each of the wounds. The resident has voiced concerns and fears that his right leg will need an amputation because of the wound. The state agency (SA) determined the failures related to Resident #8 placed him and any other residents with medical devices such as leg braces in an immediate jeopardy (IJ) situation. The SA notified the facility of the IJ at 6:30 PM on 11/19/24. The SA accepted the facility's plan of correction (POC) at 8:09 PM on 11/19/24. After the SA observed…

    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
  • Immediate jeopardy · Jcited before2024-11-21 · 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

    Based on record review, resident interview and staff interview, the facility failed to ensure the resident environment over which it had control was as free from accident hazards as possible. Resident #8 requested the facility transport him to the bank in the facility van. The facility had decided prior to Resident #8's request to go to the bank that power wheelchairs could not be used on the facility van any longer. As a result of this decision the resident requested his manual wheelchair and chose to use the manual wheelchair in the van to go to the bank. The resident had not been in his manual wheelchair for at least a year prior to this. Since then, he had lost use of his legs and was paralyzed in both lower extremities. The resident slid from the wheelchair while on the van. A nurse aide was with him and another nurse aide responded to the scene where the van had pulled over after the resident slid from the wheelchair. The resident denied pain (please note the resident is a paraplegic and cannot feel his legs.) He stated he did not want to go to the hospital. The two (2) Nurse…

    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 · E2026-01-21 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    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 staff interview, the facility failed to provide a safe, clean, comfortable, and homelike environment for resident rooms/bathrooms on the 100 hall.This was a random opportunity for discovery. Rooms: 101, 102, 103, and 104. Facility census: 52.Findings included:a) Observations:Upon survey entrance walkthrough on 01/19/26 at 1:30 PM, the following issues were observed:room [ROOM NUMBER]:-Bathroom brownish smears behind toilet handrail dark red smeared substance on toilet hand rail -brown substance smeared behind toilet hand rail room [ROOM NUMBER]:-Room: Sticky yellowish substance on the wall behind resident's bed-Bathroom: observed dusty residue build up on base of empty hand sanitizer dispenser Room103:-bathroom observed smeared brownish substance on wall behind toilet handrails and on the wall under the soap dispenser-blackish substance around toilet base Room104:-bathroom observed cobwebs and built up of hair and dusty residue under the sink.-black substance build-up around baseboards…

    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 · Ecited before2026-01-21 · 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, interview and policy review, the facility failed to properly store food in accordance with professional standards of practice. This failed practice had the potential to affect more than a limited number of residents who are served food from the kitchen. Facility census: 52 Findings included:a) On 01/19/26 at 11:45AM, during Initial Brief Tour of Kitchen, opened boxes of food unclosed and left open to air was observed in the freezer. This was true for:frozen sausage links, frozen biscuit dough. and frozen pizza dough. b)The Utensils were not placed in the utensil drawer in all of the same direction but were observed to be scattered in different directions.c) A bottle of onion spice on the shelf above the stove was left open to air.On 01/20/26 at 1:00 PM a review facility policy labeled HCSG Policy 019, Food Storage: Cold Foods. Procedures, number 5 stated All foods will be stored wrapped or in covered containers, labeled and dated, and arranged in a manner to prevent cross contamination.d) Tray Line Prep Observation:On 01/19/2026 at approximately 11:40AM, while…

    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 before2026-01-21 · 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

    Based on observation and interview the facility failed to ensure the resident environment over which it had control was as free from accident hazards as possible in regards to bed safety. This was a random opportunity for discovery. Resident identifier: #28. Facility census: 52. Findings included:a) Resident #28During an initial tour of the facility an observation, completed on 01/18/26 at 12:26 PM, revealed Resident #28 was lying on a bariatric mattress (a heavy-duty, wider hospital-grade mattress) that was placed on a standard bed frame. Approximately 12 inches were hanging over the frame, creating an unsupported area for the resident which had potential to rise to the resident sustaining an injury from a fall off the bed. During an interview on 01/18/26 at 12:45 PM, the Director of Nursing verified the mattress was hanging over the frame of the bed and stated that it should not be larger than the frame. The DON stated that she would get the Maintenance Director to assess the issue.On 01/21/2026 at 10:35 AM, the Maintenance Assistant stated that he replaced the bariatric mattress,…

    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 · D2026-01-21 · tag F0732 — isolated
    Post nurse staffing information every day.
    What the surveyor found here — the official record, unedited, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation and staff interview, the facility failed to ensure the daily nursing staff form posted was accurate and complete. The daily census was not included on the posting for three (3) of four (4) days observed. Facility census: 52.Findings included:Upon entrance to the facility on [DATE] at approximately 11:15 AM, the daily nursing staff form was observed to be incomplete for January 17, 2026, January 18, 2026, and January 19, 2026. The daily census was not included on the posting for these days. During an interview on 01/18/26 at approximately 11:45 AM, the Director of Nursing (DON) concurred the nurse staff posting forms had not been accurately completed.

