NELLA'S AT AUTUMN LAKE HEALTHCARE in Elkins, WV has a 1-star overall rating, with a 1-star health inspection rating despite 4-star staffing and quality measures. It reported 3.29 nurse staffing hours per resident per day versus the 4.1 federal benchmark, had $22,474 in fines over the last 24 months, and has a recent federal penalty.
Last inspection: December 30, 2025Penalties, last 24 months: $22,474recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.2903.
Staffing detail
Registered nurses
0.54
Licensed practical nurses
0.84
Nurse aides
1.91
Weekend nursing
3.05
Hours per resident per day.
Total staff turnover: 44%
Registered nurse turnover: 33%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Last yrNowTrend
Long-stay residents on antipsychotic medication
41.2%34.9%Improving
Residents with a fall causing major injury
1.1%1.1%No change
Residents with pressure ulcers (bedsores)
4.9%3.3%Improving
Residents with a urinary tract infection
1.1%0%Improving
Residents who lost too much weight
3.5%4.7%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
7.1%7.3%No change
Residents whose ability to walk got worse
6.2%4%Improving
Long-stay residents on antianxiety or sleep medication
14%11.8%Improving
Short-stay residents newly given an antipsychotic
—0%—
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
21.2%24.1%Worsening
Residents with depressive symptoms
5.5%1.1%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—99%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—100%—
Short-stay residents given the pneumonia vaccine
100%100%No change
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited August 2025 — widespread issue, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: L
The home failed to have enough qualified staff to properly provide food and nutrition services. Cited December 2025 — widespread issue, potential for harm.
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F-Tag 801 — 42 CFR §483.60 — S/S: F
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited December 2025 — widespread issue, potential for harm.
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F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited December 2025 — widespread issue, potential for harm.
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F-Tag 880 — 42 CFR §483.80(a) — S/S: F
The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited December 2025 — limited pattern, potential for harm.
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F-Tag 584 — 42 CFR §483.10 — S/S: E
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
PENALTY
A federal fine of $22,474 was recorded.
INSPECTION
Health inspection found 13 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 2 health deficiencies.
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Penalties & enforcement
On record with Medicare: 2 fines · $59,810 in total fines.
Federal fine
Aug 5, 2025
$22,474
Federal fine
Nov 8, 2023
$37,336
Operator & ownership
Ownership
For profit - Limited Liability company
Chain
Part of AUTUMN LAKE HEALTHCARE · 60 homes · 2.9 stars avg
Occupancy
94.7 residents on an average day (95% of 100 beds)
Resident voice
Resident & family councils
Medicare history
Certified for 4 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.