Occupancy rate
21%
In line with the state averageMostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
Explore Open Rooms
1
Contact details
2
What type of senior care service are you looking for?
3
What budget do you have in mind for senior care?
4
How soon do you need to find care?
5
Additional details
Thank you for your interest!
Our team will be in touch shortly to help with next steps.
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.
Nella’s at Autumn Lake Healthcare
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.
Nella’s at Autumn Lake Healthcare
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
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.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
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
21%
Residents per day
21
Occupancy rate
21%
Residents per day
21
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
Privately-owned community
Operated by a business corporation.
Home revenue
$11.5M
Profit
$274.8K
Privately-owned community
Operated by a business 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
In line with the state averageOccupied beds
21 / 100
License details
Facility type
Nursing Home (nh)
Status
Active
Issuance
November 1, 2024
County:
Randolph
Additional licensing details
License number:
51
CMS Certification Number:
515196
Ownership & operating entity
Nella’s at Autumn Lake Healthcare is administrated by JONATHAN BOLYARD.
Owner name:
499 Ferguson Road OPCO LLC
Care Services
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.
Show Inspection Reports
Latest inspection
Date
April 7, 2024
1356 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
West Virginia average: 249 deficiencies
Health Inspection History
Inspections
Total health inspections
4
State average N/A
Last Health inspection on Aug 2025
Total health citations
32
State average N/A
Citations per inspection
8
State average N/A
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
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Aug 05, 2025
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Aug 05, 2025
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Aug 05, 2025
Issues related to food quality, meal service, and resident's nutritional needs.
Aug 05, 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.
Aug 05, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Aug 05, 2025
Corrected
Quality of Care critical citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Aug 05, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
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.
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
Nella’s at Autumn Lake Healthcare
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
100
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
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
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
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
-
-
Places of interest near Nella’s at Autumn Lake Healthcare
0.0 miles from city center
499 ferguson road, ELKINS, WV 26241
Calculate Travel Distance to Nella’s at Autumn Lake Healthcare
Add your location
Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
104
Employees
67
Contractors
37
Staff to resident ratio
1.14:1
0% compared with State averageState average ratio: 0:0
Avg staff/day
42
Average shift
8.3 hours
0% compared with State averageState average: 0 hours
Total staff hours (quarter)
31,729
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.
9.8 hours
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.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
29
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
52
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
10.4%
3,315 contractor hours this quarter
Certified Nursing Assistant: 17
Licensed Practical Nurse: 13
Speech Language Pathologist: 2
Physical Therapy Aide: 2
Registered Nurse: 1
Respiratory Therapy Technician: 1
Physical Therapy Assistant: 1
Staff by category
| 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 |
52 Certified Nursing Assistant
% of Days
100%
29 Licensed Practical Nurse
% of Days
100%
8 Other Dietary Services Staff
% of Days
100%
5 Registered Nurse
% of Days
93%
1 Nurse Practitioner
% of Days
70%
1 Dental Services Staff
% of Days
70%
1 Administrator
% of Days
67%
1 Clinical Nurse Specialist
% of Days
65%
2 Physical Therapy Aide
% of Days
65%
1 Respiratory Therapy Technician
% of Days
68%
2 Speech Language Pathologist
% of Days
48%
1 Physical Therapy Assistant
% of Days
19%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
91 residents
Residents by payment source
Medicare
2 residents (2.2%)
Medicaid
85 residents (93.4%)
Private pay or other
4 residents (4.4%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
Family Member Group
Family members meet regularly to discuss policies, care quality, and activities
Active Family Council
Organized group of family members that meets regularly to discuss facility policies, resident care, and activities.
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.
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
Loading trend charts...
Guides for Better Senior Living
Care Cost Calculator: See Prices in Your Area
Nursing Home Data Explorer
Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now
The True Cost of Assisted Living in 2025 – And How Families Are Paying For It
Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
Contact Us
Planning a tour? Check our touring checklist.
Thinking of living here? We can help you speak to a current resident
Looking for a job? Apply for Open Positions at Nella’s at Autumn Lake Healthcare
Thinking about senior living? Use our bidding system to get competitive quotes from the best homes in your area.
Touring Checklist for Senior Living
Touring a community? Use this expert-backed checklist to stay organized, ask the right questions, and find the perfect fit.
Location
Community Spaces and Overall Environment
Services
Staffing
Accommodations
Finances
Other Notes
0/250
Send Checklist to Your Email
We'll send you a PDF version of the touring checklist.
Feedback
