7 health deficiencies
Top issue: Resident Assessment and Care Planning (4 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
South Charleston, WV
4-star overall rating with 4-star inspections with 7 recent health deficiencies
1000 Lincoln Drive, South Charleston, WV
(304) 768-4400
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
130
Certified beds
Average residents
123
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Genesis Healthcare
Operator or chain grouping
Approved since
1999-04-09
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
193 facilities
Chain averages 2 overall / 2 health / 3 staffing / 3 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
0.72
Registered nurse staffing · state 0.71 · national 0.68
LPN hours / resident day
0.81
Licensed practical nurse staffing · state 0.92 · national 0.87
Aide hours / resident day
1.87
Nurse aide staffing · state 2.07 · national 2.35
Total nurse hours
3.41
All reported nurse hours · state 3.69 · national 3.89
Licensed hours
1.53
RN + LPN hours · state 1.62 · national 1.54
Weekend hours
2.95
Weekend nurse staffing · state 3.18 · national 3.43
Weekend RN hours
0.32
Weekend registered nurse coverage · state 0.39 · national 0.47
Physical therapist
0.04
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
0.64
CMS adjusted RN staffing hours
Adjusted total hours
2.99
CMS adjusted total nurse staffing hours
Case-mix index
1.56
Higher values indicate more complex resident acuity
RN turnover
42%
Annual RN turnover · state 40% · national 45%
Total nurse turnover
45%
Annual nurse turnover · state 43% · national 46%
SNF VBP
Program rank
12,309
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
12.94
Composite VBP score used to determine payment impact.
Payment multiplier
0.9812
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Baseline 21.79% · Performance 24.30% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0
Baseline 7.76% · Performance 8.22% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
3.87
Baseline 70.17% · Performance 50.37% · Measure score 3.87 · Achievement 3.26 · Improvement 3.87
Adjusted total nurse staffing
1.30
Baseline 3.7 hours · Performance 3.45 hours · Measure score 1.30 · Achievement 1.30 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.73% |
10.72%
1 pts worse
|
No Different than the National Rate · Eligible stays 150 · Observed rate 14.67% · Lower 95% interval 8.64% |
| Discharge to community | 44.16% |
50.57%
6.4 pts worse
|
No Different than the National Rate · Eligible stays 131 · Observed rate 35.88% · Lower 95% interval 33.4% |
| Medicare spending per beneficiary | 0.91 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 90.43% |
95.27%
4.8 pts worse
|
Numerator 85 · Denominator 94 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 94 |
| Discharge self-care score | 54.1% |
53.69%
0.4 pts better
|
Numerator 33 · Denominator 61 |
| Discharge mobility score | 55.74% |
50.94%
4.8 pts better
|
Numerator 34 · Denominator 61 |
| Pressure ulcers or injuries, new or worsened | 3.19% |
2.29%
0.9 pts worse
|
Numerator 3 · Denominator 94 · Adjusted rate 2.53% |
| Healthcare-associated infections requiring hospitalization | 8.22% |
7.12%
1.1 pts worse
|
No Different than the National Rate · Eligible stays 90 · Observed rate 10% · Lower 95% interval 4.81% |
| Staff COVID-19 vaccination coverage | 2.01% |
8.2%
6.2 pts worse
|
Numerator 3 · Denominator 149 |
| Staff flu vaccination coverage | 71.65% |
42%
29.7 pts better
|
Numerator 187 · Denominator 261 |
| Discharge function score | 50.82% |
56.45%
5.6 pts worse
|
Numerator 31 · Denominator 61 |
| Transfer of health information to provider | 95% |
95.95%
1 pts worse
|
Numerator 57 · Denominator 60 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 32.65% |
25.2%
7.4 pts better
|
Numerator 16 · Denominator 49 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.5 |
1.9
0.4 pts better
|
1.9
0.4 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.5 · Expected 1.8 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.2 |
1.9
0.7 pts better
|
1.8
0.6 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 1.1 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.8% |
96.7%
3.1 pts better
|
93.4%
6.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 99.1% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 99.8% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 99.1% |
97.6%
1.5 pts better
|
95.5%
3.6 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 99.1% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.7% |
4.5%
2.8 pts better
|
3.3%
1.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.9% · Q2 1.9% · Q3 0.9% · Q4 2.9% · 4Q avg 1.7% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 4.7% |
6.8%
2.1 pts better
|
11.4%
6.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 16.1% · Q3 1.0% · Q4 2.1% · 4Q avg 4.7% |
| Percentage of long-stay residents who lose too much weight | 8.0% |
6.6%
1.4 pts worse
|
5.4%
2.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.0% · Q2 10.9% · Q3 8.9% · Q4 8.1% · 4Q avg 8.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 20.8% |
27.0%
6.2 pts better
|
19.6%
1.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.5% · Q2 18.6% · Q3 18.3% · Q4 22.8% · 4Q avg 20.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 10.4% |
15.5%
5.1 pts better
|
16.7%
6.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.8% · Q2 12.2% · Q3 8.6% · Q4 9.9% · 4Q avg 10.4% · 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 | 15.6% |
19.5%
3.9 pts better
|
16.3%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 18.0% · Q2 22.4% · Q3 12.3% · Q4 11.8% · 4Q avg 15.6% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 10.2% |
17.6%
7.4 pts better
|
14.9%
4.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.6% · Q2 11.2% · Q3 6.3% · Q4 10.6% · 4Q avg 10.2% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.9% |
0.5%
0.4 pts worse
|
1.0%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.8% · Q2 0.6% · Q3 0.6% · Q4 1.7% · 4Q avg 0.9% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.0% |
1.8%
1.8 pts better
|
1.7%
1.7 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 new or worsened bowel or bladder incontinence | 33.2% |
22.4%
10.8 pts worse
|
19.8%
13.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 34.8% · Q2 36.5% · Q3 28.0% · Q4 33.5% · 4Q avg 33.2% |
| Percentage of long-stay residents with pressure ulcers | 9.4% |
4.7%
4.7 pts worse
|
5.1%
