Nella’s at Autumn Lake Healthcare
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.

Nella’s at Autumn Lake Healthcare

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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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 is a 60-bed skilled nursing facility in Elkins, West Virginia, offering short-term rehabilitation and long-term living, including memory care programming. The community is operated by Nellas Opco Holdco LLC and accepts Medicare and Medicaid.

The facility holds a 1-star CMS overall rating — 55.6% below the West Virginia average — driven largely by its Health Inspection score, which is 59% below state benchmarks. The March 2025 annual survey cited 13 deficiencies, with one substantiated complaint covering abuse, neglect, medication errors, and inadequate staffing. Follow-up surveys in April, May, and June 2025 found zero deficiencies, suggesting active corrective work. No fines or Immediate Jeopardy findings appear in the available reports.

Nurse staffing averages 3 hours and 19 minutes per resident per day — 15.6% below the West Virginia average — ranking the facility 24th of 46 skilled nursing homes in the state. The facility’s occupancy rate is 35% (21 of 60 beds), well below the state average of 89.9%, indicating current availability across the community.

Nella’s at Autumn Lake Healthcare serves long-term and post-acute residents in Randolph County, with memory care and rehabilitation capacity available for those requiring either track. Families should review the facility’s recent abuse- and staffing-related inspection findings before making a placement decision.

(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.
▼ 26.1% Below WV avg. ▼ 26.1% 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.
▲ 20.8% Above WV avg. ▲ 20.8% 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.
▲ 60.1% Above WV avg. ▲ 60.1% 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 breakdown

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 — compared to West Virginia state averages

Total nursing care / resident Info This home is ranked 27th out of 48 homes 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 19m per day
Rank #27 / 48Nurse hours — State benchmarkedThis home is ranked 27th out of 48 homes in West Virginia. Shows adjusted nurse hours per resident per day benchmarked to the West Virginia average, with a ranking across 48 West Virginia facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.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.
This facility West Virginia avg (3h 37m per day)
vs West Virginia avg
-8%

5 of 6 metrics below state avg

Standout metric Weekend RN is +15% above state avg
Staff typeHours / Day / Residentvs 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. 31m per day ▼ 26% 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. 44m per day ▼ 21% 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. 1h 56m per day ▼ 7% 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. 2h 53m per day ▼ 9% 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. 1m per day ▼ 53% 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. 27m per day ▲ 15% State avg: 23m per day · National avg: 28m per day

Capacity and availability

Avg. Length of Stay
236 days
Bed community size
60-bed community Rank #50 / 78Bed count — State benchmarkedThis home is ranked 50th out of 78 homes in West Virginia. 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.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.
A moderately sized community that may balance personal attention with shared amenities and social activities.
Years in operation
1 year in operation Rank #15 / 47Years in operation — State benchmarkedThis home is ranked 15th out of 47 homes in West Virginia. Shows how long this facility has been in operation compared to other West Virginia facilities. Longer operating histories may benefit residents, families, and staff.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.
A newer community that may feature more recent facilities and programs.
Walk Score
Walk Score: 77 / 100 Rank #3 / 89Walk Score — State benchmarkedThis home is ranked 3rd out of 89 homes in West Virginia. 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.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.
Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

About this community

Occupancy

Occupancy rate
35%
Rank #70 / 73Occupancy rate — State benchmarkedThis home is ranked 70th out of 73 homes in West Virginia. Shows this facility's occupancy rate versus the West Virginia average, with its Statewide rank out of 73. Higher occupancy signals strong local demand and financial stability.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.
Lower than the West Virginia average: 89.9%
Occupied beds
21 / 60
Average occupied beds in West Virginia homes 77 beds

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

Amenities & Lifestyle

Specific ProgramsLong-Term Living

Contact Nella’s at Autumn Lake Healthcare

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, citation, 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 (445% above)
• Deficiencies per inspection (932% above)
1 Better Metrics better than West Virginia average:
• Total inspections (47% below)
Latest Inspection April 7, 2024

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. 1356249 This facility has 445% more total deficiencies than a typical West Virginia nursing home (1356 vs. WV avg 249).↑ 445% worse
Deficiencies per inspection Info Average deficiencies per inspection. 150.714.6 This facility has 932% more deficiencies per inspection than a typical West Virginia nursing home (150.7 vs. WV avg 14.6).↑ 932% 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. 917 This facility has 47% fewer total inspections than a typical West Virginia nursing home (9 vs. WV avg 17).↓ 47% better

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

  • The most recent inspection on June 10, 2025 found the facility fully compliant with all Federal and State Life Safety Code and Emergency Preparedness Plan requirements, with no deficiencies cited.
  • The March 12, 2025 annual survey identified 13 deficiencies including failure to prevent resident abuse, medication errors, inadequate staffing, infection control lapses, and resident safety issues during transport, with a substantiated complaint.
  • The facility has a history of recurring deficiencies in care planning, infection control, abuse reporting, and food service dating back several years, showing a consistent pattern of quality and safety concerns despite some corrected deficiencies.

