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

Continuous Care Center Wheeling Hospital

236 Hullihen Place, Wheeling, WV 26003 · Non profit - Church related · 144 certified beds · (304) 243-3800 Medicare & Medicaid certified

Call the home — (304) 243-3800 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse-prevention, restraint, or reporting citation — no harm found (F0609) — cited Nov 2023Behavioral-health or dementia-care citation — no harm found (F0758)
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
  • fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
Worth asking about
  • it has a citation for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0609) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
  • 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) 3 of 5
Quality measuresSelf-reported by the facility 2 of 5

Location & what’s nearby

Hospital
★★ 2/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
1315 Mount DeChantal Rd · (304) 243-7117 · Call to confirm hours
Pharmacy
842 National Rd · (304) 232-3410 · Call to confirm hours
Grocery
Kroger0.7 mi
200 Mt de Chantal Rd · (304) 233-5480 · Call to confirm hours
Park
299 Poplar Ave · 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 1 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 4 to 5 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 rating5★
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 increased18.4%14.7%15.4%worse
Long-stay residents who lose too much weight9.8%6.3%5.4%worse
Long-stay residents with a catheter left in their bladder3.3%0.4%0.9%worse than state — see note marked double-dagger below the table
Long-stay residents with a urinary tract infection1.7%1.6%2.0%better
Long-stay residents with depressive symptoms1.2%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 injury8.1%4.4%3.3%worse
Long-stay residents whose ability to walk worsened17.5%15.9%16.1%typical
Long-stay residents on antianxiety or hypnotic medication20.5%27.0%18.9%typical
Long-stay residents given the seasonal flu vaccine100.0%97.6%95.3%typical
Long-stay residents with pressure ulcers6.1%4.2%4.7%worse
Long-stay residents with worsening bladder/bowel control25.4%22.1%21.2%worse
Long-stay residents who got an antipsychotic medication — see the note below the table18.5%13.4%17.1%typical
Short-stay residents who newly got an antipsychotic medication1.4%1.0%1.4%typical
Short-stay residents given the seasonal flu vaccine97.8%79.4%79.4%better
Short-stay residents rehospitalized after admission22.8%22.5%22.6%typical
Short-stay residents with an outpatient ER visit12.2%11.3%12.0%typical
Long-stay hospitalizations per 1,000 resident days2.341.801.67worse
Long-stay outpatient ER visits per 1,000 resident days1.601.841.80better

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.

67.2% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 222 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

67.2%U.S. median 51.5%
Got home and stayed home
10.7%U.S. median 10.7%
Went back to hospital
38.4%U.S. median 56.6%
Met the expected recovery
0.78U.S. median 0.31
Therapy hours / resident / day
0.37hours / resident / day
Physical therapy
0.25hours / resident / day
Occupational therapy
0.16hours / resident / day
Speech therapy

Met the expected recovery: 38.4% 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 271 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 0.78 therapist hours per resident per day in 2026Q1 — more than 94% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 0% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

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

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF67.2%CMS range 60.4–72.551.5%Oct 2022–Sep 2024better than U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF10.7%CMS range 8.0–13.810.7%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 discharge38.4%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 discharge35.8%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge19.9%50.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified48.1%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 setting98.9%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 discharge95.6%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 stay0.3%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 worsened0.6%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 hospitalization5.3%CMS range 3.3–7.77.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs0.641.02Oct 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

0.94
RN hours/ resident / day
1.11
LPN hours/ resident / day
2.35
Aide hours/ resident / day
4.40
Total nurse hours/ resident / day
0.58
RN hoursweekends
Total nursing turnover
RN turnover

How full it usually is: this home is certified for 144 beds and averages 127.8 residents a day — about 89% occupied, or roughly 16 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 4.40 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.94 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.35 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 3.92 hrs/resident/day on weekends vs 4.59 on weekdays — 15% thinner on weekends. RN hours go from 1.08 to 0.58 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

