Home / West Virginia / Charleston
3819 Chesterfield Avenue, Charleston, WV 25304 · Kanawha County · (304) 925-4771
150 certified beds, about 148 residents a day · For profit - Corporation · Medicare and Medicaid since 1989
CMS Care Compare ratings, data as of September 1, 2026 · CCN 515089 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on April 2, 2026, inspectors cited 6 health deficiencies (the West Virginia average is 11.7, the national average 9.2).
Of 71 health citations since November 2022, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists 1 fine totaling $12,831 in the last three years; the largest was $12,831, and the latest is dated October 30, 2024.
Nurses and nurse aides worked 4.12 hours per resident per day, against 3.67 across West Virginia and 3.86 nationally. Registered nurses accounted for 0.68 of those hours.
38.9% of nursing staff left within the year CMS measured (West Virginia average 44.1%).
CMS links it to Communicare Health, an affiliated group of 110 nursing homes.
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 71 health citations on file.
Inspectors wroteBased on record review, observation, staff interview and resident interview, the facility failed to ensure a resident's call light was within reach. This failed practice had the potential to affect a limited number of residents. Resident Identifiers: #129 and #146. Facility Census: 145.
Inspectors wroteBased upon record review and staff interview, the facility failed to notify the resident's representative in writing of the reason for transfer/discharge and provide a copy of the bed hold notice. This was found to be true for one (1) of four (4) resident reviewed during the long term care survey process. Resident identifier: #19. Facility census: 145.
Inspectors wroteBased on record review and staff interview, the facility failed to ensure an updated Preadmission Screening and Resident Review (PASRR) was completed for a resident with a bipolar diagnosis identified after admission. This failed practice had the potential to affect a limited number of residents. Resident Identifier: #153. Facility census: 145.
Inspectors wroteBased on record review and staff interview, the facility failed to update the comprehensive care plan in a timely manner following a significant change in the resident's mental capacity. This was found to be true for one (1) of three (3) residents reviewed during the long term care survey process. Resident identifier: #19. Facility census: 145.
Inspectors wroteBased on record review and staff interview, the facility failed to ensure the resident's orders and care plan matched for a resident ordered Nothing By Mouth (NPO) by the physician. This failed practice had the potential to affect a limited number of residents. Resident Identifier: #56. Facility Census: 145.
Inspectors wroteBased upon Observation, staff interviews and policy, the facility failed to establish and maintain an infection prevention and control program designed to help prevent the development and transmission of communicable diseases and infections by not dating IV lines for Resident #108 and #60. This was discovered during the normal Long Term Survey Process and has the ability to affect more than a limited number of residents. Resident identifiers #108, #60. Census: 145.
Inspectors wroteBased on observation and staff interview, the facility failed to provide a clean and sanitary area for storage of equipment and maintain a clean area for all kitchen equipment. This failed practice had the potential to affect all residents receiving nourishment from the facility kitchen. This was a random opportunity for discovery. Facility Census: 142. Findings Include: a) Kitchen On 11/13/25 at 10:00 AM, a 50-gallon trash can with the lid was noted with a dry white substance as well as food debris on the lid of the trash can. The trash can was sitting at the entrance of the dining room. At this time, Dietary Aide #163 was sitting in the dining room. Dietary Aide #163 was notified of the trash can being dirty. Dietary Aide #163 stated, I'll get it taken care of. [...]
Inspectors wroteBased on observation, record review and staff interview, the facility faild to ensure pressure ulcer assessment and treatment in a timely manner. The facility also failed to ensure pressure ulcer prevention measures were put into place. This deficient practice had the potential to affect three (3) of three (3) residents reviewed for the care area of pressure ulcers. Resident Identifiers: #152, #40, and #. Facility census: 143.
Inspectors wroteBased on observation and staff interview the facility failed to ensure the resident environment was as free from accident hazards as possible. Resident #58's bed was observed with a six (6) inch gap between the footboard and the end of the mattress in addition Resident #98 was noted to be lying in bed and an aerosol spray can of Clorox Fabric Sanitizer was on the resident's overbed table. These were random opportunities for discovery and had the potential to affect more than a limited number of residents. Resident Identifier: #58 and #98. Facility Census: 143. Findings Include: A) Resident #58 During an observation on the morning of 10/15/25 Resident #58's bed was observed to have a gap at the foot board which was wide enough to pose a risk for entrapment. [...]
