Shenandoah Center
50 Mulberry Tree Street · Charles Town, WV · 25414 · 3047241101
78 certified beds For profit - Corporation Chain: Genesis Healthcare
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $48,469 in fines in the last 24 months.
- Inspection results have improved across recent cycles.
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
3 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
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: 2 of 5 Staffing: 2 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.12 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.85 | 0.55–0.75 |
| Weekend hours / resident-day | 2.79 | ≈ weekday level |
| Nursing turnover / year | 45% | median 45% |
| Fines (3-yr window) | 4 · $48,469 |
Inspection citations (54 in the current record)
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Potential for harm · D March 11, 2026
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected April 15, 2026 · Resident Rights
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Potential for harm · D March 11, 2026
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected April 15, 2026 · Resident Rights
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Potential for harm · D March 11, 2026
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected April 15, 2026 · Resident Rights
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Potential for harm · D March 11, 2026
Provide care or services that was trauma informed and/or culturally competent.
Corrected April 15, 2026 · Quality of Life and Care
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Potential for harm · E March 11, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 15, 2026 · Nutrition and Dietary
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Potential for harm · E March 11, 2026
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected April 15, 2026 · Administration
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Potential for harm · D March 11, 2026
Provide and implement an infection prevention and control program.
Corrected April 15, 2026 · Infection Control
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Potential for harm · E March 11, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 15, 2026 · Quality of Life and Care
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Potential for harm · D November 6, 2025 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected December 11, 2025 · Resident Assessment and Care Planning
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Immediate jeopardy · K July 26, 2024
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected September 5, 2024 · Quality of Life and Care
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Immediate jeopardy · J July 26, 2024
Ensure that residents are free from significant medication errors.
Corrected September 5, 2024 · Pharmacy Service
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Immediate jeopardy · J July 26, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected November 11, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G July 26, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected September 5, 2024 · Quality of Life and Care
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Potential for harm · E July 26, 2024
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected September 5, 2024 · Resident Rights
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Potential for harm · E July 26, 2024
Keep residents' personal and medical records private and confidential.
Corrected September 5, 2024 · Resident Rights
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Potential for harm · E July 26, 2024
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 5, 2024 · Resident Rights
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Potential for harm · D July 26, 2024
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected September 5, 2024 · Resident Rights
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Potential for harm · D July 26, 2024
Ensure each resident receives an accurate assessment.
Corrected September 5, 2024 · Resident Assessment and Care Planning
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Potential for harm · E July 26, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected September 5, 2024 · Resident Assessment and Care Planning
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Potential for harm · D July 26, 2024
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 5, 2024 · Resident Assessment and Care Planning
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Potential for harm · D July 26, 2024
Provide activities to meet all resident's needs.
Corrected September 5, 2024 · Quality of Life and Care
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Potential for harm · D July 26, 2024
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.
Corrected September 5, 2024 · Quality of Life and Care
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Potential for harm · E July 26, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 5, 2024 · Quality of Life and Care
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Potential for harm · D July 26, 2024
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected September 5, 2024 · Nursing and Physician Services
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Potential for harm · E July 26, 2024
Observe each nurse aide's job performance and give regular training.
Corrected September 5, 2024 · Nursing and Physician Services
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| July 26, 2024 | Fine | $8,018 |
| July 26, 2024 | Fine | $10,023 |
| July 26, 2024 | Fine | $13,627 |
| July 26, 2024 | Fine | $16,801 |
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.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 515167 · certified since April 16, 1998. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.