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2026-01-21 · tag F0880 — failed to prevent and control infections — isolated
    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 observation and staff interview, the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections with regards to unsanitary practices. This failed practice was a random opportunity of discovery. Resident identifier: #10 Facility census: 52.Findings Included:a) Dining Room ObservationOn 01/19/26 at approximately 12:15PM, during dining room observations, it was observed that Employee #23 failed to properly sanitize her hands between assisting with one resident's wheelchair and then assist in feeding Resident #10 without washing her hands and changing her gloves.b) Staff Interviews-On 01/19/26 at 12:45PM in an interview with Employee #23, she acknowledged she did not use properly sanitizer her hands before returning to feed Resident #10.-During an interview with the Corporate Kitchen Manager on 01/20/26 at approximately 11:15 AM, he stated he was aware of the lack of hand sanitization in 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.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2024-11-21 · tag F0656 — failed to write and follow a full care plan — pattern
    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, resident interview and staff interview, the facility failed to develop and/or implement a comprehensive care plan regarding food dislikes for Resident #23, a skin condition for Resident #14, behaviors and emotional status for Resident #8 and prevention of pressure ulcers for Resident #4. This was true for four (4) of 21 residents reviewed during the survey process. Resident Identifiers: #23, #14, #8 and #4. Facility Census: 54. Findings Included: a) Resident #23 On 11/18/24 at 11:45 AM, an interview was held with Resident #23. The resident stated, They sent my salad with chicken on it .I detest chicken and turkey .it's on my ticket. On 11/18/24 at 12:30 PM, a record review was completed for Resident #23. The review found the care plan did not list the food dislikes under any focus area on the care plan. On 11/21/24 at 9:45 AM, the Director of Nursing (DON) was notified and confirmed the dislikes were not listed in the care plan. b) Resident #14 On 11/20/24 at 10:30 AM, a record review was completed for Resident #14. The review found the care plan had a focus…

    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 · E2024-11-21 · tag F0756 — failed to review each resident's drug regimen — pattern
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and interview the Pharmacist failed to accurately review and complete monthly Medication Regimen Review (MRR). This failed practices was found to be true for 3 of 5 residents reviewed for the unnecessary medication care area during the Long Term Care Survey process. Resident identifiers: #47, #8, #33. Facility census: 54. Findings included: a) Resident # 47 During record review on 11/20/24 the following orders were noticed for Resident #47 who was ordered Nothing by Mouth (NPO): (as written in medial record) NPO (nothing by mouth) diet, NPO texture, NPO consistency Diet Active 10/17/2024 09:54 Acetaminophen Tablet 325 MG (Acetaminophen) Give 2 tablet by mouth every 4 hours as needed for Mild Pain More than 3 doses in 48 hours, notify physician/advanced practice provider(APP).Do not exceed 3g/day. (standing order) Acetaminophen Tablet 325 MG Give 2 tablet by mouth every 6 hours as needed for Temp 100F or above Notify Physician/Advanced Practice provider. Do not exceed 3g/day Milk of Magnesia Suspension 400 MG/5ML (Magnesium Hydroxide) Give 30 ml by mouth as…

    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
  • Potential for harm · E2024-11-21 · tag F0760 — failed to prevent significant medication errors — pattern
    Ensure that residents are free from significant medication errors.
    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 ensure all residents were free from significant medication errors. This was a random opportunity for discovery found during the investigation of a facility complaint. Resident Identifiers: Resident # #160, #11, #15, #14, #13, #161, #3, #59, #23, #164, #24, #35, #165, #166. Facility Census: 54. Findings included: a) 07/31/24 A review of a complaint received by the state agency on 08/02/24 and reviewed during a complaint survey which began on 11/18/24 found on 07/31/24 several residents missed there night time medication. A review of the incident reports found the nurse had reported to work after being involved in an accident. It was observed she was not able to perform her duties, so she was sent home, and another nurse came to take her place about an hour after she left. The nurse before leaving gave a report to the nurse who was working at the facility, but it was not clear if the medications had been administered or not. Because it was not clear if the medication had been administered the oncoming nurse who arrived…

    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
  • Potential for harm · E2024-11-21 · 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 — the official record, unedited, may be distressing

