Starfile

Starfile / West Virginia

CANTERBURY CENTER

80 MADDEX DRIVE, SHEPHERDSTOWN, WV 25443 · CCN 515179

Ratings

Overall
★★☆☆☆ 2
Health inspection
★★☆☆☆ 2
Quality measures
★★★★★ 5
Staffing
★☆☆☆☆ 1

Facility

Ownership type
For profit - Corporation
Certified beds
62
Avg residents/day
58.9
Phone
3048769422

Inspection history vs West Virginia & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

CycleInspection dateThis facilityWest Virginia avgNational avgvs state
12025-03-182213.89.5+8.2 worse
22024-04-032314.59.8+8.5 worse
32022-07-142815.19.3+12.9 worse

Cycle 1 deficiencies by category

CategoryDeficiencies
Abuse, neglect, exploitation3
Quality of life and care4
Resident assessment and care planning1
Nursing and physician services2
Resident rights6
Nutrition and dietary4
Pharmacy service1
Infection control1

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)3.1560.3%
RN staffing (reported)1.0169.2%
Total nurse staffing (adjusted)2.72

Fines & penalties

Total fines
$0
Number of fines
0
Number of penalties
0
Payment denials
0

Chain

Chain
GENESIS HEALTHCARE
Facilities in chain
193
Chain avg overall
2.40 / 5

Inspection citations (73)1 immediate jeopardy1 actual harm

  1. DF0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.2025-03-18 · Health · corrected 2025-04-15

    Potential for more than minimal harm

  2. DF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2025-03-18 · Health · corrected 2025-04-15

    Potential for more than minimal harm

  3. DF0577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.2025-03-18 · Health · corrected 2025-04-15

    Potential for more than minimal harm

  4. DF0583Keep residents' personal and medical records private and confidential.2025-03-18 · Health · corrected 2025-04-15

    Potential for more than minimal harm

  5. EF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2025-03-18 · Health · corrected 2025-04-15

    Potential for more than minimal harm

  6. DF0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.2025-03-18 · Health · corrected 2025-04-15

    Potential for more than minimal harm

  7. DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2025-03-18 · Health · corrected 2025-04-15

    Potential for more than minimal harm

  8. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-03-18 · Health · corrected 2025-04-15

    Potential for more than minimal harm

  9. DF0610Respond appropriately to all alleged violations.2025-03-18 · Health · corrected 2025-04-15

    Potential for more than minimal harm

  10. DF0641Ensure each resident receives an accurate assessment.2025-03-18 · Health · corrected 2025-04-15

    Potential for more than minimal harm

  11. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-03-18 · Health · corrected 2025-04-15

    Potential for more than minimal harm

  12. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-03-18 · Health · corrected 2025-04-15

    Potential for more than minimal harm

  13. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-03-18 · Health · corrected 2025-04-15

    Potential for more than minimal harm

  14. DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-03-18 · Health · corrected 2025-04-15

    Potential for more than minimal harm

  15. EF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2025-03-18 · Health · corrected 2025-04-15

    Potential for more than minimal harm

  16. DF0732Post nurse staffing information every day.2025-03-18 · Health · corrected 2025-04-15

    Potential for more than minimal harm

  17. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2025-03-18 · Health · corrected 2025-04-15

    Potential for more than minimal harm

  18. DF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2025-03-18 · Health · corrected 2025-04-15

    Potential for more than minimal harm

  19. DF0809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.2025-03-18 · Health · corrected 2025-04-15

    Potential for more than minimal harm

  20. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-03-18 · Health · corrected 2025-04-15

    Potential for more than minimal harm

  21. DF0814Dispose of garbage and refuse properly.2025-03-18 · Health · corrected 2025-04-15

    Potential for more than minimal harm

  22. EF0880Provide and implement an infection prevention and control program.2025-03-18 · Health · corrected 2025-04-15

    Potential for more than minimal harm

  23. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-04-03 · Health · corrected 2024-05-16

    Potential for more than minimal harm

  24. DF0558Reasonably accommodate the needs and preferences of each resident.2024-04-03 · Health · corrected 2024-05-16

    Potential for more than minimal harm

  25. EF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2024-04-03 · Health · corrected 2024-05-16

    Potential for more than minimal harm

  26. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-04-03 · Health · corrected 2024-05-16

    Potential for more than minimal harm

  27. DF0583Keep residents' personal and medical records private and confidential.2024-04-03 · Health · corrected 2024-05-16

    Potential for more than minimal harm

  28. DF0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.2024-04-03 · Health · corrected 2024-05-16

    Potential for more than minimal harm

  29. FF0606Not hire anyone with a finding of abuse, neglect, exploitation, or theft.2024-04-03 · Health · corrected 2024-05-16

    Potential for more than minimal harm

  30. DF0645PASARR screening for Mental disorders or Intellectual Disabilities2024-04-03 · Health · corrected 2024-05-16

    Potential for more than minimal harm

  31. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-04-03 · Health · corrected 2024-05-16

    Potential for more than minimal harm

  32. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-04-03 · Health · corrected 2024-05-16

    Potential for more than minimal harm

  33. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-04-03 · Health · corrected 2024-05-16

    Potential for more than minimal harm

  34. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-04-03 · Health · corrected 2024-05-16

    Potential for more than minimal harm

  35. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-04-03 · Health · corrected 2024-05-16

    Potential for more than minimal harm

  36. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-04-03 · Health · corrected 2024-05-16

