Nella's at Autumn Lake Healthcare
499 Ferguson Road · Elkins, WV · 26241 · 3046361008
100 certified beds For profit - Limited Liability company Chain: Autumn Lake Healthcare
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results are getting worse cycle over cycle, not better.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 1 of 5 Staffing: 3 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.17 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.52 | 0.55–0.75 |
| Weekend hours / resident-day | 2.89 | ≈ weekday level |
| Nursing turnover / year | 43% | median 45% |
| Fines (3-yr window) | 2 · $59,810 |
Inspection citations (35 in the current record)
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Potential for harm · E December 30, 2025 · found via complaint
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.
Corrected January 20, 2026 · Resident Rights
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Potential for harm · F December 30, 2025 · found via complaint
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.
Corrected January 20, 2026 · Nutrition and Dietary
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Potential for harm · F December 30, 2025 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected January 20, 2026 · Nutrition and Dietary
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Potential for harm · F December 30, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected January 20, 2026 · Infection Control
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Immediate jeopardy · L August 5, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 6, 2025 · Quality of Life and Care
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Potential for harm · D August 5, 2025
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.
Corrected September 2, 2025 · Resident Rights
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Potential for harm · D August 5, 2025
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected September 2, 2025 · Resident Rights
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Potential for harm · D August 5, 2025
Ensure each resident receives an accurate assessment.
Corrected September 2, 2025 · Resident Assessment and Care Planning
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Potential for harm · D August 5, 2025
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected September 2, 2025 · Resident Assessment and Care Planning
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Potential for harm · E August 5, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected September 2, 2025 · Resident Assessment and Care Planning
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Potential for harm · E August 5, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected September 2, 2025 · Resident Assessment and Care Planning
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Potential for harm · E August 5, 2025
Provide activities to meet all resident's needs.
Corrected September 2, 2025 · Quality of Life and Care
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Potential for harm · D August 5, 2025
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected September 2, 2025 · Quality of Life and Care
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Potential for harm · E August 5, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected September 2, 2025 · Nutrition and Dietary
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Potential for harm · E August 5, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected September 2, 2025 · Resident Assessment and Care Planning
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Potential for harm · D August 5, 2025
Provide and implement an infection prevention and control program.
Corrected September 2, 2025 · Infection Control
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Potential for harm · D August 5, 2025 · found via complaint
Provide or get specialized rehabilitative services as required for a resident.
Corrected September 2, 2025 · Quality of Life and Care
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Potential for harm · E July 4, 2024 · found via complaint
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.
Corrected August 27, 2024 · Resident Rights
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Potential for harm · D July 4, 2024 · found via complaint
Keep all essential equipment working safely.
Corrected August 27, 2024 · Environmental
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Potential for harm · D November 8, 2023
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.
Corrected December 8, 2023 · Resident Rights
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Potential for harm · E November 8, 2023
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.
Corrected December 8, 2023 · Resident Rights
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Potential for harm · E November 8, 2023
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected December 8, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D November 8, 2023
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected December 8, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E November 8, 2023
Ensure each resident receives an accurate assessment.
Corrected December 8, 2023 · Resident Assessment and Care Planning
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Potential for harm · D November 8, 2023
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected December 8, 2023 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| August 5, 2025 | Fine | $22,474 |
| November 8, 2023 | Fine | $37,336 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 515196 · certified since December 23, 2021. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.