Inspectors wroteThe facility failed to ensure residents maintain acceptable levels of hydration and nutrition. Resident #141, Resident #17, Resident #103, and Resident #40 did not have fresh ice water at bedside. In addition Resident #153 the facility failed to prevent avoidable weight loss. This was true for five (5) of sampled residents reviewed during a complaint survey. Resident Identifiers: #141, #17, #103, #40 and #153. Facility Census: 143. A) Access to Fresh Water An interview on the morning of 10/15/25 with the Director of Nursing and the Nursing Home Administrator it was discovered nursing provides three (3) ice water passes per day. The times of the passes are at 6:00 am, 2:00 pm and 10:00 pm. They also indicated activities do two (2) drink passes during the course of the day as well. [...]
Inspectors wroteBased on record review and staff interview, the facility failed to implement the care plan regarding the amount of feeding assistance needed as well as develop and implement impaired skin integrity interventions for Resident #153. This was true for one (1) of 18 residents reviewed during the survey process. Facility Census: 143. Findings Include:a1) Resident #153On 10/14/25 at 1:30 AM, a record review was completeid for Resident #153. The review found the care plan had not been implemented regarding feeding assistance. The resident was noted as totally dependent of staff x 1 (one) for eating. The documentation of assistance given during meals from 07/2025 through 09/2025 was reviewed. [...]
Inspectors wroteBased on record review and staff interview, the facility failed to provide activities of daily living (ADLs) for a dependent resident, #153. The ADLs included feeding assistance as well as showers or baths. This was true for one (1) of 18 residents reviewed during the survey process. Resident Identifier: #153. Facility Census: 143. Findings Include:a1) Resident #153On 10/14/25 at 1:30 PM, a record review was completed for Resident #153. The review found the resident had not been provided feeding assistance as a dependent resident for meals. The documentation of assistance given during meals from 07/2025 through 09/2025 was reviewed. [...]
Inspectors wroteBased on record review and staff interview the facility failed to ensure Resident #152's recommendations from a hospital stay were followed up on with the attending physician. The discharge summary indicated the resident should have a BMP (Basic Metabolic Panel) and CBC (complete blood count) in one week from the date of discharge. This labs were not obtained nor was there evidence this was addressed with the attending physician to see if they wanted the lab work to be obtained or not. This was true for one (1) of residents reviewed during the complaint survey. Resident Identifier: #152. Facility Census: 143. Findings Included: a) Resident #152 A review of Resident #152's medical record found the resident was readmitted from the hospital on [DATE]. A review of the hospital discharge summary associated with this readmission found the following, Pending Labs and studies: [...]
Inspectors wroteBased on record review and staff interview, the facility failed to ensure complete and accurate medical records. For one (1) of three (3) residents reviewed for the care area of pressure ulcers, the wound nurse practitioner's note documented the wrong treatment being used. Resident Identifier: #152. Facility census: 143.
Inspectors wroteBased on record review and resident and staff interviews, the facility failed to make orthopedic appointments as directed, provide transportation to appointments, obtain documentation from appointments, and follow directions from those appointments to prevent contractures in Resident #88's left arm and hand following a fall at the facility. The State Agency (SA) determined physical harm was caused to Resident #88 when the resident developed contractures in her upper left arm and hand following a fall at the facility. The failure to schedule a follow up appointment with Resident #88's orthopedic doctor in a timely manner, provide transportation, obtain the documentation sent from the appointments, and follow the recommendations from the appointments, resulted in the resident developing contractures in her left arm and hand. [...]
Inspectors wroteBased on record review and staff interview the facility failed to ensure residents had care plans developed for as of area of concern. Resident #68 had suffered fluid volume depletion and did not have a care plan focus area for dehydration. Resident identifier: #68. Facility census: 145.
Inspectors wroteBased on observation and staff interview, the facility failed to establish and maintain an infection prevention and control program designed to help prevent the development and transmission of communicable diseases and infections. These were random opportunities that had the potential to affect more than a limited number of residents. Resident identifiers: #132 and #130. Facility census: 145.
