Cycle 1
Health 2025-03-12 · Fire 2025-03-12
19 health deficiencies
Top issue: Quality of Life and Care (7 deficiencies)
6 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Thomas, WV
Cortland Acres Health and Rehabilitation
1-star overall rating with 1-star inspections with 19 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
39 Cortland Acres Lane, Thomas, WV
(304) 463-4181
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
94
Certified beds
Average residents
93
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1978-09-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
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
Hours and turnover
RN hours / resident day
0.54
Registered nurse staffing · state 0.71 · national 0.68
LPN hours / resident day
0.79
Licensed practical nurse staffing · state 0.92 · national 0.87
Aide hours / resident day
1.93
Nurse aide staffing · state 2.07 · national 2.35
Total nurse hours
3.25
All reported nurse hours · state 3.69 · national 3.89
Licensed hours
1.32
RN + LPN hours · state 1.62 · national 1.54
Weekend hours
2.69
Weekend nurse staffing · state 3.18 · national 3.43
Weekend RN hours
0.20
Weekend registered nurse coverage · state 0.39 · national 0.47
Physical therapist
0.12
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
0.55
CMS adjusted RN staffing hours
Adjusted total hours
3.30
CMS adjusted total nurse staffing hours
Case-mix index
1.35
Higher values indicate more complex resident acuity
RN turnover
82%
Annual RN turnover · state 40% · national 45%
Total nurse turnover
76%
Annual nurse turnover · state 43% · national 46%
SNF VBP
Value-based purchasing
Program rank
4,897
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
38.18
Composite VBP score used to determine payment impact.
Payment multiplier
0.9913
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
5.24
Performance 19.00% · Measure score 5.24 · Achievement 5.24 · This facility did not have sufficient data to calculate a baseline period measure result.
Healthcare-associated infections
1.16
Baseline 5.86% · Performance 7.49% · Measure score 1.16 · Achievement 1.16 · Improvement 0
Total nurse turnover
3.70
Baseline 57.14% · Performance 48.57% · Measure score 3.70 · Achievement 3.70 · Improvement 2.15
Adjusted total nurse staffing
5.17
Baseline 4.52 hours · Performance 4.55 hours · Measure score 5.17 · Achievement 5.17 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 12.1% |
10.72%
1.4 pts worse
|
No Different than the National Rate · Eligible stays 66 · Observed rate 13.64% · Lower 95% interval 8.26% |
| Discharge to community | 46.12% |
50.57%
4.5 pts worse
|
No Different than the National Rate · Eligible stays 62 · Observed rate 41.94% · Lower 95% interval 36.3% |
| Medicare spending per beneficiary | 0.92 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 92.31% |
95.27%
3 pts worse
|
Numerator 36 · Denominator 39 |
| Falls with major injury | 2.56% |
0.77%
1.8 pts worse
|
Numerator 1 · Denominator 39 |
| Discharge self-care score | 45.45% |
53.69%
8.2 pts worse
|
Numerator 15 · Denominator 33 |
| Discharge mobility score | 45.45% |
50.94%
5.5 pts worse
|
Numerator 15 · Denominator 33 |
| Pressure ulcers or injuries, new or worsened | 5.13% |
2.29%
2.8 pts worse
|
Numerator 2 · Denominator 39 · Adjusted rate 4.37% |
| Healthcare-associated infections requiring hospitalization | 7.49% |
7.12%
0.4 pts worse
|
No Different than the National Rate · Eligible stays 40 · Observed rate 7.5% · Lower 95% interval 4.02% |
| Staff COVID-19 vaccination coverage | 5.67% |
8.2%
2.5 pts worse
|
Numerator 8 · Denominator 141 |
| Staff flu vaccination coverage | 97.12% |
42%
55.1 pts better
|
Numerator 101 · Denominator 104 |
| Discharge function score | 54.55% |
56.45%
1.9 pts worse
|
Numerator 18 · Denominator 33 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | 90% |
96.28%
6.3 pts worse
|
Numerator 18 · Denominator 20 |
| Resident COVID-19 vaccinations up to date | 18.18% |
25.2%
7 pts worse
|
Numerator 4 · Denominator 22 |
Quality measures
Resident outcomes and process scores
| 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 1.3 · Expected 1.5 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.4 |
1.9
0.5 pts better
|
1.8
0.4 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.3 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 73.7% |