Health Inspection History

Inspections since 2021
Total health inspections 4

West Virginia average 4.8


Last Health inspection on Aug 2025

Total health citations
32 Rank #16 / 50Health citations — State benchmarkedThis home is ranked 16th 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.

West Virginia average 43.1

Citations per inspection
8 Rank #14 / 50Citations per inspection — State benchmarkedThis home is ranked 14th 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.

West Virginia average 9.25


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 5 years)
Critical health citations
2
150% worse than West Virginia average

West Virginia average: 0.8


Serious health citations
0
100% better than West Virginia average

West Virginia average: 0.5

2 critical citations West Virginia average: 0.8

0 serious citations West Virginia average: 0.5

29 moderate citations West Virginia average: 41.5

1 minor citation West Virginia average: 0.3
Citations history (last 5 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

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%
1 Nurse Practitioner
% of Days 64%
1 Dental Services Staff
% of Days 70%
1 Administrator
% of Days 68%
2 Speech Language Pathologist
% of Days 67%
2 Physical Therapy Assistant
% of Days 71%
1 Physical Therapy Aide
% of Days 64%
1 Respiratory Therapy Technician
% of Days 65%
1 Clinical Nurse Specialist
% of Days 24%
1 Occupational Therapy Aide
% of Days 4%
1 Qualified Social Worker
% of Days 15%

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 #42 / 50Federal fines — State benchmarkedThis home is ranked 42nd out of 50 homes in West Virginia. Shows this facility's cumulative CMS federal fine dollars versus the West Virginia average among facilities with fines, and where it ranks among 50 facilities in the pool. Lower total dollars mean 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.
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
Below 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%

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.

Finances and operations

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

Privately-owned community
Operated by a single business entity.
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
Privately-owned community Operated by a single business entity.
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 #35 / 48Revenue — State benchmarkedThis home is ranked 35th 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."
-$1.5M
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 #28 / 48Payroll — State benchmarkedThis home is ranked 28th 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.
$1.8M 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 #15 / 48Payroll % — State benchmarkedThis home is ranked 15th 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 43–58% — 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).
$9.0M
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

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%

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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Compare Nursing Homes around West Virginia

The information below is reported by the West Virginia Department of Health and Human Resources, Office of Health Facility Licensure.

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515083
Worthington Healthcare Center
NH
HC
MC
PC
RC
Parkersburg (North Parkersburg)
105
Facility 105
WV AVG 82
Rank #23 / 78
100.0%
Facility 100.0%
WV AVG 89.9%
Rank #31 / 73
+11%
3.51
Facility 3.51
WV AVG 3.62
Rank #18 / 48
+19%-3%
$104.1k
Facility $104.1k
WV AVG $52.9k
Rank #46 / 50
38
Facility 38
WV AVG 43.1
Rank #23 / 50
4.8
Facility 4.8
WV AVG 9.3
Rank #2 / 50
4185-
10
Facility 10
WV AVG 37
Rank #74 / 89
Alvin Lawson
$14.0M
Facility $14.0M
WV AVG $14.1M
Rank #16 / 48
$5.6M
Facility $5.6M
WV AVG $3.9M
Rank #19 / 48
40.4%
Facility 40.4%
WV AVG 30.3%
Rank #31 / 48
515047
Madison Center
NH
HC
PC
RC
Morgantown
62
Facility 62
WV AVG 82
Rank #49 / 78
95.2%
Facility 95.2%
WV AVG 89.9%
Rank #15 / 73
+6%
2.81
Facility 2.81
WV AVG 3.62
Rank #41 / 48
-37%-22%
$30.4k
Facility $30.4k
WV AVG $52.9k
Rank #34 / 50
49
Facility 49
WV AVG 43.1
Rank #34 / 50
16.3
Facility 16.3
WV AVG 9.3
Rank #49 / 50
453-
5
Facility 5
WV AVG 37
Rank #82 / 89
825 Summit Street Operations, LLC
$9.3M
Facility $9.3M
WV AVG $14.1M
Rank #33 / 48
$3.7M
Facility $3.7M
WV AVG $3.9M
Rank #29 / 48
40.3%
Facility 40.3%
WV AVG 30.3%
Rank #21 / 48
515104
Nella’s at Autumn Lake Healthcare
NH
Elkins
60
Facility 60
WV AVG 82
Rank #50 / 78
35.0%
Facility 35.0%
WV AVG 89.9%
Rank #70 / 73
-61%
3.32
Facility 3.32
WV AVG 3.62
Rank #27 / 48
+78%-8%
$59.8k
Facility $59.8k
WV AVG $52.9k
Rank #42 / 50
32
Facility 32
WV AVG 43.1
Rank #16 / 50
8.0
Facility 8.0
WV AVG 9.3
Rank #14 / 50
221-
77
Facility 77
WV AVG 37
Rank #3 / 89
Nellas Opco Holdco LLC
$9.4M
Facility $9.4M
WV AVG $14.1M
Rank #35 / 48
$1.8M
Facility $1.8M
WV AVG $3.9M
Rank #28 / 48
19.3%
Facility 19.3%
WV AVG 30.3%
Rank #15 / 48
515196

