Morgantown, WV

Sundale Nursing Home

4-star overall rating with 4-star inspections with 9 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

800 J D Anderson Drive, Morgantown, WV

(304) 599-0497

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

100

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1988-06-15

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Changed ownership

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

0.65

Registered nurse staffing · state 0.71 · national 0.68

LPN hours / resident day

1.04

Licensed practical nurse staffing · state 0.92 · national 0.87

Aide hours / resident day

2.44

Nurse aide staffing · state 2.07 · national 2.35

Total nurse hours

4.12

All reported nurse hours · state 3.69 · national 3.89

Licensed hours

1.68

RN + LPN hours · state 1.62 · national 1.54

Weekend hours

3.66

Weekend nurse staffing · state 3.18 · national 3.43

Weekend RN hours

0.35

Weekend registered nurse coverage · state 0.39 · national 0.47

Physical therapist

0.06

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

0.65

CMS adjusted RN staffing hours

Adjusted total hours

4.17

CMS adjusted total nurse staffing hours

Case-mix index

1.35

Higher values indicate more complex resident acuity

RN turnover

Annual RN turnover

Total nurse turnover

34%

Annual nurse turnover · state 43% · national 46%

SNF VBP

Value-based purchasing

Program rank

2,994

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

46.53

Composite VBP score used to determine payment impact.

Payment multiplier

0.9999

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

4.13

Baseline 20.04% · Performance 19.52% · Measure score 4.13 · Achievement 4.13 · Improvement 1.24

Healthcare-associated infections

3.69

Baseline 7.17% · Performance 6.73% · Measure score 3.69 · Achievement 3.69 · Improvement 1.51

Total nurse turnover

5.55

Baseline 45.24% · Performance 41.00% · Measure score 5.55 · Achievement 5.55 · Improvement 1.58

Adjusted total nurse staffing

5.24

Baseline 4.21 hours · Performance 4.57 hours · Measure score 5.24 · Achievement 5.24 · Improvement 1.78

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.63%	10.72% 0.1 pts better	No Different than the National Rate · Eligible stays 64 · Observed rate 9.38% · Lower 95% interval 6.92%
Discharge to community	54.27%	50.57% 3.7 pts better	No Different than the National Rate · Eligible stays 46 · Observed rate 50% · Lower 95% interval 42.47%
Medicare spending per beneficiary	0.99	1.02 About the same
Drug regimen review with follow-up	98.28%	95.27% 3 pts better	Numerator 57 · Denominator 58
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 58
Discharge self-care score	45.45%	53.69% 8.2 pts worse	Numerator 20 · Denominator 44
Discharge mobility score	38.64%	50.94% 12.3 pts worse	Numerator 17 · Denominator 44
Pressure ulcers or injuries, new or worsened	5.17%	2.29% 2.9 pts worse	Numerator 3 · Denominator 58 · Adjusted rate 4.44%
Healthcare-associated infections requiring hospitalization	6.73%	7.12% 0.4 pts better	No Different than the National Rate · Eligible stays 44 · Observed rate 4.55% · Lower 95% interval 3.31%
Staff COVID-19 vaccination coverage	2.27%	8.2% 5.9 pts worse	Numerator 9 · Denominator 397
Staff flu vaccination coverage	12.34%	42% 29.7 pts worse	Numerator 49 · Denominator 397
Discharge function score	40.91%	56.45% 15.5 pts worse	Numerator 18 · Denominator 44
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly.
Transfer of health information to patient	100%	96.28% 3.7 pts better	Numerator 23 · Denominator 23
Resident COVID-19 vaccinations up to date	17.65%	25.2% 7.6 pts worse	Numerator 6 · Denominator 34

