13 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
6 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Keyser, WV
2-star overall rating with 2-star inspections with $53,915 in total fines with 13 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
135 Southern Drive, Keyser, WV
(304) 788-3415
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Beds
122
Certified beds
Average residents
104
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Communicare Health
Operator or chain grouping
Approved since
1993-05-01
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
0.78
Registered nurse staffing · state 0.71 · national 0.68
LPN hours / resident day
0.73
Licensed practical nurse staffing · state 0.92 · national 0.87
Aide hours / resident day
2.28
Nurse aide staffing · state 2.07 · national 2.35
Total nurse hours
3.79
All reported nurse hours · state 3.69 · national 3.89
Licensed hours
1.51
RN + LPN hours · state 1.62 · national 1.54
Weekend hours
3.21
Weekend nurse staffing · state 3.18 · national 3.43
Weekend RN hours
0.29
Weekend registered nurse coverage · state 0.39 · national 0.47
Physical therapist
0.05
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
0.77
CMS adjusted RN staffing hours
Adjusted total hours
3.75
CMS adjusted total nurse staffing hours
Case-mix index
1.38
Higher values indicate more complex resident acuity
RN turnover
27%
Annual RN turnover · state 40% · national 45%
Total nurse turnover
50%
Annual nurse turnover · state 43% · national 46%
SNF VBP
Program rank
3,113
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
45.95
Composite VBP score used to determine payment impact.
Payment multiplier
0.9993
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
8.65
Baseline 17.45% · Performance 17.42% · Measure score 8.65 · Achievement 8.65 · Improvement 0.12
Healthcare-associated infections
4.57
Baseline 4.81% · Performance 6.47% · Measure score 4.57 · Achievement 4.57 · Improvement 0
Total nurse turnover
3.99
Baseline 51.79% · Performance 47.37% · Measure score 3.99 · Achievement 3.99 · Improvement 1.14
Adjusted total nurse staffing
1.17
Baseline 3.29 hours · Performance 3.41 hours · Measure score 1.17 · Achievement 1.17 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.86% |
10.72%
0.1 pts worse
|
No Different than the National Rate · Eligible stays 154 · Observed rate 11.69% · Lower 95% interval 7.73% |
| Discharge to community | 51.5% |
50.57%
0.9 pts better
|
No Different than the National Rate · Eligible stays 163 · Observed rate 46.01% · Lower 95% interval 44.61% |
| Medicare spending per beneficiary | 0.98 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 54.21% |
95.27%
41.1 pts worse
|
Numerator 58 · Denominator 107 |
| Falls with major injury | 2.8% |
0.77%
2 pts worse
|
Numerator 3 · Denominator 107 |
| Discharge self-care score | 46.67% |
53.69%
7 pts worse
|
Numerator 21 · Denominator 45 |
| Discharge mobility score | 33.33% |
50.94%
17.6 pts worse
|
Numerator 15 · Denominator 45 |
| Pressure ulcers or injuries, new or worsened | 4.67% |
2.29%
2.4 pts worse
|
Numerator 5 · Denominator 107 · Adjusted rate 4.31% |
| Healthcare-associated infections requiring hospitalization | 6.47% |
7.12%
0.7 pts better
|
No Different than the National Rate · Eligible stays 99 · Observed rate 5.05% · Lower 95% interval 3.8% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 144 |
| Staff flu vaccination coverage | 66.89% |
42%
24.9 pts better
|
Numerator 101 · Denominator 151 |
| Discharge function score | 35.56% |
56.45%
20.9 pts worse
|
Numerator 16 · Denominator 45 |
| Transfer of health information to provider | 98.11% |
95.95%
2.2 pts better
|
Numerator 52 · Denominator 53 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 20 · Denominator 20 |
| Resident COVID-19 vaccinations up to date | 7.41% |
25.2%
17.8 pts worse
|
Numerator 4 · Denominator 54 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 0.9 |
1.9
1 pts better
|
1.9
1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.9 · Observed 1.7 · Expected 3.8 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 4.0 |
1.9
2.1 pts worse
|
1.8
2.2 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 4.0 · Observed 6.3 · Expected 2.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 88.4% |
96.7%
8.3 pts worse
|
93.4%
5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 90.3% · Q2 86.5% · Q3 86.1% · Q4 90.6% · 4Q avg 88.4% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 87.6% |
97.6%
10 pts worse
|
95.5%
7.9 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 87.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.7% |
4.5%
0.2 pts worse
|
3.3%
1.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.9% · Q2 5.8% · Q3 5.0% · Q4 4.2% · 4Q avg 4.7% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 7.9% |
6.8%
1.1 pts worse
|
11.4%
3.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.2% · Q2 6.0% · Q3 6.7% · Q4 5.3% · 4Q avg 7.9% |
| Percentage of long-stay residents who lose too much weight | 10.1% |
6.6%
3.5 pts worse
|
5.4%
4.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.1% · Q2 10.2% · Q3 13.8% · Q4 10.2% · 4Q avg 10.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 21.6% |
27.0%
5.4 pts better
|
19.6%
2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 21.4% · Q2 20.2% · Q3 18.1% · Q4 27.0% · 4Q avg 21.6% |
| Percentage of long-stay residents who received an antipsychotic medication | 15.0% |
15.5%
0.5 pts better
|
16.7%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 15.6% · Q2 16.5% · Q3 14.6% · Q4 13.4% · 4Q avg 15.0% · 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 | 12.7% |
19.5%
6.8 pts better
|
16.3%
3.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.4% · Q2 5.6% · Q3 15.7% · Q4 15.9% · 4Q avg 12.7% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 11.5% |
17.6%
6.1 pts better
|
14.9%
3.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.5% · Q2 18.3% · Q3 11.8% · Q4 10.1% · 4Q avg 11.5% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.2% |
0.5%
0.3 pts better
|
1.0%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.9% · Q3 0.0% · Q4 0.0% · 4Q avg 0.2% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.7% |
1.8%
1.1 pts better
|
1.7%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 1.0% · Q3 0.0% · Q4 1.0% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 28.9% |
22.4%
6.5 pts worse
|
19.8%
9.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.8% · Q2 25.8% · Q3 36.6% · Q4 27.2% · 4Q avg 28.9% |
| Percentage of long-stay residents with pressure ulcers | 1.5% |
4.7%
3.2 pts better
|
5.1%
3.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 1.4% · Q3 0.0% · Q4 1.2% · 4Q avg 1.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 31.3% |
78.8%
47.5 pts worse
|
81.7%