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 (2025-08-28)
8
at the previous standard inspection (2023-11-29)

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 · Ecited before2025-08-28 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, staff interview and observation, the facility failed to ensure food was stored in accordance with professional standards for food service. This failed practice had the potential to affect more than a limited number of residents. Facility Census: 128.Findings included: a) The facility's policy and procedure for Food Storage stated, All foods are to be covered, labeled, and dated. All food items open and not dated will be discarded. Procedures:All foods, including sliced meats (example: lunch meat and bulk cooked meats) are to be re-dated with current date when removed from freezer and placed in the refrigerator. All food is covered, labeled and dated when placed in the refrigerator.All food items in refrigerator open, not dated or outdated will be discarded.b) The facility's policy and procedure for Leftovers stated: All leftover cold food for storage in the refrigerator is put in storage containers and completely covered with plastic or foil wrap. It is then labeled with the name of the…

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

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-08-28 · 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, staff interview and observations, the facility failed to ensure a comprehensive care plan for fall interventions was developed. The failed failed practice had the potential to affect a limited number of residents. Resident Identifier: #75. Facility census: 128. Findings included: a) Resident #75On 08/25/2025 at 09:19 AM, Resident #75 was observed during the initial interview process. The resident was observed to have a fall mat on the left side of the bed, his bed against the right side of the wall and his bed in a low position. On 08/28/2025 at 08:10 AM, Nursing Assistant #15 confirmed Resident #75 had fall mats, bed in low position and bed against wall on the right side. The nursing assistant reported he usually has these items in place. On 08/28/2025 at 09:23 AM, Registered Nurse (RN) #169 confirmed there was no order for floor mats, and they typically don't order for bed positioning, but they put it in the care plan. On 08/28/2025 at 09:40 AM, RN #169 reported floor mats and bed positioned against the wall were added to the resident's care plan.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-08-28 · 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 observation, staff interview and record review, the facility failed to ensure an accurate medical record for fall intervention orders and provide documentation of the method of bathing. This failed practice had the potential to affect more than a limited number of residents. Resident Identifiers: #75 and #104. Facility Census: 128. Findings included: a) Resident #75 On 08/25/25 at 9:19 AM, Resident #75 was observed during the initial interview process. The resident was observed to have a fall mat on the left side of the bed, his bed against the right side of the wall and his bed in a low position. On 08/28/25 at 8:10 AM, Nursing Assistant #15 confirmed Resident #75 had fall mats, bed in a low position, and bed against wall on the right side. The nursing assistant reported he usually has these items in place. On 08/28/25 at 09:23 AM, Registered Nurse (RN) #169 confirmed there was no order for a floor mat and reported they had just added the order. A copy of the order was given to the state surveyor. b) Resident #104 Review of Resident #104’s medical record on 08/21/25,…

    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 · E2023-11-29 · tag F0580 — failed to tell family and doctor about changes — pattern
    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 — an excerpt from the official record, may be distressing

