West Virginia ›Elkins

Nella's at Autumn Lake Healthcare

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499 Ferguson Road, Elkins, WV 26241 (opens Google Maps) · Randolph County · (304) 636-1008· 100 certified beds · avg 95 residents/day · certified since Dec 23, 2021 · Medicare and Medicaid certified

Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →

Part of chain: AUTUMN LAKE HEALTHCARE (59 facilities, chain avg rating 2.8★)

1/5
Health inspection rating (on-site)
inspected Aug 5, 2025
1
Serious findings on record
most recent Aug 5, 2025
$59,810
Fines, last 3 years
3.70
Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

New to these records? How to read an inspection report →

Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 1/5 · how star ratings work →

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and quality measures from resident assessments and claims.

Most serious findings (actual harm or immediate jeopardy)

▲ Immediate jeopardy, widespread · Aug 5, 2025 · F-0689

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Severity (L): Immediate jeopardy to resident health or safety was cited. The scope was widespread: a systemic or pervasive problem. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Aug 6, 2025 (Deficient, Provider has date of correction)

Inspection findings in the public record

Showing the latest 3 of 35 inspection findings. Open the full record below to read every finding.

  1. F · Potential for more than minimal harm, widespread

    The facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service. · from a complaint F-0801

  2. F · Potential for more than minimal harm, widespread

    The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · from a complaint F-0812

  3. F · Potential for more than minimal harm, widespread

    The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint F-0880

View all 35 inspection findingsShow only the latest 3 findings

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.

DateSeverityWhat the facility was cited for
Dec 30, 2025F · Potential for more than minimal harm, widespreadThe facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service. · from a complaint · F-0801
Dec 30, 2025F · Potential for more than minimal harm, widespreadThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · from a complaint · F-0812
Dec 30, 2025F · Potential for more than minimal harm, widespreadThe facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint · F-0880
Dec 30, 2025E · Potential for more than minimal harm, patternThe facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint · F-0584
Aug 5, 2025▲ L · Immediate jeopardy, widespreadThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689
Aug 5, 2025E · Potential for more than minimal harm, patternThe facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · F-0656
Aug 5, 2025E · Potential for more than minimal harm, patternThe facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · F-0657
Aug 5, 2025E · Potential for more than minimal harm, patternThe facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. · F-0679
Aug 5, 2025E · Potential for more than minimal harm, patternThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812
Aug 5, 2025E · Potential for more than minimal harm, patternThe facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · F-0842
Aug 5, 2025D · Potential for more than minimal harm, isolatedThe facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · F-0584
Aug 5, 2025D · Potential for more than minimal harm, isolatedThe facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay). · F-0628
Aug 5, 2025D · Potential for more than minimal harm, isolatedThe facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641
Aug 5, 2025D · Potential for more than minimal harm, isolatedThe facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. · F-0644
Aug 5, 2025D · Potential for more than minimal harm, isolatedThe facility did not provide the social services residents need — such as counseling, help with adjustment, or connecting to outside resources — to achieve the best possible quality of life. · F-0745
Aug 5, 2025D · Potential for more than minimal harm, isolatedThe facility did not provide or arrange specialized rehabilitation services — such as physical, occupational, or speech therapy — for residents who needed them. · from a complaint · F-0825
Aug 5, 2025D · Potential for more than minimal harm, isolatedThe facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880
Jul 4, 2024E · Potential for more than minimal harm, patternThe facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint · F-0584
Jul 4, 2024D · Potential for more than minimal harm, isolatedThe facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. · from a complaint · F-0908
Nov 8, 2023E · Potential for more than minimal harm, patternThe facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. · F-0585
Nov 8, 2023E · Potential for more than minimal harm, patternThe facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · F-0600
Nov 8, 2023E · Potential for more than minimal harm, patternThe facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641
Nov 8, 2023E · Potential for more than minimal harm, patternThe facility did not provide safe and appropriate pain management for a resident who needed it. · F-0697
Nov 8, 2023E · Potential for more than minimal harm, patternThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812
Nov 8, 2023D · Potential for more than minimal harm, isolatedThe facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · F-0584
Nov 8, 2023D · Potential for more than minimal harm, isolatedThe facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · F-0609
Nov 8, 2023D · Potential for more than minimal harm, isolatedThe facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services. · F-0645
Nov 8, 2023D · Potential for more than minimal harm, isolatedThe facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684
Nov 8, 2023D · Potential for more than minimal harm, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689
Nov 8, 2023D · Potential for more than minimal harm, isolatedThe facility did not train its staff on dementia care and on recognizing and reporting abuse, neglect, and exploitation. · F-0943
Nov 8, 2023D · Potential for more than minimal harm, isolatedThe facility did not make sure its nurse aides had the skills needed to care for residents, including training in dementia care and abuse prevention. · F-0947
Nov 8, 2023C · Potential for minimal harm, widespreadThe facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. · F-0732
Jun 2, 2021E · Potential for more than minimal harm, patternThe facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time. · F-0561
Jun 2, 2021E · Potential for more than minimal harm, patternThe facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · F-0761
Jun 2, 2021D · Potential for more than minimal harm, isolatedThe facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. · F-0578

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (13 → 13).