Inspectors wroteBased on observations and staff interviews the facility failed to make sure call light was accessible to Resident #120. This was a random opportunity for discovery during the Long-Term Care survey. Facility census: 145. Resident identifier:
Inspectors wroteBased on record review, resident interview, and staff interview the facility failed to honor Resident #68's choices in their preference to only have female caregivers. This failed practice was found true for (1) one of (9) nine residents reviewed for choices during the Long-Term Care Survey Process. Resident identifier: #68. Facility Census: 145.
Inspectors wroteBased on record review and staff interview, the facility failed to complete a thorough investigation of a reported incident and identify an allegation of neglect. The facility did not follow physician's orders for Resident #122. This was true for 1(one) of 4 (four) residents reviewed for abuse and neglect. Resident identifier #122. Facility Census 145.
Inspectors wroteThe facility failed to make a care plan revision in the area of advanced directives. This failed practice was found true for (1) one of (6) six residents reviewed for Advance Directives during the Long-Term Care Survey Process. Resident identifier: #66. Facility census: 145. Findings Include: a) Resident #66 A record review on [DATE] at 8:52 AM, revealed that Resident #66's was marked as a Do Not Resuscitate (DNR) on her post form dated [DATE]. Further record review of Resident #66's care plan reads as follows: Focus: Resident has a Cardiopulmonary Resuscitation (CPR) code status. Revised on [DATE] During an interview on [DATE] at 11:00 AM, the Director of Nursing (DON) confirmed that the code status for Resident #66 did not match.
Inspectors wroteBased on medical record review and staff interview the facility failed to ensure they provided emergency care in accordance with the resident's advanced directives. Resident #139 had a [NAME] Virginia Post Orders to Health Care (POST) form that specified the resident did not want cardiopulmonary resuscitation (CPR). The resident's care plan had not been updated to reflect this and indicated the resident was a full code. The resident received CPR when they had no pulse and were not breathing. Resident identifier: #139. Facility census: 145.
Inspectors wroteBased on observation and staff interview, the facility failed to maintain the environment as free of accident hazards as possible. A used razor laying on Resident #53's bathroom sink. This was a random opportunity for discovery. Resident Identifier: #53. Facility Census: 145. Findings Include: a) Resident #53 On 10/28/24 at 11:18 AM, a used razor was observed laying on the bathroom sink in Resident #53's room. On 10/28/24 at 11:20 AM, the Facility Scheduler #19 confirmed the used razor was laying on the bathroom sink. The Facility Scheduler stated, I'll take care of it. On 10/29/24 at 8:58 AM, the Director of Nursing (DON) was notified and confirmed the used razor should not have been left on the bathroom sink.
Inspectors wroteBased on record review, staff interview, and family interview the facility failed to recognize, evaluate, and address the needs of each resident at risk for and experiencing dehydration. This failed practice was found true for (1) of (3) residents reviewed for dehydration during the Long-Term Care Survey Process. Resident identifier #68. Facility Census 145. Findings Include: a) Resident identifier #68 During the initial interview on 10/28/24 at 12:47 PM, Resident #68 stated, I don't drink the water here. I drink coffee with each meal and I eat Ice chips. They don't always bring me my ice chips. They are getting a little better since I had that intravenous (IV) to get fluids. Further record review of Resident #68's diagnoses revealed that Resident #68 was diagnosed with a Urinary Tract Infection (UTI) on 09/06/24 that was resolved on 10/05/24. [...]
Inspectors wroteBased on resident interview, staff interview, observation and record review, the facility failed to promptly obtain needed dental services for damaged dentures for Resident #31. The was true for 1 (one) of 3 (three) reviewed for dental needs. Resident identifier #31. Facility census: 145.
Inspectors wroteBased on record review, staff interview and resident interview the facility failed to meet resident's nutritional needs by serving Resident #31 food he was allergic to. This is true for three (3) of 13 residents review for food preferences. Resident identifier: #31, #68, and #10. Facility census: 145.
Inspectors wroteBased on record review and staff interview, the facility failed to ensure resident's diet was followed per physician's orders for Resident #122. This is true for 1(one) of 13 residents reviewed for food. Resident identifier #122. Facility Census 145.
Inspectors wroteBased on observatio and staff interview the facility failed to ensure they, prepared and served food under sanitary conditions. This has the potential to affect all residents of the facility who received an oral diet. Facility census:145.