96.7%
23 pts worse
|
93.4%
19.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 96.3% · Q2 95.2% · Q3 60.0% · Q4 44.7% · 4Q avg 73.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 96.5% |
97.6%
1.1 pts worse
|
95.5%
1 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 96.5% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 7.2% |
4.5%
2.7 pts worse
|
3.3%
3.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.3% · Q2 7.2% · Q3 4.7% · Q4 9.4% · 4Q avg 7.2% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 2.5% |
6.8%
4.3 pts better
|
11.4%
8.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.1% · Q2 0.0% · Q3 1.4% · Q4 2.8% · 4Q avg 2.5% |
| Percentage of long-stay residents who lose too much weight | 6.6% |
6.6%
About the same
|
5.4%
1.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.3% · Q2 3.8% · Q3 7.4% · Q4 9.1% · 4Q avg 6.6% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 19.2% |
27.0%
7.8 pts better
|
19.6%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 17.3% · Q2 18.5% · Q3 21.4% · Q4 19.5% · 4Q avg 19.2% |
| Percentage of long-stay residents who received an antipsychotic medication | 23.4% |
15.5%
7.9 pts worse
|
16.7%
6.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.4% · Q2 23.4% · Q3 25.8% · Q4 21.2% · 4Q avg 23.4% · 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 | 14.9% |
19.5%
4.6 pts better
|
16.3%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.3% · Q2 10.9% · Q3 11.9% · Q4 24.2% · 4Q avg 14.9% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 26.1% |
17.6%
8.5 pts worse
|
14.9%
11.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.3% · Q2 20.0% · Q3 23.1% · Q4 40.3% · 4Q avg 26.1% · 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 1.3% · Q2 0.0% · Q3 0.8% · Q4 0.9% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 3.1% |
1.8%
1.3 pts worse
|
1.7%
1.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.0% · Q2 2.5% · Q3 2.4% · Q4 2.5% · 4Q avg 3.1% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 26.6% |
22.4%
4.2 pts worse
|
19.8%
6.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 12.2% · Q2 34.9% · Q3 23.5% · Q4 36.4% · 4Q avg 26.6% |
| Percentage of long-stay residents with pressure ulcers | 7.6% |
4.7%
2.9 pts worse
|
5.1%
2.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.1% · Q2 8.9% · Q3 7.5% · Q4 6.8% · 4Q avg 7.6% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 44.0% |
78.8%
34.8 pts worse
|
81.7%
37.7 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 74.4% · Q2 52.0% · Q3 37.8% · Q4 16.7% · 4Q avg 44.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 10.3% |
12.4%
2.1 pts better
|
12.0%
1.7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 10.3% · Observed 10.9% · Expected 11.8% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
1.1%
1.1 pts better
|
1.6%
1.6 pts better
|
Short 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 short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 47.1% |
79.4%
32.3 pts worse
|
79.7%
32.6 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 47.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 18.6% |
23.0%
4.4 pts better
|
23.9%
5.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 18.6% · Observed 17.4% · Expected 22.2% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-08-02 · Fire 2023-08-02
5 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2022-03-30 · Fire 2022-03-30
5 health deficiencies
Top issue: Resident Rights (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-03-12
K331 · Smoke Deficiencies
Fire Safety
Construct fire resistant interior walls.
Corrected 2025-04-08
F · Potential for more than minimal harm
2025-03-12
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-04-08
F · Potential for more than minimal harm
2025-03-12
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-04-08
F · Potential for more than minimal harm
2025-03-12
K921 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2025-04-08
C · Minimal harm
2025-03-12
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2025-04-08
C · Minimal harm
2025-03-12
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2025-04-08
Inspection history
Recent health citations
E · Potential for more than minimal harm
2025-10-24
F809 · Nutrition and Dietary Deficiencies
Health
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.
