Show Inspection Reports
Total health inspections
4
State average N/A
Last Health inspection on Aug 2025
Mostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
Nella’s at Autumn Lake Healthcare
Assisted Living Home
Nella’s at Autumn Lake Healthcare
Assisted Living Home
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.
Quality ratings
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Nursing care per resident
Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
Capacity and availability
Medium-capacity home
Offers a balance of services and community atmosphere.
Total beds
100
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
74.5%
Residents per day (avg)
96
Occupancy rate
74.5%
Residents per day (avg)
96
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
35% of new residents, often for short stays.
Typical stay
1 - 2 months
Medicaid
40% of new residents, often for long-term daily care.
Typical stay
1 - 2 years
Finances and operations
Proprietary home
Corporation
Home revenue
$11.5M
Profit
$274.8K
Proprietary home
Corporation
Home revenue
$11,459,062.00
Profit
$274,757.00
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.
$9.5M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$11.2M
100-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 Rate
21%
Occupied Beds
21 of 100
Percentage of available beds currently in use by residents.
License Status
ActiveFacility Type
NURSING HOME (NH)
License Date
November 1, 2024
Additional licensing details
License number:
51
CMS Certification Number:
515196
County:
Randolph
Ownership & operating entity
Nella’s at Autumn Lake Healthcare is administrated by JONATHAN BOLYARD.
Owner name:
499 Ferguson Road OPCO LLC
Care Services
Accepts Medicaid
Accepts Medicare
Nursing Services
Rehabilitation Services
Licensed Nurses/CNAs
Short-Term Rehab
Contact Information
Fax:
(304)637-6106
Programs & Activities
Specific Programs
Short-Term Rehab, Long-Term Living
Pricing & Financial Information
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.
9 visits/inspections
Latest inspection
Date:April 7, 2024
1356 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
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.
Nella’s at Autumn Lake Healthcare
-51%
-8%
-17%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
WV 26241
100
No
-
NELLAS OPCO HOLDCO LLC
74.5%
$9,734,022.00
$1,636,462.00
16.8%
95.80
3.3171
2
32
2
-51%-8%-17%-
Job Haines Home
-21%
+63%
-41%
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
HC
Home Care
HC
Hospice Care
SNF
Nursing Homes 24/7 care needed
Bloomfield
40
No
85
HAVERON, NOREEN
45.5%
$13,340,016.00
$10,214,151.00
76.6%
36.90
6.3081
-
4
-
-21%+63%-41%Studio / 1 Bed / Private / Semi-Private Rooms
Village Care Homes Assisted Living – Stephen F Austin
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Conroe
16
No
27
VILLAGE CHANGE LLC
-
-
-
-
-
-
-
-
-
-
-
Private / Semi-Private Suite
Countryside Manor Assisted Living
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Conroe
12
No
8
GOLDEN OAKS VILLAS, LLC
-
-
-
-
-
-
-
-
-
-
-
-
Anton’s Assisted Living
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Boerne
10
No
-
-
-
-
-
-
-
-
-
-
-
-
-
-
Nella’s at Autumn Lake Healthcare
Type of care:
SNF
AL
Community:
WV 26241
Bed Count:
100
Pets Allowed:
No
Operator:
NELLAS OPCO HOLDCO LLC
CCN:
515196
Occupancy:
74.5%
Home Revenue:
$9,734,022.00
Payroll Costs:
$1,636,462.00
Payroll %:
16.8%
Avg Residents/Day:
95.80
Overall Rating:
Adj Nurse Hours:
3.3171
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
2
Citations:
32
Severe Citations:
2
RN share vs State Avg:
-51%
-51%
Staffing vs State Avg:
-8%
-8%
Occupancy vs State Avg:
-17%
-17%
Job Haines Home
Type of care:
AL
HC
HC
SNF
Community:
Bloomfield
Bed Count:
40
Pets Allowed:
No
Operator:
HAVERON, NOREEN
CCN:
315392
Occupancy:
45.5%
Home Revenue:
$13,340,016.00
Payroll Costs:
$10,214,151.00
Payroll %:
76.6%
Avg Residents/Day:
36.90
Overall Rating:
Adj Nurse Hours:
6.3081
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
4
RN share vs State Avg:
-21%
-21%
Staffing vs State Avg:
+63%
+63%
Occupancy vs State Avg:
-41%
-41%
Bed Options:
Studio / 1 Bed / Private / Semi-Private Rooms
Places of interest near Nella’s at Autumn Lake Healthcare
0.0 miles from city center
ELKINS, WV 26241
Calculate Travel Distance to Nella’s at Autumn Lake Healthcare
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Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
104
Total Staff
67
Employees
37
Contractors
31,729
Total Hours (Quarter)
42
Avg Staff/Day
8.3
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 5 | 9.8 | Yes |
| Licensed Practical Nurse | 29 | 8.9 | Yes |
| Certified Nursing Assistant | 52 | 8.7 | Yes |
Staff by Category
Administration ⓘ
1 staff
8hs shift avg
Nursing Staff ⓘ
86 staff
8.8hs shift avg
Physicians & Practitioners ⓘ
2 staff
8.6hs shift avg
Therapy Services ⓘ
6 staff
3.9hs shift avg
Activities & Recreation ⓘ
0 staff
0hs shift avg
Social Services ⓘ
0 staff
0hs shift avg
Dietary Services ⓘ
8 staff
7.5hs shift avg
Other Services ⓘ
1 staff
8hs shift avg
Contractor Analysis
10.4%
of total hours from contractors
3,315 contractor hours this quarter
Licensed Practical Nurse: 13
Certified Nursing Assistant: 17
Registered Nurse: 1
Respiratory Therapy Technician: 1
Speech Language Pathologist: 2
Physical Therapy Aide: 2
Physical Therapy Assistant: 1
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 35 | 17 | 52 | 16,803 | 91 | 100% | 8.7 |