    Potential for more than minimal harm

  37. DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-04-03 · Health · corrected 2024-05-16

    Potential for more than minimal harm

  38. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2024-04-03 · Health · corrected 2024-05-16

    Potential for more than minimal harm

  39. FF0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.2024-04-03 · Health · corrected 2024-05-16

    Potential for more than minimal harm

  40. FF0732Post nurse staffing information every day.2024-04-03 · Health · corrected 2024-05-16

    Potential for more than minimal harm

  41. EF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2024-04-03 · Health · corrected 2024-05-16

    Potential for more than minimal harm

  42. DF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2024-04-03 · Health · corrected 2024-05-16

    Potential for more than minimal harm

  43. EF0809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.2024-04-03 · Health · corrected 2024-05-16

    Potential for more than minimal harm

  44. FF0814Dispose of garbage and refuse properly.2024-04-03 · Health · corrected 2024-05-16

    Potential for more than minimal harm

  45. EF0880Provide and implement an infection prevention and control program.2024-04-03 · Health · corrected 2024-05-16

    Potential for more than minimal harm

  46. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-09-21 · Health · corrected 2023-10-26

    Potential for more than minimal harm

  47. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-07-11 · Health · corrected 2023-08-10

    Potential for more than minimal harm

  48. FF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2023-07-11 · Health · corrected 2023-08-10

    Potential for more than minimal harm

  49. DF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2022-07-14 · Health · corrected 2022-08-30

    Potential for more than minimal harm

  50. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2022-07-14 · Health · corrected 2022-08-31

    Potential for more than minimal harm

  51. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2022-07-14 · Health · corrected 2022-08-29

    Potential for more than minimal harm

  52. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2022-07-14 · Health · corrected 2022-08-30

    Potential for more than minimal harm

  53. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2022-07-14 · Health · corrected 2022-08-30

    Potential for more than minimal harm

  54. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2022-07-14 · Health · corrected 2022-08-30

    Potential for more than minimal harm

  55. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2022-07-14 · Health · corrected 2022-08-31

    Potential for more than minimal harm

  56. GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2022-07-14 · Health · corrected 2022-08-30

    Actual harm

  57. EF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.2022-07-14 · Health · corrected 2022-08-31

    Potential for more than minimal harm

  58. KF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-07-14 · Health · corrected 2022-08-30

    Immediate jeopardy

  59. EF0692Provide enough food/fluids to maintain a resident's health.2022-07-14 · Health · corrected 2022-08-30

    Potential for more than minimal harm

  60. EF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2022-07-14 · Health · corrected 2022-08-29

    Potential for more than minimal harm

  61. FF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2022-07-14 · Health · corrected 2022-08-31

    Potential for more than minimal harm

  62. EF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2022-07-14 · Health · corrected 2022-08-30

    Potential for more than minimal harm

  63. CF0732Post nurse staffing information every day.2022-07-14 · Health · corrected 2022-08-29

    Potential for minimal harm

  64. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2022-07-14 · Health · corrected 2022-08-30

    Potential for more than minimal harm

  65. DF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2022-07-14 · Health · corrected 2022-08-30

    Potential for more than minimal harm

  66. DF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.2022-07-14 · Health · corrected 2022-08-30

    Potential for more than minimal harm

  67. DF0791Provide or obtain dental services for each resident.2022-07-14 · Health · corrected 2022-08-30

    Potential for more than minimal harm

  68. DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-07-14 · Health · corrected 2022-08-30

    Potential for more than minimal harm

  69. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2022-07-14 · Health · corrected 2022-08-30

    Potential for more than minimal harm

  70. EF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2022-07-14 · Health · corrected 2022-08-30

    Potential for more than minimal harm

  71. DF0880Provide and implement an infection prevention and control program.2022-07-14 · Health · corrected 2022-08-30

    Potential for more than minimal harm

  72. DF0881Implement a program that monitors antibiotic use.2022-07-14 · Health · corrected 2022-08-31

    Potential for more than minimal harm

  73. DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2022-07-14 · Health · corrected 2022-08-30

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
GENESIS WV HOLDINGS LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%2011-04-01
FC-GEN OPERATIONS INVESTMENT LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST2015-02-02
GEN OPERATIONS I LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST2015-02-02
GEN OPERATIONS II LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST2015-02-02
GENESIS HEALTHCARE INCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST2015-02-02
GENESIS HEALTHCARE LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST2015-02-02
GENESIS HOLDINGS LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST2015-02-02
GENESIS OPERATIONS LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST2015-02-02
GHC HOLDINGS LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST2015-02-02
HCCF MANAGEMENT GROUP XI LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST2015-02-02
SUN HEALTHCARE GROUP INCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST2015-02-02
SUNDANCE REHABILITATION HOLDCO INCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST2016-01-01
WELLTOWER OP LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST2024-03-01
ZAC PROPERTIES XI LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST2015-02-02
FISHMAN, STEVENIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST2015-02-02
WHITMAN, ARNOLDIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST2023-05-01
SUTTON, MATTHEWIndividualOPERATIONAL/MANAGERIAL CONTROL2024-06-20
BERG, MICHAELIndividualCORPORATE OFFICER2015-03-02
BRIDGEFORD, LAURAIndividualCORPORATE OFFICER2024-06-01
MENDELSON, AVIIndividualCORPORATE OFFICER2024-06-01

Other facilities in SHEPHERDSTOWN

NameOverallBeds

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.