    Based on medical record reviews and staff interviews, the facility failed to ensure the physician was notified of changes regarding resident's physical status. This was true for three (3) of 27 sample residents. The physician was not notified of urinalysis results for Resident #112, and for Residents #4 and #98 there was no notice of weight loss/gain. Resident identifiers: #112, #4, and #98. Facility census: 115. Findings included: a) Resident #112 On 11/29/23 at 1:55 PM record review shows Resident #112 had a temperature of 101.7 Fahrenheit (F) on 10/23/23 at 10:16 AM. At 11:40 AM the (in house Physicians name) was notified of the fever, lungs clear but diminished. Denies burning or pain with urination. A new order for a chest X-ray (negative) and urinalysis with a culture and sensitivity was ordered. According to a progress note on 10/24/23 at 5:24 PM the Physician was notified regarding the urinalysis and preliminary results from the urine culture. No new orders were received. Documentation shows the Physician requested to wait on the results of the culture and sensitivity for…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2023-11-29 · tag F0684 — failed to provide proper treatment and quality of care — pattern
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and staff interview, the facility failed to follow physician orders. Medication used to control blood sugar in people with diabetes mellitus was not administered within physician's parameters and documented in accordance with professional standards of practice. Blood glucose levels were not obtained as ordered. High blood sugars were not reported to the physician. The facility failed to have a documented order for a tube feeding. The facility failed to notify the physician when a resident had an abnormal urinalysis culture. This affected 8 (eight) of 27 residents reviewed during the long-term care survey process. Resident identifiers: #10, #22, #47, #15, #4, #68, #112, #5. Facility census: 115. Findings included: a) Resident #10 A record review, completed on 11/27/23 at 2:08 PM, revealed the following physician order, Blood Sugar, two times a day for DM (Diabetes Mellitus). Call dr (doctor) if below 70 or above 300 for further orders. Review of the November 2023 Medication Administration Record, completed on 11/28/23 at 8:46 PM, revealed the following seven…

    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 before2023-11-29 · tag F0609 — failed to report abuse allegations — isolated
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on policy review, record review and staff interview, the facility failed to ensure resident falls resulting in serious bodily injury were reported in a timely manner to the appropriate state agencies. The failure to make a timely report and to report to the correct state agencies was true for two (2) of two (2) sample residents for falls. Resident identifiers: #56 and #14 . Facility census: 115. Findings included: Review of the facility's Mistreatment/Abuse/Neglect Reporting Allegations Policy, with a revision date of January 2023, revealed the facility would report to the Office of Health Facility and Licensure (OHFLAC) and to Adult Protective Services (APS) in accordance with [NAME] Virginia Code 9-6-9. a) Resident #56 A medical record review, completed on 11/28/23 at 12:50 PM, revealed the following: - Resident #56 fell while getting up to the bathroom without staff assistance on 08/21/23 at 10:00 PM. - A Health Status Note, on 08/22/2023 at 10:47 AM, noted Resident #56 was complaining of right elbow pain. Her physician was notified and new orders were given for a portable…

    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.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-11-29 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY . Based on record review and staff interviews, the facility failed to ensure that the resident's Pre-admission Screening (PAS) reflected pre-admission diagnoses for one (1) of one (1) residents reviewed for the category of PASARR, during the long-term care survey. Resident identifier #98. Facility census 115. Findings included: a) Resident #98 On 11/28/23, a record review of the resident's electronic medical record (EMR), the resident's admission PASARR, dated 05/01/23, indicated no level II was needed. Section lll #30 MI/MR Assessment indicated None. A continued record review also revealed the resident received a psychistric diagnosis of bipolar disorder on the diagnosis listed on admission [DATE] but did not receive a new PAS to address whether or not specialized services were needed. On 11/29/23 at 1:51 PM, an interview with Social Worker #136 confirmed the admission PAS presented to the surveyor did not indicate a diagnosis of bipolar disorder and a new PAS was not completed for bipolar disorder upon…