| Licensed Practical Nurse | 16 | 13 | 29 | 7,948 | 91 | 100% | 8.9 |
| Other Dietary Services Staff | 8 | 0 | 8 | 2,518 | 91 | 100% | 7.5 |
| Registered Nurse | 4 | 1 | 5 | 1,648 | 85 | 93% | 9.8 |
| Nurse Practitioner | 1 | 0 | 1 | 577 | 64 | 70% | 9 |
| Dental Services Staff | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Administrator | 1 | 0 | 1 | 488 | 61 | 67% | 8 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 483 | 59 | 65% | 8.2 |
| Physical Therapy Aide | 0 | 2 | 2 | 279 | 59 | 65% | 4.7 |
| Respiratory Therapy Technician | 0 | 1 | 1 | 234 | 62 | 68% | 3.8 |
| Speech Language Pathologist | 0 | 2 | 2 | 215 | 44 | 48% | 3.9 |
| Physical Therapy Assistant | 0 | 1 | 1 | 24 | 17 | 19% | 1.4 |
Health Inspection History
Inspections
Total health citations
32
Citations per inspection
8
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).
Breakdown of citation severity (last 3 years)
Critical Health citations
2
2
In line with State averageState average: N/A
Serious Health citations
0
0
In line with State averageState average: N/A
2 critical citations
0 serious citations
29 moderate citations
1 minor citation
Citations history (last 3 years)
Infection Control moderate citation
Aug 05, 2025
Corrected
Nutrition moderate citation
Aug 05, 2025
Corrected
Quality of Care moderate citation
Aug 05, 2025
Corrected
Quality of Care critical citation
Aug 05, 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.
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Ownership: For-Profit LLC
Resident Census by Payment Source
91
Total Residents
Medicare
2
(2.2%)
ⓘ
Medicaid
85
(93.4%)
ⓘ
Private Pay/Other
4
(4.4%)
ⓘ
Programs & Services
Residents' Group
ⓘ
Family Member Group
ⓘ
Family Engagement
Active councils help families stay involved in care decisions and facility operations.
Active
Family Council
ⓘ
Active
Resident Council
ⓘ
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.
7.3
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 State averageState average: 11.3
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
16.1
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
16.1
24% 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
11.7%
Percent of long-stay residents whose need for help with daily activities has increased
11.7%
38% better than State averageState average: 18.9%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
13.3%
Percent of long-stay residents whose ability to move independently worsened
13.3%
39% 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
23.3%
Percent of low risk long-stay residents who lose control of their bowels or bladder
23.3%
In line with State averageState average: 22.6%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
0.8%
Percent of long-stay residents experiencing one or more falls with major injury
0.8%
81% better than State averageState average: 4.5%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
3.8%
Percent of long-stay high risk residents with pressure ulcers
3.8%
23% better than State averageState average: 4.9%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.6%
Percent of long-stay residents with a urinary tract infection
0.6%
71% better than State averageState average: 2.0%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
6.9%
Percent of long-stay residents who lose too much weight
6.9%
5% worse than State averageState average: 6.6%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
2.6%
Percent of long-stay residents who have depressive symptoms
2.6%
57% better than State averageState average: 6.1%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
38.3%
Percent of long-stay residents who received an antipsychotic medication
38.3%
189% worse than State averageState average: 13.2%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with State averageState average: 96.8%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
99.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
99.0%
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
100.0%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
27% better than State averageState average: 78.6%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
2.9%
Percent of short-stay residents who newly received an antipsychotic medication
2.9%
180% worse than State averageState average: 1.0%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
26% 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.
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 (Data as of Jan 2026)
Total fines amount
$72K
33% higher than State averageState average: $54K
Number of fines
2
30% more fines than State averageState average: 1.5
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than State averageState average: 0.0
Fines amount comparison
Fines amount comparison
This facility
$72K
State average
$54K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
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.
Aug 5, 2025
$35K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Nov 8, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Nov 8, 2023
$37K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Nella’s at Autumn Lake Healthcare based on CMS SNF Cost Reports.
Occupancy Rate
74.5%
↑ 10.0pp vs 2022
Net Income
$274,757
↑ ~$596K vs 2022
Total Payroll
$4,954,254
↑ ~$401K vs 2022
Profit Margin
2.8%
↑ 6.6pp vs 2022
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