Autumn Lake Healthcare at Crystal SpringsCMS ratings, inspections and fines
- Address
- 200 Whitman Avenue, Elkins, WV 26241
- CCN
- 515197
- Ownership type
- For-profit, corporation
- Certified beds
- 84
- Residents per day
- 79
- CMS flags
- None in the CMS record
Open the watch listCare Compare record (Medicare.gov)
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Autumn Lake Healthcare at Crystal Springs an overall rating of 1 of 5 stars. The last standard survey was on 6 Mar 2025. The latest survey cycle has 18 health citations. The median for nursing homes in West Virginia is 10. CMS lists no fines for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Changes in the CMS recordFeed of changes in West Virginia (RSS)
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Randolph County median | West Virginia median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 1 | 1.0 | 3.0 | 3.0 |
| Health inspection rating | 2 | 2.0 | 3.0 | 2.8 |
| Staffing rating | 1 | 4.0 | 2.0 | 2.9 |
| Quality measure rating | 2 | 2.0 | 4.0 | 3.6 |
A median is the middle value of the homes in the group: 3 homes in the county, 123 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | West Virginia median |
|---|---|---|---|
| Cycle 1 (latest) | 6 Mar 2025 | 18 | 10 |
| Cycle 2 | 22 Feb 2024 | 29 | 14 |
| Cycle 3 | No date | 24 | 13 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | K0 | L0 |
| Actual harm that is not immediate jeopardy | G0 | H0 | I0 |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 18 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 30 Dec 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 15 Jan 2026 |
| 23 Oct 2025 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Complaint investigation | 5 Dec 2025 |
| 23 Oct 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 5 Dec 2025 |
| 6 Mar 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 2 May 2025 |
| 6 Mar 2025 | F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | D | Standard survey | 2 May 2025 |
| 6 Mar 2025 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 2 May 2025 |
| 6 Mar 2025 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | Standard survey | 2 May 2025 |
| 6 Mar 2025 | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | E | Standard survey | 2 May 2025 |
| 6 Mar 2025 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 2 May 2025 |
| 6 Mar 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 2 May 2025 |
| 6 Mar 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Complaint investigation | 2 May 2025 |
| 6 Mar 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 2 May 2025 |
| 6 Mar 2025 | F0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | E | Complaint investigation | 2 May 2025 |
| 6 Mar 2025 | F0732 | Post nurse staffing information every day. | D | Standard survey | 2 May 2025 |
| 6 Mar 2025 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 2 May 2025 |
| 6 Mar 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 2 May 2025 |
| 6 Mar 2025 | F0814 | Dispose of garbage and refuse properly. | D | Standard survey | 2 May 2025 |
| 6 Mar 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 2 May 2025 |
Survey cycle 2: 29 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 26 Nov 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Complaint investigation | 6 Jan 2025 |
| 26 Nov 2024 | F0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | D | Complaint investigation | 24 Jun 2024 |
| 26 Nov 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Complaint investigation | 6 Jan 2025 |
| 26 Nov 2024 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Complaint investigation | 6 Jan 2025 |
| 26 Nov 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Complaint investigation | 6 Jan 2025 |
| 22 Feb 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard survey | 15 Apr 2024 |
| 22 Feb 2024 | F0567 | Honor the resident's right to manage his or her financial affairs. | E | Standard survey | 15 Apr 2024 |
| 22 Feb 2024 | F0572 | Give residents a notice of rights, rules, services and charges. | E | Standard survey | 15 Apr 2024 |
| 22 Feb 2024 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Standard survey | 15 Apr 2024 |
| 22 Feb 2024 | F0610 | Respond appropriately to all alleged violations. | E | Complaint investigation | 15 Apr 2024 |
| 22 Feb 2024 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 15 Apr 2024 |
| 22 Feb 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 15 Apr 2024 |
| 22 Feb 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 15 Apr 2024 |
| 22 Feb 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 15 Apr 2024 |
| 22 Feb 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 15 Apr 2024 |
| 22 Feb 2024 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | E | Standard survey | 15 Apr 2024 |
| 22 Feb 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 15 Apr 2024 |
| 22 Feb 2024 | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | F | Standard survey | 15 Apr 2024 |
| 22 Feb 2024 | F0730 | Observe each nurse aide's job performance and give regular training. | E | Complaint investigation | 15 Apr 2024 |
| 22 Feb 2024 | F0732 | Post nurse staffing information every day. | E | Standard survey | 15 Apr 2024 |
| 22 Feb 2024 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | Standard survey | 15 Apr 2024 |
| 22 Feb 2024 | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | Standard survey | 15 Apr 2024 |
| 22 Feb 2024 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Standard survey | 15 Apr 2024 |
| 22 Feb 2024 | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | E | Standard survey | 15 Apr 2024 |
| 22 Feb 2024 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 15 Apr 2024 |
| 22 Feb 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Standard survey | 15 Apr 2024 |
