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Sundale Nursing Home

800 J D Anderson Drive, Morgantown, WV 26505 · Non profit - Corporation · 100 certified beds · (304) 599-0497 Medicare & Medicaid certified

Call the home — (304) 599-0497 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
No harm-level citations or fines — but 23 lower-level deficiencies on record (see below)
Insights

This home’s record is mixed — some reassuring signs, some worth asking about.

In its favor
  • a strong health-inspection score (5/5) — the hardest rating to game (though it’s ranked within its own state, not nationally)
  • no federal fines or payment denials on record
  • a high payroll-based staffing rating (4/5)
  • lower-than-typical staff turnover (35% vs 45% nationally) — better care continuity
  • fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
Worth asking about
  • a high number of inspection citations overall (23) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • its facility-reported quality-measure rating is low (2/5)

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.

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

Location & what’s nearby

Hospital
★★★★ 4/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
1000 Mon Health Medical Park Dr · (304) 599-9400 · Call to confirm hours
Pharmacy
1200 J D Anderson Dr · (304) 285-2285 · Call to confirm hours
Grocery
Kroger0.8 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 2 of 5
Long-stay residentspeople who live here 2 of 5
Short-stay residentsrehab / post-hospital 3 of 5

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

Trend — is this home getting better or worse?

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

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

Overall rating4★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased24.9%14.7%15.4%worse
Long-stay residents who lose too much weight6.3%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 infection3.2%1.6%2.0%worse
Long-stay residents with depressive symptoms1.5%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 injury3.5%4.4%3.3%typical
Long-stay residents whose ability to walk worsened24.7%15.9%16.1%worse
Long-stay residents on antianxiety or hypnotic medication6.3%27.0%18.9%better
Long-stay residents given the seasonal flu vaccine95.3%97.6%95.3%typical
Long-stay residents with pressure ulcers4.6%4.2%4.7%typical
Long-stay residents with worsening bladder/bowel control27.0%22.1%21.2%worse
Long-stay residents who got an antipsychotic medication — see the note below the table10.3%13.4%17.1%better
Short-stay residents who newly got an antipsychotic medication0.0%1.0%1.4%better
Short-stay residents given the seasonal flu vaccine47.4%79.4%79.4%worse
Short-stay residents rehospitalized after admission37.3%22.5%22.6%worse
Short-stay residents with an outpatient ER visit13.2%11.3%12.0%typical
Long-stay hospitalizations per 1,000 resident days3.111.801.67worse
Long-stay outpatient ER visits per 1,000 resident days3.641.841.80worse

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.

54.3% 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 46 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

54.3%U.S. median 51.5%
Got home and stayed home
10.6%U.S. median 10.7%
Went back to hospital
51.1%U.S. median 56.6%
Met the expected recovery
0.66U.S. median 0.31
Therapy hours / resident / day
0.33hours / resident / day
Physical therapy
0.21hours / resident / day
Occupational therapy
0.12hours / resident / day
Speech therapy

Met the expected recovery: 51.1% 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 47 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 0.66 therapist hours per resident per day in 2026Q1 — more than 90% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 10% 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 SNF54.3%CMS range 42.5–65.151.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF10.6%CMS range 6.9–14.910.7%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 discharge51.1%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 discharge59.6%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 discharge42.5%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 discharge96.5%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 stay1.4%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 worsened1.4%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization6.7%CMS range 3.3–14.57.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs0.991.02Oct 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

0.77
RN hours/ resident / day
0.75
LPN hours/ resident / day
2.31
Aide hours/ resident / day
3.82
Total nurse hours/ resident / day
0.46
RN hoursweekends
35.1%
Total nursing turnover
14.3%
RN turnover

How full it usually is: this home is certified for 100 beds and averages 92.3 residents a day — about 92% occupied, or roughly 8 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 3.82 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.77 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.31 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.46 hrs/resident/day on weekends vs 3.97 on weekdays — 13% thinner on weekends. RN hours go from 0.89 to 0.46 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 35% is below the national median of 45%.

