Home / West Virginia / Elkins
499 Ferguson Road, Elkins, WV 26241 · Randolph County · (304) 636-1008
100 certified beds, about 95 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 2021
CMS Care Compare ratings, data as of September 1, 2026 · CCN 515196 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on August 5, 2025, inspectors cited 13 health deficiencies (the West Virginia average is 11.7, the national average 9.2).
Of 35 health citations since June 2021, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists 2 fines totaling $59,810 in the last three years; the largest was $37,336, and the latest is dated August 5, 2025.
Nurses and nurse aides worked 3.29 hours per resident per day, against 3.67 across West Virginia and 3.86 nationally. Registered nurses accounted for 0.54 of those hours.
44.0% of nursing staff left within the year CMS measured (West Virginia average 44.1%).
CMS links it to Autumn Lake Healthcare, an affiliated group of 59 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 35 health citations on file.
Inspectors wroteBased on interview and record review, the facility failed to employ a Certified Dietary Manager with appropriate credentials. The facility also failed to ensure that the Nutrition Services Staff had the County / State specified certification for safe handling of food. This deficient practice had the potential to affect all residents receiving meals in the facility. Facility Census: 96.
Inspectors wroteBased on observation and staff interview, the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food safety. Additionally, the facility failed to maintain the equipment in safe and clean operating condition. This practice had the potential to affect all of the residents at the facility. Facility census: 96.
Inspectors wroteBased on observation and staff interview, the facility failed to establish and maintain an infection prevention and control program designed to provide a sanitary environment to help prevent the development and transmission of communicable diseases and infections by not having paper towels at (2) two of the handwashing sinks in the kitchen. This failed practice had the potential to affect all residents currently living at the facility. Facility Census: 96.
Inspectors wroteBased on observation, staff interview, resident interview and policy review the facility failed to provide a safe, clean, comfortable, homelike environment. This failed practice was a random opportunity for discovery and had the potential to affect more than a limited number of residents during the complaint survey. Resident identifiers #73, and #74. Facility census 96.
Inspectors wroteBased on observation, record review, and staff interview, the facility failed to ensure the environment over which it had control was as free from accident hazards as possible. Hot water temperatures in resident areas exceeded 120 degrees Fahrenheit (F). This deficient practice was determined to be an immediate jeopardy situation that placed all residents at risk for burns from hot water. Facility census: 91.
Inspectors wroteBased on record review and staff interview, the facility failed to develop and/or implement individualized care plans related to Activities, Depression, and Post Traumatic Stress Syndrome (PTSD). This failed practice was found true for (7) seven of 27 residents reviewed for care plan accuracy during the Long-Term Care Survey Process. Resident identifiers #5, #74, #83, #9, #13, #42, and #72. Facility census 91. a) Resident #9 Under the Activities Section of the Care Plan, the goal was Will have the opportunity to enjoy activities of choice through the next review date. Interventions were: Invite/encourage resident to attend activities daily. Provide resident with a calendar of scheduled activities. Remind resident at least 15 minutes prior to the start of the activity. Resident requires assistance with mobility to and from activities. [...]
Inspectors wroteBased on policy review, resident interviews, record review and staff interview, the facility failed to ensure residents and/or responsible party as well as required staff were included in care plan meetings. In addition, a care plan was not revised when new medications were added. This failed practice affected three (3) of 27 sample residents. Resident identifiers: #38, #86, #11. Facility census: 91.
Inspectors wroteBased on observation, staff interview, and record review the facility failed to provide an ongoing program of activities to meet the needs and interest of each resident. This failed practice was found true for (3) three of (6) six residents reviewed for activities during the Long-Term Care Survey Process. Resident identifiers #5, #74, #83. Facility Census 91.
Inspectors wroteBased on observation, and staff interview the facility failed to store, distribute and serve food in accordance with professional standards for food service safety. This failed practice was a random opportunity for discovery and the potential to affect more than a limited number of residents during the Long-Term Care Survey Process. Facility census: 91.
Inspectors wroteBased on record review and staff interview, the facility failed to ensure complete and accurate medical records. For five (5) of six (6) residents reviewed for the care area of advance directives, the Physician Order for Scope of Treatment (POST) forms were incomplete. For two (2) of three (3) residents reviewed for the care area of beneficiary notices, the beneficiary notices were incomplete. For one (1) of six (6) residents reviewed for the care area of nutrition, the admission weight documentation was incorrect. Resident Identifiers: #86, #60, #21, #4, #94, #62, #72, and #84. Facility census: 91.
