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C
Below Standard

MILETREE CENTER

825 SUMMIT STREET · SPENCER, WV 25276

3049271007 · For profit - Corporation

62 beds57.3 residents73 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
C
Below Standard
RN Staff
C
Below Standard
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

MILETREE CENTER receives an overall staffing grade of C (Below Standard). With 3.1078 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.4854 HPRD, below the recommended 0.75. It is 0.79 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 17.99% compared to weekdays. The facility has low agency staff usage (2.37% of hours), suggesting a mostly permanent workforce.

Staffing levels have remained relatively stable over recent quarters.

🔍 Areas of Concern (2)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.1078 HPRD — needs 0.37 more hours per resident per day.
⚠️RN staffing (0.4854 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (2)

✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (2.37%) — mostly permanent, familiar staff
Total Nurse HPRD
3.1078hrs/resident/day▼ 0.79
CMS benchmark: 3.48
RN HPRD
0.4854hrs/resident/day▼ 0.20
Recommended: 0.75
Weekend Drop-off
17.99%
3.2743 weekday → 2.6852 weekend
Agency Staff
2.37%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.8455hrs/resident/day
Direct care aides
LPN HPRD
0.7673hrs/resident/day
Licensed practical nurses
Consistency
0.402std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Roane County Average-0.81 HPRD
3.92
03.11 HPRD
vs. West Virginia State Average-0.59 HPRD
3.70
03.11 HPRD
vs. National Average-0.79 HPRD
3.90
03.11 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
MILETREE CENTER ★
SPENCER · This facility
—
C
3.10780.4854★★★☆☆
ROANE GENERAL HOSPITAL
SPENCER
0.3 mi
C
4.72640.4252★★★★★
MINNIE HAMILTON HEALTH CARE
GRANTSVILLE
16.8 mi
B
4.25140.576★★☆☆☆
ELIZABETH CARE CENTER
ELIZABETH
17 mi
B
3.61520.7783★★★★★
Mountain View Care Center
RIPLEY
19.2 mi
C
3.16180.4519★☆☆☆☆
CLAY HEALTHCARE CENTER
IVYDALE
22.1 mi
B
3.7050.6417★★☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

3
Inspections
41
Total Deficiencies
$3,250
Fines Assessed
Aug 18, 2025Health
10 deficiencies cited
▼
Jul 11, 2024Health
15 deficiencies cited
▼
Mar 8, 2023Health
16 deficiencies cited
▼

Penalty History

Mar 8, 2023Fine
$3,250
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.