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

Inspection trend

3
deficiencies at the latest standard inspection (2026-06-03)
9
at the previous standard inspection (2025-01-14)

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.

23 citations, most serious first. The 10 most serious are shown; the remaining 13 are one tap away and print in full.

  • Potential for harm · Dcited before2026-06-03 · tag F0656 — failed to write and follow a full care plan — isolated
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, staff interview and and record review, the facility failed to implement a resident's care plan by failing to use both floor mats for Resident #79 with a a history of falls. Resident identifier: #79. Facility Census: 91. Findings included: a) Resident #79 On 05/27/26 at 12:31 PM, observed a fall mat against the air unit, a fall mat on the resident's right side of bed and the absence of a fall mat on the left side of resident's bed. At 12:32 PM Occupational Therapy Assistant (OTA) #164 was asked about the mat and went to find a nurse. He returned without nurse and observed fall mat leaning against heating/air unit and reported that usually it meant she has an order for it and he would put it back down on the left side of her bed. OTA #164 reported that he would report to the nurse. Review of resident's physician orders dated 11/11/25 stated bed side mats (low profile) on floor- at all times while in bed. Review of the care plan revealed, pages 7-8. Focus- Resident #79 is at risk for serious injury related to history of falls, impaired mobility, incontinence,…

    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 before2026-06-03 · 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 Observations and Staff interviews, the facility failed to store food in accordance with professional standards for food safety. The first floor south nutrition room had five (5) Glucerna drinks that were expired. This was a random opportunity for discovery during the normal Long Term Survey Process, that had the potential to effect more then a limited number of residents. Facility Census: 91. a) During the facility walkthrough and inspection of the nutrition areas on 05/27/26 at approximately 10:45 AM, five (5) expired Glucerna supplements were found in the first-floor south wing resident nutrition room. They expired on 01/03/26 and remained in the cabinet accessible to residents.During a interview with Social Worker #148 on 05/27/26 at approximately 11:15 AM, they confirmed the supplements were expired and then discarded them.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2025-01-14 · tag F0585 — failed to handle grievances — pattern
    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review, the facility failed to document voice grievances (such as those about treatment, care, management of funds, lost clothing, or violation of rights) and maintain evidence of the result of all grievances for no less than 3 years from the date the grievance decision was issued. This has the potential to affect, more than a limited number of Residents. Facility census: 85. Findings Included: Record review of the facility's policy titled, Resident and Family Grievances, showed: --The grievance official is responsible for overseeing the grievance process: receiving and tracking grievances through their conclusion. --Evidence demonstrating the results of all grievances will be maintained for a period of no less than 3 years from the issuance of the grievance decision. A grievance log will be maintained for each calendar year. a) Grievance Process A record review on 01/08/25 of grievances revealed no grievance forms or logs were filled out for the last two years. During an interview with the Social Services Director (SSD) on 01/08/25 at 2:22 PM SSD…

    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 · E2025-01-14 · tag F0692 — failed to prevent malnutrition and dehydration — pattern
    Provide enough food/fluids to maintain a resident's health.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record review, and staff interview, the facility failed to ensure accurate weights were obtained for three (3) out of three (3) residents sampled for weight loss. Failure to monitor and investigate significant changes in resident's weight status places the residents at risk for an incorrect assessment or diagnosis of impaired nutrition or hydration status. Further, this failed practice potentially prevented the interdisciplinary team from accurately developing and implementing interventions to stabilize or improve the resident's nutritional status before complications arose. Resident Identifiers: Residents #24, #53 and #78. Facility Census:85. The findings included: a) Resident #24 During a review of Resident #24's weights on 01/09/25 at approximately 9:18 AM, the following values were revealed: 10/1/2024 21:28 175.9 Lbs 11/1/2024 23:28 175.9 Lbs 12/1/2024 20:35 177.2 Lbs 1/8/2025 19:29 160.4 Lbs Based on these records, the resident experienced a weight loss of 16.8 pounds, (9.4% of body weight), over a period of 37 days, between 12/01/24 and 01/08/25. A review…

