Federal inspection record · CMS data as of October 1, 2026
Autumn Lake Healthcare At Crystal Springs
200 Whitman Avenue, Elkins, WV · (304) 636-2033
- Certified beds
- 84
- Residents per day
- 79
- Ownership
- For-Profit
- Chain
- Autumn Lake Healthcare
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- December 23, 2021
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in West Virginia.
-
Staffing
★★★★★−1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among West Virginia homes
Autumn Lake Healthcare At Crystal Springs carries 137 inspection points. That is fewer than 27% of West Virginia's 122 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in West Virginia: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–24 pts
- 4★ 24–55 pts
- 3★ 55–92.5 pts
- 2★ 92.5–163 pts
- 1★ over 163 pts
Bars show every rated home in West Virginia by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
74 health citations on record since 2022. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Resident Rights16E
- E
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.
- E
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.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- D
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.
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- E
Honor the resident's right to manage his or her financial affairs.
- E
Give residents a notice of rights, rules, services and charges.
- E
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.
- E
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
The resident has the right to receive notices in a format and a language he or she understands.
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- D
Keep residents' personal and medical records private and confidential.
- D
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.
Quality of Life and Care15E
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
- E
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
- D
Provide or obtain dental services for each resident.
Resident Assessment and Care Planning11E
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- E
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- E
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
PASARR screening for Mental disorders or Intellectual Disabilities
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- E
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- E
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Nutrition and Dietary8E
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Dispose of garbage and refuse properly.
- E
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- D
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
- D
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Pharmacy Service7E
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- E
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- D
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.
- D
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.
- E
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.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Freedom from Abuse, Neglect, and Exploitation6E
- D
Respond appropriately to all alleged violations.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- E
Respond appropriately to all alleged violations.
- E
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
- D
Respond appropriately to all alleged violations.
Nursing and Physician Services6F
- E
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
- D
Post nurse staffing information every day.
- F
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
- E
Observe each nurse aide's job performance and give regular training.
- E
Post nurse staffing information every day.
- E
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Infection Control4F
- D
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
- F
Provide and implement an infection prevention and control program.
- D
Ensure staff are vaccinated for COVID-19
Administration1E
- E
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Inspection history
2025-03-06
21 health deficiencies · 6 fire-safety deficiencies
Top issue: Resident Rights (6 deficiencies)
2024-02-22
29 health deficiencies · 7 fire-safety deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
2022-07-13
24 health deficiencies · 0 fire-safety deficiencies
Top issue: Resident Rights (6 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 30 min of nursing staff time a day, 26 min of it from a registered nurse.
This home
3 h 30 min
West Virginia average
3 h 43 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 69% of nursing staff and 43% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.3 pts worse | 1.9 | 1.6 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days2.2 pts worse | 3.9 | 1.7 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.2 pts better | 99.7% | 96.5% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.2 pts worse | 95.1% | 97.3% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.2 pts worse | 4.5% | 4.3% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms61.9 pts worse | 70.1% | 8.2% | 13.5% |
| Percentage of long-stay residents who lose too much weight5.3 pts worse | 11.4% | 6.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication0.5 pts better | 26.4% | 26.9% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication49.5 pts worse | 62.4% | 12.9% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened3.5 pts better | 10.4% | 13.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased4.1 pts better | 9.7% | 13.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better | 0.0% | 0.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.8 pts worse | 2.3% | 1.5% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence1.1 pts better | 20.3% | 21.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcersAbout the same | 3.9% | 3.9% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine2.1 pts better | 81.1% | 79.0% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit6 pts worse | 16.6% | 10.6% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1 pts better | 0.0% | 1.0% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine1.4 pts worse | 77.4% | 78.8% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission8.7 pts better | 13.3% | 22.0% | 23.4% |
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Who owns and runs it
14 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Nellas Opco Holdco LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 2 facilities |
| A & R Stern Family Wv Holdings LLC | 5% Or Greater Indirect Ownership Interest · Organization | 99% | 2 facilities |
| A & R Stern Family Wv Holdings LLC | Adp Of The SNF · Organization | 0% | 2 facilities |
| A Stern Family Trust Wv | Adp Of The SNF · Organization | 0% | 2 facilities |
| Accurate Staffing LLC | Adp Of The SNF · Organization | 0% | 42 facilities |
| Brand Sonnenschine Llp | Adp Of The SNF · Organization | 0% | 63 facilities |
| Chua, Catherine | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Chua, Catherine | Adp Of The SNF · Individual | 0% | 3 facilities |
| Holicker, Rose | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Holicker, Rose | Adp Of The SNF · Individual | 0% | 1 facilities |
| R Stern Family Trust | Adp Of The SNF · Organization | 0% | 2 facilities |
| Schwartz, Mark | Corporate Officer · Individual | 0% | 56 facilities |
| Schwartz, Mark | Operational/Managerial Control · Individual | 0% | 56 facilities |
| Stern, Aryeh | Adp Of The SNF · Individual | 0% | 41 facilities |
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Fire safety
13 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke6F
- F
Provide properly protected cooking facilities.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F
Inspect, test, and maintain automatic sprinkler systems.
- D
Construct fire resistant interior walls.
Emergency Preparedness3C
- C
Conduct testing and exercise requirements.
- C
Develop and maintain an Emergency Preparedness Program (EP).
- C
Conduct risk assessment and an All-Hazards approach.
Gas, Vacuum, and Electrical Systems2F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Ensure that testing and maintenance of electrical equipment is performed.
Miscellaneous2C
- C
Have simulated fire drills held at unexpected times.
- C
Have simulated fire drills held at unexpected times.
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Other homes nearby
-
Nella's At Autumn Lake Healthcare
Elkins, WV · Autumn Lake Healthcare
★★★★★- Worst citation, 3 yrs
- L
- Nursing / resident / day
- 3 h 26 min
- Fines
- $59,810
-
Elkins Rehabilitation & Care Center
Elkins, WV
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 4 h 14 min
- Fines
- $8,278
-
Tygart Valley Health & Rehabilitation
Belington, WV · Hill Valley Healthcare
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 29 min
- Fines
- $0