    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 · D2023-11-29 · tag F0813 — isolated
    Have a policy regarding use and storage of foods brought to residents by family and other visitors.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on observation and staff interview, the facility failed to ensure resident safety and sanitary storage, handling and consumption of food in a personal refrigerator. Resident identifier: #68 Facility census: 115. Findings included: a) Resident #68 On 11/27/23 at 3:14 PM observation of Resident #68's personal refrigerator in the room found three (3) cartons of expired milk. The expiration dates were 04/12/23, 09/30/23 and 10/14/23. This was confirmed on 11/27/23 at 3:25 PM with Licensed Practical Nurse (LPN) #79 who agreed the expired milk should have been thrown out.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-11-29 · tag F0814 — failed to dispose of garbage properly — isolated
    Dispose of garbage and refuse properly.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation and staff interviews, the facility failed to maintain the garbage storage area in a sanitary condition. It was discovered the dumpster had a work glove, a food container and newspaper on the ground around the dumpster. Facility census: 115. Findings included: a) Garbage refuse receptacle During an observation from the loading dock of the outside garbage receptacle on 11/27/23 at 11:55 AM, with the Dietary Manager (DM). She verified the garbage storage area was not maintained in a sanitary manner. There was a work glove, food container and newspaper on the ground around the dumpster. She also reported the area around the dumpster was cleaned early in the morning and again in the afternoon. The DM on 11/27/23 at 12:38 PM, provided the schedule for cleaning of the area around the dumpster. The Dumpster Cleaning Log noted at 6:00 AM and 2:00 PM on 11/01/23 to 11/26/23 the area around the dumpster had been cleaned. There was no time recorded for the early morning cleaning on 11/27/23. During an interview with the Nursing Home Administrator on 11/29/23 at 9:10 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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-11-29 · tag F0851 — isolated
    Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
    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 electronically submit to CMS complete and accurate direct care staffing information data by the required deadline for the FY Quarter 3 2023 (April 1 - June 30). This was a random opportunity for discover. Facility census: 115. Findings included: a) Payroll Based Journal (PBJ) Staffing Data Report for Fiscal Year Quarter 3 2023 (April 1 - June 30) Review of the PBJ Staffing Data Report for Fiscal Year Quarter 3 2023 (April 1 - June 30) revealed results for low weekend staffing, Registered Nurse coverage for eight (8) consecutive hours/day, and Licensed Nurses for 24 hours/day were suppressed on the 3rd Quarter of 2023 report. It was noted that a possible reason for suppression may be invalid data. During an interview on 11/28/23 at 3:00 PM, the Administrator reported the facility started using a new payroll system in January 2023. As a result, data had to be extracted from two (2) new systems. The Fiscal Year Quarter 2 2023 (January 1 - March 31) information was submitted successfully. The Administrator reported 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.

    Administration Deficiencies · Deficient, Provider has date of correction
Show the remaining 13 citations
  • Potential for harm · D2023-11-29 · tag F0868 — isolated
    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 facility documentation and staff interview, the facility failed to have required members sign in at the Quality Assessment and Assurance (QAA) meetings. This failed practice had the potential to affect all residents residing at the facility. Facility census: 115. Findings included: a) QAA Record review of the facility's documentation of QAA Meeting Agenda and Minutes revealed no sign in sheets for staff that attended the meeting quarterly. During an Interview 11/29/23, at 4:08 PM, the Administrator verified the required members did not sing in for the quarterly QAA meetings. No other information was provided prior to the end of the survey on 11/29/23.

    Administration Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2022-06-23 · 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, staff interview and policy review, the pharmacist failed to identify and report a drug irregularity during the initial medication review and reconciliation. Resident #207's as needed antianxiety medication lacks a 14 day time limit. In addition, the Medication Regimen Review (MRR) policy lacks time frames for the different steps in the review process and does not identify the steps the pharmacist must take when identifying an irregularity that requires urgent action to protect the resident. This is true for one (1) of five (5) reviewed for unnecessary medications and the policy has the potential to more than a limited number of residents residing in the facility. Resident identifier: 207. Facility census: 113. Findings include: a) Resident (R) #207 Review of the medical record found R #207 was prescribed Ativan (antianxiety medication) 0.5 milligrams (mg) as needed every eight (8) hours three (3) days after her admission. The order written on 06/14/22 states: Ativan Tablet 0.5 mg Give 0.5 mg by mouth every eight (8) hours as needed for anxiety, agitation,…

    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 · D2022-06-23 · tag F0584 — failed to keep a safe, clean, comfortable home — isolated
    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 — the official record, unedited, may be distressing

    Based on observation and staff interview, the facility failed to ensure wheelchair arms were in good repair for a resident. This was a random opportunity for discovery. The failed practice was true for one (1) of 22 sampled residents. Resident identifier: #4. Facility census: 113. Findings included: A record review of the facility's policy titled Standards of Nursing Practice revised on 02/2022, stated, It is each nurse's responsibility to monitor patient care equipment to assure equipment is in good working condition. a) Resident #4 An observation on 06/20/22 at 9:37 AM, showed Resident #4's wheelchair arms were cracked and in poor repair. During an interview on 06/21/22 at 11:00 AM, Administrator stated that Resident #4's wheelchair arms were cracked and were in need of repair. .

