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Nella’s at Autumn Lake Healthcare
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.
Exterior view of assisted living facility with landscaped gardens. Exterior view of the facility entrance Common area with tables and chairs for residents Cozy private room with bed and desk.

Nella’s at Autumn Lake Healthcare

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.
499 Ferguson Road, Elkins, WV 26241 View map
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Nella’s at Autumn Lake Healthcare accepts Medicaid, Medicare, and private pay.
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Nella’s at Autumn Lake Healthcare accepts Medicaid, Medicare, and private pay.

Overview of Nella’s at Autumn Lake Healthcare

Nella’s at Autumn Lake Healthcare provides nursing home and skilled nursing care in Elkins, WV. Skilled nursing means licensed nurses are available on site around the clock, while long term living supports residents who need ongoing care in a nursing home setting. Short term rehabilitation is also available. That combination can suit someone needing temporary rehabilitation or a family arranging ongoing nursing home care.

The community has 60 beds, with 3 hours and 42 minutes of total nurse staffing assigned per resident each day. Medicaid can help cover care for eligible residents whose savings may not cover a long stay, while Medicare covers short term skilled care after a hospital stay rather than long term residence. Private pay allows a family to pay directly. Sherry Foltz serves as the administrator, and Warrior Leasing Co. operates the community.

Facility Direct Line (304) 636-1008

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
▼ 63.0% Below WV avg. ▼ 63.0% Below WV avg.WV average: 2.7Click the badge to see the full State ranking.Click here to see the full State ranking.
Health Inspection Info 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.
▼ 64.4% Below WV avg. ▼ 64.4% Below WV avg.WV average: 2.8Click the badge to see the full State ranking.Click here to see the full State ranking.
Staffing Info 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.
▲ 61.1% Above WV avg. ▲ 61.1% Above WV avg.WV average: 2.5Click the badge to see the full State ranking.Click here to see the full State ranking.
Quality Measures Info 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.
▲ 28.1% Above WV avg. ▲ 28.1% Above WV avg.WV average: 3.1Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing hours Info 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.

Hours per resident per day vs West Virginia averages

Rank #12 / 42Nurse hours — State benchmarkedThis nursing home is ranked 12th out of 42 nursing homes we track in West Virginia for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the West Virginia average, with a ranking across 42 West Virginia facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in West Virginia that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Total nursing care Info This nursing home is ranked 12th out of 42 nursing homes we track in West Virginia for nurse hours. 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 42m

At state avg
Staff type
Hours / day / resident
vs state avg
Registered Nurse (RN) Info 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.
37m
−13% State avg: 42m per day · National avg: 41m per day
LPN / LVN Info 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.
56m
+3% State avg: 55m per day · National avg: 52m per day
Nurse Aide Info 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 9m
+4% State avg: 2h 4m per day · National avg: 2h 20m per day
Weekend Total Nursing Info 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.
3h 25m
+8% State avg: 3h 11m per day · National avg: 3h 26m per day
Physical Therapist Info 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
−46% State avg: 3m per day · National avg: 4m per day
Weekend RN Info 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.
25m
+10% State avg: 23m per day · National avg: 28m per day

2 of 6 metrics below state avg

Standout metric: Weekend RN is +10% above West Virginia average

By The Numbers

Community insights.

Bed count Info A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions. 60 Rank #31 / 43Bed count — State benchmarkedThis nursing home is ranked 31st out of 43 nursing homes we track in West Virginia for bed count. Shows this facility's certified or reported bed count compared to other West Virginia facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in West Virginia that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Smaller home · May offer a more intimate, personalized care environment.

Years of operating Info A newer community that may feature more recent facilities and programs. This is the number of years in operation under current management. Rank #18 / 40Years in operation — State benchmarkedThis nursing home is ranked 18th out of 40 nursing homes we track in West Virginia for years in operation. Shows how long this facility has been in operation compared to other West Virginia facilities. Longer operating histories may benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in West Virginia that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
1 year
Walk Score Info Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk. Rank #2 / 42Walk Score — State benchmarkedThis nursing home is ranked 2nd out of 42 nursing homes we track in West Virginia for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across West Virginia facilities. Higher scores benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in West Virginia that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
77 / 100
Occupancy rate Info Occupancy lower than 85% suggests more openings may be available. Rank #40 / 41Occupancy rate — State benchmarkedThis nursing home is ranked 40th out of 41 nursing homes we track in West Virginia for occupancy. Shows this facility's occupancy rate versus the West Virginia average, with its Statewide rank out of 41. Higher occupancy signals strong local demand and financial stability.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in West Virginia that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
35% This home usually has availability
Lower than the West Virginia average: 87.5%
Occupied beds
21 / 60
Avg. Length of Stay Info Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
236 days

About this community

License Details

Facility TypeNursing Home (NH)
StatusActive
IssuanceNovember 1, 2024
CountyRandolph
License Number51
CMS Certification Number515196

Ownership & Operating Entity

Nella’s at Autumn Lake Healthcare is legally operated by Warrior Leasing Co., LLC ., and administered by Sherry Foltz.

