3 health deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Wheeling, WV
5-star overall rating with 5-star inspections with 3 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
236 Hullihen Place, Wheeling, WV
(304) 243-3800
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Beds
144
Certified beds
Average residents
129
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
Wvu Medicine
Operator or chain grouping
Approved since
1975-12-05
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
7 facilities
Chain averages 4 overall / 4 health / 4 staffing / 3 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
0.95
Registered nurse staffing · state 0.71 · national 0.68
LPN hours / resident day
0.94
Licensed practical nurse staffing · state 0.92 · national 0.87
Aide hours / resident day
2.56
Nurse aide staffing · state 2.07 · national 2.35
Total nurse hours
4.45
All reported nurse hours · state 3.69 · national 3.89
Licensed hours
1.89
RN + LPN hours · state 1.62 · national 1.54
Weekend hours
3.94
Weekend nurse staffing · state 3.18 · national 3.43
Weekend RN hours
0.61
Weekend registered nurse coverage · state 0.39 · national 0.47
Physical therapist
0.20
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
1.05
CMS adjusted RN staffing hours
Adjusted total hours
4.89
CMS adjusted total nurse staffing hours
Case-mix index
1.25
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
0%
Annual nurse turnover
SNF VBP
Program rank
4,749
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
38.74
Composite VBP score used to determine payment impact.
Payment multiplier
0.9918
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0.58
Baseline 21.73% · Performance 21.22% · Measure score 0.58 · Achievement 0 · Improvement 0.58
Healthcare-associated infections
8.61
Baseline 6.46% · Performance 5.26% · Measure score 8.61 · Achievement 8.61 · Improvement 7.69
Total nurse turnover
3.23
Baseline 36.84% · Performance 50.48% · Measure score 3.23 · Achievement 3.23 · Improvement 0
Adjusted total nurse staffing
3.07
Baseline 4.11 hours · Performance 3.95 hours · Measure score 3.07 · Achievement 3.07 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.67% |
10.72%
0.1 pts better
|
No Different than the National Rate · Eligible stays 267 · Observed rate 10.49% · Lower 95% interval 8% |
| Discharge to community | 67.23% |
50.57%
16.7 pts better
|
Better than the National Rate · Eligible stays 222 · Observed rate 68.47% · Lower 95% interval 60.42% |
| Medicare spending per beneficiary | 0.64 |
1.02
0.4 pts better
|
|
| Drug regimen review with follow-up | 38.71% |
95.27%
56.6 pts worse
|
Numerator 96 · Denominator 248 |
| Falls with major injury | 0.81% |
0.77%
About the same
|
Numerator 2 · Denominator 248 |
| Discharge self-care score | 38.1% |
53.69%
15.6 pts worse
|
Numerator 72 · Denominator 189 |
| Discharge mobility score | 22.22% |
50.94%
28.7 pts worse
|
Numerator 42 · Denominator 189 |
| Pressure ulcers or injuries, new or worsened | 1.21% |
2.29%
1.1 pts better
|
Numerator 3 · Denominator 248 · Adjusted rate 1.84% |
| Healthcare-associated infections requiring hospitalization | 5.26% |
7.12%
1.9 pts better
|
No Different than the National Rate · Eligible stays 149 · Observed rate 2.68% · Lower 95% interval 3.32% |
| Staff COVID-19 vaccination coverage | 3.8% |
8.2%
4.4 pts worse
|
Numerator 6 · Denominator 158 |
| Staff flu vaccination coverage | 97.98% |
42%
56 pts better
|
Numerator 194 · Denominator 198 |
| Discharge function score | 40.74% |
56.45%
15.7 pts worse
|
Numerator 77 · Denominator 189 |
| Transfer of health information to provider | 99.47% |
95.95%
3.5 pts better
|
Numerator 189 · Denominator 190 |
| Transfer of health information to patient | 96.3% |
96.28%
About the same
|
Numerator 26 · Denominator 27 |
| Resident COVID-19 vaccinations up to date | 19.18% |
25.2%
6 pts worse
|
Numerator 28 · Denominator 146 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.7 |
1.9
0.2 pts better
|
1.9
0.2 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.7 · Observed 1.9 · Expected 2.0 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.3 |
1.9
0.4 pts worse
|
1.8
0.5 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.3 · Observed 2.5 · Expected 1.9 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.7% |
96.7%
3 pts better
|
93.4%
6.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 98.9% · 4Q avg 99.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
97.6%
2.4 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 5.5% |
4.5%
1 pts worse
|
3.3%
2.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 3.3% · Q3 5.4% · Q4 10.1% · 4Q avg 5.5% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.6% |
6.8%
6.2 pts better
|
11.4%
10.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.2% · Q4 1.2% · 4Q avg 0.6% |
| Percentage of long-stay residents who lose too much weight | 8.8% |
6.6%
2.2 pts worse
|
5.4%
3.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.4% · Q2 7.4% · Q3 9.4% · Q4 10.7% · 4Q avg 8.8% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 21.7% |
27.0%
5.3 pts better
|
19.6%
2.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 22.0% · Q2 23.5% · Q3 21.2% · Q4 20.2% · 4Q avg 21.7% |
