9 health deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Ivydale, WV
2-star overall rating with 2-star inspections with abuse icon flag with $16,149 in total fines with 9 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
1053 Clinic Drive, Ivydale, WV
(304) 286-4204
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Beds
60
Certified beds
Average residents
56
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Communicare Health
Operator or chain grouping
Approved since
1996-06-11
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
122 facilities
Chain averages 3 overall / 2 health / 2 staffing / 4 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
0.64
Registered nurse staffing · state 0.71 · national 0.68
LPN hours / resident day
1.02
Licensed practical nurse staffing · state 0.92 · national 0.87
Aide hours / resident day
2.05
Nurse aide staffing · state 2.07 · national 2.35
Total nurse hours
3.70
All reported nurse hours · state 3.69 · national 3.89
Licensed hours
1.66
RN + LPN hours · state 1.62 · national 1.54
Weekend hours
3.33
Weekend nurse staffing · state 3.18 · national 3.43
Weekend RN hours
0.26
Weekend registered nurse coverage · state 0.39 · national 0.47
Physical therapist
0.02
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
0.60
CMS adjusted RN staffing hours
Adjusted total hours
3.47
CMS adjusted total nurse staffing hours
Case-mix index
1.46
Higher values indicate more complex resident acuity
RN turnover
89%
Annual RN turnover · state 40% · national 45%
Total nurse turnover
59%
Annual nurse turnover · state 43% · national 46%
SNF VBP
Program rank
11,172
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
17.80
Composite VBP score used to determine payment impact.
Payment multiplier
0.9818
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Healthcare-associated infections
3.67
Baseline 5.64% · Performance 6.74% · Measure score 3.67 · Achievement 3.67 · Improvement 0
Total nurse turnover
0
Baseline 62.71% · Performance 74.65% · Measure score 0 · Achievement 0 · Improvement 0
Adjusted total nurse staffing
1.67
Baseline 3.4 hours · Performance 3.55 hours · Measure score 1.67 · Achievement 1.67 · Improvement 0.14
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.21% |
10.72%
0.5 pts worse
|
No Different than the National Rate · Eligible stays 53 · Observed rate 13.21% · Lower 95% interval 6.93% |
| Discharge to community | 44.45% |
50.57%
6.1 pts worse
|
No Different than the National Rate · Eligible stays 45 · Observed rate 37.78% · Lower 95% interval 33.33% |
| Medicare spending per beneficiary | 0.84 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 28 · Denominator 28 |
| Falls with major injury | 7.14% |
0.77%
6.4 pts worse
|
Numerator 2 · Denominator 28 |
| Discharge self-care score | Not Available |
53.69%
|
Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly. |
| Discharge mobility score | Not Available |
50.94%
|
Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly. |
| Pressure ulcers or injuries, new or worsened | 7.14% |
2.29%
4.8 pts worse
|
Numerator 2 · Denominator 28 · Adjusted rate 8.42% |
| Healthcare-associated infections requiring hospitalization | 6.74% |
7.12%
0.4 pts better
|
No Different than the National Rate · Eligible stays 25 · Observed rate 4% · Lower 95% interval 3.32% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 75 |
| Staff flu vaccination coverage | 72.48% |
42%
30.5 pts better
|
Numerator 79 · Denominator 109 |
| Discharge function score | Not Available |
56.45%
|
Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly. |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly. |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 95.0% |
96.7%
1.7 pts worse
|
93.4%
1.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 91.7% · Q2 95.9% · Q3 98.1% · Q4 94.0% · 4Q avg 95.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 82.7% |
97.6%
14.9 pts worse
|
95.5%
12.8 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 82.7% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 10.0% |
4.5%
5.5 pts worse
|
3.3%
6.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.3% · Q2 8.2% · Q3 9.3% · Q4 14.0% · 4Q avg 10.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.0% |
6.8%
6.8 pts better
|
11.4%
11.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents who lose too much weight | 6.0% |
6.6%
0.6 pts better
|
5.4%
0.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 13.3% · Q3 4.1% · Q4 2.4% · 4Q avg 6.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 29.3% |
27.0%
2.3 pts worse
|
19.6%
9.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 26.1% · Q2 35.6% · Q3 34.0% · Q4 20.9% · 4Q avg 29.3% |
| Percentage of long-stay residents who received an antipsychotic medication | 8.1% |
15.5%
7.4 pts better
|
16.7%
8.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.1% · Q2 9.8% · Q3 11.6% · Q4 5.4% · 4Q avg 8.1% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.2%
0.2 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 30.8% |
19.5%
11.3 pts worse
|
16.3%
14.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 30.8% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 24.1% |
17.6%
6.5 pts worse
|
14.9%
9.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 52.6% · Q2 15.8% · Q3 20.9% · Q4 7.7% · 4Q avg 24.1% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.7% |
0.5%
0.2 pts worse
|
1.0%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.0% |
1.8%
1.8 pts better
|
1.7%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 21.8% |
22.4%
0.6 pts better
|
19.8%
2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.5% · Q2 33.8% · Q3 14.7% · Q4 15.6% · 4Q avg 21.8% |
| Percentage of long-stay residents with pressure ulcers | 1.7% |
4.7%
3 pts better
|
5.1%
3.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 1.9% · Q3 0.0% · Q4 3.5% · 4Q avg 1.7% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 57.1% |
78.8%
21.7 pts worse
|
81.7%
24.6 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 56.9% · Q2 67.3% · Q3 52.4% · Q4 48.8% · 4Q avg 57.1% |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.7% |
1.1%
0.4 pts better
|
1.6%
0.9 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 48.1% |
79.4%
31.3 pts worse
|
79.7%
31.6 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 48.1% |
Survey summary
Top issue: Nutrition and Dietary (2 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Top issue: Pharmacy Service (4 deficiencies)
3 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Top issue: Quality of Life and Care (4 deficiencies)
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Fire safety
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-06-16
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-12-14
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2023-12-14
Fire Safety
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Corrected 2023-12-14
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2022-07-19
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-07-19
Inspection history
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-03-24
Health
Provide and implement an infection prevention and control program.
Corrected 2025-06-12
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2025-06-12
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-06-12
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2025-06-12
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-06-12
Health
Dispose of garbage and refuse properly.
Corrected 2025-06-12
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-06-12
Health
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2025-06-12
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2023-12-01
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-12-01
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2023-12-01
Health
Keep residents' personal and medical records private and confidential.
Corrected 2023-12-01
Health
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.
Corrected 2023-12-01
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-12-01
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2023-12-01
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-12-01
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2023-12-01
Health
Provide activities to meet all resident's needs.
Corrected 2023-12-01
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2023-12-01
Health
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.
Corrected 2023-12-01
Health
Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
Corrected 2023-12-01
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2023-12-01
Health
Implement a program that monitors antibiotic use.
Corrected 2023-12-01
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2022-08-08
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2022-08-08
Health
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected 2022-08-08
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2022-08-08
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2022-08-08
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2022-08-08
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2022-08-08
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2022-08-08
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2022-08-08
Health
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
Corrected 2022-08-08
Penalties and ownership
Fine · fine $16,149
Fine
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
5% Or Greater Indirect Ownership Interest · Organization
Corporate Officer · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Corporate Officer · Individual
5% Or Greater Indirect Ownership Interest · Organization
Corporate Officer · Individual
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Sutton, WV
5-star overall rating with 5-star inspections with 5 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
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