NELLA’S AT AUTUMN LAKE HEALTHCARE – ELKINS, WV

CMS Verified | 2026-03-01

Nella’S At Autumn Lake Healthcare

499 FERGUSON ROAD, Elkins, WV 26241
(304) 636-1008
100 beds
All Elkins facilities
1.0*
Overall
1.0*
Health Inspection
3.0*
Quality Care
3.0*
Staffing
64.33
Score /100
#10606
National Rank

#10606
of 14703 facilities
National
27.9% position
#82
of 123 in WV
State Rank
#2
of 3 in Randolph
County Rank
#2
of 3 in Elkins
City Rank
#2
of 3 in ZIP 26241
ZIP Rank






About Nella’S At Autumn Lake HealthcareNella’S At Autumn Lake Healthcare is located at 499 Ferguson Road, Elkins, WV, reachable at (304) 636-1008. This For profit – Limited Liability company facility operates 100.0 certified beds and serves an average of 93 residents per day. It is part of the Autumn Lake Healthcare network (60 facilities nationwide). Medicare and Medicaid services have been provided since 2021-12-23. The facility currently holds a poor (1-star) overall CMS rating — families are encouraged to review inspection reports carefully before making a decision.
Facility

Nella’S At Autumn Lake Healthcare

Address

499 Ferguson Road, Elkins, WV 26241

Care Offered
  • Long-Term Care
  • Rehab / Short-Term Care
Medicare & Medicaid
  • Accepts Medicare
  • Accepts Medicaid
Facility Details
  • 100 Certified Beds
  • Ownership: For profit – Limited Liability company
  • Resident Council: Both
  • Automatic Sprinklers: Yes
  • Network: AUTUMN LAKE HEALTHCARE

Quick Verdict

Overall Quality
❌ Poor (1★) overall rating
Health Inspection
❌ Poor (1★) health inspection
Staffing
⚠️ Average (3★) staffing rating
Quality of Care
⚠️ Average (3★) quality of care
Compliance
❌ 3 fine(s) over 5 years
5-Year Trend
Declining over 5 years
64.33
Composite quality score out of 100 – how we calculate this
0 – Poor50 – Average100 – Best

#10606 of 14703 nationally – #82 of 123 in West Virginia

Who Is This Facility Best For?

Nella’S At Autumn Lake Healthcare may be considered for families with limited options in Elkins, WV, but its lower CMS ratings suggest careful due diligence is warranted. It is particularly well-suited for long-term residents based on its Quality Measure scores.

Overall Rating 2022-2026

Total Nurse Hours/Day 2022-2026

Current Ratings (2026)

Overall Rating

1 / 5
Health Inspection

1 / 5
Staffing Rating

3 / 5
Quality Measures (QM)

3 / 5
Long-Stay QM Rating

5 / 5
Short-Stay QM Rating

2 / 5

5-Year Rating Trends

Overall Rating

Health Inspection Rating

Quality of Care (QM)

Staffing Rating

Average Residents per Day

Occupancy % (Residents / Beds)

Staffing InsightNella’S At Autumn Lake Healthcare currently provides 3 hours 20 minutes of total nurse staffing per resident per day, including 28 minutes of Registered Nurse (RN) coverage. The CMS Staffing Rating is 3 out of 5 (average). Total nursing staff turnover stands at 41.7% — above the national average of ~35%.

Current Staffing Hours Per Resident Per Day (2026)

Total Nurse Staffing3 hours 20 minutes
Nurse Aide Hours2 hours 3 minutes
Licensed Practical Nurse (LPN) Hours49 minutes
Registered Nurse (RN) Hours28 minutes
Physical Therapist Hours2 minutes

National average total nurse staffing is approximately 3.5 hours per day

Weekend Staffing Hours Per Resident Per Day (2026)

Weekend Total Nurse Hours3 hours 6 minutes
Weekend Registered Nurse (RN) Hours24 minutes

Weekend staffing is typically lower than weekday levels. Ask the facility about their weekend nurse-to-resident ratios.

5-Year Staffing Trends

Total Nurse Hours/Day

Registered Nurse (RN) Hours/Day

Licensed Practical Nurse (LPN) Hours/Day

Nurse Aide Hours/Day

Total Staff Turnover %

Registered Nurse (RN) Turnover %

Compliance SummaryIn the current reporting period, the facility received 2 fine(s) totaling $59,810. One substantiated complaint was recorded across the 5-year period.
Number of Fines (current period) 2
Total Fines Amount $59810.0
Payment Denials 0
Total Penalties 2
Abuse Flag on Record N
Total Weighted Health Survey Score 254.25 (lower = better)

Substantiated Complaints / Year

Fines Issued ($) / Year

Composite Quality Rankings

#10,606
of 14,703
National
Bottom 28%
#82
of 123
WV State
Bottom 33% in WV
#2
of 3
️ Randolph County
#2 of 3
#2
of 3
️ Elkins
#2 of 3
#2
of 3
ZIP 26241
#2 of 3

Nationally, Nella’S At Autumn Lake Healthcare ranks 10606th out of 14,703 facilities (composite score: 64.3/100), placing it in the below average nationwide. Within WV, it ranks 82nd out of 123 nursing homes. In Elkins, it ranks 2nd out of 3 facilities. Among facilities sharing its ZIP code, it ranks 2nd of 3. For 2026 staffing: total nurse hours rank #10,700 nationally and RN hours rank #9,620 nationally (#98 in WV).