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2021
All citations: 3
Serious citations (G–L): 0
2023
All citations: 13
Serious citations (G–L): 0
2024
All citations: 2
Serious citations (G–L): 0
2025
All citations: 17
Serious citations (G–L): 1

All bars start at zero. Exact values and supporting details remain below.

YearCitationsSerious (G–L)Worst severity that year
202130E
2023130E
202420E
2025171L ▲

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

How to file a complaint about care →

2 fines totaling $59,810.

Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.

DateTypeAmount / length
Aug 5, 2025Fine$22,474
Nov 8, 2023Fine$37,336

Nurse staffing (from payroll records, adjusted for how much care residents need)

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01
This facilityWest Virginia averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 3.70
West Virginia average: 3.55
U.S. average: 3.95
Registered Nurse hours
This facility: 0.61
West Virginia average: 0.70
U.S. average: 0.69
Weekend total nurse staffing
This facility: 3.42
West Virginia average: 3.07
U.S. average: 3.50

All bars start at zero. Exact values and supporting details remain below.

MeasureThis facilityWest Virginia avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)3.703.553.95top 30% in West Virginia; bottom 47% in the U.S.
Registered Nurse hours0.610.700.69bottom 42% in West Virginia; top 47% in the U.S.
Weekend total nurse staffing3.423.073.50top 23% in West Virginia; top 46% in the U.S.
Weekend RN hours (not acuity-adjusted)0.420.400.48top 34% in West Virginia; top 45% in the U.S.
Total nursing staff turnover (%)44.044.145.8bottom 46% in West Virginia; top 47% in the U.S.
RN turnover (%)33.342.442.9top 30% in West Virginia; top 33% in the U.S.

Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.29, RN 0.54, weekend 3.05.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.29 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 4/5.

Quality measures: assessments & claims

Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.

Quality measures rating: 4/5 · long-stay residents: 5/5 · short-stay residents: 3/5

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Nella's at Autumn Lake Healthcare. CMS inspection and staffing records do not tell us what this home will charge you.

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Who owns this facility

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

For profit - Limited Liability company

Owner / managerTypeRoleStakeSince
A & R Stern Family WV Holdings LLCOrganization5% or Greater Indirect Ownership Interest99%06/01/2021
Nellas Opco Holdco LLCOrganization5% or Greater Direct Ownership Interest100%06/01/2021
Stern, AryehIndividualIndirect Ownership InterestNOT APPLICABLE06/01/2021
A & R Stern Family WV Holdings LLCOrganizationADP of the SNFNOT APPLICABLE06/01/2021
A Stern Family Trust WVOrganizationADP of the SNFNOT APPLICABLE06/01/2021
Accurate Staffing LLCOrganizationADP of the SNFNOT APPLICABLE06/01/2021
Bolyard, JonthanIndividualOperational/Managerial ControlNOT APPLICABLE12/06/2021
Bolyard, JonthanIndividualADP of the SNFNOT APPLICABLE12/06/2021
Brand Sonnenschine LLPOrganizationADP of the SNFNOT APPLICABLE06/01/2021
Chua, CatherineIndividualOperational/Managerial ControlNOT APPLICABLE02/01/2024
Chua, CatherineIndividualADP of the SNFNOT APPLICABLE02/01/2024
R Stern Family TrustOrganizationADP of the SNFNOT APPLICABLE06/01/2021
Schwartz, MarkIndividualOperational/Managerial ControlNOT APPLICABLE06/01/2021
Stern, AryehIndividualADP of the SNFNOT APPLICABLE06/01/2021

All 14 owning or managing parties CMS has on file are shown — none excluded.

Other facilities in the same chain

CMS lists this facility under the chain Autumn Lake Healthcare — 59 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.

Listed by state, then facility name — not a ranking. Showing 8 of the 58 others, continuing from this facility's own place in that list.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

  • "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
  • "Do you have a qualified dietician on staff, and how involved are they in each resident's nutrition plan?"
  • "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
  • "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
  • "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
  • "Can you show me an example care plan, and how are families included when it's created and updated?"
  • "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
  • "Can I see this month's activities calendar, and what do you offer residents who can't leave their rooms?"

Also worth asking anywhere

  • "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
  • "Can I see the plan of correction for the findings in your most recent state inspection?"
  • "CMS reports 44% total nursing staff turnover here — who on the care team has been with you longest?"
  • "The ownership record on file lists 14 owning or managing parties — who makes the decisions about staffing levels?"
  • "Can I visit again unannounced, at a mealtime or on a weekend?"

Nearby facilities (within 20 miles)

FacilityDistanceCityOverallInspectionFlags
Autumn Lake Healthcare at Crystal Springs0.1 miElkins, WV★☆☆☆☆2/5
Elkins Rehabilitation & Care Center4.6 miElkins, WV★★★★★4/5
Tygart Valley Health & Rehabilitation6.8 miBelington, WV★★★☆☆3/5
Mansfield Place16.8 miPhilippi, WV★★★★☆4/5
Holbrook Healthcare Center18.0 miBuckhannon, WV★☆☆☆☆1/5
St. Joseph's Hospital18.7 miBuckhannon, WV★★★★★5/5

Compare this facility with the 3 closest →

All facilities in Elkins →

Facility data as of CMS processing date 2026-08-01. CCN 515196.

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