Inspectors wroteBased on record review and staff interview, the facility failed to maintain a complete and accurate record regarding Resident #34's assistance for meals and Resident #75's diagnosis of anxiety. This was true for two (2) of 41 residents reviewed during the survey process. Resident identifiers: #34 and #75. Facility Census: 145. Findings Include: a) Resident #34 On [DATE] at 12:02 PM, a record review was completed for Resident #34. The review found the resident was ordered nothing by mouth (NPO) and received a tube feeding for nutrition which was Jevity 1.5 83ml (milliliters)/hr (hour) for 17 hours. The resident was noted to be dependent for all meal and fluid intake. [...]
Inspectors wroteBased on record review and staff interview, the facility failed to ensure a discharge summary was completed by the physician for the basis for the discharge for one (1) of three (3) residents reviewed for a discharge to home. Resident identifier: #151. Facility Census:
Inspectors wroteBased on record review and staff interview, the facility failed to complete a thorough investigations of Resident #75 allegations of abuse. The facility failed to maintain documentation that alleged violations were thoroughly investigated. This was true for one (1) of three (3) resdients reviewed for abuse. Resident Identifiers: Resident #75 Facility Census: 148.
Inspectors wroteBased on observation and staff interview, the facility failed to ensure the Daily Staffing Posting information was accurate and current and the facility failed to maintain the Daily Staffing Posting data for a minimum of 18 months. This was a random opportunity for discovery and had the potential to affect all resident currently residing at the facility.
Inspectors wroteBased on observation and staff interview, the facility failed to ensure the resident environment remains as free of accident hazards as possible. This was a random opportunity for discovery and had the potential to affect a limited number of residents. Facility census:
Inspectors wroteBased on observation and staff interview the facility failed to prepare food in accordance with professional standards for food service safety related to, sanitary conditions and the prevention of foodborne illness. This has the potential to affect all residents that get their nutrition from the kitchen. Facility census: 141.
Inspectors wroteBased on observation and staff interview the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary and comfortable environment and to help prevent the development and transmission of communicable diseases and infections. This failed practices was a random opportunity for discovery while observing medication pass. Resident identifiers: #120. Facility census 141.
Inspectors wroteBased on facility record review and staff interview the facility failed to offer the Pneumococcal vaccine when eligible. This was true for four (4) out of five (5) reviewed for immunizations. Resident identifiers: #143, #19, #100, and #120. Facility census: 141.
Inspectors wroteBased on observation and staff interview the facility failed to ensure the residents residing in room [ROOM NUMBER] was treated with respect and dignity when a housekeeper failed to obtain the residents permission before entering the room and talked on her cell phone the entire time, she was in the resident's room. This was a random opportunity for discovery. Resident Identifier: room [ROOM NUMBER]. Facility Census: #141 a) room [ROOM NUMBER] On 01/23/24 at 9:42 AM Housekeeper #170 was observed going into room [ROOM NUMBER] while talking on her teal-colored phone. This housekeeper opened the door and walked into the room without knocking. Housekeeper #170 was observed talking on her phone while in the room and remained on her phone when she exited the room. Housekeeper #170 was stopped upon exiting the room and was asked about knocking on doors before opening and walking in the room. [...]
Inspectors wroteBased on record review and staff interview, the facility failed to revise a care plan to indicate skin issues were healed for Resident #73, #40 and #31. This is true for three (3) of five (5) residents reviewed under the care area of pressure ulcers. Resident identifiers: #73, #40 and #31. Facility Census: 141.
Inspectors wroteBased on facility record review and staff interview the facility failed to administer medication as prescribed by the physician, failing to offer the Respiratory syncytial virus (RSV) vaccine when available, failed to complete neuro checks, failed to notify physician of no bowel movement, failed to notify physician of resident requesting to go to the emergency room, no protocol for bowel regiment, failed to follow physicians' orders. These were random opportunities for discovery. Resident identifiers: #16, #14, #59, #75, #126, #147, #60, 18, and #145. Facility census 142.
Inspectors wroteBased on medical record review and staff interview the facility failed to have a care plan addressing the provision of meals before, during and/or after dialysis treatments. This was true for one (1) of one (1) resident reviewed for dialysis treatment during a complaint survey. Resident identifier:#68. Facility census: 141.