Owner Name499 Ferguson Road OPCO LLC

Payment & Insurance

2 services
Accept Medicaid
Accept Medicare

Therapy & Rehabilitation

2 services
Rehabilitation Services
Short-Term Rehab

Contact Information

Fax(304) 294-8761

Additional Policies & Features

Pets not allowed

Amenities & Lifestyle

Specific ProgramsLong-Term Living

Contact Nella’s at Autumn Lake Healthcare

This profile shows two inspection records, and their totals often differ. Inspection History and the Inspection Scorecard below are state data — the figures the state publishes and the state inspection reports we hold on file — covering the entire facility. CMS Health Inspection History covers only this home's Medicare and Medicaid-certified nursing beds, from federal certification surveys.

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 (442% above)
• Deficiencies per inspection (18% above) 0 Better No metrics in this bucket.

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. 1356250.0 This facility has 442% more total deficiencies than a typical West Virginia nursing home (1356 vs. WV avg 250).↑ 442% worse
Deficiencies per inspection Info Average deficiencies per inspection. 3.32.8 This facility has 18% more deficiencies per inspection than a typical West Virginia nursing home (3.3 vs. WV avg 2.8).↑ 18% 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 inspections conducted at this facility. 40917.0 This facility has had 2306% more total inspections than the West Virginia average (409 vs. WV avg 17). More inspections can mean more regulatory scrutiny rather than worse care.↑ 2306% more
Show Inspection Reports

CMS Health Inspection History

Federal inspection data published by CMS, covering this home's Medicare and/or Medicaid-certified skilled-nursing/nursing beds only.

Inspections Since 2021 · 5 years of data

Includes all CMS health inspection records for this property, which could include management/ownership changes.

Total health inspections 5

State average 4.7

Last Health inspection on Dec 2025

Total health citations
35 Rank #16 / 43Health citations — State benchmarkedThis nursing home is ranked 16th out of 43 nursing homes we track in West Virginia for health citations. Shows this facility's total health deficiency citations benchmarked to the West Virginia State average, with a ranking across all 43 WV facilities. Lower citation counts earn a better rank.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in West Virginia that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average 41.8

Citations per inspection
7 Rank #7 / 43Citations per inspection — State benchmarkedThis nursing home is ranked 7th out of 43 nursing homes we track in West Virginia for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the West Virginia mean across 43 facilities with citation data. Lower is better.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in West Virginia that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average 9.12

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

28 of 35 citations resulted from standard inspections; 6 of 35 resulted from complaint investigations; and 1 of 35 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 5 years)
Critical health citations
1
25% worse than State average

State average: 0.8

Serious health citations
0
100% better than State average

State average: 0.5

1 critical citation State average: 0.8
0 serious citations State average: 0.5
33 moderate citations State average: 40.2
1 minor citation State average: 0.3
Citations history (last 5 years)
Infection Control moderate citation Dec 30, 2025
Corrected
Nutrition moderate citation Dec 30, 2025
Corrected
Nutrition moderate citation Dec 30, 2025
Corrected
Resident Rights moderate citation Dec 30, 2025
Corrected

Data sourced from CMS Health Deficiencies reports, which cover the Medicare and/or Medicaid-certified skilled-nursing and nursing beds and no other part of the community. 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.

Staffing Data

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

Total staff 112
Employees 73
Contractors 39
Staff to resident ratio 1.23 : 1
17% fewer staff per resident than West Virginia average
West Virginia average ratio: 1.48 : 1 West Virginia average ratio: 1.48 : 1See full West Virginia ranking
Avg staff/day 44
Average shift 8.1 hours
0% compared with West Virginia average
West Virginia average: 8.4 hours West Virginia average shift: 8.4 hoursSee full West Virginia ranking
Total staff hours (quarter) 32,849

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 19 total: 10 full-time employees and 9 contractors. 19
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.8 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info 25 total: 13 full-time employees and 12 contractors. 25
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info 50 total: 39 full-time employees and 11 contractors. 50
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.3 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

