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C
Below Standard

NELLA'S AT AUTUMN LAKE HEALTHCARE

499 FERGUSON ROAD · ELKINS, WV 26241

3046361008 · For profit - Limited Liability company

100 beds93.3 residents118 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

NELLA'S AT AUTUMN LAKE HEALTHCARE receives an overall staffing grade of C (Below Standard). With 3.3423 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.4592 HPRD, below the recommended 0.75. It is 0.55 HPRD below the national average.

Weekend staffing stays relatively consistent — dropping 9.9% compared to weekdays. The facility has low agency staff usage (7.32% 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: 3.3423 HPRD — needs 0.14 more hours per resident per day.
⚠️RN staffing (0.4592 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (3)

✅No days with zero registered nurse hours this quarter
✅Consistent weekend staffing — only 9.9% drop-off
✅Highly consistent day-to-day staffing levels
Total Nurse HPRD
3.3423hrs/resident/day▼ 0.55
CMS benchmark: 3.48
RN HPRD
0.4592hrs/resident/day▼ 0.22
Recommended: 0.75
Weekend Drop-off
9.9%
3.4385 weekday → 3.0982 weekend
Agency Staff
7.32%
18.31% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.0574hrs/resident/day
Direct care aides
LPN HPRD
0.8258hrs/resident/day
Licensed practical nurses
Consistency
0.2374std 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. Randolph County Average-0.32 HPRD
3.66
03.34 HPRD
vs. West Virginia State Average-0.36 HPRD
3.70
03.34 HPRD
vs. National Average-0.55 HPRD
3.90
03.34 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
NELLA'S AT AUTUMN LAKE HEALTHCARE ★
ELKINS · This facility
—
C
3.34230.4592★☆☆☆☆
AUTUMN LAKE HEALTHCARE AT CRYSTAL SPRINGS
ELKINS
0.1 mi
D
3.44340.3057★☆☆☆☆
ELKINS REHABILITATION & CARE CENTER
ELKINS
4.6 mi
B
4.19370.7248★★★★☆
TYGART VALLEY HEALTH & REHABILITATION
BELINGTON
6.7 mi
D
3.3960.3028★★★☆☆
MANSFIELD PLACE
PHILIPPI
16.8 mi
B
3.57180.7571★★★★☆
HOLBROOK HEALTHCARE CENTER
BUCKHANNON
18 mi
F
3.35580.2161★☆☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

5
Inspections
35
Total Deficiencies
$59,810
Fines Assessed
Dec 30, 2025Health
4 deficiencies cited
▼
Aug 5, 2025Health
13 deficiencies cited· Includes actual harm
▼
Jul 4, 2024Health
2 deficiencies cited
▼
Nov 8, 2023Health
13 deficiencies cited
▼
Jun 2, 2021Health
3 deficiencies cited
▼

Penalty History

Aug 5, 2025Fine
$22,474
Nov 8, 2023Fine
$37,336
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.