Autumn Lake Healthcare at Crystal Springs
Nursing Home & Skilled Nursing · Elkins, WV
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.

Autumn Lake Healthcare at Crystal Springs

Nursing Home & Skilled Nursing · Elkins, WV
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
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Autumn Lake Healthcare at Crystal Springs accepts Medicaid, Medicare, and private pay.

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.

Inspection Scorecard Info This scorecard compares key inspection, deficiency, 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.

Overall vs. WV average 2 Worse Metrics worse than West Virginia average:
• Total deficiencies (34% above)
• Deficiencies per inspection (34% above)
0 Better No metrics in this bucket.
Latest Inspection April 3, 2025

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

This FacilityWV Averagevs. WV Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 334249 This facility has 34% more total deficiencies than a typical West Virginia assisted living residence (334 vs. WV avg 249).↑ 34% worse
Deficiencies per inspection Info Average deficiencies per inspection. 19.614.6 This facility has 34% more deficiencies per inspection than a typical West Virginia assisted living residence (19.6 vs. WV avg 14.6).↑ 34% worse

Inspections Info State inspections evaluate whether the facility meets health and safety standards.

This FacilityWV Averagevs. WV Avg
Total inspections Info Combined count of all routine and focused inspections. Excludes complaint investigations. 1717 This facility has total inspections in line with the West Virginia average (17 vs. WV avg 17).— At avg

Inspection Reports Summary Info An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

  • The April 7, 2025 emergency preparedness inspection found the facility fully compliant with all Federal, State, and local requirements.
  • The March 6, 2025 annual inspection cited 14 deficiencies including quality of care, RN staffing gaps, infection control failures, food safety issues, and resident rights violations.
  • The March 6, 2025 complaint investigation found prior deficiencies corrected and substantial compliance with long-term care and licensure rules.

Health Inspection History

Inspections since 2023
Total health inspections 8

State average N/A


Last Health inspection on Oct 2025

Total health citations
80 Rank #48 / 50Health citations — State benchmarkedThis home is ranked 48th out of 50 homes in West Virginia. Shows this facility's total health deficiency citations benchmarked to the West Virginia State average, with a ranking across all 50 WV facilities. Lower citation counts earn a better rank.Rankings are based only on facilities in West Virginia that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A

Citations per inspection
10 Rank #29 / 50Citations per inspection — State benchmarkedThis home is ranked 29th out of 50 homes in West Virginia. Shows average deficiency citations per CMS inspection for this facility versus the West Virginia mean across 50 facilities with citation data. Lower is better.Rankings are based only on facilities in West Virginia that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

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
In line with State average

State average: N/A


Serious health citations
0
In line with State average

State average: N/A

0 critical citations State average: N/A

0 serious citations State average: N/A

80 moderate citations State average: N/A

0 minor citations State average: N/A
Citations history (last 3 years)
Infection Control moderate citation Oct 23, 2025
Corrected

Quality of Care moderate citation Oct 23, 2025
Corrected

Infection Control moderate citation Mar 06, 2025
Corrected

Nursing Services moderate citation Mar 06, 2025
Corrected

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 154
Employees 44
Contractors 110
Staff to resident ratio 2.00 : 1
0% compared with State average

State average ratio: 0 : 0

Avg staff/day 37
Average shift 9.1 hours
0% compared with State average

State average: 0 hours

Total staff hours (quarter) 30,888

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info 7 total: 6 full-time employees and 1 contractor. 7
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.7 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info 46 total: 1 full-time employee and 45 contractors. 46
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 10.9 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info 80 total: 24 full-time employees and 56 contractors. 80
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.5 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

57.5%

17,764 contractor hours this quarter

Certified Nursing Assistant: 56 Licensed Practical Nurse: 45 Physical Therapy Aide: 2 Speech Language Pathologist: 2 Physical Therapy Assistant: 2 Registered Nurse: 1 Respiratory Therapy Technician: 1 Qualified Social Worker: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant24568016,17292100%9.5
Licensed Practical Nurse145466,87892100%10.9
Registered Nurse6172,26292100%9.7
Other Dietary Services Staff6061,85592100%8
Physical Therapy Aide0227116571%5.9
RN Director of Nursing2026596065%8
Mental Health Service Worker1015486773%8.2
Administrator1014806065%8
Nurse Practitioner1014605863%7.9
Speech Language Pathologist0222566267%3.6
Physical Therapy Assistant0222326368%3.2
Respiratory Therapy Technician0112206065%3.7
Clinical Nurse Specialist2021541820%8.1
Qualified Social Worker011333%0.8
80 Certified Nursing Assistant
% of Days 100%
46 Licensed Practical Nurse
% of Days 100%
7 Registered Nurse
% of Days 100%
6 Other Dietary Services Staff
% of Days 100%
2 Physical Therapy Aide
% of Days 71%
2 RN Director of Nursing
% of Days 65%
1 Mental Health Service Worker
% of Days 73%
1 Administrator
% of Days 65%
1 Nurse Practitioner
% of Days 63%
2 Speech Language Pathologist
% of Days 67%
2 Physical Therapy Assistant
% of Days 68%
1 Respiratory Therapy Technician
% of Days 65%
2 Clinical Nurse Specialist
% of Days 20%
1 Qualified Social Worker
% of Days 3%