Inspectors wroteBased on observation and staff interview the facility failed to provide a clean, comfortable, homelike environment. This failed practice was a random opportunity for discovery and had the potential to affect a limited number of residents during the Long-Term Care Survey Process. Facility Census: 91.
Inspectors wroteBased on record review and staff interview, the facility failed to ensure documentation that required transfer information was provided to the receiving hospital. This deficient practice had the potential to affect one (1) of two (2) residents reviewed for care area of hospitalization. Resident identifier: #21. Facility census: 91.
Inspectors wroteBased upon record review and staff interview, the facility failed to accurately reflect the resident's diagnoses in the assessment. This was found to be true for one (1) of twenty-seven (27) residents reviewed during the annual survey process. Resident identifier: #9. Facility census: 91.
Inspectors wroteBased upon record review and staff interviews, the facility failed to update the Pre-admission Screening and Resident Review (PASARR) when new diagnoses were given. This was found to be true for two (2) of eight (8) residents reviewed during the annual survey process. Resident identifiers: #9, #42. Facility census: 91.
Inspectors wroteBased upon record review and staff interview, the facility failed to provide medically-related social services to assist the resident in attaining or maintaining their mental and psychosocial health. This was found to be true to one (1) of six (6) residents reviewed during the annual survey process. Resident identifier: #9. Facility census: 91.
Inspectors wroteBased on policy review, record review and staff interview, the facility failed to provide specialized rehabilitation services for speech therapy. This failed practice was found to be true for two (2) of two (2) residents during the annual survey process and had the potential to affect a limited number of residents. Resident Identifiers: #6 and #84. Facility Census: 91. a) Resident #84 A record review on 08/04/25 at 11:45 AM, revealed that Resident #84 was ordered a regular diet, regular texture, thin liquids diet on 02/07/25. The diet was changed on 07/25/25 to a regular diet, puree texture, thin liquids. A record review of Resident #84's weights shows that her actual admission weight, taken the day after admission was 116.4 pounds (lbs.) and her current weight taken on 07/07/25 was 110 lbs. [...]
Inspectors wroteBased on record review 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. The facility failed to follow appropriate infection control practices during medication administration. The facility also failed to follow enhanced barrier precautions. These were random opportunities for discovery. Resident Identifiers: #27 and #6. Facility Census: 91.
Inspectors wroteBased on observation, resident interviews and staff interviews, the facility failed to ensure resident room temperatures were maintained between 71 to 81 degrees Fahrenheit (F). This failed practice has the potential to affect more than a limited number of residents. Facility census: 87.
Inspectors wroteBased on observation, resident interview and staff interview, the facility failed to maintain a functioning room air conditioner when water was leaking from the air conditioning unit in room [ROOM NUMBER] on A Hall. Facility census: 87.
Inspectors wroteBased on observation, policy review, resident council meeting minutes, and staff interview, the facility failed to consider the voiced concerns of residents in resident council as grievances. The facility also failed to make grievances forms accessible to all residents and/or residents' family/representatives residing in the facility. This had the potential to affect an unlimited amount of residents living in the facility. Facility census: 79. Findings Included: A review of the facility policy titled Grievances/Complaints Filing with a revision date of 10/2019 read as follows: .Policy Interpretation and Implementation .Grievances and/or complaints may be submitted orally or in writing and may be filed anonymously. [...]
Inspectors wroteBased on resident interview, record review, and staff interview, the facility failed to ensure residents were free from sexually aggressive behavior (such as making sexually explicit comments and forced observation of masturbation and exposure ) from Resident #59. The lack of action from the facility to address and protect the other residents resulted in an immediate jeopardy situation for more than an isolated number of residents. The facility was notified of the immediate jeopardy on 11/07/23 at 5:01 PM. The plan of correction, as follows, was accepted at 6:57 PM on 11/07/23: -Resident #59 will be placed on 24 hour, one on one supervision effective 5:00 pm on November 7, 2023, to protect all residents. Documentation will be done q (every) 15 minutes as to what the resident is doing, and log will be maintained. [...]
