Cortland Acres Health and RehabilitationCMS ratings, inspections and fines
- Address
- 39 Cortland Acres Lane, Thomas, WV 26292
- CCN
- 515063
- Ownership type
- For-profit, corporation
- Certified beds
- 94
- Residents per day
- 90
- CMS flags
- None in the CMS record
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 Cortland Acres Health and Rehabilitation an overall rating of 1 of 5 stars. The last standard survey was on 12 Mar 2025. The latest survey cycle has 20 health citations. The median for nursing homes in West Virginia is 10. CMS lists 1 fine of $32,057 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 | West Virginia median | US average (CMS) |
|---|---|---|---|
| Overall rating | 1 | 3.0 | 3.0 |
| Health inspection rating | 1 | 3.0 | 2.8 |
| Staffing rating | 1 | 2.0 | 2.9 |
| Quality measure rating | 3 | 4.0 | 3.6 |
A median is the middle value of the homes in the group: 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) | 12 Mar 2025 | 20 | 10 |
| Cycle 2 | 2 Aug 2023 | 6 | 14 |
| Cycle 3 | No date | 5 | 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 | L0 | ||
| Actual harm that is not immediate jeopardy | G0 | H0 | I0 |
| No actual harm, potential for more than minimal harm | F0 | ||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 20 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 25 Mar 2026 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Complaint investigation | 10 Apr 2026 |
| 25 Mar 2026 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | E | Complaint investigation | 10 Apr 2026 |
| 24 Oct 2025 | 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. | E | Complaint investigation | 12 Dec 2025 |
| 12 Mar 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard survey | 16 Apr 2025 |
| 12 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. | E | Standard survey | 16 Apr 2025 |
| 12 Mar 2025 | 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 | 16 Apr 2025 |
| 12 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 | 16 Apr 2025 |
| 12 Mar 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint investigation | 16 Apr 2025 |
| 12 Mar 2025 | 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. | J | Standard survey | 16 Apr 2025 |
| 12 Mar 2025 | F0679 | Provide activities to meet all resident's needs. | D | Standard survey | 16 Apr 2025 |
| 12 Mar 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 16 Apr 2025 |
| 12 Mar 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 16 Apr 2025 |
| 12 Mar 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 22 Apr 2025 |
| 12 Mar 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 16 Apr 2025 |
| 12 Mar 2025 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Complaint investigation | 22 Apr 2025 |
| 12 Mar 2025 | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | K | Standard survey | 22 Apr 2025 |
| 12 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 | 16 Apr 2025 |
| 12 Mar 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 16 Apr 2025 |
| 12 Mar 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 16 Apr 2025 |
| 12 Mar 2025 | 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 | 16 Apr 2025 |
Survey cycle 2: 6 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 25 Jun 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 28 Jul 2025 |
| 2 Aug 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 31 Aug 2023 |
| 2 Aug 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 31 Aug 2023 |
| 2 Aug 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 31 Aug 2023 |
| 2 Aug 2023 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 31 Aug 2023 |
| 2 Aug 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 31 Aug 2023 |
Survey cycle 3: 5 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 |
|---|---|---|---|---|---|
| 30 Mar 2022 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 26 Apr 2022 |
| 30 Mar 2022 | F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | D | Standard survey | 26 Apr 2022 |
| 30 Mar 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. | D | Standard survey | 26 Apr 2022 |
| 30 Mar 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 | 26 Apr 2022 |
| 30 Mar 2022 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | Standard survey | 26 Apr 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.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 12 Mar 2025 | Fine | $32,057 |
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 | 3.18 | 3.50 | 3.66 |
| Registered nurses (RN) | 0.50 | 0.70 | 0.73 |
| Licensed practical nurses (LPN) | 0.80 | 0.90 | |
| Nurse aides | 1.88 | 2.04 | |
| All nurse staff, weekends | 2.81 | 3.00 | 3.17 |
- Nurse staff turnover in a year
- 59.8%
- Nurse staff turnover, West Virginia median
- 43.2%
- RN turnover in a year
- 68.8%
- Administrators who left in a year
- 1
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 | 25.1% | 14.2% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.1% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.6% | 1.0% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 8.5% | 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 | 13.9% | 15.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 6.4% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 24.7% | 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
- Cortland Acres SNF Operations LLC
- Chain
- Hill Valley Healthcare (43 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| 39 Cortland Acres Ln SNF Estate LLC | Direct ownership interest | 12 Nov 2024 | |
| Cortland Acres SNF Operations Holdings LLC | Indirect ownership interest | 12 Nov 2024 | |
| Sabrina 1818 Holdings LLC | Indirect ownership interest | 12 Nov 2024 | |
| DMT Spe I LLC | 5% or greater mortgage interest | 12 Nov 2024 | |
| Cortland Acres SNF Operations Holdings LLC | Operational/managerial control | 12 Nov 2024 | |
| Delilah 2626 Holdings LLC | Operational/managerial control | 12 Nov 2024 | |
| DMT Spe I LLC | Operational/managerial control | 12 Nov 2024 | |
| JML 1836 Holdings LLC | Operational/managerial control | 12 Nov 2024 | |
| Lion 26 Holdings LLC | Operational/managerial control | 12 Nov 2024 | |
| Sabrina 1818 Holdings LLC | Operational/managerial control | 12 Nov 2024 | |
| JML 1836 Holdings LLC | General partnership interest | 12 Nov 2024 | |
| 39 Cortland Acres Ln SNF Estate LLC | Adp of the snf | 12 Nov 2024 | |
| Cortland Acres SNF Operations Holdings LLC | Adp of the snf | 28 May 2025 | |
| Delilah 2626 Holdings LLC | Adp of the snf | 28 May 2025 | |
| DMT Spe I LLC | Adp of the snf | 28 May 2025 | |
| HVH Cortland Acres SNF Opco Manager LLC | Adp of the snf | 12 Nov 2024 | |
| JML 1836 Holdings LLC | Adp of the snf | 28 May 2025 | |
| Sabrina 1818 Holdings LLC | Adp of the snf | 12 Nov 2024 |
The site shows organisations only. It does not show the names of persons.
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 Cortland Acres Health and Rehabilitation (CCN 515063). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/cortland-acres-health-and-rehabilitation-thomas-wv-515063/
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 Cortland Acres Health and Rehabilitation last inspected?
- The latest inspection with a citation in the CMS record was on 25 Mar 2026. It was a complaint investigation. It gave 2 citations. The standard survey before the last one was on 2 Aug 2023.
- Who operates Cortland Acres Health and Rehabilitation?
- The CMS record gives the ownership type as for-profit, corporation. CMS lists the home in the chain Hill Valley Healthcare. The CMS ownership file names 6 organisations for operational or managerial control. This site does not show the names of persons.
- Is Cortland Acres Health and Rehabilitation 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.