    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 · E2025-01-14 · tag F0710 — pattern
    Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and interview, the facility failed to notify the physician of a resident's significant change in weight, and failed to ensure that the physician conducted a medical evaluation of a resident with a sudden significant change in weight. As a result, the residents were not evaluated to determine the cause for the sudden change in body weight. This placed the resident at risk for serious harm or death. Resident Identifiers: Resident #24, #53, and #78. Facility Census: 85. Findings Included: a) Resident #24 During a review of Resident #24's weights on 01/09/25 at approximately 9:18 AM, the following values were revealed: -10/1/2024 21:28 175.9 Lbs -11/1/2024 23:28 175.9 Lbs -12/1/2024 20:35 177.2 Lbs -01/8/2025 19:29 160.4 Lbs Based on these records, the resident experienced a weight loss of 16.8 pounds, (9.4% of body weight), over a period of 37 days, between 12/01/24 and 01/08/25. A review of Resident #24's care plan revealed the following: PROBLEM: [Resident] has the potential for decreased fluid status, AEB constipation, hx of UTI, and intake less than 75%.…

    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.

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2025-01-14 · tag F0812 — failed to store, cook, and serve food safely — pattern
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on observation and staff interviews, the facility failed to store food in a safe sanitary manner in regard to storing medical ice packs in the freezer in the residents pantry. This has the potential to affect a limited number of residents. Facility census: 85. Findings Included: a) Two South Resident Pantry During the tour on 01/08/25 at 9:20 AM to the Resident pantry, two (2) medical Ice packs were observed stored in resident freezer. An interview, on 01/08/25 at 9:20 AM, with the Dietary Manager confirmed the medical ice packs should not be stored with resident food.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-01-14 · tag F0623 — isolated
    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 that the long-term care Ombudsman was sent a copy of the written Notice of Transfer for acute hospital transfers. This was true for two (2) out of two (2) residents reviewed for hospitalizations during the long-term care survey process. Resident identifiers: #28 and #4. Facility census: 85. Findings included: a) Resident #28 A record review, completed on 01/14/25 at 9:26 AM, revealed that Resident #28 had been transferred to the hospital on [DATE]. Although the Notice of Transfer/Discharge was given to the resident at the time of transfer, there was no evidence that the facility had sent a copy of the notice to the long-term care Ombudsman. During an interview on 01/14/25 at 11:19 AM, the Director of Social Services stated that she had not yet sent a notification to the long-term care Ombudsman. She stated, We do a log, I am way behind on my log. We try to do it no less than yearly. b) Resident 4 Medical Record review on…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-01-14 · tag F0644 — isolated
    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and staff interviews, the facility failed to identify Major Depressive disorder on Preadmission Screening and Resident Review (PASARR). This was found true for one (1) of three (3) residents reviewed during the long-term care survey process. Resident identifier: Resident #53. Facility Census: 85 Findings included: a) Resident #53 A record review conducted on 01/07/25, at approximately 11:45 AM for Resident #53 revealed that the PASARR completed on 03/18/24 did not include any diagnoses of Mental Disorder (MD) or Intellectual Disability (ID). Record reviews also indicated that Resident #53 had been diagnosed with Major Depressive Disorder (MDD) on 11/26/24. Further record review revealed no updated PASARR that captured the MDD diagnosis. During an interview, with the Director of Nursing (DON), on 01/09/24 at approximately 10:55 AM, she confirmed that the PASARR did not reflect the new diagnosis of Major Depressive Disorder. She further stated that she would notify Social Services of the deficiency. On 01/13/24 at approximately 12:12 PM, during an interview with…