    Based on observation and staff interview, the facility failed to ensure menus were followed for the noon time meal on 11/18/24. This was true for 10 residents who were eating their noontime meal in the dining room on 11/18/24. Facility Census: 54 Findings Included: a) Noon time Meal Observation An observation of the noon meal service on11/18/24 found the Certified Dietary Manager (CDM) was serving the meal from a steam table located in the dining room. Near the end of the service, it was noted the residents were no longer being served broccoli with their meal. The residents were only served pinto beans, pan fried potatoes, and corn bread. An interview with the CDM immediately following the meal service confirmed she ran out of broccoli. When asked why there was not enough broccoli for all the residents she stated, I must of over scooped (gave too much) you made me nervous. When asked how many residents did not receive broccoli, she stated 10 residents. A review of the menu for this meal found each resident should have received one half of a cup of broccoli.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2024-11-21 · tag F0842 — failed to keep accurate, complete medical records — pattern
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    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 ensure the medical record was complete and accurate for 18 residents reviewed during the long-term care survey process. Resident identifiers: #4, #209, #47, #23, #8, #160, #11, #15, #14, #13, #161, #3, #59, #164, #24, #35, #165, and #166. Facility Census: 54. Findings Included: a) Resident #4 An interview with Resident #4 on 11/20/24 at approximately 4:45 PM, Resident #4 stated, I have to wear this brace all the time. I changed braces recently because the bar on the other rubbed a blister on my lower leg, but it is healed now. When asked if the facility staff remove the brace daily to look at his skin he stated, Yes they take it off every day and look at my skin underneath it and then put it back on. A review of Resident #4's treatment administration record for the months of October 2024 and November 2024 found no documentation to indicate the resident's brace was removed and the skin was checked for integrity. During an interview with the Director of Nursing (DON) in the morning of 11/21/24 when asked if they were…

    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
Show the remaining 21 citations
  • Potential for harm · D2024-11-21 · tag F0550 — failed to protect resident dignity and rights — isolated
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    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 treat each resident with dignity by placing undignified pictures in their medical record. This was a random opportunity for discovery during the Long-Term Care Survey Process. Resident identifiers #40 and #43. Facility Census 54. Findings Included: a) Resident #40 A record review on 11/20/24 at 4:56 PM, revealed that Resident # 40 had a Stage II pressure ulcer on her sacrum upon admission. Further record review found (2) two pictures of Resident #40's Stage II pressure ulcer to her sacrum. The picture dated 10/07/24, revealed a brown lumpy substance in Resident #40's brief. The picture dated 10/28/24, revealed a brown substance smeared up Resident # 40's intergluteal cleft. During an interview on 11/20/24 at 5:00 PM, Registered Nurse (RN) #41 (who is the wound nurse for the facility) stated, We clean the wounds, then take a picture of the area. The area is cleaned before we take the picture. State Agency (SA) showed RN #41 and the Director of Nursing (DON) the pictures in Resident #40's medical record. RN #41 had no…

    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 · D2024-11-21 · tag F0558 — failed to accommodate residents' needs and preferences — isolated
    Reasonably accommodate the needs and preferences of each resident.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record review, staff interview and resident interview, the facility failed to ensure one (1) resident's call lights were within reach. This was a random opportunity for discovery. Resident identifiers #15. Facility Census was 54. Findings included: a) Resident # 15 During a resident interview on 11/18/24 at 11:45 AM, Resident #15 was observed reaching for her call light. She attempted to move her chair but could not. She also mentioned that her reaching tool was on the other side of the room. Resident stated that the Nurse Aide (NA) must have moved the call light when she made her bed. At 12:16 PM the surveyor rang Resident #15's call light and at 12:18 PM the Director of Marketing and Admissions #8 answered the light and acknowledged that resident's call light and reacher were not within her reach. He gave both to the resident and stated that he was sure the NA would come back. Review of resident's care plan revealed the following: -Focus Resident requires assistance and is dependent for Activities of Daily Living (ADL) care in bathing, grooming, personal…