Inspectors wroteBased on record review and staff interview, the facility failed to ensure medical records were accurate and complete. This is true for two (2) of three (3) residents reviewed under the care area of discharges. Resident Identifiers: #66 and #31. Facility Census: 141. Findings Include: a) Resident #66 On 01/23/24 at 11:00 AM, a record review was completed for Resident #66. The review found the resident had been transferred to an acute care facility on 01/23/24 at 9:20 AM. However, the transfer form indicates the resident was transferred on 12/19/23 at 9:27 AM. On 01/23/24 at 2:20 PM, the Director of Nursing was interviewed and was asked when the resident got transferred to the acute care facility. DON stated the transfer date on the form was incorrect. [...]
Inspectors wroteBased on observation and staff interview, the facility failed to provide a dignified dining experience for Resident #8. This was a random opportunity for discovery. Resident Identifier: #8. Facility Census:143. Findings Included: a) Resident #8 On 11/06/23 at 12:24 PM, multiple residents were being observed during the noon meal. Licensed Practical Nurse (LPN) #155 was observed standing while feeding Resident #8. On 11/06/23 at 12:35 PM, the Assistant Executive Director #76 was notified and confirmed no one should be standing while feeding a resident. No further information was obtained during the survey process. .
Inspectors wroteBased on interview, record review and policy review the facility failed to make prompt efforts to resolve a grievance and to keep the resident notified of progress toward a resolution. This was true for two (2) of four (4) grievances reviewed during the complaint survey. Resident identifiers: #1. Facility census: 143. Findings Included: a) Policy Review Record review of the facility's policy titled, Resident Grievance, showed: -The Grievance Official shall complete an investigation of the Resident Grievance. -The grievance review will be completed in a reasonable time frame consistent with the type of grievance. -The Grievance Official will meet with the resident and inform the resident of the result of the investigation and how the resident's grievance was resolved or will be resolved, if applicable. [...]
Inspectors wroteBased on record review and staff interview, the facility failed to remove the use of hearing aids for Resident #1 in the Minimum Data Set (MDS). This is true for one (1) of eight (8) residents reviewed during the survey process. Resident identifier: #1. Facility Census: 143.
Inspectors wroteBased on record review, and staff interview, the facility failed to ensure a Resident had a person-centered comprehensive care plan developed and implemented to meet his / her preferences and goals and address the resident's physical needs. This practice had the potential to effect more than a limited number of Residents. Resident identifier: #1. Facility census 143. Findings Included: a) Resident #1 An observation during a complaint investigation about missing dentures on 11/06/23 revealed Resident #1 had top dentures in place. Medical record review on 11/07/23, showed a Long-Term Care Evaluation dated 10/01/22 Nutrition section: --Upper and Lower Dentures Further review of Resident #1's medical record revealed the care plan (an overview of resident care for nursing staff) did not contain an intervention for Dentures. [...]
Inspectors wroteBased on record review and staff interview, the facility failed to revise a comprehensive care plan for Resident #1. This is true for one (1) of eight (8) residents reviewed during the survey process. Resident identifier: #1. Facility Census: 143. Findings Included: a) Resident #1 On 11/06/23 at 2:00 PM, a record review was completed for Resident #1. The review found the care plan listed a focus area of potential for communication problem due to patient having hearing problems. The interventions listed are as follows: --Change batteries to hearing aids as needed. --Ensure patient has hearing aids in (Bilateral) ears. However, the resident's hearing aids had been missing since February 2023. On 11/07/23 at 1:20 PM, the Minimum Data Set (MDS) Registered Nurse (RN) #126 confirmed the care plan had not been revised since the loss of the resident's hearing aids. [...]
Inspectors wroteBased on observation, resident interview, staff interview, and record review the facility failed to ensure proper treatment related to a hearing impairment for one (1) of two (2) resident in the care area of communication / sensory. Resident identifier: #1. Facility census: 143.
Inspectors wroteBased on record review, and staff interview, the facility failed to assist with replacing a Resident's missing Lower dentures in a timely manner. This is true for one (1) of two (2) reviewed for missing dentures. Resident identifier: #1. Facility census 143.
Inspectors wroteBased on facility documentation and staff interview the facility failed to have a certified Infection Preventionist (IP) that worked at least part time in the facility. This failed practice had the potential to affect all residents residing at the facility. Facility Census: 141.