    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 before2025-01-14 · tag F0656 — failed to write and follow a full care plan — isolated
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and staff interview, the facility failed to ensure that the Resident had a person-centered, comprehensive care plan, developed and implemented to meet his / her preferences and goals, and address the resident's medical, physical, mental, and psychosocial needs. This practice affected one (1) of nine (9) residents' care plans reviewed during the Long-Term Care Survey Process (LTCSP). This failure to ensure that the comprehensive care plan was developed to ensure the residents' highest practicable well-being placed the resident at risk of not receiving services that would meet their desires or needs. Resident Identifier: Resident #53. Facility Census: 85. Findings included: a) Resident #53 During a review of Resident #53's current diagnoses performed on 01/07/25 at approximately 11:45 AM, revealed that the resident had been diagnosed with Major Depressive Disorder (MDD) on 11/26/24. Continued review revealed the resident's current care plan did reflect specific interventions to address the symptoms and management of MDD. The care plan, however, did address…

    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 before2025-01-14 · tag F0684 — failed to provide proper treatment and quality of care — isolated
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review, and staff interview, the facility failed to follow physician orders related to administration of pain medication. This was true for one (1) of three (3) residents reviewed for pain during the annual long-term care survey process. Resident identifier: #2. Facility census: 85. Findings included: a) Resident #2 A record review was completed on 01/08/25 at 7:00 PM. The record review demonstrated that Resident #2 had the following physician order: Hydrocodone-Acetaminaphen oral tablet 5-325 MG. Give 1 tablet by mouth every 6 hours as needed for pain related to pain, for severe pain (7-10). Review of the December 2024 and January 2025 Medication Administration Records (MARs) revealed the following dates the medication was administered outside the physician's parameters for severe pain. December 2024 -12/10/24 Pain Level of 6 -12/11/24 Pain Level of 3 -12/25/24 Pain Level of 3 January 2025 -12/06/26 Pain Level of 3 During an interview on 01/09/25 at 8:56 AM, the Director of Nursing (DON) acknowledged the medication was administered outside of the parameters set in…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
Show the remaining 13 citations
  • Potential for harm · D2025-01-14 · 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 — the official record, unedited, may be distressing