    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 · D2024-11-21 · tag F0580 — failed to tell family and doctor about changes — isolated
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on record review and staff interview, the facility failed to ensure the attending physician for Resident #4 was notified when the resident developed a blister to his lower leg. This was true for one (1) of three (3) residents reviewed for the care area of pressure ulcers during the long-term care process. Resident Identifier: #4. Facility Census: 54. Findings Included: a) Resident #4 A review of Resident #4's medical record on 11/20/24 found an order for Cleanse burst blister to the left lower leg with wound cleanser, pat dry and cover with bordered dressing. Change weekly and PRN for loose or soiled dressing. This order was dated 10/31/24. Further review of the medical record found no indication the physician was notified of the residents change in condition. An interview with the Director of Nursing (DON) on 11/21/24 at 12:39 PM confirmed there was no evidence in the medical record to indicate the physician was notified of the blister to Resident #4's left lower leg.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-11-21 · tag F0622 — isolated
    Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
    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 receiving facility received adequate information to ensure a safe and effective transition of care for Resident #8 when he was transferred to the hospital. This was true for one (1) of three (3) residents reviewed for the care area of hospitalizations during the long-term care survey process. Resident Identifier: #8. Facility Census: 54. Findings included: a) Resident #8 A review of Resident #8's medical record found he was transferred to the hospital on [DATE]. The resident record contained a SNF/NF to the hospital transfer form. The facility staff indicated this is the form which is sent with the resident to the hospital at the time of transfer. This form was reviewed and found no skin issues were identified. However, further review of the record found the resident had a pressure ulcer to his sacrum, to his left and right calf and to his right thigh. None of the wounds were identified on the transfer form. This was confirmed 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.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-11-21 · tag F0625 — isolated
    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
    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 provide a bed hold policy to Resident #23 for two (2) transfers to an acute care facility. This was true for one (1) of four (4) residents reviewed under the care area of hospitalizations. Resident identifier: #23. Facility Census: 54. Findings Included: a1) Resident #23 On 11/18/24 at 1:02 PM, a record review was completed for Resident #23. The review found the resident had been sent to an acute care facility on 03/02/24 for altered mental status. An interview was held with Business Office Manager (BOM) #36. BOM 36 stated, we don't have a bed hold policy for the transfer on 03/02/24. On 11/21/24 at 9:45 AM, the Director of Nursing (DON) was notified and confirmed the bed hold policy should have been completed. b1) Resident #23 On 11/18/24 at 1:02 PM, a record review was completed for Resident #23. The review found the resident had been sent to an acute care facility on 08/15/24 for altered mental status and increased urinary incontinence. An interview was held with Business Office Manager (BOM) #36. BOM #36 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.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-11-21 · tag F0641 — isolated
    Ensure each resident receives an accurate assessment.
    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 ensure the Minimum Data Set (MDS)for Resident #8 accurately reflected whether his pressure ulcer was in house acquired or present on admission. This was true for one (1) of three (3) residents reviewed for the care area of pressure ulcers during the long-term care survey process. Resident Identifier: #8. Facility Census: #54. Findings included: a) Resident #8 A review of Resident #8's medical record found the following MDS's: An MDS with an Assessment Reference Date (ARD) of 10/29/24 identified Resident #8 as having three (3) unstageable pressure ulcers, all of which were present on admission. However, a review of the skin evaluations found Resident #8's two (2) pressure ulcers to his calves were in house acquired. An MDS with an ARD of 11/11/24 identified Resident #8 as having three (3) unstageable pressure ulcers, all of which were present on admission. However, a review of the skin evaluations found Resident #8's two (2) pressure ulcers to his calves were in house acquired. An interview with Clinical Reimbursement…

    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 · D2024-11-21 · tag F0645 — isolated
    PASARR screening for Mental disorders or Intellectual Disabilities
    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 identify diagnosis of Traumatic Brain Injury (TBI), mood disorder, personality disorder, and Post Traumatic Stress Syndrome (PTSD) on the Pre-admission Screening and Resident Review (PASARR). This failed practice was found true for (2) two of (4) four residents reviewed for PASARR during the Long-Term Care Survey Process. Resident identifiers: #33 and #8. Facility Census: 54. Findings included: a) Resident #33 A record review on 11/18/24 at 4:09 PM, of Resident #33's diagnosis, revealed a diagnosis of TBI as an admitting diagnosis. Further record review of Resident #33's PASARR dated 04/28/22 revealed a PASARR that did not include the diagnosis of TBI. During an interview on 11/19/24 at 3:05 PM, the Licensed Social Worker (LSW) stated, I did not do hers, so I am not sure. The lady who did hers is off this week. The LSW confirmed that the diagnosis of Traumatic Brain injury was not on the PASARR. b) Resident #8 A review of Resident #8's medical record on 11/18/24 found Resident #8's diagnosis list contained 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 · Dcited before2024-11-21 · 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 related to code status. This failed practice was found true for (1) one of 21 residents reviewed for care plan accuracy during the Long-Term Care Survey Process. Resident identifier: #45. Facility Census: 54. Findings Included: a) Resident #45 A record review on 11/18/24 at 4:25 PM, revealed a POST form dated 10/31/24 that indicated Resident #45 is marked Do Not Attempt Resuscitation (DNR) Further record review revealed a care plan for Resident #45 that had a focus that reads as follows: (Resident #45's name ) has an established advanced directive of FULL CODE on file. During an interview, on 11/19/24 at 1:01 PM, the Licensed Social Worker (LSW) confirmed that the care plan had not been updated related to Resident #45's code status.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-11-21 · tag F0699 — isolated
    Provide care or services that was trauma informed and/or culturally competent.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on resident interview, record review and staff interview, the facility failed to ensure Resident #8 who was a trauma survivor received culturally competent, trauma-informed care in accordance with professional standards of practice which accounted for his experiences and preferences to eliminate or mitigate triggers that may cause re-traumatization of the resident. This was true for one (1) of two (2) residents reviewed for the care area of mood and behavior during the long-term care survey process. Resident Identifier: #8. Facility Census: 54. Findings Included: a) Resident #8 During the initial screening process of the long-term care survey, it was discovered Resident #8 had an Minimum Data Set (MDS) trigger for Post Traumatic Stress Disorder (PTSD). During an interview with Resident #8 on 11/18/24 at 4:19 PM when asked if he had any problems related to PTSD he stated, I was in the army and also losing our son was very traumatic. He further stated, I have been here for a long time and have lost many friends here and that is hard on me. A review of Resident #8's care plan…

