Federal inspection record · CMS data as of October 1, 2026
Nella's At Autumn Lake Healthcare
499 Ferguson Road, Elkins, WV · (304) 636-1008
- Certified beds
- 100
- Residents per day
- 95
- Ownership
- For-Profit
- Chain
- Autumn Lake Healthcare
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- December 23, 2021
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in West Virginia.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among West Virginia homes
Nella's At Autumn Lake Healthcare carries 254.25 inspection points. That is fewer than 7% of West Virginia's 122 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in West Virginia: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–24 pts
- 4★ 24–55 pts
- 3★ 55–92.5 pts
- 2★ 92.5–163 pts
- 1★ over 163 pts
Bars show every rated home in West Virginia by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
35 health citations on record since 2021. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (1)
-
L
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Resident Rights8E
- E
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.
- D
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.
- D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- E
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.
- E
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.
- D
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.
- E
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- D
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.
Resident Assessment and Care Planning7E
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- E
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- E
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Ensure each resident receives an accurate assessment.
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- E
Ensure each resident receives an accurate assessment.
- D
PASARR screening for Mental disorders or Intellectual Disabilities
Quality of Life and Care6E
- E
Provide activities to meet all resident's needs.
- D
Provide medically-related social services to help each resident achieve the highest possible quality of life.
- D
Provide or get specialized rehabilitative services as required for a resident.
- E
Provide safe, appropriate pain management for a resident who requires such services.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Nutrition and Dietary4F
- F
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Freedom from Abuse, Neglect, and Exploitation3E
- E
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Infection Control2F
- F
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Nursing and Physician Services2D
- D
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
- C
Post nurse staffing information every day.
Environmental1D
- D
Keep all essential equipment working safely.
Pharmacy Service1E
- E
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.
Inspection history
2025-08-05
17 health deficiencies · 6 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (5 deficiencies)
2023-11-08
13 health deficiencies · 8 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
2021-06-02
5 health deficiencies · 0 fire-safety deficiencies
Top issue: Resident Rights (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 26 min of nursing staff time a day, 34 min of it from a registered nurse.
This home
3 h 26 min
West Virginia average
3 h 43 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 35% of nursing staff and 25% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$59,810 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-08-05 | Fine | $22,474 |
| 2023-11-08 | Fine | $37,336 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.5 pts better | 1.1 | 1.6 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.8 pts better | 0.9 | 1.7 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.5 pts better | 100.0% | 96.5% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.7 pts better | 100.0% | 97.3% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.4 pts better | 1.9% | 4.3% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms5.1 pts better | 3.1% | 8.2% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.7 pts better | 3.4% | 6.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication14.2 pts better | 12.7% | 26.9% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication22.9 pts worse | 35.8% | 12.9% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened5.9 pts better | 8.0% | 13.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased7.5 pts better | 6.3% | 13.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.1 pts worse | 0.4% | 0.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.5 pts better | 0.0% | 1.5% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence0.8 pts better | 20.6% | 21.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.6 pts worse | 5.5% | 3.9% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine21 pts better | 100.0% | 79.0% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication1 pts better | 0.0% | 1.0% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine21.2 pts better | 100.0% | 78.8% | 80.1% |
·
Who owns and runs it
14 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Nellas Opco Holdco LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 2 facilities |
| A & R Stern Family Wv Holdings LLC | 5% Or Greater Indirect Ownership Interest · Organization | 99% | 2 facilities |
| A & R Stern Family Wv Holdings LLC | Adp Of The SNF · Organization | 0% | 2 facilities |
| A Stern Family Trust Wv | Adp Of The SNF · Organization | 0% | 2 facilities |
| Accurate Staffing LLC | Adp Of The SNF · Organization | 0% | 42 facilities |
| Bolyard, Jonthan | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Bolyard, Jonthan | Adp Of The SNF · Individual | 0% | 1 facilities |
| Brand Sonnenschine Llp | Adp Of The SNF · Organization | 0% | 63 facilities |
| Chua, Catherine | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Chua, Catherine | Adp Of The SNF · Individual | 0% | 3 facilities |
| R Stern Family Trust | Adp Of The SNF · Organization | 0% | 2 facilities |
| Schwartz, Mark | Operational/Managerial Control · Individual | 0% | 56 facilities |
| Stern, Aryeh | Indirect Ownership Interest · Individual | 0% | 41 facilities |
| Stern, Aryeh | Adp Of The SNF · Individual | 0% | 41 facilities |
·
Fire safety
14 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Gas, Vacuum, and Electrical Systems5F
- D
Have generator or other power source capable of supplying service within 10 seconds.
- D
Ensure that testing and maintenance of electrical equipment is performed.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Have proper medical gas storage and administration areas.
- E
Ensure that testing and maintenance of electrical equipment is performed.
Services3E
- E
Have properly installed electrical wiring and gas equipment.
- E
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- D
Have properly installed electrical wiring and gas equipment.
Emergency Preparedness2F
- F
Develop and maintain an Emergency Preparedness Program (EP).
- C
Develop and maintain an Emergency Preparedness Program (EP).
Smoke2D
- D
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D
Provide properly protected cooking facilities.
Miscellaneous1E
- E
Have restrictions on the use of portable space heaters.
Egress1E
- E
Install emergency lighting that can last at least 1 1/2 hours.
·
Other homes nearby
-
Autumn Lake Healthcare At Crystal Springs
Elkins, WV · Autumn Lake Healthcare
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 30 min
- Fines
- $0
-
Elkins Rehabilitation & Care Center
Elkins, WV
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 4 h 14 min
- Fines
- $8,278
-
Tygart Valley Health & Rehabilitation
Belington, WV · Hill Valley Healthcare
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 29 min
- Fines
- $0