Financial Assistance for
Nursing Home in West Virginia

Nella’s at Autumn Lake Healthcare is located in ELKINS, West Virginia.
Here are the financial assistance programs available to residents in West Virginia.

Get Financial aid guidance

Aged and Disabled Waiver

WV Medicaid A&D Waiver

Age 65+ or disabled
General West Virginia resident, Medicaid-eligible, nursing home-level care need.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple).
WV

Rural state; limited providers in some areas.

Benefits
Personal care (5-7 hours/day) Respite (240 hours/year) Adult day care (~$60/day) Home aides

West Virginia Lighthouse Program

WV Lighthouse

Age 60+
General West Virginia resident, at risk of nursing home.
Income Limits ~$2,000/month individual, varies
Asset Limits $5,000 individual
WV

Limited funding; rural focus.

Benefits
In-home care (3-5 hours/week) Respite (up to 10 days/year) Transportation (~5 trips/month)

Older Americans Act (OAA) Services

West Virginia OAA Services

Age 60+
General WV resident; no income/asset limits.
Income Limits (2025) None; donations encouraged.
Asset Limits Not assessed.
WV

Includes Meals on Wheels; serves ~20,000 annually; rural emphasis.

Benefits
Meals (~$5-$7/meal) Transportation Homemaker services (~4 hours/week) Respite (~5 days/year) Legal aid

Medicare Savings Program (MSP)

West Virginia Medicare Savings Program

Age 65+ or disabled
General WV resident, Medicare Part A/B.
Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
Asset Limits $9,430 (individual), $14,130 (couple).
WV

Includes Extra Help for Part D; no waitlist.

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

Low-Income Energy Assistance Program (LIEAP)

West Virginia LIEAP

Age 60+ prioritized
General WV resident, low-income household.
Income Limits (2025) ~$3,970/month 185% FPL
Asset Limits Not assessed.
WV

Covers gas, electric, wood; emergency aid available.

Benefits
Heating aid ($300-$1,000/season) Emergency aid ($500 max)

Family Caregiver Support Program (FCSP)

West Virginia Family Caregiver Support Program

Age
General Caregivers of 60+ needing care or 55+ caregivers of others; WV resident; 2+ ADLs.
Income Limits (2025) No strict cap; prioritizes low-income ~$24,980/year
Asset Limits Not assessed.
WV

Includes grandparent caregivers; serves ~1,500 annually.

Benefits
Respite (4-6 hours/week or 5 days/year) Adult day care ($60/day) Training Supplies (~$500/year)

VA Aid and Attendance (A&A) and Housebound Benefits

West Virginia VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse
General WV resident, wartime service, ADL help (A&A) or homebound.
Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits ~$155,356 net worth
WV

High rural veteran use; supports care costs.

Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs

Homestead Exemption for Seniors

West Virginia Homestead Exemption

Age 65+ or totally disabled
General WV resident, homeowner (homestead).
Income Limits (2025) None; tax-based eligibility.
Asset Limits Not assessed.
WV

$20,000 assessed value exemption; saves ~$200-$400/year.

Benefits
Tax exemption (~$200-$400/year avg.)

Senior Farmers’ Market Nutrition Program (SFMNP)

West Virginia SFMNP

Age 60+
General WV resident, low-income.
Income Limits (2025) ~$2,322/month 185% FPL
Asset Limits Not assessed.
WV

Vouchers (~$50/season); serves ~10,000 annually.

Benefits
Vouchers (~$50/season) for produce at farmers’ markets

Frequently Asked Questions about Nella’s at Autumn Lake Healthcare

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

The legal owner and operator of Nella’s at Autumn Lake Healthcare is Warrior Leasing Co., LLC ..

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%.

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

Sherry Foltz is the administrator of Nella’s at Autumn Lake Healthcare.

How many beds does Nella’s at Autumn Lake Healthcare have?

Nella’s at Autumn Lake Healthcare has 60 beds.

Are there photos of Nella’s at Autumn Lake Healthcare?

Yes — there are 6 photos of Nella’s at Autumn Lake Healthcare in the photo gallery on this page.

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