    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 before2024-11-21 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on observations and staff interviews, the facility failed to have an effective infection control program by leaving an oxygen tube laying on the floor. This was a random opportunity for discovery during the long-Term Care Survey process. Resident identifier: #47. Facility Census: 54. Findings included: a) Resident #47 An observation on 11/18/24 at 11:38 AM revealed Oxygen nasal tubing on floor beside bed and under chair for Resident #47. Another observation on 11/19/24 at 11:51 AM revealed Oxygen nasal tubing remained on the floor beside bed under the chair. Further observation and staff Interview on 11/20/24 at 9:37 AM Oxygen nasal tubing still in the same spot in the floor corporate staff #77 confirmed it should not be on the floor and immediately gloved up and threw the oxygen nasal tubing that had been on the floor from 11/18/24 through 11/20/24 in the trash.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Fcited before2023-02-15 · tag F0641 — widespread
    Ensure each resident receives an accurate assessment.
    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 accurately complete section C (Cognitive Patterns) status of the Minimum Data Set (MDS). This is true for eight (8) of eight (8) reviewed during the Long-Term Care Survey Process (LTCSP). Resident identifiers: #26, #12, #48, #25, #49, #6, #201 and #41. Facility census:55. Findings included: a) Resident #26. Resident #26's MDS with an Assessment Reference Date (ARD) of 02/02/23 admission Assessment found Resident #26 was assessed Yes, Should Brief Interview for Mental Status (BIMS) (C0200-C0500) be conducted for question C0100. Continued review revealed the BIMS was not completed or assessed. On 02/14/23 at 9:56 AM during an interview, the Social Worker (SW) #56 stated that she was unsure what had happened and why she did not complete the MDS section C. She verified she was responsible for completing Section C on the MDS and confirmed the section was incomplete. On 02/14/23 at 10:10 AM, during an interview the Clinical Reimbursement Coordinator (CRC) Nurse, verified Resident #26's MDS Section C was not completed. She…

    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 · E2023-02-15 · tag F0583 — failed to protect personal privacy — pattern
    Keep residents' personal and medical records private and confidential.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation and staff interview, the facility failed to keep residents medical information confidential. The facility failed to safeguard private information that was posted on the wall at the nurses station. This was a random opportunity for discovery. The failed practice was true for 11 residents who had medical appointments throughout the week. This was a random opportunity for discovery. Resident identifiers: #38, #20, #40, #21, #44, #14, #156, #206, #107, #22, and #4. Facility census: 55 Findings included: a) Daily Appointments for the Week of February 12th - 18th posting in a public area On 02/13/23 at 12:58 PM, an observation revealed a Daily Appointments: February 12th - 18th posting on the wall to the left side of the Nurse's Station. This posting was visible to visitors/other residents passing by. The posting displayed the following details: Monday, February 13th Resident #38 - Van Pickup at 8:000 AM Resident #20 - Pickup at 6:40 AM, Appointment at 7:20 AM Resident #40 - Pickup at 9:00 AM, Appointment at 9:45 AM Resident #21 - Pickup at 1:00 PM - Appointment 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.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2023-02-15 · tag F0623 — pattern
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
    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 provide evidence a resident/resident's representative was provided a written Notice of Transfer/Discharge for an acute hospital transfer. This was true for three (3) of three (3) residents reviewed for hospitalizations during the long-term care survey process. Resident identifiers: #6, #38, and #206. Facility census: 55. Findings included: a) Resident #6 An electronic medical record review was completed on 02/13/23 at 2:16 PM. Resident #6 was discharged to the hospital on [DATE]. There was no evidence a written Notice of Transfer/Discharge was provided to Resident #6 or legal representative. During an interview on 02/15/23 at 10:30 AM, the Administrator stated the facility was unable to provide evidence that a Notice of Transfer/Discharge was given. b) Resident #38 An electronic medical record review was completed on 02/13/23 at 2:30 PM. Resident #38 was discharged to the hospital on [DATE]. There was no evidence a written Notice of…