    Based on record review and staff interview, the facility failed to complete a comprehensive social services assessment in its entirety for Resident #35. This was a random opportunity for discovery. Resident identifier: #35. Facility census: 85. Findings included: a) Resident #35 During a record review, on 01/13/25 at 11:29 AM, it was identified that the following questions were left unanswered on the comprehensive social services assessment, dated 06/25/24. Question 12: Date capacity determined by MD Question 13: Competency (Guardian, Conservator, or Both) Question 14: Current Pain Medications Further record review revealed: -The most recent physician determination of capacity was on 05/22/24 -Resident #35 had both a court appointed legal guardian and a conservator effective 01/28/13 -Resident #35 was ordered Tramadol pain medication, an order that began on 07/20/23. During an interview, on 01/13/25 at 2:15 PM, the Director of Social Services acknowledged the questions were left blank and were unanswered.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-01-03 · tag F0656 — failed to write and follow a full care plan — isolated
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record review, and staff interview, the facility failed to develop and/or implement a care plan regarding fall prevention interventions for Resident #38 and #9. Resident Identifiers: #38 and #9. Facility Census: 85. Findings Included: a) Resident #38 On 01/03/24 at 10:07 AM, a record review was completed for Resident #38. The review found the fall prevention interventions on the care plan had not been implemented. An observation of Resident #38's wheelchair found no anti-roll backs were in place. Nurse Aide (NA) #104 confirmed the anti-roll backs were not in place. The resident was found to have multiple falls throughout the stay at the facility. On 01/03/24 at 10:15 AM, the record review found an additional fall prevention intervention of check q (every) 30 minute checks to ensure toileting and ADL (activities of daily living) needs were met. However, the documentation only found shift (every eight (8) hours) notes which were identified with a check mark under the tasks tab. There was no 30 minute documentation found to verify the checks were completed. On…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-01-03 · 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 careplan related to a significant weight loss and to include supplements. This was a random opportunity for discovery. Resident identifier # 81. Facility census 85. Findings included: a) Resident #81 During a record review on 01/02/24 at 1:00 PM of Resident #81's orders, it revealed Resident #81 was ordered Ensure Plus one time a day for significant weight loss on 12/19/23 During a record review on 01/02/24 at 1:15 PM of Resident #81's dietary care plan it read Resident #81 was a significant weight gain at 3 and 6 months, revised on 10/17/23. There is no mention of supplements. During an interview on 01/03/24 at 9:30 AM wit the Director of Nursing (DON), she stated, I don't feel its necessary to add the supplement to the care plan if they are on a regular diet, our dietary manager updates the dietary careplan's. During and interview on 01/03/24 at 9:45 AM the Dietary Manager stated, The supplement for resident #81 is not in the care plan. I am the one that adds those to careplan and I missed that one.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-01-03 · tag F0684 — failed to provide proper treatment and quality of care — isolated
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record review, and staff interview, the facility failed to follow the physician's orders regarding fall prevention interventions for Resident #38 and #9. Resident Identifiers: #38 and #9. Facility Census: 85. Findings Included: a) Resident #38 On 01/03/24 at 10:07 AM, a record review was completed for Resident #38. The review found the physician's orders for the fall prevention interventions were not being followed . An observation of Resident #38's wheelchair found no anti-roll backs were in place. Nurse Aide (NA) #104 confirmed the anti-roll backs were not in place. The resident was found to have multiple falls throughout the stay at the facility. On 01/03/24 at 10:15 AM, the record review found an additional physician's order for a fall prevention intervention of check q (every) 30 minute checks to ensure toileting and ADL (activities of daily living) needs were met. However, the documentation only found shift (every eight (8) hours) notes which were identified with a check mark under the tasks tab. There was no 30 minute documentation found to verify 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-01-03 · tag F0812 — failed to store, cook, and serve food safely — isolated
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, staff interview, and facility policy the facility failed to serve house snacks in a sanitary manor, by serving snacks off of a cart which included dirty dishes. This was a random opportunity for discovery. This failed practice was true for two (2) of two (2) residents. Resident identifiers #9 and #16. Facility census 85. Findings included: a) Resident #9 During an observation on 01/03/24 at 10:00 AM Dietary Aide Employee #52 was putting house snacks at the nurses station from cart that was covered in dirty dishes which she had collected on her way down the hall. During an interview on 01/03/24 at 10:02 AM with Dietary Aide employee #52, she stated, This is how I do it. During an interview on 01/03/24 at 10:16 AM with Dietary Manager she stated, No this is not how it is done. She knows better than to do it that way. During a review on 01/02/24 at 10:30 AM of the facilities policy titled, (facilities name) Nursing Home Nourishment Policy, it reads {When Dietary Personnel delivering nourishments, all food items must be kept clean and free from cross contamination…

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

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2023-02-22 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — pattern
    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 record review, the facility failed to ensure the resident environment over which it had control was as free from accident hazards as possible. A medication cart and a treatment cart were unlocked with no one in attendance. These were random opportunities for discovery that had the potential to affect residents who were able to access the carts. Resident identifiers: #34, #73, #60, #21, #54, #78, #38, #135, #8, #81, #72, #76, #9. Facility census: 84. Findings included: a) Medication cart On 02/21/23 at 8:28 AM, the medication cart in the 100 hallway was noted to be unlocked. No staff member was present. Licensed Practical Nurse (LPN) #13, who was administering medications, came out of a resident room and verified the medication cart was unlocked. According to information provided by the facility, the following residents were known to wander around the facility: #34, #73, #60, #21, #54, #78, #38, #135, #8, #81, #72, #76, and #9. b) Treatment Cart On 02/21/23 at 10:28 AM, the treatment cart was observed unlocked and unattended by staff. On 02/21/23 at 10:30 AM,…