| Percentage of long-stay residents who received an antipsychotic medication | 16.6% |
15.5%
1.1 pts worse
|
16.7%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 17.7% · Q2 16.4% · Q3 13.8% · Q4 18.5% · 4Q avg 16.6% · 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 | 21.0% |
19.5%
1.5 pts worse
|
16.3%
4.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 13.0% · Q2 26.5% · Q3 16.6% · Q4 27.3% · 4Q avg 21.0% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 18.1% |
17.6%
0.5 pts worse
|
14.9%
3.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 12.0% · Q2 18.7% · Q3 16.9% · Q4 24.7% · 4Q avg 18.1% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 4.0% |
0.5%
3.5 pts worse
|
1.0%
3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 7.0% · Q3 4.4% · Q4 3.0% · 4Q avg 4.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.1% |
1.8%
0.7 pts better
|
1.7%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 2.2% · Q3 0.0% · Q4 1.1% · 4Q avg 1.1% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 29.5% |
22.4%
7.1 pts worse
|
19.8%
9.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.2% · Q2 37.0% · Q3 22.8% · Q4 31.5% · 4Q avg 29.5% |
| Percentage of long-stay residents with pressure ulcers | 7.1% |
4.7%
2.4 pts worse
|
5.1%
2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.7% · Q2 8.8% · Q3 7.9% · Q4 8.1% · 4Q avg 7.1% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.1% |
78.8%
20.3 pts better
|
81.7%
17.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 97.1% · Q2 98.7% · Q3 99.7% · Q4 100.0% · 4Q avg 99.1% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 12.5% |
12.4%
0.1 pts worse
|
12.0%
0.5 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 12.5% · Observed 12.0% · Expected 10.7% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.2% |
1.1%
0.1 pts worse
|
1.6%
0.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.9% · Q3 1.7% · Q4 1.6% · 4Q avg 1.2% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 97.8% |
79.4%
18.4 pts better
|
79.7%
18.1 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 97.8% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 23.1% |
23.0%
0.1 pts worse
|
23.9%
0.8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 23.1% · Observed 20.5% · Expected 21.1% · Used in QM five-star |
Survey summary
Top issue: Resident Assessment and Care Planning (2 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Top issue: Administration (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Top issue: Pharmacy Service (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-09-19
Inspection history
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-10-06
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-10-06
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-10-06
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-01-15
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-01-15
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-01-15
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2024-01-15
Health
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected 2024-01-15
Health
Dispose of garbage and refuse properly.
Corrected 2024-01-15
Health
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected 2024-01-15
Health
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected 2024-01-15
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 2022-08-01
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 2022-08-01
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2022-08-01
Health
Ensure each resident receives an accurate assessment.
Corrected 2022-08-01
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 2022-08-01
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2022-08-01
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2022-08-01
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2022-08-01
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 2022-08-01
Health
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Corrected 2022-08-01
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-08-01
Health
Provide and implement an infection prevention and control program.
Corrected 2022-08-01
Penalties and ownership
Corporate Director · Individual
Corporate Director · Individual
W-2 Managing Employee · Individual
Corporate Director · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Officer · Individual
Contracted Managing Employee · Individual
W-2 Managing Employee · Individual
Corporate Director · Individual
Corporate Director · Individual
5% Or Greater Direct Ownership Interest · Organization
Corporate Director · Individual
Nearby options
Wheeling, WV
3-star overall rating with 3-star inspections with 13 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
Wheeling, WV
2-star overall rating with 2-star inspections with $147,234 in total fines with 21 recent health deficiencies with 13 fire-safety deficiencies in the latest cycle
Bridgeport, OH
1-star overall rating with 1-star inspections with Special Focus status with abuse icon flag with $139,320 in total fines with 32 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
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