Nella's at Autumn Lake HealthcareCMS ratings, inspections and fines
- Address
- 499 Ferguson Road, Elkins, WV 26241
- CCN
- 515196
- Ownership type
- For-profit, limited liability company
- Certified beds
- 100
- Residents per day
- 95
- 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 Nella's at Autumn Lake Healthcare an overall rating of 1 of 5 stars. The last standard survey was on 5 Aug 2025. The latest survey cycle has 17 health citations. The median for nursing homes in West Virginia is 10. CMS lists 2 fines with a total of $59,810 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 | 1 | 2.0 | 3.0 | 2.8 |
| Staffing rating | 4 | 4.0 | 2.0 | 2.9 |
| Quality measure rating | 4 | 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) | 5 Aug 2025 | 17 | 10 |
| Cycle 2 | 8 Nov 2023 | 13 | 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 | J0 | K0 | |
| 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 |
Survey cycle 1 (latest): 17 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 30 Dec 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 | Complaint investigation | 20 Jan 2026 |
| 30 Dec 2025 | 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. | F | Complaint investigation | 20 Jan 2026 |
| 30 Dec 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint investigation | 20 Jan 2026 |
| 30 Dec 2025 | F0880 | Provide and implement an infection prevention and control program. | F | Complaint investigation | 20 Jan 2026 |
| 5 Aug 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 Sep 2025 |
| 5 Aug 2025 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Standard survey | 2 Sep 2025 |
| 5 Aug 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 2 Sep 2025 |
| 5 Aug 2025 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 2 Sep 2025 |
| 5 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. | E | Standard survey | 2 Sep 2025 |
| 5 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. | E | Standard survey | 2 Sep 2025 |
| 5 Aug 2025 | F0679 | Provide activities to meet all resident's needs. | E | Standard survey | 2 Sep 2025 |
| 5 Aug 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | L | Standard survey | 6 Aug 2025 |
| 5 Aug 2025 | F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | Standard survey | 2 Sep 2025 |
| 5 Aug 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 Sep 2025 |
| 5 Aug 2025 | F0825 | Provide or get specialized rehabilitative services as required for a resident. | D | Complaint investigation | 2 Sep 2025 |
| 5 Aug 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Standard survey | 2 Sep 2025 |
| 5 Aug 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 2 Sep 2025 |
Survey cycle 2: 13 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 8 Nov 2023 | 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 | 8 Dec 2023 |
| 8 Nov 2023 | 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 | 8 Dec 2023 |
| 8 Nov 2023 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | Standard survey | 8 Dec 2023 |
| 8 Nov 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 8 Dec 2023 |
| 8 Nov 2023 | F0641 | Ensure each resident receives an accurate assessment. | E | Standard survey | 8 Dec 2023 |
| 8 Nov 2023 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 8 Dec 2023 |
| 8 Nov 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 15 Dec 2023 |
| 8 Nov 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 8 Dec 2023 |
| 8 Nov 2023 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | E | Standard survey | 8 Dec 2023 |
| 8 Nov 2023 | F0732 | Post nurse staffing information every day. | C | Standard survey | 8 Dec 2023 |
| 8 Nov 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 | 8 Dec 2023 |
| 8 Nov 2023 | F0943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | D | Standard survey | 8 Dec 2023 |
| 8 Nov 2023 | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | D | Standard survey | 8 Dec 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 |
|---|---|---|---|---|---|
| 4 Jul 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 | Complaint investigation | 27 Aug 2024 |
| 4 Jul 2024 | F0908 | Keep all essential equipment working safely. | D | Complaint investigation | 27 Aug 2024 |
| 2 Jun 2021 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | E | Standard survey | 28 Jun 2021 |
| 2 Jun 2021 | 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 | 28 Jun 2021 |
| 2 Jun 2021 | 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 | 28 Jun 2021 |
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 |
|---|---|---|---|
| 5 Aug 2025 | Fine | $22,474 | |
| 8 Nov 2023 | Fine | $37,336 |
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 | 3.29 | 3.50 | 3.66 |
| Registered nurses (RN) | 0.54 | 0.70 | 0.73 |
| Licensed practical nurses (LPN) | 0.84 | 0.90 | |
| Nurse aides | 1.91 | 2.04 | |
| All nurse staff, weekends | 3.05 | 3.00 | 3.17 |
- Nurse staff turnover in a year
- 44.0%
- Nurse staff turnover, West Virginia median
- 43.2%
- RN turnover in a year
- 33.3%
- 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 | 6.7% | 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 | 0.3% | 1.0% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.9% | 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 | 7.8% | 15.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 6.2% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 37.2% | 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, limited liability company
- Legal business name
- 499 Ferguson Road 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 | |
|---|---|---|---|---|---|---|
| Autumn Lake Healthcare at Crystal Springs | Elkins | 1 of 5 | 18 | $0 | 6 Mar 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 Nella's at Autumn Lake Healthcare (CCN 515196). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/nella-s-at-autumn-lake-healthcare-elkins-wv-515196/
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 Nella's at Autumn Lake Healthcare last inspected?
- The latest inspection with a citation in the CMS record was on 30 Dec 2025. It was a complaint investigation. It gave 4 citations. The standard survey before the last one was on 8 Nov 2023.
- Who operates Nella's at Autumn Lake Healthcare?
- The CMS record gives the ownership type as for-profit, limited liability company. 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 Nella's at Autumn Lake Healthcare 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.