Corrected 2025-12-12
D · Potential for more than minimal harm
2025-06-25
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-07-28
K · Immediate jeopardy
2025-03-12
F805 · Nutrition and Dietary Deficiencies
Health
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected 2025-04-22
J · Immediate jeopardy
2025-03-12
F678 · Quality of Life and Care Deficiencies
Health
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected 2025-04-16
E · Potential for more than minimal harm
2025-03-12
F550 · Resident Rights Deficiencies
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-04-16
E · Potential for more than minimal harm
2025-03-12
F584 · Resident Rights Deficiencies
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 2025-04-16
E · Potential for more than minimal harm
2025-03-12
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-04-16
E · Potential for more than minimal harm
2025-03-12
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-04-16
E · Potential for more than minimal harm
2025-03-12
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-04-22
E · Potential for more than minimal harm
2025-03-12
F804 · Nutrition and Dietary Deficiencies
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2025-04-22
E · Potential for more than minimal harm
2025-03-12
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-04-16
E · Potential for more than minimal harm
2025-03-12
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-04-16
E · Potential for more than minimal harm
2025-03-12
F947 · Nursing and Physician Services Deficiencies
Health
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected 2025-04-16
D · Potential for more than minimal harm
2025-03-12
F657 · Resident Assessment and Care Planning Deficiencies
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 2025-04-16
D · Potential for more than minimal harm
2025-03-12
F679 · Quality of Life and Care Deficiencies
Health
Provide activities to meet all resident's needs.
Corrected 2025-04-16
D · Potential for more than minimal harm
2025-03-12
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-04-16
D · Potential for more than minimal harm
2025-03-12
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-04-16
D · Potential for more than minimal harm
2025-03-12
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-04-16
D · Potential for more than minimal harm
2025-03-12
F842 · Resident Assessment and Care Planning Deficiencies
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-04-16
E · Potential for more than minimal harm
2023-08-02
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-08-31
E · Potential for more than minimal harm
2023-08-02
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2023-08-31
D · Potential for more than minimal harm
2023-08-02
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-08-31
D · Potential for more than minimal harm
2023-08-02
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-08-31
D · Potential for more than minimal harm
2023-08-02
F842 · Resident Assessment and Care Planning Deficiencies
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2023-08-31
E · Potential for more than minimal harm
2022-03-30
F883 · Infection Control Deficiencies
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2022-04-26
D · Potential for more than minimal harm
2022-03-30
F550 · Resident Rights Deficiencies
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2022-04-26
D · Potential for more than minimal harm
2022-03-30
F577 · Resident Rights Deficiencies
Health
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected 2022-04-26
D · Potential for more than minimal harm
2022-03-30
F578 · Resident Rights Deficiencies
Health
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.
Corrected 2022-04-26
D · Potential for more than minimal harm
2022-03-30
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-04-26
Penalties and ownership
What sits behind the stars
Ownership
Bennet-Idels, Heather
Operational/Managerial Control · Individual
Botwinick, Michael
Operational/Managerial Control · Individual
Cortland Acres SNF Operations Holdings LLC
Operational/Managerial Control · Organization
Delilah 2626 Holdings LLC
Operational/Managerial Control · Organization
Dmt Spe I LLC
Operational/Managerial Control · Organization
Dmt Spe I LLC
5% Or Greater Mortgage Interest · Organization
George, Brandon
Operational/Managerial Control · Individual
Hamrick, Trista
Operational/Managerial Control · Individual
Idels, Shimon
Operational/Managerial Control · Individual
Jml 1836 Holdings LLC
General Partnership Interest · Organization
Jml 1836 Holdings LLC
Operational/Managerial Control · Organization
Jnl 2024 Fam Tr
Limited Partnership Interest · Organization
Jnl 2024 Fam Tr
Operational/Managerial Control · Organization
Kaiser, Margaret
Operational/Managerial Control · Individual
Lansih Irrevocable Trust
General Partnership Interest · Organization
Lansih Irrevocable Trust
Operational/Managerial Control · Organization
Lieberman, Rochel
Operational/Managerial Control · Individual
Lion 26 Holdings LLC
Operational/Managerial Control · Organization
Mjl 2024 Family Trust
Operational/Managerial Control · Organization
Prager, Elisheva
Operational/Managerial Control · Individual
Sabrina 1818 Holdings LLC
Operational/Managerial Control · Organization
Saessy Irrevocable Trust
Operational/Managerial Control · Organization
Schwartz, Steven
Operational/Managerial Control · Individual
Tatiriq Irrevocable Trust
Operational/Managerial Control · Organization
Nearby options
Other facilities in reach
#1
Oakland Nursing & Rehabilitation Center
Oakland, MD
2-star overall rating with 2-star inspections with $16,559 in total fines with 32 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
#2
Dennett Rehab Center
Oakland, MD
1-star overall rating with 2-star inspections with abuse icon flag with $32,938 in total fines with 15 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#3
Garrett County Subacute Unit
Oakland, MD
5-star overall rating with 5-star inspections with 2 recent health deficiencies
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