    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 · Ecited before2023-02-22 · tag F0812 — failed to store, cook, and serve food safely — pattern
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on observation and staff interview, the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety. During the kitchen tour it was discovered dry food bins had not been dated when filled. This had the potential to affect any resident receiving nourishment from the kitchen. Facility census: 84. Findings included: a) Kitchen tour During the kitchen tour on 02/20/23 at 11:43 AM, it was discovered the flour, sugar and rice bins had not been dated when they were filled last. In an interview with the Dietary Manager (DM) on 02/20/23 at 11:50 AM, verified the flour, sugar and rice bins had not been dated when refilled. .

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2023-02-22 · tag F0880 — failed to prevent and control infections — pattern
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on medical record review and staff interview, the facility failed to establish and maintain an infection prevention and control program designed to help prevent the development and transmission of communicable diseases and infections. Resident hand hygiene was not performed before the noon meal. This was a random opportunity for discovery. Resident identifiers: #38, #284, #45, #73. Facility census: 84. Findings included: a) Resident hand hygiene On 02/21/23 at 11:17 PM, the surveyor arrived on the 2 South hallway to observe the noon meal pass. Resident #45 and Resident #284 were sitting at a table at the nursing desk. At 11:20 PM, Resident #38 was brought to the table via wheelchair. At 11:51 AM, Resident #73 was brought to the table via wheelchair. On 02/21/23 at 11:37 AM, Employee #72 was observed delivering a meal tray to Resident #254 who was dining in her room. Hand hygiene was not offered to Resident #254. At 11:41 AM, tray delivery was began by Restorative Aide (RA) #72 to the residents seated at the table at the nursing desk. Resident #284 received a tray at 11:41 AM.…

    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 · D2023-02-22 · tag F0641 — isolated
    Ensure each resident receives an accurate assessment.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on record review and staff interview, the facility failed to complete an accurate Minimum Data Set (MDS) assessment for a resident. This deficient practice was found for one (1) of 20 resident MDS assessments reviewed during the Long Term Care Survey Process. Resident identifier: #60. Facility census: 84. Findings included: a) Resident #60 During a medical record review on 02/21/23 for Resident #60 revealed the significant change MDS completed on 01/12/23 was not coded correctly for a fall on 01/01/23. In an interview with the MDS Coordinator #25 on 02/22/23 at 9:25 AM, verified the fall on 01/01/23 was not coded correctly in Section J for falls. .

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-02-22 · tag F0656 — failed to write and follow a full care plan — isolated
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on record review and staff interview, the facility failed to develop a comprehensive person- centered care plan for Resident #27. This was discovered for one (1) of three (3) residents reviewed for the care area of nutrition during the Long Term Care Survey Process. Resident identifier: #27. Facility census: 84. Findings included: a) Resident #27 During a medical record review for Resident #27 on 02/22/23, revealed the comprehensive care plan for decreased nutritional status was not developed to include the physician's order for double breakfast portions since 07/24/17. In an interview with the Dietary Manager on 02/22/23 at 11:35 AM, verified the care plan did not include the double portions for breakfast. .

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-02-22 · 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 — the official record, unedited, may be distressing

    Based on record review and staff interview the facility failed to ensure residents received treatment and care in accordance with professional standards of practice. The deficient practice was true for one (1) of four (4) residents reviewed for the care area of falls during the Long Term Care Survey Process. Resident identifier: #60. Facility census: 84. Findings included: a) Resident #60 A medical record review on 02/22/23 for Resident #60, revealed there were orders for resident to be wearing hipsters at all times and have a non-skid pad to the wheelchair at all times for fall precautions. During an observation with LPN #38 on 02/22/23 at 10:38 AM, verified that Resident #60 was not wearing any hipsters and there was no non-skid cushion in the wheelchair. .