Inspectors wroteBased on observation and interview the facility failed to maintain compliance with an effective pest control program that would ensure that the facility is free of pests and rodents for one (1) out of three (3) medication supply rooms. This failed practice has the potential to affect more than an isolated number of residents within the facility. Facility census: 141.
Inspectors wroteBased on interview and record review the facility failed to making prompt efforts to resolve a grievance and to keep the resident notified of progress toward resolution. This is true for one (2) of three (3) reviewed during a complaint Survey. Resident identifier: #70. Facility census: 141.
Inspectors wroteBased on observation, staff interview, and operation policy the facility failed to report alleged violation related to, neglect and report the results of all investigation to the proper authorities within a prescribed time frame. This is true for one (1) of three (3) allegations of abuse. Resident identifier: #70. Facility census:
Inspectors wroteBased on, Resident Interview, staff interview, and operation policy the facility failed to investigate an alleged violation related to, neglect, report the results of all investigation to the proper authorities within a prescribed time frames. This is true for one (1) of three (3) allegations of abuse. Resident identifier: #70. Facility census: 141. Findings Included: Record review of the facility's policy titled, Abuse, Neglect, Exploitation & Misappropriation of Resident Property, showed: Neglect: Neglect is the failure of the facility, its employees, or services providers to provide goods and services to a resident that are necessary to avoid physical harm, pain, mental anguish, or emotional destress. -Investigation of an incident: -An event may not be perceived by staff to constitute resident abuse, neglect, or misappropriation of resident property; however. [...]
Inspectors wroteBased on observation, record review, resident and staff interview, the facility failed to assist dependent Residents with activities of daily living (ADL's) in accordance with the Residents assessed needs for care. This was true for two (2) of three (3) residents reviewed for ADL care. Resident identifiers: #70 and #124. Facility census: 141. Findings Included: a) Resident #70 During an interview with Resident #70 on 09/05/23 at 2:20 PM she revealed that she does not get his showers per scheduled. She stated that most of the time her family must call and complain before she receives showers. She stated that her son had to call today, because she had not received her shower today. At 2:29 PM during this interview two (2) Nurse Aids entered the room and told Resident #70 they were there to take her to the shower. [...]
Inspectors wroteBased on observation, staff and resident interview, and record review, the facility failed to provide care and treatment in accordance with physician's orders for one (1) of seven (7) residents reviewed. Resident #85 experienced a delay in diagnostic testing and the facility failed to ensure the physician had knowledge of the delay in services. Resident identifier: #85. Census: 141.
Inspectors wroteBased on medical record review and staff interview, the facility failed to ensure a complete and accurate medical record. Specifically, shower documentation. This practice affected one (1) of three (3). Resident identifier #70. Facility census: # 141.
Inspectors wroteBased on facility documentation and staff interview the facility failed to have a certified Infection Preventionist (IP) attend and participate in the Quality Assessment and Assurance (QAA) meetings that worked at least part time in the facility. This failed practice had the potential to affect all residents residing at the facility. Facility Census: 141.
Inspectors wroteBased on resident interview, record review, and staff interview, the facility failed to ensure one (1) of one (1) resident reviewed for the care area of notification of changes was informed in advance of outpatient appointments. Resident identifier: #5. Facility census: 144.
Inspectors wroteBased on record review and staff interview, the facility failed to ensure appropriate information was communicated to the receiving hospital to ensure a safe and effective transition of care. This was true for one (1) of three (3) residents reviewed for the care area of hospitalizations during the long-term care survey process. Resident Identifier: Resident #493. Facility census: 144.
Inspectors wroteBased on medical record review and staff interview, the facility failed to provide evidence a copy of the Notice of Transfer was sent to the Office of the State Long-Term Care Ombudsman. This was true for one (1) of three (3) reviewed for the care area of hospitalization during the long-term care process. Resident Identifier: Resident #493. Facility Census: 144. Findings Included: A facility policy titled Transfer and Discharge (including AMA) with a revision date 05/03/21 found the following. .7. Emergency Transfers/Discharges .k. Social Services Director, or designee, shall provide notice of transfer to a representative of the State Long-Term Care Ombudsman via monthly list. a) Resident #493 During a review of Resident #493's medical record on 11/15/22 at 12:07 PM, revealed she was transferred to a local hospital on the following dates: [...]