Inspectors wroteBased on record review and staff interview the facility failed to ensure an accurate assessment for five (5) of 19 residents whose Minimum Data Sets (MDS's) were reviewed. Resident identifiers: #31, #15, #56, #36 and #26. Facility census 79.
Inspectors wroteBased on resident interview, record review, and staff interview the facility failed to medicate for pain in a timely manner and failed to evaluate pain using a pain scale to measure the level of pain a resident was experiencing. This is true for two (2) of two (2) reviewed in the care area of pain. Resident identifiers: #132 and #181. Facility census 79.
Inspectors wroteBased on observation and staff interview the facility failed to store utensils in a sanitary manner. This practice had the potential to affect all residents that receive nourishment from the facility kitchen. Facility Census: 79. a) Kitchen Utensils The Certified Dietary Manager (CDM) was not present upon entering the facility. Dietary Aide (DA) #37 oversaw the building on the initial tour of the kitchen on 11/06/23 beginning at 10:54 AM. Tour revealed the following: The three (3) drawer utensils cabinet revealed all utensils were not turned the same way. When someone went to find a serving utensil, they would have had to touch the utensils by the serving part to remove it from the cabinet. During an immediate interview the Dietary Aide (DA) #37 acknowledged the utensils handles should all be turned in the same direction.
Inspectors wroteBased on resident interview, observation and staff interview, the facility failed to provide residents with furniture in good repair. This was a random opportunity for discovery. Resident identifiers: Resident #17. Facility Census: 79.
Inspectors wroteBased on resident interview, staff interview and record review, the facility failed to report an alleged allegation of sexual abuse to the State Survey Agency, Adult Protective Services, and the Ombudsman. This was a random opportunity for discovery. Resident identifier: #132. Facility census: 79.
Inspectors wroteBased on record review and staff interviews, the facility failed to ensure the resident's Pre admission Screening and Resident Review (PASRR) reflected pre-admission diagnoses for one (1) of two (2) residents reviewed for the category of PASRR. Resident #26 was diagnosed with Schizophrenia . The lack of pre-screening resulted in the resident's condition not being evaluated through the Level II PASRR process. Resident identifier: Resident #26. Facility Census: 79. Findings Included: a) Resident #26 During a record review, on 11/07/23 at 10:18 AM, Resident #36's medical record revealed admitting diagnoses included unspecified psychosis and schizophrenia. Further review of the medical record revealed a PASRR dated 03/10/23, Section 30 Current Diagnosis, was coded D. Seizure Disorder, G schizophrenic Disorder was not coded. [...]
Inspectors wroteBased on record review and staff interview, the facility failed to complete neuro checks after an unwitnessed fall. This was a random opportunity for discovery and has the potential to affect a limited number of residents that currently reside in the facility. Resident identifier: #350. Facility census 77.
Inspectors wroteBased on observation, record review and staff interview facility failed to ensure adequate supervision was maintained to ensure safety during medication administration for Resident #55. This failed practice was a random opportunity for discovery and had the potential to affect more than a limited number of Residents. Resident identifier: #55. Facility census:
Inspectors wroteBased on record review and staff interview, the facility failed to provide training to all staff (direct and indirect care) that included activities that constitute abuse, neglect, exploitation, and misappropriation of resident property, the procedures for reporting incidents of abuse, neglect, exploitation or the misappropriation of resident property and Dementia management and resident abuse prevention. This was true for two (2) of five (5) staff reviewed. Staff identifiers: #81 and #60. This had the potential to affect more than a limited number of Residents at the facility. Facility census: 79.
Inspectors wroteBased on record review and staff interview the facility failed to provide required in-service training for nurse aides which included dementia management training and resident abuse prevention training. This was true for one (1) of two (2) nurse aides reviewed and had the potential to affect more than a limited number of residents. Staff identifier: #81. Facility census: 79.
Inspectors wroteBased on record review and staff interview the facility failed to ensure staff posting was correct. This was a random opportunity for discovery and had the potential to affect all Residents at the facility. Facility census: 79.
Inspectors wroteBased on resident interview, observation, record review and staff interview, the facility failed to ensure that each resident had the opportunity to exercise autonomy regarding preferences that are important to their life. The facility failed to provide meal preferences to a resident who desired to be served eggs for meals. This was true for one (1) of four (4) residents reviewed for the care area of nutrition. Resident identifier #59. Facility census: 67.
