1 health deficiencies
Top issue: Quality of Life and Care (1 deficiency)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Fairmont, WV
5-star overall rating with 5-star inspections with 1 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
1325 Locust Avenue, Fairmont, WV
(304) 534-7810
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
30
Certified beds
Average residents
23
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
Wvu Medicine
Operator or chain grouping
Approved since
2023-12-08
CMS approved date
Coverage
Medicare
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
No
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Hospital-based
Yes
CMS reports the provider resides in a hospital
Staffing
RN hours / resident day
2.10
Registered nurse staffing · state 0.71 · national 0.68
LPN hours / resident day
3.09
Licensed practical nurse staffing · state 0.92 · national 0.87
Aide hours / resident day
3.68
Nurse aide staffing · state 2.07 · national 2.35
Total nurse hours
8.87
All reported nurse hours · state 3.69 · national 3.89
Licensed hours
5.19
RN + LPN hours · state 1.62 · national 1.54
Weekend hours
7.91
Weekend nurse staffing · state 3.18 · national 3.43
Weekend RN hours
0.98
Weekend registered nurse coverage · state 0.39 · national 0.47
Physical therapist
0.44
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
1.89
CMS adjusted RN staffing hours
Adjusted total hours
7.98
CMS adjusted total nurse staffing hours
Case-mix index
1.52
Higher values indicate more complex resident acuity
RN turnover
17%
Annual RN turnover · state 40% · national 45%
Total nurse turnover
28%
Annual nurse turnover · state 43% · national 46%
SNF VBP
Program rank
5,951
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
34.49
Composite VBP score used to determine payment impact.
Payment multiplier
0.9884
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
1.60
Performance 20.69% · Measure score 1.60 · Achievement 1.60 · This facility did not have sufficient data to calculate a baseline period measure result.
Healthcare-associated infections
5.29
Performance 6.25% · Measure score 5.29 · Achievement 5.29 · This facility did not have sufficient data to calculate a baseline period measure result.
Total nurse turnover
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Adjusted total nurse staffing
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.88% |
10.72%
0.8 pts better
|
No Different than the National Rate · Eligible stays 88 · Observed rate 9.09% · Lower 95% interval 6.35% |
| Discharge to community | 73.11% |
50.57%
22.5 pts better
|
Better than the National Rate · Eligible stays 83 · Observed rate 68.67% · Lower 95% interval 62.09% |
| Medicare spending per beneficiary | 0.89 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 99.39% |
95.27%
4.1 pts better
|
Numerator 164 · Denominator 165 |
| Falls with major injury | 0.61% |
0.77%
0.2 pts better
|
Numerator 1 · Denominator 165 |
| Discharge self-care score | 38.81% |
53.69%
14.9 pts worse
|
Numerator 52 · Denominator 134 |
| Discharge mobility score | 61.19% |
50.94%
10.2 pts better
|
Numerator 82 · Denominator 134 |
| Pressure ulcers or injuries, new or worsened | 1.82% |
2.29%
0.5 pts better
|
Numerator 3 · Denominator 165 · Adjusted rate 2.62% |
| Healthcare-associated infections requiring hospitalization | 6.25% |
7.12%
0.9 pts better
|
No Different than the National Rate · Eligible stays 97 · Observed rate 4.12% · Lower 95% interval 3.69% |
| Staff COVID-19 vaccination coverage | 36.11% |
8.2%
27.9 pts better
|
Numerator 13 · Denominator 36 |
| Staff flu vaccination coverage | 92.75% |
42%
50.8 pts better
|
Numerator 64 · Denominator 69 |
| Discharge function score | 44.78% |
56.45%
11.7 pts worse
|
Numerator 60 · Denominator 134 |
| Transfer of health information to provider | 99.19% |
95.95%
3.2 pts better
|
Numerator 123 · Denominator 124 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 40 · Denominator 40 |
| Resident COVID-19 vaccinations up to date | 28.75% |
25.2%
3.6 pts better
|
Numerator 23 · Denominator 80 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 94.6% |
78.8%
15.8 pts better
|
81.7%
12.9 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 91.8% · Q2 95.2% · Q3 93.9% · Q4 97.0% · 4Q avg 94.6% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 7.2% |
12.4%
5.2 pts better
|
12.0%
4.8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 7.2% · Observed 7.4% · Expected 11.4% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.6% |
1.1%
0.5 pts better
|
1.6%
1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 0.0% · Q3 0.8% · Q4 0.8% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 94.2% |
79.4%
14.8 pts better
|
79.7%
14.5 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 94.2% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 17.4% |
23.0%
5.6 pts better
|
23.9%
6.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 17.4% · Observed 16.4% · Expected 22.5% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (1 deficiency)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Top issue: Infection Control (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-09-09
Inspection history
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-09-11
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-12-08
Health
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.
Corrected 2023-12-08
Health
Implement a program that monitors antibiotic use.
Corrected 2023-12-08
Health
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2023-12-08
Health
Provide and implement an infection prevention and control program.
Corrected 2023-12-08
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
Corporate Director · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
5% Or Greater Direct Ownership Interest · Organization
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Officer · Individual
Nearby options
Fairmont, WV
3-star overall rating with 3-star inspections with $22,530 in total fines with 15 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
Fairmont, WV
2-star overall rating with 2-star inspections with $8,278 in total fines with 19 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
Fairmont, WV
1-star overall rating with 1-star inspections with Special Focus status with abuse icon flag with $17,959 in total fines with 24 recent health deficiencies with 12 fire-safety deficiencies in the latest cycle
Jump out