Inspectors wroteBased on record review and staff interview, the facility failed to ensure two (2) of twenty-nine (29) minimum data sets (MDS) reviewed during the Long-term Care Survey Process (LTCSP) were accurately coded. For Resident #75, the MDS were inaccurate in area of medication. For Resident # 104 the MDS inaccurately coded her siderails as a physical restraint. Resident identifiers: #75 and #104. Facility census: 144.
Inspectors wroteBased on resident interview, observation and record review the facility failed to develop and implement a care plan for two (2) of 27 records reviewed during the long term care survey. Resident identifiers: #5 and #19. Facility census: 144.
Inspectors wroteBased on record review, observation and staff interview, the facility failed to follow a physician's order for the application of hipsters for a resident with a history of multiple falls. This was true for one (1) of four (4) residents reviewed under the care area of falls. Resident Identifier: #33. Facility Census: 144. Findings Included: a) Resident #33 On 11/15/22 at 11:30 AM, a record review was completed for Resident #33. A physician's order dated 08/02/22 stated the following: hipsters at all times may remove for bathing, hygiene, and skin checks every day and every night shift. The care plan also listed hipsters at all times as an intervention under the focus area of actual falls with potential injuries . On 11/15/22 at 1:35 PM, the resident was found with no hipsters in place. Nurse Aid (NA) #88 verified the resident was not wearing the hipsters per the physician's order. [...]
Inspectors wroteBased on resident interview, observation, and record review, the facility failed to ensure one (1) of one (1) resident reviewed for the care area of communication/sensory during the long-term care survey had hearing aids in good repair. Resident identifier: 5. Facility census: 144.
Inspectors wroteBased on resident interview, observation, medical record review and staff interview, the facility failed to provide foot care to a diabetic resident consistent with professional standards of practice. Arrangements were not made for routine podiatry services to prevent foot complications and maintain comfort in a resident with diabetes. This was a random opportunity for discovery. Resident identifier: 10. Facility census: 144.
Inspectors wroteb) Resident #47 On 11/14/2022 at 10:57 AM, the resident said she is supposed to have palm guards for her hands, and staff are not putting them on. Observation found no palm guards were in place. Resident #47 states that she believes they must have thrown it away as she said she has not seen it in a long time. On 11/14/2022 at 1:55 PM, staff observed that resident #47 did not have palm guards in place as directed by the care plan which says, CNA (certified nursing assistant) to apply left palm guard in the AM after skin care. CNA to remove in the PM, dated 06/20/2022. On 06/22/22, the physician wrote an order for: CNA to apply left palm guard in the AM after skin care. CNA to remove in the PM, order dated 06/22/2022. [...]
Inspectors wroteBased on medical record review, observation and staff interview the facility failed to provide hemodialysis services consistent with professional standards of practice. This was discovered for one (1) of one (1) resident reviewed for dialysis services during the Long Term Care Service Process. Resident identifier: #96. Facility census: 144.
Inspectors wroteBased on record review and staff interview the facility failed to ensure the physician provided a rationale for disagreeing to discontinue an unnecessary medication, recommended by the facility pharmacist. This was true for one (1) out of five (5) residents reviewed for unnecessary medications. Resident identifiers: # 114. Facility census 144.
Inspectors wroteBased on observation and staff interview, the facility failed to maintain the kitchen in a safe and sanitary manner in accordance with professional standards of practice. During the kitchen tour it was discovered food had not been dated after opening and the ice machine needed to be cleaned. These practices had the potential to affect a limited number of residents receiving nourishment from the kitchen. Facility census: 144.
Inspectors wroteBased on record review, observation and staff interview, the facility failed to ensure the residents medical record was complete and accurate for two (2) of four (4) residents reviewed for position and mobility. Resident identifier: #117 and #19. Facility census: 144.
Inspectors wroteb) Facility: Administration of medication A facility policy titled Medication Administration with a date of 06/21/17 found the following. .Never touch any of the medication with fingers. An observation on EB-1 Hall on 11/15/22 at 9:45 AM, found Licensed Practical Nurse (LPN) #64 dropped a pill on the floor. LPN #64 stated, does this apply to the five (5) second rule and laughed. LPN #64 picked up the pill with her bare fingers off the floor, placed it in the medication cup with other medication that was already in the cup. LPN #64 continued to get another medication out of a package, thinking she dropped it on the floor. Several staff members and this surveyor looked for the medication on the floor. LPN #64 stated, Oh look it's in my pocket. LPN #64 reached in her pocket, and placed the medication in the medication cup with other pills. [...]