50.4 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 30.1% · Q2 22.1% · Q3 36.5% · Q4 36.9% · 4Q avg 31.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 22.2% |
12.4%
9.8 pts worse
|
12.0%
10.2 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 22.2% · Observed 22.7% · Expected 11.4% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.5% |
1.1%
1.4 pts worse
|
1.6%
0.9 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 3.5% · Q2 2.0% · Q3 2.4% · Q4 1.9% · 4Q avg 2.5% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 23.0% |
79.4%
56.4 pts worse
|
79.7%
56.7 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 23.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 17.6% |
23.0%
5.4 pts better
|
23.9%
6.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 17.6% · Observed 18.7% · Expected 25.3% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (4 deficiencies)
6 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Top issue: Quality of Life and Care (5 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Top issue: Resident Rights (6 deficiencies)
6 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)
Fire safety
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2026-01-05
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2026-01-05
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2026-01-05
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2026-01-05
Fire Safety
Provide properly protected cooking facilities.
Corrected 2026-01-05
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2026-01-05
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2024-01-29
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-01-29
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2024-01-29
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-01-29
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2023-01-02
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-01-02
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2023-01-02
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2023-01-02
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2023-01-02
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-01-02
Inspection history
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2026-01-12
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2026-01-12
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2026-01-12
Health
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.
Corrected 2026-01-12
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2026-01-12
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2026-01-12
Health
Provide and implement an infection prevention and control program.
Corrected 2026-01-12
Health
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected 2026-01-12
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2026-01-12
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2026-01-12
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2026-01-12
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2026-01-12
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 2026-01-12
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 2024-01-30
Health
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.
Corrected 2024-01-30
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 2024-01-30
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-01-30
Health
Provide activities to meet all resident's needs.
Corrected 2024-01-30
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2024-01-30
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 2024-01-30
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-01-30
Health
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Corrected 2024-01-30
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 2024-01-30
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-01-30
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2024-01-30
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-01-30
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-01-30
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2024-01-30
Health
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
Corrected 2024-01-30
Health
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.
Corrected 2024-01-30
Health
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected 2024-01-30
Health
Dispose of garbage and refuse properly.
Corrected 2024-01-30
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-01-30
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-05-31
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-05-31
Health
Provide and implement an infection prevention and control program.
Corrected 2023-05-31
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2023-05-31
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-05-31
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-05-31
Health
Post nurse staffing information every day.
Corrected 2023-05-31
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2023-05-31
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 2023-01-24
Health
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.
Corrected 2023-01-24
Health
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.
Corrected 2023-01-24
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2023-01-24
Health
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2023-01-24
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-01-24
Health
Respond appropriately to all alleged violations.
Corrected 2023-01-24
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2023-01-24
Health
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected 2023-01-24
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-01-24
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-01-24
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2023-01-24
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 2023-01-24
Health
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected 2023-01-24
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 2023-01-24
Health
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Corrected 2023-01-24
Penalties and ownership
Fine · fine $53,915
Fine
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Individual
Corporate Officer · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Limited Partnership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Limited Partnership Interest · Organization
Operational/Managerial Control · Individual
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
Operational/Managerial Control · Individual
Operational/Managerial Control · Organization
Corporate Officer · Individual
5% Or Greater Indirect Ownership Interest · Organization
Corporate Officer · Individual
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