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2022-06-23 · tag F0609 — failed to report abuse allegations — isolated
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on medical record review and staff interview, the facility failed to report a fall with major injury for Resident #99. This practice affected one (1) of three (3) residents reviewed for falls during the Long Term Care Survey Process. Resident identifier: #99. Facility census: 113. Findings included: a) Resident #99 A medical record review on 06/21/22 revealed a progress note for 06/05/22, which indicated resident was found in the bathroom and her left leg was noticeably turned outward. The physician was notified and orders were received to send Resident #99 to the emergency room for evaluation. A progress note on 06/09/22 reported Resident #99 was readmitted from the hospital with left hip repair after a fall with fracture. In an interview with the Nursing Home Administrator and the Director of Nursing on 06/21/22 at 10:25 AM reported the fall with major injury on 06/05/22 was not reported to any State entities. .

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2022-06-23 · tag F0641 — isolated
    Ensure each resident receives an accurate assessment.
    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 accurately complete a Minimum Data Set (MDS) assessments for two (2) of 22 residents reviewed during Long-Term Care Survey (LTCSP). The MDS for Resident #3 did not accurately reflect resident was receiving hospice. And Resident #100's MDS did not accurately reflect a diagnosis of an infection. Resident identifier: Resident #3 and Resident #100. Facility Census: 113 Findings Included: a) Resident #3 A Review of the Resident #3 Significant change MDS on 06/20/22 with Assessment Reference Dates (ARD) of 03/19/22 discovered the following: Section O titled Special treatment procedure and programs, Section K Hospice Care was coded as: No. Section J titled Health Conditions, Section J1400 Prognosis was coded No. A review of Resident #3's medical record on 06/20/22, found a physician order dated, 03/10/22 for Admit to Amedisys Hospice-Diagnosis Alzheimer's Disease. During an interview on 06/21/22 at 1:15 PM MDS Coordinator #50 acknowledged 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 · D2022-06-23 · tag F0657 — failed to keep the care plan current — isolated
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on medical record review and staff interview, the facility failed to revise Resident #3's care plan for update medication for dementia with behaviors that was discontinued. This is true for one (1) of 22 residents reviewed for care plans. Resident identifier: Resident #3. Facility Census: 113. Findings included: a) Resident #3 A record review of Resident #3's medical record on 06/22/22 found the following care plan: Focus statement: Cognitive loss/dementia or Alteration in thought processes related to: history of Alzheimer The focus statement was initiated on 04/16/18 and revised on 03/28/19. Goals associated with the this goal included Will provide current level of cognitive function as demonstrated by: knowing self and family by review date. This goals was initiated on 04/16/2018 and revised on 06/17/22. The interventions included Administer medications as ordered by MD. Geodon for Dementia. Ativan for anxiety and restlessness. This intervention was initiated on 04/16/18 and revised on 03/07/22. During a medical record review revealed a physician order dated 05/13/22 Geodon…

