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The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Nella’s at Autumn Lake Healthcare is a healthcare center located in Elkins, WV. It offers short-term rehabilitation and long-term living services, focusing on creating a warm and inviting atmosphere for residents. The facility provides a range of therapies and activities to support recovery and enhance quality of life.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 24th out of 46 homes in West Virginia. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 28m per day | ▼ 33% State avg: 42m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 49m per day | ▼ 11% State avg: 55m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 3m per day | ■ Avg State avg: 2h 4m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 2h 50m per day | ▼ 11% State avg: 3h 11m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 2m per day | ▼ 33% State avg: 3m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 24m per day | ▲ 4% State avg: 23m per day · National avg: 28m per day |
Lower than the West Virginia average: 89.9%Nella’s at Autumn Lake Healthcare is administrated by Jonathan Bolyard.
In West Virginia, the Department of Health and Human Resources, Office of Health Facility Licensure is responsible for the unannounced inspection and certification of all senior care facilities.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the West Virginia state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | WV Average | vs. WV Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 1356 | 249 | This facility has 445% more total deficiencies than a typical West Virginia nursing home (1356 vs. WV avg 249).↑ 445% worse |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 150.7 | 14.6 | This facility has 932% more deficiencies per inspection than a typical West Virginia nursing home (150.7 vs. WV avg 14.6).↑ 932% worse |
Inspections
| This Facility | WV Average | vs. WV Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 9 | 17 | This facility has 47% fewer total inspections than a typical West Virginia nursing home (9 vs. WV avg 17).↓ 47% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on June 10, 2025 found the facility in compliance with all Federal and State Life Safety Code requirements and the Facility Emergency Preparedness Plan, with no deficiencies cited. Prior inspections showed a pattern of multiple deficiencies related mainly to resident care issues such as failure to report and prevent abuse, medication management errors, inadequate staffing, infection control lapses, and failure to maintain a safe and homelike environment. Several complaint investigations were substantiated over time, including notable cases involving abuse, neglect, medication errors, and environmental hazards, though many complaints were unsubstantiated. Enforcement actions such as fines or license suspensions were not listed in the available reports. The trend indicates significant improvement, with recent surveys showing correction of previously cited deficiencies and a current state of compliance.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsWest Virginia average 4.8
Last Health inspection on Aug 2025
West Virginia average 43.1
West Virginia average 9.25
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
29 of 32 citations resulted from standard inspections; 2 of 32 resulted from complaint investigations; and 1 of 32 came from combined inspections (standard and complaint).
150% worse than West Virginia averageWest Virginia average: 0.8
100% better than West Virginia averageWest Virginia average: 0.5
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
17% worse than West Virginia average
0% compared with West Virginia average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.8 hoursThis role is partially covered by contractors.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9 hoursThis role is partially covered by contractors.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hoursThis role is partially covered by contractors.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
2,856 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 39 | 11 | 50 | 17,300 | 92 | 100% | 8.3 |
| Licensed Practical Nurse | 13 | 12 | 25 | 6,509 | 92 | 100% | 9 |
| Registered Nurse | 10 | 9 | 19 | 3,951 | 92 | 100% | 9.8 |
| Other Dietary Services Staff | 6 | 0 | 6 | 2,422 | 92 | 100% | 7.4 |
| Nurse Practitioner | 1 | 0 | 1 | 538 | 59 | 64% | 9.1 |
| Dental Services Staff | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Administrator | 1 | 0 | 1 | 504 | 63 | 68% | 8 |
| Speech Language Pathologist | 0 | 2 | 2 | 247 | 62 | 67% | 3.5 |
| Physical Therapy Assistant | 0 | 2 | 2 | 219 | 65 | 71% | 3.2 |
| Physical Therapy Aide | 0 | 1 | 1 | 210 | 59 | 64% | 3.6 |
| Respiratory Therapy Technician | 0 | 1 | 1 | 210 | 60 | 65% | 3.5 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 176 | 22 | 24% | 8 |
| Occupational Therapy Aide | 1 | 0 | 1 | 36 | 4 | 4% | 9 |
| Qualified Social Worker | 0 | 1 | 1 | 17 | 14 | 15% | 1.2 |
Includes penalties issued in 2023-2025
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
33% higher than West Virginia averageWest Virginia average: $54K
30% more fines than West Virginia averageWest Virginia average: 1.5
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than West Virginia averageWest Virginia average: 0.0
Penalties are imposed by CMS for violations of federal nursing home regulations.