Penalties and fines

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

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

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 Info 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 average

State average: 11.3

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 15.7
26% better than State average

State average: 21.1

Long-stay resident measures
Significantly below average State avg: 3.2 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 14.6%
23% better than State average

State average: 18.9%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 12.8%
41% better than State average

State average: 21.8%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 19.5%
14% better than State average

State average: 22.6%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 5.0%
10% worse than State average

State average: 4.5%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 6.4%
29% worse than State average

State average: 4.9%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 3.3%
69% worse than State average

State average: 2.0%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 7.9%
21% worse than State average

State average: 6.6%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 78.6%
1180% worse than State average

State average: 6.1%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 44.3%
235% worse than State average

State average: 13.2%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.0%
In line with State average

State average: 96.8%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 93.8%
In line with State average

State average: 97.6%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 3.82
105% worse than State average

State average: 1.86

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 5.84
204% worse than State average

State average: 1.92

Short-stay resident measures
Significantly below average State avg: 2.0 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 80.4%
In line with State average

State average: 78.6%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.0%
100% better than State average

State average: 1.0%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 87.9%
11% better than State average

State average: 79.4%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 26.3%
14% worse than State average

State average: 23.0%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 37.1%
199% worse than State average

State average: 12.4%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.0%
100% better than State average

State average: 0.8%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 41.7%
18% worse than State average

State average: 50.6%

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

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.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

For-profit
Corporation
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$9.1M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$1.7M
For-profit Corporation
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$9.1M Rank #38 / 48Revenue — State benchmarkedThis home is ranked 38th out of 48 homes in West Virginia. Shows this facility's annual revenue compared to the West Virginia average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Rankings are based only on facilities in West Virginia that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$1.7M
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$1.3M
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #24 / 48Payroll — State benchmarkedThis home is ranked 24th out of 48 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.Rankings are based only on facilities in West Virginia that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$1.7M 19.1% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #11 / 48Payroll % — State benchmarkedThis home is ranked 11th out of 48 homes in West Virginia. Shows payroll as a percentage of revenue versus the West Virginia average. Well-run West Virginia facilities typically land around 46–58% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in West Virginia that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$9.1M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$10.8M

Who this home usually serves

TYPE OF STAY

Mostly long-term care residents

Most residents stay for extended periods and receive ongoing daily care.

New residents most often arrive under Medicaid (45% of admissions), and a typical Medicaid stay runs around 11 - 12 months.

Admissions
125 total

Coverage residents most often arrive under.

Medicare 25%
Private pay 30%
Medicaid 45%
Discharges
115 total

Coverage residents most often leave under.

Medicare 18%
Private pay 23%
Medicaid 59%

Places of interest near Autumn Lake Healthcare at Crystal Springs

Address 0.0 miles from city center Info Estimated distance in miles from Elkins's city center to Autumn Lake Healthcare at Crystal Springs's address, calculated via Google Maps.

Calculate Travel Distance to Autumn Lake Healthcare at Crystal Springs

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Frequently Asked Questions about Autumn Lake Healthcare at Crystal Springs

Who is the owner of Autumn Lake Healthcare at Crystal Springs?

Autumn Lake Healthcare at Crystal Springs is legally operated by 200 Whitman Avenue OPCO LLC, and administered by Rose Holicker.

Is Autumn Lake Healthcare at Crystal Springs in a walkable area?

Autumn Lake Healthcare at Crystal Springs has a walk score of 77. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

What is the license number of Autumn Lake Healthcare at Crystal Springs?

According to WV state health department records, Autumn Lake Healthcare at Crystal Springs's license number is 17.

What is the occupancy rate at Autumn Lake Healthcare at Crystal Springs?

Autumn Lake Healthcare at Crystal Springs's occupancy is 92%.

Does Autumn Lake Healthcare at Crystal Springs operate as a for-profit or non-profit?

Autumn Lake Healthcare at Crystal Springs is registered as a for-profit in WV.

Who is the administrator of Autumn Lake Healthcare at Crystal Springs?

Rose Holicker is the administrator of Autumn Lake Healthcare at Crystal Springs.

How many beds does Autumn Lake Healthcare at Crystal Springs have?

Autumn Lake Healthcare at Crystal Springs has 84 beds.

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