West Virginia › Jefferson County › Charles Town
Shenandoah Center
50 Mulberry Tree Street, Charles Town, WV 25414
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.
Shenandoah Center is a For-profit, corporation nursing home in Charles Town, West Virginia, certified for 78 beds and caring for about 75 residents a day.
CMS gives it 2 of 5 stars overall, below the West Virginia median of 3; the health inspection rating is 2, staffing 2 and quality measures 2.
Inspectors recorded 53 health deficiencies across the three most recent survey cycles (9, 22, 22 by cycle, most recent first), 4 of them at the actual-harm or immediate-jeopardy level. That is 67.9 per 100 beds, more than the state median of 47.3.
CMS lists 4 penalties in the period covered: fines totalling $48K.
Reported nurse staffing is 3.0 hours per resident per day (0.9 RN), close to the West Virginia median of 3.5; nursing staff turnover is 41.9%.
Compared with county, state and nation
| Measure | This facility | Jefferson Co. median | West Virginia median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 53 | 54 | 38 | 28.7 |
| Citations per 100 beds | 67.9 | 67.9 | 47.3 | 26.8 |
| Total nurse hours per resident day | 3.0 | 3.1 | 3.5 | 3.9 |
| RN hours per resident day | 0.9 | 0.9 | 0.7 | 0.7 |
| Nursing staff turnover | 41.9% | 41.9% | 43.2% | 45.8% |
| Fines listed | $48,469 | $8,018 | $8,021 | — |
County and state figures are medians across facilities (3 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: 11 Mar 2026, 26 Jul 2024.
Severity mix: J ×2 K ×1 G ×1 D ×20 E ×25 F ×4
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 |
|---|---|---|---|---|---|
| 11 Mar 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Complaint investigation | 15 Apr 2026 |
| 11 Mar 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 15 Apr 2026 |
| 11 Mar 2026 | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | E | Standard survey | 15 Apr 2026 |
| 11 Mar 2026 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 15 Apr 2026 |
| 11 Mar 2026 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 15 Apr 2026 |
| 11 Mar 2026 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Standard survey | 15 Apr 2026 |
| 11 Mar 2026 | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | Standard survey | 15 Apr 2026 |
| 11 Mar 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 15 Apr 2026 |
| 6 Nov 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 | Complaint investigation | 11 Dec 2025 |
| 26 Jul 2024 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | K | Standard survey | 5 Sep 2024 |
| 26 Jul 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint investigation | 11 Nov 2023 |
| 26 Jul 2024 | F0760 | Ensure that residents are free from significant medication errors. | J | Standard survey | 5 Sep 2024 |
| 26 Jul 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | G | Standard survey | 5 Sep 2024 |
| 26 Jul 2024 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 5 Sep 2024 |
| 26 Jul 2024 | 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 | 5 Sep 2024 |
| 26 Jul 2024 | F0583 | Keep residents' personal and medical records private and confidential. | E | Standard survey | 5 Sep 2024 |
| 26 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 | Standard survey | 5 Sep 2024 |
| 26 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 | 5 Sep 2024 |
| 26 Jul 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 5 Sep 2024 |
| 26 Jul 2024 | F0730 | Observe each nurse aide's job performance and give regular training. | E | Standard survey | 5 Sep 2024 |
| 26 Jul 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. | E | Standard survey | 5 Sep 2024 |
| 26 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 | 5 Sep 2024 |
| 26 Jul 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 5 Sep 2024 |
| 26 Jul 2024 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E | Standard survey | 5 Sep 2024 |
| 26 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 | 5 Sep 2024 |
| 26 Jul 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 5 Sep 2024 |
| 26 Jul 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 | 5 Sep 2024 |
| 26 Jul 2024 | F0679 | Provide activities to meet all resident's needs. | D | Standard survey | 5 Sep 2024 |
| 26 Jul 2024 | F0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | Standard survey | 5 Sep 2024 |
| 26 Jul 2024 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D | Standard survey | 5 Sep 2024 |
| 26 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 | 5 Sep 2024 |
| 30 Sep 2022 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | Standard survey | 1 Nov 2022 |
| 30 Sep 2022 | 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. | F | Standard survey | 1 Nov 2022 |
| 30 Sep 2022 | F0885 | Report COVID19 data to residents and families. | F | Standard survey | 1 Nov 2022 |
| 30 Sep 2022 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Standard survey | 1 Nov 2022 |
| 30 Sep 2022 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 1 Nov 2022 |
| 30 Sep 2022 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | Standard survey | 1 Nov 2022 |
| 30 Sep 2022 | F0732 | Post nurse staffing information every day. | E | Standard survey | 1 Nov 2022 |
| 30 Sep 2022 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard survey | 1 Nov 2022 |
| 30 Sep 2022 | F0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | E | Standard survey | 1 Nov 2022 |
| 30 Sep 2022 | 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 | 1 Nov 2022 |
| 30 Sep 2022 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 1 Nov 2022 |
| 30 Sep 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. | E | Standard survey | 1 Nov 2022 |
| 30 Sep 2022 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 1 Nov 2022 |
| 30 Sep 2022 | F0838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | E | Standard survey | 1 Nov 2022 |
| 30 Sep 2022 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 1 Nov 2022 |
| 30 Sep 2022 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Standard survey | 1 Nov 2022 |
| 30 Sep 2022 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Standard survey | 1 Nov 2022 |
| 30 Sep 2022 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 1 Nov 2022 |
| 30 Sep 2022 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 1 Nov 2022 |
| 30 Sep 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. | D | Standard survey | 1 Nov 2022 |
| 30 Sep 2022 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 1 Nov 2022 |
| 30 Sep 2022 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard survey | 1 Nov 2022 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 26 Jul 2024 | Fine | $16,801 | |
| 26 Jul 2024 | Fine | $13,627 | |
| 26 Jul 2024 | Fine | $10,023 | |
| 26 Jul 2024 | Fine | $8,018 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the West Virginia average. Turnover: nursing staff 41.9%, RNs 43.8%; 0 administrators 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 | 23.6% | 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 | 2.8% | 1.0% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 8.2% | 4.4% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.5% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 32.0% | 15.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 7.7% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 5.8% | 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: 50 Mulberry Tree 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 Jefferson County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Willow Tree Healthcare Center | Charles Town | 104 | 3 | 3 | 2 | 54 | 51.9 | $8K | 30 Oct 2025 |
| Canterbury Center | Shepherdstown | 62 | 2 | 2 | 2 | 71 | 114.5 | — | 18 Mar 2025 |
All 3 facilities in Jefferson County
Questions and answers
How many deficiencies has Shenandoah Center been cited for?
53 health deficiencies across the three most recent survey cycles, 4 at the actual-harm or immediate-jeopardy level. The West Virginia median is 38 per facility.
Has Shenandoah Center been fined?
Yes. CMS lists fines totalling $48K in the period covered.
How does staffing at Shenandoah Center compare?
Reported total nurse staffing is 3.0 hours per resident per day against a West Virginia median of 3.5 and a national average of 3.9.
Who operates Shenandoah 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 Shenandoah Center last inspected?
The most recent survey or investigation in the CMS record is dated 11 Mar 2026; the most recent standard health survey was 11 Mar 2026.
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.