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	4.2	1.9 2.3 pts worse	1.9 2.3 pts worse	Long Stay · 20240701-20250630 · Adjusted 4.2 · Observed 2.6 · Expected 1.2 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	2.9	1.9 1 pts worse	1.8 1.1 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.9 · Observed 2.1 · Expected 1.2 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	96.7% 3.3 pts better	93.4% 6.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	95.3%	97.6% 2.3 pts worse	95.5% 0.2 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 95.3%
Percentage of long-stay residents experiencing one or more falls with major injury	4.6%	4.5% 0.1 pts worse	3.3% 1.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 7.2% · Q2 3.9% · Q3 4.3% · Q4 2.7% · 4Q avg 4.6% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	3.9%	6.8% 2.9 pts better	11.4% 7.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 7.9% · Q2 3.4% · Q3 1.7% · Q4 1.5% · 4Q avg 3.9%
Percentage of long-stay residents who lose too much weight	7.1%	6.6% 0.5 pts worse	5.4% 1.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 6.2% · Q2 13.0% · Q3 2.3% · Q4 6.5% · 4Q avg 7.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	3.2%	27.0% 23.8 pts better	19.6% 16.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.0% · Q2 2.0% · Q3 2.3% · Q4 4.3% · 4Q avg 3.2%
Percentage of long-stay residents who received an antipsychotic medication	12.4%	15.5% 3.1 pts better	16.7% 4.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 12.8% · Q2 11.1% · Q3 12.1% · Q4 13.5% · 4Q avg 12.4% · 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	25.3%	19.5% 5.8 pts worse	16.3% 9 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 25.3% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	22.8%	17.6% 5.2 pts worse	14.9% 7.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 16.7% · Q2 21.4% · Q3 10.8% · Q4 41.5% · 4Q avg 22.8% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	0.5% 0.5 pts better	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% · 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 1.2% · Q2 0.0% · Q3 0.0% · Q4 1.4% · 4Q avg 0.7% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	27.2%	22.4% 4.8 pts worse	19.8% 7.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 25.7% · Q2 32.5% · Q3 23.6% · Q4 26.9% · 4Q avg 27.2%
Percentage of long-stay residents with pressure ulcers	5.5%	4.7% 0.8 pts worse	5.1% 0.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 5.2% · Q2 8.3% · Q3 4.2% · Q4 4.5% · 4Q avg 5.5% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	99.0%	78.8% 20.2 pts better	81.7% 17.3 pts better	Short Stay · 2024Q4-2025Q3 · Q1 97.0% · Q2 98.6% · Q3 100.0% · Q4 100.0% · 4Q avg 99.0%
Percentage of short-stay residents who had an outpatient emergency department visit	14.2%	12.4% 1.8 pts worse	12.0% 2.2 pts worse	Short Stay · 20240701-20250630 · Adjusted 14.2% · Observed 14.9% · Expected 11.7% · 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	47.4%	79.4% 32 pts worse	79.7% 32.3 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 47.4%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	31.5%	23.0% 8.5 pts worse	23.9% 7.6 pts worse	Short Stay · 20240701-20250630 · Adjusted 31.5% · Observed 34.0% · Expected 25.7% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-01-14 · Fire 2025-01-14

9 health deficiencies

Top issue: Resident Assessment and Care Planning (3 deficiencies)

3 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 2 Health 2023-02-22 · Fire 2023-02-22

7 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

3 fire-safety deficiencies

Top issue: Miscellaneous (1 deficiency)

Cycle 3 Health 2021-11-10 · Fire 2021-11-10

15 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)

1 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-01-14

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2025-02-11

F · Potential for more than minimal harm 2025-01-14

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-02-11

C · Minimal harm 2025-01-14

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-02-11

F · Potential for more than minimal harm 2023-02-22

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2023-04-03

C · Minimal harm 2023-02-22

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-04-03

C · Minimal harm 2023-02-22

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2023-04-03

C · Minimal harm 2021-11-10

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2021-11-29

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-01-14

F585 · Resident Rights Deficiencies

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 2025-03-07

E · Potential for more than minimal harm 2025-01-14

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2025-03-07

E · Potential for more than minimal harm 2025-01-14

F710 · Nursing and Physician Services Deficiencies

Health

Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.

Corrected 2025-03-07

E · Potential for more than minimal harm 2025-01-14

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 2025-03-07

D · Potential for more than minimal harm 2025-01-14

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2025-03-07

D · Potential for more than minimal harm 2025-01-14

F644 · Resident Assessment and Care Planning Deficiencies

Health

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2025-03-07

D · Potential for more than minimal harm 2025-01-14

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 2025-03-07

D · Potential for more than minimal harm 2025-01-14

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-03-07

D · Potential for more than minimal harm 2025-01-14

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 2025-03-07

D · Potential for more than minimal harm 2024-01-03

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 2024-01-26

D · Potential for more than minimal harm 2024-01-03

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 2024-01-26

D · Potential for more than minimal harm 2024-01-03

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-01-26

D · Potential for more than minimal harm 2024-01-03

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 2024-01-26

E · Potential for more than minimal harm 2023-02-22

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 2023-03-21

E · Potential for more than minimal harm 2023-02-22

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 2023-03-21

E · Potential for more than minimal harm 2023-02-22

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-03-21

D · Potential for more than minimal harm 2023-02-22

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2023-03-21

D · Potential for more than minimal harm 2023-02-22

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 2023-03-21

D · Potential for more than minimal harm 2023-02-22

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2023-03-21

D · Potential for more than minimal harm 2023-02-22

F761 · Pharmacy Service Deficiencies

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 2023-03-21

E · Potential for more than minimal harm 2021-11-10

F577 · Resident Rights Deficiencies

Health

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

Corrected 2021-12-27

E · Potential for more than minimal harm 2021-11-10

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2021-12-27

E · Potential for more than minimal harm 2021-11-10

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 2021-12-27

E · Potential for more than minimal harm 2021-11-10