Inspectors wroteBased on observation and staff interview, the facility failed to ensure drugs and biologicals used in the facility were stored and labeled in accordance with current accepted professional standards. Medications stored in two (2) of (2) medication storage rooms were expired and one (1) of two (2) medication carts inspected did not have medications dated when opened when put in to use. This practice had the potential to effect more than a limited number of residents. Facility census: 67.
Inspectors wroteBased on record review and staff interview, the facility failed to ensure one (1) of 18 residents reviewed during the long-term care survey process had a Physician Orders for Scope of Treatment (POST) form completed per directions specified by the [NAME] Virginia Center for End-of-Life Care in conjunction with the [NAME] Virginia Health Care Decisions Act (16-30-1). Resident identifier: #60. Facility census: 67.
14 fire safety citations on file: 6 on August 5, 2025, 8 on November 8, 2023.
| Date | Penalty | Amount or length |
|---|---|---|
| August 5, 2025 | Fine | $22,474 |
| November 8, 2023 | Fine | $37,336 |
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) | 3.29 | 3.67 | 3.86 |
| Registered nurses | 0.54 | 0.73 | 0.69 |
| All nursing staff on weekends | 3.05 | 3.17 | 3.42 |
| Nurse aides | 1.91 | ||
| Licensed practical nurses | 0.84 | ||
| Nursing staff turnover (share who left in a year) | 44.0% | 44.1% | 45.8% |
| Registered nurse turnover | 33.3% | 42.3% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.41 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 3.39 on weekdays and 3.05 on weekends, 10% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 7.9% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.15 in April to June 2025 to 3.29 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 | 3.29 | 0.54 | 3.39 | 3.05 | 7.9% | 0 of 90 | 95 |
| Oct to Dec 2025 | 3.17 | 0.52 | 3.28 | 2.89 | 6.9% | 0 of 92 | 98 |
| Jul to Sep 2025 | 3.34 | 0.46 | 3.44 | 3.10 | 7.3% | 0 of 92 | 93 |
| Apr to Jun 2025 | 3.15 | 0.31 | 3.27 | 2.84 | 9.3% | 0 of 91 | 96 |
| 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.
| 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 | 6.7 | 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 | 0.3 | 1.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 1.9 | 4.4 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.1 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 7.8 | 15.9 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 6.2 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 37.2 | 13.4 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.6 | 1.8 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.8 | 1.8 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Nella's at Autumn Lake Healthcare's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (39.2% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
39.2% this home
No different from 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. 32 eligible stays.
10.5% 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. 44 eligible stays.
7.2% 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. 30 eligible stays.
66.7% 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. 24 residents counted.
0.0% 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. 28 residents counted.
0.0% 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. 28 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
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. 4 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: 499 FERGUSON ROAD OPCO LLC. CMS links this home to Autumn Lake Healthcare, a group of 59 nursing homes averaging 2.9 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Nellas Opco Holdco LLC | 5% or greater direct ownership interest | Organization | 100% | 06/01/2021 |
| A & R Stern Family Wv Holdings LLC | 5% or greater indirect ownership interest | Organization | 99% | 06/01/2021 |
| Stern, Aryeh | Indirect ownership interest | Individual | 06/01/2021 | |
| Bolyard, Jonthan | Operational/managerial control | Individual | 12/06/2021 | |
| Chua, Catherine | Operational/managerial control | Individual | 02/01/2024 | |
| Schwartz, Mark | Operational/managerial control | Individual | 06/01/2021 | |
| A & R Stern Family Wv Holdings LLC | Adp of the SNF | Organization | 06/01/2021 | |
| A Stern Family Trust Wv | Adp of the SNF | Organization | 06/01/2021 | |
| Accurate Staffing LLC | Adp of the SNF | Organization | 06/01/2021 | |
| Brand Sonnenschine LLP | Adp of the SNF | Organization | 06/01/2021 | |
| R Stern Family Trust | Adp of the SNF | Organization | 06/01/2021 | |
| Bolyard, Jonthan | Adp of the SNF | Individual | 12/06/2021 | |
| Chua, Catherine | Adp of the SNF | Individual | 02/01/2024 | |
| Stern, Aryeh | Adp of the SNF | Individual | 06/01/2021 |
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.
These are the official offices in West Virginia. NursingHomeClear cannot take or act on complaints.