2 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Aug 5, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Nov 8, 2023Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
7.3
35% better than West Virginia averageWest Virginia average: 11.3
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
16.1
24% better than West Virginia averageWest Virginia average: 21.1
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
11.7%
38% better than West Virginia averageWest Virginia average: 18.9%
Percent of long-stay residents whose ability to move independently worsened
13.3%
39% better than West Virginia averageWest Virginia average: 21.8%
Percent of low risk long-stay residents who lose control of their bowels or bladder
23.3%
In line with West Virginia averageWest Virginia average: 22.6%
Percent of long-stay residents experiencing one or more falls with major injury
0.8%
81% better than West Virginia averageWest Virginia average: 4.5%
Percent of long-stay high risk residents with pressure ulcers
3.8%
23% better than West Virginia averageWest Virginia average: 4.9%
Percent of long-stay residents with a urinary tract infection
0.6%
71% better than West Virginia averageWest Virginia average: 2.0%
Percent of long-stay residents who lose too much weight
6.9%
5% worse than West Virginia averageWest Virginia average: 6.6%
Percent of long-stay residents who have depressive symptoms
2.6%
57% better than West Virginia averageWest Virginia average: 6.1%
Percent of long-stay residents who received an antipsychotic medication
38.3%
189% worse than West Virginia averageWest Virginia average: 13.2%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with West Virginia averageWest Virginia average: 96.8%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
99.0%
In line with West Virginia averageWest Virginia average: 97.6%
Number of hospitalizations per 1,000 long-stay resident days.
1.27
32% better than West Virginia averageWest Virginia average: 1.86
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.08
44% better than West Virginia averageWest Virginia average: 1.92
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
27% better than West Virginia averageWest Virginia average: 78.6%
Percent of short-stay residents who newly received an antipsychotic medication
2.9%
180% worse than West Virginia averageWest Virginia average: 1.0%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
26% better than West Virginia averageWest Virginia average: 79.4%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
20.8%
10% better than West Virginia averageWest Virginia average: 23.0%
Percentage of short-stay residents who had an outpatient emergency department visit.
8.4%
32% better than West Virginia averageWest Virginia average: 12.4%
Percentage of SNF residents who experience falls with major injury during their stay.
2.0%
155% worse than West Virginia averageWest Virginia average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
25.0%
53% worse than West Virginia averageWest Virginia average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
39.2%
22% worse than West Virginia averageWest Virginia average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
25% of new residents, usually for short-term rehab.
35% of new residents, often for short stays.
40% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
91Residents meet regularly to discuss policies, care quality, and activities
Family members meet regularly to discuss policies, care quality, and activities
Organized group of family members that meets regularly to discuss facility policies, resident care, and activities.
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Nella’s at Autumn Lake Healthcare based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #28 / 46Payroll — State benchmarkedThis home is ranked 28th out of 46 homes in West Virginia. Shows total annual staff payroll benchmarked to the West Virginia average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Most residents stay for extended periods and receive ongoing daily care.
0.0 miles from city center
Estimated distance in miles from Elkins's city center to Nella’s at Autumn Lake Healthcare's address, calculated via Google Maps.
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Nella’s at Autumn Lake Healthcare is located in ELKINS, West Virginia.
Here are the financial assistance programs available to residents in West Virginia.
The legal owner and operator of Nella’s at Autumn Lake Healthcare is 499 Ferguson Road OPCO LLC.
Nella’s at Autumn Lake Healthcare has a walk score of 77. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
According to WV state health department records, Nella’s at Autumn Lake Healthcare's license number is 51.
Nella’s at Autumn Lake Healthcare's occupancy is 21%.
Jonathan Bolyard is the administrator of Nella’s at Autumn Lake Healthcare.
Nella’s at Autumn Lake Healthcare has 100 beds.
Yes — there are 3 photos of Nella’s at Autumn Lake Healthcare in the photo gallery on this page.
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