4.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.7% · Q2 8.9% · Q3 11.2% · Q4 9.1% · 4Q avg 9.4% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 95.3% |
78.8%
16.5 pts better
|
81.7%
13.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 98.5% · Q2 95.8% · Q3 93.1% · Q4 93.9% · 4Q avg 95.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 5.6% |
12.4%
6.8 pts better
|
12.0%
6.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 5.6% · Observed 5.6% · Expected 11.2% · 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 | 83.9% |
79.4%
4.5 pts better
|
79.7%
4.2 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 83.9% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 21.3% |
23.0%
1.7 pts better
|
23.9%
2.6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 21.3% · Observed 23.9% · Expected 26.7% · Used in QM five-star |
Survey summary
Top issue: Resident Assessment and Care Planning (4 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Top issue: Quality of Life and Care (5 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Top issue: Quality of Life and Care (11 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Fire safety
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2024-05-09
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-05-09
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2024-05-09
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-11-08
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-11-08
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2023-11-08
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2023-11-08
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-11-08
Inspection history
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-06-10
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-10-31
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2024-10-31
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 2024-10-31
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 2024-10-31
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-10-31
Health
Provide and implement an infection prevention and control program.
Corrected 2024-10-31
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-10-02
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-05-16
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-05-16
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2024-05-16
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-05-16
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-05-16
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2024-05-16
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 2024-05-16
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2024-05-16
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 2024-05-16
Health
Provide routine and 24-hour emergency dental care for each resident.
Corrected 2024-05-16
Health
Provide and implement an infection prevention and control program.
Corrected 2024-05-16
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 2023-11-14
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-11-14
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2023-11-14
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 2023-11-14
Health
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected 2023-11-14
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2023-11-14
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-11-14
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2023-11-14
Health
Ensure each resident receives an accurate assessment.
Corrected 2023-11-14
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-11-14
Health
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2023-11-14
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-11-14
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-11-14
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 2023-11-14
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 2023-11-14
Health
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Corrected 2023-11-14
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2023-11-14
Health
Provide and implement an infection prevention and control program.
Corrected 2023-11-14
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-10-27
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 2023-10-26
Health
Provide activities to meet all resident's needs.
Corrected 2023-10-26
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2023-10-26
Health
Provide and implement an infection prevention and control program.
Corrected 2023-07-25
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2023-05-30
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-05-30
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 2023-05-16
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-05-16
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-05-16
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 2023-05-16
Health
Post nurse staffing information every day.
Corrected 2023-05-16
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-05-16
Health
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected 2023-05-16
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2023-05-16
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2023-05-16
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-05-16
Health
Ensure the activities program is directed by a qualified professional.
Corrected 2023-05-16
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2023-05-16
Health
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected 2023-05-16
Health
Observe each nurse aide's job performance and give regular training.
Corrected 2023-05-16
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
Corporate Officer · Individual
Corporate Officer · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · 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
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Corporate Officer · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · 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 · Individual
5% Or Greater Indirect Ownership Interest · Organization
Nearby options
Saint Albans, WV
3-star overall rating with 3-star inspections with 12 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
Dunbar, WV
1-star overall rating with 1-star inspections with abuse icon flag with $82,042 in total fines with 45 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
Charleston, WV
5-star overall rating with 5-star inspections with 4 recent health deficiencies
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