| 22 Feb 2024 | F0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | E | Standard survey | 15 Apr 2024 |
| 22 Feb 2024 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 15 Apr 2024 |
| 22 Feb 2024 | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | E | Standard survey | 15 Apr 2024 |
Survey cycle 3: 24 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 13 Jul 2022 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 8 Aug 2022 |
| 13 Jul 2022 | F0574 | The resident has the right to receive notices in a format and a language he or she understands. | D | Standard survey | 8 Aug 2022 |
| 13 Jul 2022 | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | E | Standard survey | 8 Aug 2022 |
| 13 Jul 2022 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 8 Aug 2022 |
| 13 Jul 2022 | F0583 | Keep residents' personal and medical records private and confidential. | D | Standard survey | 8 Aug 2022 |
| 13 Jul 2022 | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | Standard survey | 8 Aug 2022 |
| 13 Jul 2022 | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Standard survey | 8 Aug 2022 |
| 13 Jul 2022 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Standard survey | 8 Aug 2022 |
| 13 Jul 2022 | F0610 | Respond appropriately to all alleged violations. | D | Standard survey | 8 Aug 2022 |
| 13 Jul 2022 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 8 Aug 2022 |
| 13 Jul 2022 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard survey | 8 Aug 2022 |
| 13 Jul 2022 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Standard survey | 8 Aug 2022 |
| 13 Jul 2022 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 8 Aug 2022 |
| 13 Jul 2022 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 8 Aug 2022 |
| 13 Jul 2022 | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | Standard survey | 8 Aug 2022 |
| 13 Jul 2022 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 8 Aug 2022 |
| 13 Jul 2022 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 8 Aug 2022 |
| 13 Jul 2022 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | Standard survey | 8 Aug 2022 |
| 13 Jul 2022 | F0791 | Provide or obtain dental services for each resident. | D | Standard survey | 8 Aug 2022 |
| 13 Jul 2022 | F0809 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | D | Standard survey | 8 Aug 2022 |
| 13 Jul 2022 | F0810 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. | D | Standard survey | 8 Aug 2022 |
| 13 Jul 2022 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 8 Aug 2022 |
| 13 Jul 2022 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Standard survey | 8 Aug 2022 |
| 13 Jul 2022 | F0888 | Ensure staff are vaccinated for COVID-19 | D | Standard survey | 8 Aug 2022 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
CMS lists no fine and no payment denial for this home in its penalties file.
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | West Virginia median | West Virginia average (CMS) |
|---|---|---|---|
| All nurse staff | 3.51 | 3.50 | 3.66 |
| Registered nurses (RN) | 0.37 | 0.70 | 0.73 |
| Licensed practical nurses (LPN) | 1.15 | 0.90 | |
| Nurse aides | 1.99 | 2.04 | |
| All nurse staff, weekends | 3.15 | 3.00 | 3.17 |
- Nurse staff turnover in a year
- 74.1%
- Nurse staff turnover, West Virginia median
- 43.2%
- RN turnover in a year
- 50.0%
- Administrators who left in a year
- 0
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | West Virginia median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 9.2% | 14.2% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 2.6% | 1.0% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.6% | 4.4% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 9.1% | 15.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.6% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 57.7% | 10.9% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, corporation
- Legal business name
- 200 Whitman Avenue Opco LLC
- Chain
- Autumn Lake Healthcare (59 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Nellas Opco Holdco LLC | 5% or greater direct ownership interest | 100% | 1 Jun 2021 |
| Accurate Staffing LLC | Adp of the snf | 1 Jun 2021 | |
| Brand Sonnenschine LLP | Adp of the snf | 1 Jun 2021 |
The site shows organisations only. It does not show the names of persons.
Other homes in Randolph County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Nella's at Autumn Lake Healthcare | Elkins | 1 of 5 | 17 | $59,810 | 5 Aug 2025 | |
| Elkins Rehabilitation & Care Center | Elkins | 5 of 5 | 7 | $8,278 | 28 Aug 2025 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- West Virginia Office of Health Facility Licensure and Certification: report a complaintThe complaint page of the State Survey Agency for West Virginia, from the CMS list of agencies.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Autumn Lake Healthcare at Crystal Springs (CCN 515197). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/autumn-lake-healthcare-at-crystal-springs-elkins-wv-515197/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Autumn Lake Healthcare at Crystal Springs last inspected?
- The latest inspection with a citation in the CMS record was on 30 Dec 2025. It was a complaint investigation. It gave 1 citation. The standard survey before the last one was on 22 Feb 2024.
- Who operates Autumn Lake Healthcare at Crystal Springs?
- The CMS record gives the ownership type as for-profit, corporation. CMS lists the home in the chain Autumn Lake Healthcare. The CMS ownership file names no organisation for operational or managerial control. This site does not show the names of persons.
- Is Autumn Lake Healthcare at Crystal Springs a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 1 home in West Virginia as a Special Focus Facility and 5 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.