Occupancy rate
92%
In line with the state averageMostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
Autumn Lake Healthcare at Crystal Springs
Assisted Living in USA
CMS overall rating
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.
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.
Autumn Lake Healthcare at Crystal Springs
Assisted Living in USA
CMS overall rating
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.
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.
Autumn Lake Healthcare at Crystal Springs is located in Elkins, West Virginia. It offers short-term rehabilitation and long-term living services, focusing on creating a warm and inviting atmosphere for residents. The facility provides advanced care programs for complex medical conditions, overseen by a team of in-house specialists.
Quality ratings
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.
Staffing hours breakdown
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.
Total nursing care / resident
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.
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.
3h 13m per day
vs avg
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
84
Avg. Length of Stay
205 days
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Long-term daily care
Ongoing support needs
Breakdown by payment type
Medicare
25% of new residents, usually for short-term rehab.
Typical stay
1 - 2 months
Private pay
30% of new residents, often for short stays.
Typical stay
2 - 3 months
Medicaid
45% of new residents, often for long-term daily care.
Typical stay
11 - 12 months
Finances and operations
Privately-owned community
Operated by a partnership between two or more business owners.
Home revenue
$10.7M
Operating loss
-$408.7K
Privately-owned community
Operated by a partnership between two or more business owners.
Home revenue
$10.7M
Operating loss
-$408.7K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$1.6M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$9.6M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$11.2M
84-bed community
A larger shared setting that may offer more common spaces and organized community services.
1 year in operation
A newer community that may feature more recent facilities and programs.
About this community
Occupancy
In line with the state averageOccupied beds
77 / 84
Facility TypeNursing Home (nh)
StatusActive
IssuanceNovember 1, 2024
CountyRandolph
License Number17
CMS Certification Number515197
Autumn Lake Healthcare at Crystal Springs is administrated by Rose Holicker.
Owner Name200 Whitman Avenue OPCO LLC
Accept Medicaid
Accept Medicare
Rehabilitation Services
Short-Term Rehab
Nursing Services
Licensed Nurses/CNAs
Long-Term Living
Fax(304)637-6206
Non-Smoking Facility
Specific ProgramsShort-Term Rehab, Long-Term Living, Physical, Occupational, and Speech Therapies, Pain Management, Stroke Recovery, Joint Replacement/Orthopedics
Access & Eligibility
Ways to qualify for care at this community, including accepted programs and payment options.
Medicaid Accepted
This facility is certified for eligible Medicaid services.
Medicare Accepted
This facility is certified for eligible Medicare services.
Inspection History
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.
17 visits/inspections
Inspections are mandatory, regular evaluations conducted by state health departments or regulatory agencies. They ensure the community provides safe, compliant care, covering areas like resident health, staff and management.
West Virginia average: 17 inspections
Show Inspection Reports
Latest inspection
Date
April 3, 2025
334 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
West Virginia average: 249 deficiencies
Inspection Report Summary for Autumn Lake Healthcare at Crystal Springs
The most recent inspection on April 7, 2025, found the facility in compliance with all applicable federal, state, and local Emergency Preparedness requirements without deficiencies. However, the prior March 6, 2025 annual inspection identified multiple deficiencies related to quality of care, care plan revisions, RN staffing coverage, grievance policy, food safety, infection control, resident rights, and accident hazards. Several complaint investigations over the past two years substantiated issues with timely medication administration, care plan implementation, skin evaluations, and abuse reporting, though many complaints were also found unsubstantiated. Enforcement actions such as fines or license suspensions were not listed in the available reports. The inspection history shows ongoing challenges in clinical care and regulatory compliance, but recent Emergency Preparedness compliance and some corrected deficiencies suggest partial improvement in specific areas.
Health Inspection History
Inspections
Total health inspections
8
State average N/A
Last Health inspection on Oct 2025
Total health citations
80
State average N/A
Citations per inspection
10
State average N/A
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
56 of 80 citations resulted from standard inspections; 17 of 80 resulted from complaint investigations; and 7 of 80 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
In line with State averageState average: N/A
Serious Health citations
0
0
In line with State averageState average: N/A
0 critical citations
0 serious citations
80 moderate citations
0 minor citations
Citations history (last 3 years)
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Oct 23, 2025
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Oct 23, 2025
Corrected
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Oct 23, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Oct 23, 2025
Corrected
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Mar 06, 2025
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Mar 06, 2025
Corrected
Nursing Services moderate citation
Issues related to the availability and quality of nursing staff and the care they provide.
Mar 06, 2025
Issues related to the availability and quality of nursing staff and the care they provide.
Mar 06, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Assisted Living around Usa The information below is reported by the West Virginia Department of Health and Human Resources, Office of Health Facility Licensure.