    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 · Ecited before2023-02-15 · tag F0625 — pattern
    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
    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 provide evidence a resident/resident's representative was provided a written Bed Hold Notice for a hospital transfer. This was true for three (3) of three (3) residents reviewed for hospitalizations during the long-term care survey process. Resident identifiers: #6 and #38, and #206. Facility census: 55. Findings included: a) Resident #6 An electronic medical record review was completed on 02/13/23 at 2:16 PM. Resident #6 was discharged to the hospital on [DATE]. There was no evidence a written Bed Hold Notice was provided to Resident #6 or legal representative. During an interview on 02/15/23 at 10:30 AM, the Administrator stated the facility was unable to provide evidence that a written Bed Hold Notice was given. b) Resident #38 An electronic medical record review was completed on 02/13/23 at 2:30 PM. Resident #38 was discharged to the hospital on [DATE]. There was no evidence a written Bed Hold Notice was provided to Resident #38 or…

    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 · Ecited before2023-02-15 · tag F0657 — failed to keep the care plan current — pattern
    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 interview, the facility failed to revise and complete a person-centered comprehensive care plan in a timely manner. This practice affected four (4) of (19) resident's care plans reviewed during the Long-Term Care Survey Process (LTCSP). The failure to ensure the comprehensive care plan was reviewed and revised for the resident's highest practicable well-being placed the residents at risk of not receiving services that would meet their desires or wants and a decreased quality of life. Resident identifier: #44, #20, #24, and #41. Facility census: 55. Findings included: a) Resident #44 A review of Resident #44's current care plan with the review date of 01/05/23 with a target completion date 01/08/23 showed there was no completed date. This showed the care plan was not updated to reflect the resident's current status. A continued review found Resident #44's care plan with the review date of 07/12/22 with a target completion date 07/25/22 showed the completion date 11/03/22. During an interview on 02/14/23 at 10:15 AM the Clinical Reimbursement…

    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 · E2023-02-15 · tag F0885 — failed to notify residents/families about COVID-19 — pattern
    Report COVID19 data to residents and families.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on facility documentation and staff interview, the facility failed to inform residents, their representatives, and families of those residing in facilities by 5 PM the next calendar day following the occurrence of a confirmed infection of COVID-19. This failed practice had the potential to affect more than a limited number of residents in the facility. Facility census: 55. Findings included: a) Covid-19 Notification On 02/15/23 a facility documentation review revealed a confirmed case of Covid-19 for a resident in the facility on 12/27/22. Continued review found no residents, representatives or families were notified until 12/30/22. During an interview on 02/15/23 at 2:56 PM The Administrator confirmed no family, resident or representative was notified before 5 PM 12/28/22. He stated that he notified residents, their representatives, and families on 12/30/22. .

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-02-15 · tag F0655 — isolated
    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
    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 develop a baseline care plan that included minimum healthcare information to provide effective person-centered care for one (1) of 19 residents reviewed in the long-term care survey process. Resident identifier: #208. Facility census: 55 Findings included: a) Resident #208 During an interview, on 02/13/23 at 12:20 PM, Resident #208 indicated she had been admitted to the facility on [DATE]. Resident #208 went on to state that she did not think she received a copy of her baseline care plan after admission to the facility. A brief medical record review, completed on 02/13/23 at 8:20 PM, revealed Resident #208's Brief Interview for Mental Status (BIMS) score was 15. A BIMS score of 15 demonstrates the resident was cognitively intact. Additionally, the care plan in the electronic medical record included only one (1) focus area which was initiated on 02/09/23 and read, Peripheral IV/Midline IV due to infection/antibiotic therapy. Progress notes,…

    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 before2023-02-15 · 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 develop and implement comprehensive person-centered care plans with measurable objectives for each resident. This is true for two (2) of 19 residents whose care plans were reviewed. Resident identifiers: #6 and #41. Facility census: 55. Findings included: a) Resident #6 Review of Resident #6's care plan, on 02/13/23 at 7:59 PM, found the following focus area: Resident is at risk for decreased ability to perform in bathing, grooming, personal hygiene, dressing, eating, bed mobility, transfer, locomotion, toileting. The goal associated with the focus area was listed as: Resident/Patient's ADL (Activities of Daily Living) care needs will be anticipated and met throughout the next review period. Interventions instructed, Provide resident/patient with total assist of 1-2 or toileting and Provide resident/patient with extensive to total assist of 1 to 2 for bathing. The [NAME] for the CNAs (Certified Nursing Assistants) provided the same…