How do we calculate these rankings?

Total Nurse Staffing – Year-by-Year National and State Ranks

Year Hours/Day National Rank WV State Rank Note
2022 #14,124 / 14,703 #120 / 123 ⚠️ Bottom 5%
2023 3.14 #10,938 / 14,703 #87 / 123 Below average
2024 2.96 #12,716 / 14,703 #108 / 123 ⚠️ Bottom 25%
2025 3.11 #12,282 / 14,703 #87 / 123 ⚠️ Bottom 25%
2026 3.34 #10,700 / 14,703 #78 / 123 Below average

Registered Nurse (RN) Hours – Year-by-Year National and State Ranks

Year Hours/Day National Rank WV State Rank Note
2022 #14,124 / 14,703 #120 / 123 ⚠️ Bottom 5%
2023 0.40 #10,320 / 14,703 #108 / 123 Below average
2024 0.41 #10,260 / 14,703 #105 / 123 Below average
2025 0.29 #12,800 / 14,703 #120 / 123 ⚠️ Bottom 25%
2026 0.46 #9,620 / 14,703 #98 / 123 Below average

Total Nurse Rank – National (lower number = better)

Registered Nurse Rank – National (lower number = better)

Frequently Asked Questions

Nella’S At Autumn Lake Healthcare is certified as a Medicare and Medicaid facility and has been approved to provide these services since 2021-12-23. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (304) 636-1008 or your local Medicaid office to verify current eligibility.

Nella’S At Autumn Lake Healthcare holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 1 out of 5 stars. This is made up of three components: Health Inspection (1★), Staffing (3★), and Quality of Resident Care (3★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 64.3/100, placing it #10606 of 14703 facilities nationally and #82 of 123 in West Virginia. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.

Each resident at Nella’S At Autumn Lake Healthcare receives a reported average of 3 hours 20 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 28 minutes; Licensed Practical Nurse (LPN) — 49 minutes; Nurse Aide — 2 hours 3 minutes. On weekends, total nurse staffing is 3 hours 6 minutes per resident per day. The CMS Staffing Rating for this facility is 3 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 41.7%. Families are encouraged to ask about current staffing schedules during their facility visit.

In the current reporting period, the facility received 2 fine(s) totaling $59,810. One substantiated complaint was recorded across the 5-year period. In the most recent CMS reporting period, the facility received 2 fine(s) totaling $59,810, and 0 Medicare payment denial(s). Total penalties: 2. The Total Weighted Health Survey Score is 254.25 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, Nella’S At Autumn Lake Healthcare ranks 10606th out of 14,703 facilities (composite score: 64.3/100), placing it in the below average nationwide. Within WV, it ranks 82nd out of 123 nursing homes. In Elkins, it ranks 2nd out of 3 facilities. Among facilities sharing its ZIP code, it ranks 2nd of 3. For 2026 staffing: total nurse hours rank #10,700 nationally and RN hours rank #9,620 nationally (#98 in WV). Our composite quality score of 64.3/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Elkins, visit: https://nursinghomesnearme.org/west_virginia/elkins/

Contact and Location

ADR
Address

499 FERGUSON ROAD, Elkins, WV 26241
Get directions on Google Maps

TEL
LLC
Legal Name

499 FERGUSON ROAD OPCO LLC

MAP
Browse by Location

All West Virginia ·
Randolph County ·
Elkins ·
ZIP 26241

Facility Details

Number of Certified Beds 100
Average Residents / Day 93 (93% occupancy)
Ownership Type For profit – Limited Liability company
Provider Type Medicare and Medicaid
County Randolph County, WV
City Elkins, WV
ZIP Code 26241
Approved Since December 23, 2021
Resident Council ✅ Yes
Automatic Sprinklers ✅ All required areas
Ownership Changed (12 mo.) No
CMS Certification Number 515196
Data Processing Date March 1, 2026
Data Disclaimer: All data on this page is sourced exclusively from the official CMS (Centers for Medicare and Medicaid Services) Nursing Home Compare dataset, covering reporting periods from 2022 through 2026. This includes facility ratings, staffing hours, inspection scores, fines, complaints, and geographic coordinates. NursingHomesNearMe.org does not independently verify, collect, or alter this data. Composite scores and rankings are calculated by NursingHomesNearMe.org – learn how rankings are calculated. Information may not reflect current facility conditions. Always contact the facility directly and verify at medicare.gov/care-compare before making care decisions.
Data: CMS Nursing Home Compare – Processing Date: 2026-03-01 –
Rankings across 14703 U.S. facilities –
Ranking Methodology
NursingHomesNearMe.org

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