    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 · D2022-06-23 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
    Provide safe and appropriate respiratory care for a resident when needed.
    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 provide oxygen therapy in accordance with professional standards of practice. The oxygen tubing was not labeled to indicate when it was last changed for two (2) of two (2) residents reviewed for the area of respiratory care. Resident identifiers: Residents #53, #71. Facility census: 113. Findings included: a) Resident #53 Review of Resident #53's medical records showed the following physician's order: Change oxygen tubing monthly on the 1st (with labels provided - note date, time and initials). During observation on 06/20/22 at 10:23 AM, Resident #53 was noted to be using supplemental oxygen via a nasal cannula. The oxygen tubing was not labeled to indicate when it was last changed. During an interview on 06/20/22 at 11:15 AM, Licensed Practical Nurse (LPN) #111 confirmed Resident #53's oxygen tubing did not have a label. No further information was provided through the completion of the survey process. b) Resident #71 During a random observation on 06/20/22 at 1:30 PM, it was discovered the oxygen…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2022-06-23 · tag F0698 — failed to provide proper dialysis care — isolated
    Provide safe, appropriate dialysis care/services for a resident who requires such services.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on medical record review and staff interview, the facility failed to develop an order for the care and treatment of a vascular assess catheter for hemodialysis. This was discovered for one (1) of (1) residents reviewed for dialysis during the Long Term Care Survey Process. Resident #163 had no order for the care and treatment of his vascular access catheter for hemodialysis. Resident identifier: Resident #163. Facility census: 113. Findings included: a) Resident #163 During a medical record review on 06/22/22 for Resident #163, it was discovered there was no order for the care and treatment of a vascular access catheter for dialysis. In an interview with the Director of Nursing (DON) on 06/22/22 at 9:38 AM verified there was no order for the vascular access catheter used for dialysis for Resident #163. .

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2022-06-23 · tag F0755 — failed to provide safe pharmacy services — isolated
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    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, record review, and staff interview, the facility failed provide pharmaceutical services to meet the needs of each resident. Medication current being received by Resident #26 was expired. This was a random opportunity for discovery. Resident identifier: #26. Facility census: 113. Findings included: a) Resident #26 On [DATE] at 9:19 AM, the 1 North Hallway medication storage room was observed. In the refrigerator was a bottle of Omeprazole liquid for Resident #26 that had expired on [DATE]. Licensed Practical Nurse (LPN) #89 confirmed the medication was expired and needed to be discarded. LPN #89 also said Resident #26 was currently receiving Omeprazole liquid. Review of Resident #26's current orders showed an order for Omeprazole suspension one (1) time a day. No further information was provided through the completion of the survey. .

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2022-06-23 · tag F0758 — failed to limit and justify psychotropic drugs — isolated
    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on record review and staff interview, the facility failed to ensure Resident #207's as needed anti-anxiety medication was limited to 14 days. This is true for one (1) of five (5) reviewed for unnecessary medications. Resident identifier: #207. Facility census: 113. Findings included: a) Resident (R) #207 Review of the medical record found R #207 was prescribed Ativan (antianxiety medication) 0.5 milligrams (mg) as needed every eight (8) hours three (3) days after being admitted . The order written on 06/14/22 states: Ativan Tablet 0.5 mg Give 0.5 mg by mouth every eight (8) hours as needed for anxiety, agitation, restlessness. The order lacks a stop date to identify the 14 day limit. During an interview on 06/22/22 at 9:58 AM, Registered Nurse (RN) #4 reviewed the order for R #207's Ativan and acknowledged the medication order in the computer system lacks a 14 day stop date. RN #4 stated staff must put in the 14 day limit for the as needed Ativan when it is ordered so it will automatically stop on the fourteenth day. .

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2022-06-23 · tag F0810 — isolated
    Provide special eating equipment and utensils for residents who need them and appropriate assistance.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on observation, record review, and staff interview, the facility failed to provide special eating utensils for Resident #48. This was a random opportunity for discovery. Resident identifier: #48. Facility census: 113. Findings included: a) Resident #48 On 06/20/22 at 12:09 PM, Resident #48 was observed to be eating in the dining room. The resident appeared to be feeding herself well. However, the resident's tray ticket stated the resident was to have built-up utensils. The resident was using regular silverware. On 06/20/22 at 12:19 PM, Dietary Aide #123 confirmed Resident #48 did not have the built-up utensils specified on the tray ticket. Dietary Aide #123 stated she had been told the resident did not need them anymore. Review of Resident #48's current physician's orders showed the following order written on 04/14/22: Patient to have built up utensils with all meals. No further information was provided through the completion of the survey process. .