    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 before2023-02-15 · 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 staff interview, the facility failed to ensure each resident was assessed to determine the amount of supervision required to prevent accidents during staff assistance with toileting and bathing. This was true for one (1) of 19 residents reviewed in the long-term care process. Resident identifier: #6. Facility census: 55. Findings included: a) Resident #6 Review of Resident #6's care plan, on 02/13/23 at 7:59 PM, found the following focus area: Resident is at risk for decreased ability to perform in bathing, grooming, personal hygiene, dressing, eating, bed mobility, transfer, locomotion, toileting. The goal associated with the focus area was listed as: Resident/Patient's ADL (Activities of Daily Living) care needs will be anticipated and met throughout the next review period. Interventions instructed, Provide resident/patient with total assist of 1-2 or toileting and Provide resident/patient with extensive to total assist of 1 to 2 for bathing. The [NAME] for the CNAs (Certified…

    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 before2023-02-15 · 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 — the official record, unedited, may be distressing

    Based on observation and staff interview, the facility failed to monitor temperatures on personal refrigerators. This was a random opportunity for discovery. Resident identifiers: #10 and #106. Facility census: 55. Findings included: a) Resident #10 On 02/13/23 at 11:45 AM, Resident (R) #10's refrigerator was found to have a temperature log taped to the front door. The last documented temperature was on 02/10/23. b) Resident #106 On 02/13/23 at 11:55 AM, R #106's refrigerator temperature log was noted to be incomplete. Temperatures were not documented since 02/10/23. The facility administrator confirmed the residents' personal refrigerator temperatures were not monitored daily, during an interview on 02/13/23 at 12:00 PM. .

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-02-15 · tag F0842 — failed to keep accurate, complete medical records — isolated
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    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 ensure two (2) of 19 residents reviewed during the long-term care survey process had a Physician Orders for Scope of Treatment (POST) form completed per directions specified by the [NAME] Virginia Center for End-of-Life Care in conjunction with the [NAME] Virginia Health Care Decisions Act (16-30-1). The POST forms were unsigned by the Resident or Medical Power of Attorney (MPOA). Resident identifiers: Resident #20 and #6. Facility census: 55. Findings included: a) Resident #20 Record review on 01/13/23 at 2:16 PM found, a POST Form on Resident #20's chart was unsigned by the Resident or Medical Power of Attorney (MPOA). (Patient/Patient MPOA representative/surrogate signature required). A verbal consent was completed on 07/06/22. During an interview on 14/14/23 at 2:06 PM the Administrator confirmed Resident #20's POST form was not signed by the Resident or MPOA. b) Resident #6 An electronic medical record review, completed on 02/13/23 at 2:11 PM, revealed the following details: -Resident #6 enrolled in hospice…

    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

“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

$57,113 in federal fines across 3 penalties.

  • $26,685 — penalty dated 2026-01-21
  • $13,627 — penalty dated 2024-11-21
  • $16,801 — penalty dated 2024-11-21

