West Virginia › Roane County › Spencer
Miletree Center
825 Summit Street, Spencer, WV 25276
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Miletree Center, in Spencer, West Virginia, is certified for 62 beds under for-profit, corporation ownership and belongs to the Genesis Healthcare chain.
CMS gives it 4 of 5 stars overall, above the West Virginia median of 3; the health inspection rating is 4, staffing 2 and quality measures 3.
Inspectors recorded 41 health deficiencies across the three most recent survey cycles (10, 15, 16 by cycle, most recent first), none at the actual-harm level. That is 66.1 per 100 beds, more than the state median of 47.3.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 3.2 hours per resident per day (0.5 RN), close to the West Virginia median of 3.5; nursing staff turnover is 44.7%.
Compared with county, state and nation
| Measure | This facility | Roane Co. median | West Virginia median | US average |
|---|---|---|---|---|
| Overall star rating | 4 | 5 | 3 | 3.0 |
| Health citations, 3 cycles | 41 | 41 | 38 | 28.7 |
| Citations per 100 beds | 66.1 | 102.9 | 47.3 | 26.8 |
| Total nurse hours per resident day | 3.2 | 4.7 | 3.5 | 3.9 |
| RN hours per resident day | 0.5 | 0.5 | 0.7 | 0.7 |
| Nursing staff turnover | 44.7% | 44.7% | 43.2% | 45.8% |
| Fines listed | $0 | $0 | $8,021 | — |
County and state figures are medians across facilities (2 in the county, 123 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: West Virginia average per facility for the same cycle, as published by CMS. Standard health survey dates: 18 Aug 2025, 11 Jul 2024.
Severity mix: D ×30 E ×11
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 18 Aug 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 17 Sep 2025 |
| 18 Aug 2025 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard survey | 17 Sep 2025 |
| 18 Aug 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 17 Sep 2025 |
| 18 Aug 2025 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 17 Sep 2025 |
| 18 Aug 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 17 Sep 2025 |
| 18 Aug 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 | 17 Sep 2025 |
| 18 Aug 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 17 Sep 2025 |
| 18 Aug 2025 | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | Standard survey | 17 Sep 2025 |
| 18 Aug 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. | D | Complaint investigation | 17 Sep 2025 |
| 18 Aug 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 | 17 Sep 2025 |
| 11 Jul 2024 | F0641 | Ensure each resident receives an accurate assessment. | E | Standard survey | 13 Aug 2024 |
| 11 Jul 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 | 13 Aug 2024 |
| 11 Jul 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | E | Standard survey | 13 Aug 2024 |
| 11 Jul 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. | E | Standard survey | 13 Aug 2024 |
| 11 Jul 2024 | F0791 | Provide or obtain dental services for each resident. | E | Standard survey | 13 Aug 2024 |
| 11 Jul 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 13 Aug 2024 |
| 11 Jul 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 13 Aug 2024 |
| 11 Jul 2024 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard survey | 13 Aug 2024 |
| 11 Jul 2024 | F0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | Standard survey | 13 Aug 2024 |
| 11 Jul 2024 | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | Standard survey | 13 Aug 2024 |
| 11 Jul 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 13 Aug 2024 |
| 11 Jul 2024 | F0679 | Provide activities to meet all resident's needs. | D | Standard survey | 13 Aug 2024 |
| 11 Jul 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 13 Aug 2024 |
| 11 Jul 2024 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard survey | 13 Aug 2024 |
| 11 Jul 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 13 Aug 2024 |
| 8 Mar 2023 | F0583 | Keep residents' personal and medical records private and confidential. | E | Standard survey | 24 Mar 2023 |
| 8 Mar 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Standard survey | 24 Mar 2023 |
| 8 Mar 2023 | 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 | 24 Mar 2023 |
| 8 Mar 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 24 Mar 2023 |
| 8 Mar 2023 | 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 | 24 Mar 2023 |
| 8 Mar 2023 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 24 Mar 2023 |
| 8 Mar 2023 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 24 Mar 2023 |
| 8 Mar 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 24 Mar 2023 |
| 8 Mar 2023 | 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 | 24 Mar 2023 |
| 8 Mar 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 24 Mar 2023 |
| 8 Mar 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 24 Mar 2023 |
| 8 Mar 2023 | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | Standard survey | 24 Mar 2023 |
| 8 Mar 2023 | 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 | 24 Mar 2023 |
| 8 Mar 2023 | F0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | D | Standard survey | 24 Mar 2023 |
| 8 Mar 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 24 Mar 2023 |
| 8 Mar 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 | 24 Mar 2023 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the West Virginia average. Turnover: nursing staff 44.7%, RNs 16.7%; 1 administrator left in the reporting year.
Quality measures
| Measure | Residents | This facility | West Virginia median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 11.9% | 14.2% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.4% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 1.0% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 6.7% | 4.4% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 5.3% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 10.1% | 15.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.5% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 12.0% | 10.9% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, corporation. Legal business name: 825 Summit Street Operations Llc. Chain: Genesis Healthcare (184 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Genesis Wv Holdings LLC | 5% or greater direct ownership interest | 100% | 04/01/2011 |
| Fc-Gen Operations Investment LLC | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 02/02/2015 |
| Gen Operations I LLC | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 02/02/2015 |
| Genesis Healthcare Inc | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 02/02/2015 |
| Genesis Healthcare LLC | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 02/02/2015 |
| Genesis Holdings LLC | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 02/02/2015 |
| Genesis Operations LLC | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 02/02/2015 |
| Ghc Holdings LLC | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 02/02/2015 |
| Sun Healthcare Group Inc | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 02/02/2015 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Roane County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Roane General Hospital | Spencer | 35 | 5 | 4 | 4 | 36 | 102.9 | — | 25 Sep 2025 |
All 2 facilities in Roane County
Questions and answers
How many deficiencies has Miletree Center been cited for?
41 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The West Virginia median is 38 per facility.
Has Miletree Center been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Miletree Center compare?
Reported total nurse staffing is 3.2 hours per resident per day against a West Virginia median of 3.5 and a national average of 3.9.
Who operates Miletree Center?
It is part of the Genesis Healthcare chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Genesis Wv Holdings LLC, Fc-Gen Operations Investment LLC and Gen Operations I LLC. Individual owners and managers are not listed on this site.
When was Miletree Center last inspected?
The most recent survey or investigation in the CMS record is dated 18 Aug 2025; the most recent standard health survey was 18 Aug 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.