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-02-22 · tag F0761 — failed to label and store drugs safely — isolated
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation and staff interview, the facility failed to ensure medications were stored and labeled in accordance with currently accepted professional principles. A multi-use tuberculin purified protein derivative (PPD) vial was not dated when opened to determine when the vial should be discarded. This was a random opportunity for discovery that had the potential to affect residents receiving tuberculin PPD injections. Facility census: 84. Findings included: a) First-floor Medication Room On 02/21/23 at 1:15 PM, inspection of the first-floor medication room was made. Registered Nurse (RN) #120 was in attendance. In the medication room refrigerator, an opened multi-dose vial of tuberculin Purified Protein Derivative (PPD) was noted to not have been dated when first accessed. Tuberculin purified protein derivative is given by injection to aid in the diagnosis of tuberculosis. A vial of tuberculin PPD which has been entered and in use for 30 days should be discarded, according to the manufacturer's package insert available on the Food and Drug Administration (FDA) website. RN…

    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
  • No harm found · B2026-06-03 · tag F0868 — pattern
    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
    What the surveyor found here — the official record, unedited, may be distressing

    Based on record review and staff interview, the facility failed to ensure Quality assessment and assurance (QAA) meetings were completed at minimum quarterly. This failed practice has the potential to affect more than a minimal number of residents residing in the long term care facility. Facility Census: 91Findings included: a) Record review completed on 06/03/26 revealed the QAA meeting for Quarter Two (2) was held on 10/29/25 along with the Quarter Three (3) meeting. During an interview on 06/03/26 at approximately 11:30 AM the Administrator stated they normally hold meetings the month following the end of the quarter to discuss all items for that quarter. However, the Doctor was unable to attend the scheduled meeting for Quarter Two (2) so they combined both the Quarter Two (2) and Quarter Three (3) meetings. This confirms there was no meeting during the second quarter.

    Administration 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

No federal fines in the current CMS record.

Who owns this facility

Owner / managerTypeRoleSince
ANDERSON, SCOTIndividualCORPORATE DIRECTORsince 05/28/2019
BARNETT, CECILIAIndividualCORPORATE DIRECTORsince 03/01/2010
BERRYMAN, JEFFREYIndividualCORPORATE DIRECTORsince 03/01/2012
CHASE, VICKIIndividualCORPORATE DIRECTORsince 04/30/2019
CLONCH, ROBERTIndividualCORPORATE DIRECTORsince 04/28/2015
ROYCE, VIRGINIAIndividualCORPORATE DIRECTORsince 03/01/2012
SMITH, RYANIndividualCORPORATE DIRECTORsince 04/30/2019
HIGGINBOTHAM, WILLIAMIndividualCORPORATE OFFICERsince 07/01/2011
MYERS-SMITH, PEGGYIndividualCORPORATE OFFICERsince 07/01/2011
PAUL, MARYIndividualCORPORATE OFFICERsince 07/01/2011
WARMAN, JAMESIndividualCORPORATE OFFICERsince 08/27/2013
WILLIAMS, JANETIndividualCORPORATE OFFICERsince 06/30/2015
CROSSGATES MEDICAL INCOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/01/1996
WEST VIRGINIA UNIVERSITY MEDICAL CORPORATIONOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 03/01/2019
HICKS, MICHAELIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/01/1996
SHRADER, CARLIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 03/01/2019
WHITE, LISAIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/01/2000

CMS files one row per role, so the 22 rows in the source record cover these 17 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

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

Follow the money — this home’s finances

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

$14.0M
Net patient revenuemost recent cost report
-3.7%
Operating marginrevenue minus expenses
Who pays — share of resident-days
Medicaid 44%Medicare 5%Other / private 51%

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

Cost & finances

$482per resident / day
operating cost
$14,649per month
≈ monthly operating cost
$465per day
avg. revenue, all payers

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

What families pay in WV

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 515083. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-06-03, 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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