5 fire safety citations on file: 2 on October 30, 2024, 3 on November 16, 2022.
| Date | Penalty | Amount or length |
|---|---|---|
| October 30, 2024 | Fine | $12,831 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | West Virginia | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.12 | 3.67 | 3.86 |
| Registered nurses | 0.68 | 0.73 | 0.69 |
| All nursing staff on weekends | 3.26 | 3.17 | 3.42 |
| Nurse aides | 2.05 | ||
| Licensed practical nurses | 1.38 | ||
| Nursing staff turnover (share who left in a year) | 38.9% | 44.1% | 45.8% |
| Registered nurse turnover | 35.0% | 42.3% | 42.9% |
| Administrators who left | 1 |
CMS expects 4.15 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.46 on weekdays and 3.26 on weekends, 27% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.05 in April to June 2025 to 4.12 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.12 | 0.68 | 4.46 | 3.26 | 0.0% | 0 of 90 | 148 |
| Oct to Dec 2025 | 4.13 | 0.63 | 4.45 | 3.31 | 0.0% | 0 of 92 | 146 |
| Jul to Sep 2025 | 4.05 | 0.65 | 4.37 | 3.23 | 0.0% | 0 of 92 | 146 |
| Apr to Jun 2025 | 4.05 | 0.58 | 4.44 | 3.07 | 0.0% | 0 of 91 | 147 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| West Virginia, Jan to Mar 2026 | 3.56 | 0.67 | 3.75 | 3.08 | 3.9% | 0.2% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| West Virginia, all employers | |||
| CNAs (nursing assistants) | $17.66 | $17.05 to $18.47 | 9,390 |
| LPNs and LVNs | $26.61 | $23.71 to $29.47 | 6,050 |
| Registered nurses | $38.52 | $32.77 to $47.97 | 23,430 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | West Virginia | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 9.2 | 14.7 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.4 | 0.4 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.5 | 1.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.6 | 4.4 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.7 | 1.1 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 15.8 | 15.9 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 1.4 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 8.2 | 13.4 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 27.0 | 22.4 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 7.3 | 11.3 | 12.0 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Charleston Healthcare Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it better than the national rate (60.2% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
60.2% this home
Better than the national rate
US median of homes 51.5% · West Virginia: 9 better, 28 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 257 eligible stays.
13.4% this home
No different from the national rate
US median of homes 10.7% · West Virginia: 0 better, 0 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 257 eligible stays.
8.8% this home
No different from the national rate
US median of homes 7.1% · West Virginia: 0 better, 2 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 148 eligible stays.
77.0% this home
Median of homes: West Virginia50.0% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 135 residents counted.
1.8% this home
Median of homes: West Virginia1.2% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 225 residents counted.
0.9% this home
Median of homes: West Virginia2.4% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 225 residents counted.
100.0% this home
Median of homes: West Virginia97.6% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 74 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: CHESTERFIELD LEASING CO., LLC. CMS links this home to Communicare Health, a group of 110 nursing homes averaging 3.2 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Groves, Donna | Corporate officer | Individual | 07/01/2022 | |
| Romeo, Dominic | Corporate officer | Individual | 04/01/2023 | |
| Stoltz, Charles | Corporate officer | Individual | 07/01/2022 | |
| Wilheim, Ronald | Corporate officer | Individual | 07/01/2022 | |
| Chesterfield Mgt Co, LLC | Operational/managerial control | Organization | 07/01/2022 | |
| Ferrante, Teiranee | Operational/managerial control | Individual | 06/14/2021 | |
| Groves, Donna | Operational/managerial control | Individual | 07/01/2022 | |
| Jarrell, Gregory | Operational/managerial control | Individual | 01/20/2023 | |
| Chesterfield Mgt Co, LLC | Adp of the SNF | Organization | 04/14/2025 | |
| Ferrante, Teiranee | Adp of the SNF | Individual | 06/14/2021 | |
| Jarrell, Gregory | Adp of the SNF | Individual | 04/14/2025 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Chosen from this home's own inspection record.
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