8.7%

2,856 contractor hours this quarter

Licensed Practical Nurse: 12 Certified Nursing Assistant: 11 Registered Nurse: 9 Speech Language Pathologist: 2 Physical Therapy Assistant: 2 Physical Therapy Aide: 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 Assistant39115017,30092100%8.3
Licensed Practical Nurse1312256,50992100%9
Registered Nurse109193,95192100%9.8
Other Dietary Services Staff6062,42292100%7.4
Nurse Practitioner1015385964%9.1
Dental Services Staff1015126470%8
Administrator1015046368%8
Speech Language Pathologist0222476267%3.5
Physical Therapy Assistant0222196571%3.2
Physical Therapy Aide0112105964%3.6
Respiratory Therapy Technician0112106065%3.5
Clinical Nurse Specialist1011762224%8
Occupational Therapy Aide1013644%9
Qualified Social Worker011171415%1.2
50 Certified Nursing Assistant
% of Days 100%
25 Licensed Practical Nurse
% of Days 100%
19 Registered Nurse
% of Days 100%
6 Other Dietary Services Staff
% of Days 100%
View All Staffing Data

Penalties and fines

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)

Total fines amount $72K Rank #37 / 43Federal fines — State benchmarkedThis nursing home is ranked 37th out of 43 nursing homes we track in West Virginia for federal fines. Shows this facility's cumulative CMS federal fine dollars versus the West Virginia average among facilities with fines, and where it ranks among 43 facilities in the pool. Lower total dollars mean a better rank.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in West Virginia that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
33% higher than West Virginia average

West Virginia average: $54K

Number of fines 2
30% more fines than West Virginia average

West Virginia average: 1.5

Payment Denials Info 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 average

West Virginia average: 0.0

Fines amount comparison
Fines amount comparison
This facility $72K
West Virginia average $54K
Penalty History

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.

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Aug 5, 2025
$35K
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Nov 8, 2023
$37K

Last updated: Jan 2026

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. 7.3
35% better than West Virginia average

West Virginia average: 11.3

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 16.1
24% better than West Virginia average

West Virginia average: 21.1

Long-stay resident measures
Significantly above average West Virginia 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 11.7%
38% better than West Virginia average

West Virginia average: 18.9%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 13.3%
39% better than West Virginia average

West Virginia 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 23.3%
In line with West Virginia average

West Virginia average: 22.6%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 0.8%
81% better than West Virginia average

West Virginia average: 4.5%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 3.8%
23% better than West Virginia average

West Virginia average: 4.9%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.6%
71% better than West Virginia average

West Virginia average: 2.0%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 6.9%
5% worse than West Virginia average

West Virginia average: 6.6%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 2.6%
57% better than West Virginia average

West Virginia average: 6.1%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 38.3%
189% worse than West Virginia average

West Virginia average: 13.2%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
In line with West Virginia average

West Virginia average: 96.8%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 99.0%
In line with West Virginia average

West Virginia average: 97.6%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 1.27
32% better than West Virginia average

West Virginia average: 1.86

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 1.08
44% better than West Virginia average

West Virginia average: 1.92

Short-stay resident measures
Average West Virginia 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 100.0%
27% better than West Virginia average

West Virginia average: 78.6%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 2.9%
180% worse than West Virginia average

West Virginia average: 1.0%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
26% better than West Virginia average

West Virginia average: 79.4%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 20.8%
10% better than West Virginia average

West Virginia average: 23.0%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 8.4%
32% better than West Virginia average

West Virginia average: 12.4%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 2.0%
155% worse than West Virginia average

West Virginia average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 25.0%
53% worse than West Virginia average

West Virginia average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 39.2%
22% worse than West Virginia average

West Virginia average: 50.6%

Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.

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

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 91
Medicare
2
2.2% of residents
Medicaid
85
93.4% of residents
Private pay or other
4
4.4% of residents
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.

Finances and operations

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

For-profit
Operated by a limited liability company.
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."
$9.4M
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."
-$1.5M
For-profit Operated by a limited liability company.
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."
$9.4M Rank #26 / 34Net patient revenue — State benchmarkedThis nursing home is ranked 26th out of 34 nursing homes we track in West Virginia. Shows this facility's net patient revenue compared to the West Virginia average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in West Virginia that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
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."
-$1.5M
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.
$1.7M
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 #33 / 34Payroll costs — State benchmarkedThis nursing home is ranked 33rd out of 34 nursing homes we track in West Virginia. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the West Virginia average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in West Virginia that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
$1.8M 19.3% 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 #33 / 34Payroll % of net patient revenue — State benchmarkedThis nursing home is ranked 33rd out of 34 nursing homes we track in West Virginia. Shows payroll as a percentage of net patient revenue versus the West Virginia average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in West Virginia that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
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).
$9.0M
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).
$10.9M
How we calculate these figures

This home is administered by Sherry Foltz.