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2022-06-23 · 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 interview, the facility failed to store food in accordance with professional standards for food service safety. During the kitchen tour it was discovered the bins containing sugar and flour were not dated. This had the potential a limited number of residents receiving nourishment from the kitchen. Facility census: 113. Findings included: a) Kitchen tour It was discovered during the kitchen tour on 06/20/22 at 11:00 AM, the bins containing sugar and flour were not dated. The Dietary Manager was present during the kitchen tour on 06/20/22 at 11:10 AM and verified the bins containing the sugar and flour were not dated. .

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2022-06-23 · 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 help prevent the development and transmission of communicable diseases and infections. Staff failed to don appropriate personal protective equipment (PPE) for a resident in contact isolation. This was a random opportunity for discovery. Resident identifier: #100. Facility census: 113. Findings included: a) Resident #100 Review of Resident #100's medical records showed an order for contact isolation for Methicillin-resistant Staphylococcus Aureus (MRSA). During observation on 06/22/22 at 11:03 AM, Registered Nurse (RN) #134 was observed entering Resident's room wearing only a mask. The resident had PPE consisting of gloves, gowns, and masks outside the room. A sign hanging outside the room indicated the resident was on contact isolation and gloves, gowns, and masks were required for all people entering the room. The sign had folded in on itself and was difficult to read. RN #134 was observed by the resident's bedside and was beginning 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

“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.

Part of a chain

This home belongs to WVU MEDICINE — 7 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 5 of 54.3+0.7 vs chain
Health inspection 5 of 54.6+0.4 vs chain
Staffing 3 of 53.7-0.7 vs chain
Quality measures 2 of 53.1-1.1 vs chain
The other 6 homes this chain runs (chain average 4.3★, per CMS)

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
WEST VIRGINIA UNITED HEALTH SYSTEM, INCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST; OPERATIONAL/MANAGERIAL CONTROL100%since 04/01/2021
BORCHERS, TIMOTHYIndividualCORPORATE DIRECTORsince 12/05/2025
BRENNAN, MARKIndividualCORPORATE DIRECTORsince 04/01/2021
GERBER, BENJAMINIndividualCORPORATE DIRECTORsince 05/22/2026
HARRISON, DOUGLASSIndividualCORPORATE DIRECTOR; CORPORATE OFFICERsince 06/20/2019
JACKSON, JEFFERYIndividualCORPORATE DIRECTORsince 12/05/2025
JEFFERSON, JOSHUAIndividualCORPORATE DIRECTORsince 12/05/2025
MILLER, KIMBERLYIndividualCORPORATE DIRECTORsince 05/22/2026
MILTON, CHARLESIndividualCORPORATE DIRECTORsince 05/22/2026
NICKERSON, DONALDIndividualCORPORATE DIRECTORsince 04/01/2021
RIGBY, DONIndividualCORPORATE DIRECTORsince 04/01/2021
STEPHEN, STACIIndividualCORPORATE DIRECTORsince 12/05/2025
WACK, THOMASIndividualCORPORATE DIRECTORsince 04/01/2021
WRIGHT, ALBERTIndividualCORPORATE DIRECTORsince 04/01/2021
BANE, WILLIAMIndividualCORPORATE OFFICERsince 01/23/2023
MCCRACKEN, THOMASIndividualCORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 12/05/2025
MERCER, WILLIAMIndividualOPERATIONAL/MANAGERIAL CONTROL; TRUSTEE OF THE SNF; ADP OF THE SNFsince 12/05/2025

CMS files one row per role, so the 23 rows in the source record cover these 17 parties — each is shown once here with every role it holds. Nothing is omitted.

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

What families pay in WV

Paying with Medicaid

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

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

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

Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 515055. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-08-28, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →

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

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

What to do next