Filter by care type
| Autumn Lake Healthcare at Crystal Springs |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Elkins | 84 | No | - | - | - |
| Job Haines Home |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Bloomfield (Bloomfield Avenue) | 40 | No | - | 85 | Studio / 1 Bed / Private / Semi-Private Rooms |
| Village Care Homes Assisted Living – Stephen F Austin |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Conroe (Alden Bridge) | 16 | No | - | 27 | Private / Semi-Private Suite |
| Countryside Manor Assisted Living |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Conroe (Alden Bridge) | 12 | No | - | 8 | - |
| Anton’s Assisted Living |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Boerne | 10 | No | - | - | - |
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
162
Employees
64
Contractors
98
Staff to resident ratio
2.10:1
0% compared with State averageState average ratio: 0:0
Avg staff/day
36
Average shift
8.9 hours
0% compared with State averageState average: 0 hours
Total staff hours (quarter)
29,234
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
5
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
11.3 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
11.3 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
51
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.8 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
86
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.1 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.1 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
50.2%
14,667 contractor hours this quarter
Certified Nursing Assistant: 47
Licensed Practical Nurse: 45
Physical Therapy Aide: 2
Speech Language Pathologist: 2
Respiratory Therapy Technician: 1
Physical Therapy Assistant: 1
Staff by category
| Certified Nursing Assistant | 39 | 47 | 86 | 15,580 | 91 | 100% | 9.1 |
| Licensed Practical Nurse | 6 | 45 | 51 | 6,857 | 91 | 100% | 10.8 |
| Other Dietary Services Staff | 5 | 0 | 5 | 1,652 | 91 | 100% | 7.5 |
| Registered Nurse | 5 | 0 | 5 | 1,038 | 62 | 68% | 11.3 |
| RN Director of Nursing | 2 | 0 | 2 | 715 | 63 | 69% | 8.1 |
| Physical Therapy Aide | 0 | 2 | 2 | 650 | 65 | 71% | 5.4 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 488 | 59 | 65% | 8.1 |
| Mental Health Service Worker | 1 | 0 | 1 | 476 | 58 | 64% | 8.2 |
| Administrator | 1 | 0 | 1 | 464 | 58 | 64% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 456 | 57 | 63% | 8 |
| Dietitian | 1 | 0 | 1 | 391 | 52 | 57% | 7.5 |
| Respiratory Therapy Technician | 0 | 1 | 1 | 209 | 62 | 68% | 3.4 |
| Speech Language Pathologist | 0 | 2 | 2 | 177 | 44 | 48% | 3.2 |
| Nurse Aide in Training | 1 | 0 | 1 | 55 | 5 | 5% | 11 |
| Physical Therapy Assistant | 0 | 1 | 1 | 26 | 20 | 22% | 1.3 |
86 Certified Nursing Assistant
% of Days
100%
51 Licensed Practical Nurse
% of Days
100%
5 Other Dietary Services Staff
% of Days
100%
5 Registered Nurse
% of Days
68%
2 RN Director of Nursing
% of Days
69%
2 Physical Therapy Aide
% of Days
71%
2 Clinical Nurse Specialist
% of Days
65%
1 Mental Health Service Worker
% of Days
64%
1 Administrator
% of Days
64%
1 Nurse Practitioner
% of Days
63%
1 Dietitian
% of Days
57%
1 Respiratory Therapy Technician
% of Days
68%
2 Speech Language Pathologist
% of Days
48%
1 Nurse Aide in Training
% of Days
5%
1 Physical Therapy Assistant
% of Days
22%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
77
Medicare
8
10.4% of residents
Medicaid
61
79.2% of residents
Private pay or other
8
10.4% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
Nurse Aide Training
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Active Resident Council
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.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
9.3
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
9.3
17% better than State averageState average: 11.3
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
15.7
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
15.7
26% better than State averageState average: 21.1
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
14.6%
Percent of long-stay residents whose need for help with daily activities has increased
14.6%
23% better than State averageState average: 18.9%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
12.8%
Percent of long-stay residents whose ability to move independently worsened
12.8%
41% better than State averageState average: 21.8%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
19.5%
Percent of low risk long-stay residents who lose control of their bowels or bladder
19.5%
14% better than State averageState average: 22.6%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
5.0%
Percent of long-stay residents experiencing one or more falls with major injury
5.0%
10% worse than State averageState average: 4.5%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
6.4%
Percent of long-stay high risk residents with pressure ulcers
6.4%
29% worse than State averageState average: 4.9%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
3.3%
Percent of long-stay residents with a urinary tract infection
3.3%
69% worse than State averageState average: 2.0%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
7.9%
Percent of long-stay residents who lose too much weight
7.9%
21% worse than State averageState average: 6.6%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
78.6%
Percent of long-stay residents who have depressive symptoms
78.6%
1180% worse than State averageState average: 6.1%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
44.3%
Percent of long-stay residents who received an antipsychotic medication
44.3%
235% worse than State averageState average: 13.2%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.0%
In line with State averageState average: 96.8%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
93.8%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
93.8%
In line with State averageState average: 97.6%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
80.4%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
80.4%
In line with State averageState average: 78.6%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than State averageState average: 1.0%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
87.9%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
87.9%
11% better than State averageState average: 79.4%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Financial Trends
Historical financial and operational data for Autumn Lake Healthcare at Crystal Springs based on CMS SNF Cost Reports.
Occupancy Rate
77.0%
↑ 0.7pp vs 2022
Net Income
-$408.7K
↓ ~$1.1M vs 2022
Total Payroll
$5.2M
↑ ~$1.1M vs 2022
Profit Margin
-4.3%
↓ 12.5pp vs 2022
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