Certified by the Centers for Medicare & Medicaid Services authority — CMS Certification Number: 515196

Show certification details

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 (40% of admissions), and a typical Medicaid stay runs around 1 - 2 years.

Admissions
126 total

Coverage residents most often arrive under.

Medicare 25%
Private pay 35%
Medicaid 40%
Discharges
115 total

Coverage residents most often leave under.

Medicare 15%
Private pay 37%
Medicaid 49%

Admissions and discharges reflect care patterns over time — they are not used to rate this facility.

How we assess these insights

Places of interest near Nella’s at Autumn Lake Healthcare

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

Calculate Travel Distance to Nella’s at Autumn Lake Healthcare

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Info below is compiled from CMS reports & the WV Dept. of Health & Human Resources, senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest-ranked to lowest-ranked based on our methodology.

The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. RC (Respite Care): Short-term temporary care that gives family caregivers a break. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment. PC (Palliative Care): Comfort-focused care for serious illness at any stage, including alongside curative treatment.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The West Virginia average is: 47.8% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
Elkins Rehabilitation & Care Center ★ ★ ★ ★ ★
NH
AL
RC
SNF
Elkins
111
Facility 111
WV AVG 87
Rank #12 / 43
92.8%
Facility 92.8%
WV AVG 87.5%
Rank #19 / 41
+6%
4.59
Facility 4.59
WV AVG 3.62
Rank #4 / 42
 ★ ★ ★ ★ ☆ ★ ★ ★ ★ ★ ★ ★ ☆ ☆ ☆ +32%+27%
$8.3k
Facility $8.3k
WV AVG $52.9k
Rank #22 / 43
34
Facility 34
WV AVG 43.1
Rank #13 / 43
8.5
Facility 8.5
WV AVG 9.3
Rank #18 / 43
1103-
77
Facility 77
WV AVG 40
Rank #2 / 42
Elkins Regional Convalescent Center, Inc
$16.2MFiscal year ending 12/2023
Facility $16.2MFiscal year ending 12/2023
WV AVG $13.4M
Rank #9 / 34
$8.1MFiscal year ending 12/2023
Facility $8.1MFiscal year ending 12/2023
WV AVG $5.7M
Rank #8 / 34
50.2%Fiscal year ending 12/2023
Facility 50.2%Fiscal year ending 12/2023
WV AVG 47.8%
Rank #5 / 34
515025
Sundale Nursing Home ★ ★ ★ ★ ☆
NH
MC
PC
SNF
Morgantown
100
Facility 100
WV AVG 87
Rank #17 / 43
85.0%
Facility 85.0%
WV AVG 87.5%
Rank #31 / 41
-3%
3.65
Facility 3.65
WV AVG 3.62
Rank #14 / 42
 ★ ★ ★ ★ ☆ ★ ★ ★ ★ ☆ ★ ★ ☆ ☆ ☆ -9%+1%
$0
Facility $0
WV AVG $52.9k
Rank #1 / 43
31
Facility 31
WV AVG 43.1
Rank #11 / 43
7.8
Facility 7.8
WV AVG 9.3
Rank #15 / 43
-85-
47
Facility 47
WV AVG 40
Rank #14 / 42
Sundale Nursing Home
$14.0MFiscal year ending 12/2023
Facility $14.0MFiscal year ending 12/2023
WV AVG $13.4M
Rank #16 / 34
$8.8MFiscal year ending 12/2023
Facility $8.8MFiscal year ending 12/2023
WV AVG $5.7M
Rank #5 / 34
62.7%Fiscal year ending 12/2023
Facility 62.7%Fiscal year ending 12/2023
WV AVG 47.8%
Rank #3 / 34
515083
Valley Center ★ ★ ★ ★ ☆
NH
HOS
PC
RC
SNF
South Charleston (Rock Lake Village)
119
Facility 119
WV AVG 87
Rank #11 / 43
100.0%
Facility 100.0%
WV AVG 87.5%
Rank #1 / 41
+14%
2.91
Facility 2.91
WV AVG 3.62
Rank #35 / 42
 ★ ★ ★ ★ ☆ ★ ★ ☆ ☆ ☆ ★ ★ ★ ★ ☆ -11%-20%
$0
Facility $0
WV AVG $52.9k
Rank #1 / 43
44
Facility 44
WV AVG 43.1
Rank #25 / 43
5.5
Facility 5.5
WV AVG 9.3
Rank #5 / 43
-126-
5
Facility 5
WV AVG 40
Rank #39 / 42
1539 Country Club Road Operations, LLC
$19.7MFiscal year ending 06/2024
Facility $19.7MFiscal year ending 06/2024
WV AVG $13.4M
Rank #5 / 34
$7.4MFiscal year ending 06/2024
Facility $7.4MFiscal year ending 06/2024
WV AVG $5.7M
Rank #10 / 34
37.4%Fiscal year ending 06/2024
Facility 37.4%Fiscal year ending 06/2024
WV AVG 47.8%
Rank #21 / 34
515169
Elizabeth Care Center ★ ★ ★ ★ ☆
NH
SNF
Elizabeth
36
Facility 36
WV AVG 87
Rank #40 / 43
100.0%
Facility 100.0%
WV AVG 87.5%
Rank #1 / 41
+14%
3.30
Facility 3.30
WV AVG 3.62
Rank #24 / 42
 ★ ★ ★ ★ ☆ ★ ★ ★ ☆ ☆ ★ ★ ★ ☆ ☆ +23%-9%
$0
Facility $0
WV AVG $52.9k
Rank #1 / 43
21
Facility 21
WV AVG 43.1
Rank #2 / 43
7.0
Facility 7.0
WV AVG 9.3
Rank #7 / 43
-34-
22
Facility 22
WV AVG 40
Rank #31 / 42
Elizabeth Care Center
$5.2MFiscal year ending 12/2023
Facility $5.2MFiscal year ending 12/2023
WV AVG $13.4M
Rank #33 / 34
$2.4MFiscal year ending 12/2023
Facility $2.4MFiscal year ending 12/2023
WV AVG $5.7M
Rank #32 / 34
46.1%Fiscal year ending 12/2023
Facility 46.1%Fiscal year ending 12/2023
WV AVG 47.8%
Rank #8 / 34
515195
Nella’s at Autumn Lake Healthcare ★ ☆ ☆ ☆ ☆
NH
SNF
Elkins
60
Facility 60
WV AVG 87
Rank #31 / 43
35.0%
Facility 35.0%
WV AVG 87.5%
Rank #40 / 41
-60%
3.70
Facility 3.70
WV AVG 3.62
Rank #12 / 42
 ★ ☆ ☆ ☆ ☆ ★ ★ ★ ★ ☆ ★ ★ ★ ★ ☆ +78%+2%
$59.8k
Facility $59.8k
WV AVG $52.9k
Rank #37 / 43
35
Facility 35
WV AVG 43.1
Rank #16 / 43
7.0
Facility 7.0
WV AVG 9.3
Rank #7 / 43
121-
77
Facility 77
WV AVG 40
Rank #2 / 42
499 Ferguson Road Opco LLC
$9.4MFiscal year ending 12/2023
Facility $9.4MFiscal year ending 12/2023
WV AVG $13.4M
Rank #26 / 34
$1.8MFiscal year ending 12/2023
Facility $1.8MFiscal year ending 12/2023
WV AVG $5.7M
Rank #33 / 34
19.3%Fiscal year ending 12/2023
Facility 19.3%Fiscal year ending 12/2023
WV AVG 47.8%
Rank #33 / 34
515196