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 GENESIS HEALTHCARE — 184 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 2 of 52.4-0.4 vs chain
Health inspection 2 of 52.3-0.3 vs chain
Staffing 3 of 52.5+0.5 vs chain
Quality measures 4 of 53.5+0.5 vs chain
The other 183 homes this chain runs (chain average 2.4★, per CMS)
1 of 5Alexandria Care CenterLos Angeles, CA 1 of 5Bay Crest Care CenterTorrance, CA 1 of 5Bethlehem North Skilled Nursing And RehabilitationBethlehem, PA 1 of 5Bethlehem South Skilled Nursing And RehabilitationBethlehem, PA 1 of 5Bridgeville Rehabilitation & Care CenterBridgeville, PA 1 of 5Brightwood CenterFollansbee, WV 1 of 5Carlisle Skilled Nursing And Rehabilitation CenterCarlisle, PA 1 of 5Casa De Oro CenterLas Cruces, NM 1 of 5Devonshire Care CenterHemet, CA 1 of 5Gettysburg CenterGettysburg, PA 1 of 5Glenwood CenterFlorence, AL 1 of 5Heritage CenterHuntington, WV 1 of 5Hidden Valley CenterOak Hill, WV 1 of 5Inners Creek Skilled Nursing And Rehabilitation CeDallastown, PA 1 of 5Jersey Shore Skilled Nursing And Rehabilitation CeJersey Shore, PA 1 of 5Kingston Court Skilled Nursing And RehabilitationYork, PA 1 of 5Las Palomas CenterAlbuquerque, NM 1 of 5Lebanon Center, Genesis HealthCareLebanon, NH 1 of 5Lebanon Skilled Nursing And Rehabilitation CenterLebanon, PA 1 of 5Linden Grove Health Care CenterPuyallup, WA 1 of 5Magnolia RidgeGardendale, AL 1 of 5Marmet CenterMarmet, WV 1 of 5Meridian CenterHigh Point, NC 1 of 5Merry Wood LodgeElmore, AL 1 of 5Mount Olive CenterMount Olive, NC 1 of 5Mountain Ridge Center, Genesis HealthCareFranklin, NH 1 of 5Oak Grove CenterWaterville, ME 1 of 5Oceanside Skilled Nursing And RehabilitationHampton, NH 1 of 5Orchard Park Health Care & Rehab CenterTacoma, WA 1 of 5Parkersburg CenterParkersburg, WV 1 of 5Pembroke CenterPembroke, NC 1 of 5Pine LodgeBeckley, WV 1 of 5Playa Del Rey CenterPlaya del Rey, CA 1 of 5Pocahontas CenterMarlinton, WV 1 of 5Pottstown Skilled Nursing and Rehabilitation CentePottstown, PA 1 of 5Putnam CenterHurricane, WV 1 of 5Ridgewood CenterRidgewood, NJ 1 of 5Rio Rancho CenterRio Rancho, NM 1 of 5River City CenterDecatur, AL 1 of 5River Ridge CenterKennebunk, ME

Showing 40 of 183; 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 / managerTypeRoleShareSince
GENESIS WV HOLDINGS LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST; ADP OF THE SNF100%since 04/01/2011
FC-GEN OPERATIONS INVESTMENT LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST; ADP OF THE SNFNO PERCENTAGE PROVIDEDsince 02/02/2015
GEN OPERATIONS I LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST; ADP OF THE SNFNO PERCENTAGE PROVIDEDsince 02/02/2015
GEN OPERATIONS II LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST; ADP OF THE SNFNO PERCENTAGE PROVIDEDsince 02/02/2015
GENESIS HEALTHCARE INCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST; ADP OF THE SNFNO PERCENTAGE PROVIDEDsince 02/02/2015
GENESIS HEALTHCARE LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST; ADP OF THE SNFNO PERCENTAGE PROVIDEDsince 02/02/2015
GENESIS HOLDINGS LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST; ADP OF THE SNFNO PERCENTAGE PROVIDEDsince 02/02/2015
GENESIS OPERATIONS LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST; ADP OF THE SNFNO PERCENTAGE PROVIDEDsince 02/02/2015
GHC HOLDINGS LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST; ADP OF THE SNFNO PERCENTAGE PROVIDEDsince 02/02/2015
SUN HEALTHCARE GROUP INCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST; ADP OF THE SNFNO PERCENTAGE PROVIDEDsince 02/02/2015
WHITMAN, ARNOLDIndividual5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 02/02/2015
BERG, MICHAELIndividualCORPORATE OFFICERsince 03/02/2015
BRIDGEFORD, LAURAIndividualCORPORATE OFFICERsince 06/01/2024
MENDELSON, AVIIndividualCORPORATE OFFICERsince 06/01/2024
MARSHALL, CHRISTOPHERIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 10/10/2025
PAINE, WARDIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 06/01/2024
HCCF MANAGEMENT GROUP XI LLCOrganizationADP OF THE SNFsince 12/12/2025
SUNDANCE REHABILITATION HOLDCO INCOrganizationADP OF THE SNFsince 12/12/2025
WELLTOWER OP, LLCOrganizationADP OF THE SNFsince 12/12/2025
ZAC PROPERTIES XI LLCOrganizationADP OF THE SNFsince 12/12/2025

CMS files one row per role, so the 32 rows in the source record cover these 20 parties — each is shown once here with every role it holds. Nothing is omitted.

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.

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.

$9.3M
Net patient revenuemost recent cost report
+0.7%
Operating marginrevenue minus expenses
$2.8M
Related-party expense30% of expenses
Who pays — share of resident-days
Medicaid 50%Medicare 18%Other / private 31%

This home reported $2.8M paid to related parties — landlords or management companies under common ownership — equal to about 30% 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 2024. 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

$460per resident / day
operating cost
$13,981per month
≈ monthly operating cost
$463per day
avg. revenue, all payers

Straight from this home’s Medicare cost report (CMS, FY2024). 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

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 515104. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-01-21, 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.

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