Rank badges are statewide and care-type specific: each nursing home is ranked against every other WV nursing home we track that reports that metric, not just the 5 on this page. See how we rank facilities

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Frequently Asked Questions about Nella’s at Autumn Lake Healthcare

Who is the owner of Nella’s at Autumn Lake Healthcare?

Nella’s at Autumn Lake Healthcare is legally operated by Warrior Leasing Co., LLC ., and administered by Sherry Foltz.

Is Nella’s at Autumn Lake Healthcare in a walkable area?

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.

What is the license number of Nella’s at Autumn Lake Healthcare?

According to WV state health department records, Nella’s at Autumn Lake Healthcare's license number is 51.

What is the occupancy rate at Nella’s at Autumn Lake Healthcare?

Nella’s at Autumn Lake Healthcare's occupancy is 35%.

How long has Nella’s at Autumn Lake Healthcare been in business?

Nella’s at Autumn Lake Healthcare has been operating for approximately 1 year, based on available licensing and registration records.

Are pets allowed at Nella’s at Autumn Lake Healthcare?

No, Nella’s at Autumn Lake Healthcare has a no-pet policy.

Does Nella’s at Autumn Lake Healthcare operate as a for-profit or non-profit?

Nella’s at Autumn Lake Healthcare is registered as a for-profit in WV.

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