SHENANDOAH CENTER
50 MULBERRY TREE STREET, CHARLES TOWN, WV 25414 · CCN 515167
Abuse icon
Ratings
- Overall
- ★☆☆☆☆ 1
- Health inspection
- ★☆☆☆☆ 1
- Quality measures
- ★★★★☆ 4
- Staffing
- ★★☆☆☆ 2
Facility
- Ownership type
- For profit - Corporation
- Certified beds
- 78
- Avg residents/day
- 72.8
- Phone
- 3047241101
Inspection history vs West Virginia & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | West Virginia avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2024-07-26 | 23 | 13.8 | 9.5 | +9.2 worse |
| 2 | 2022-09-30 | 22 | 14.5 | 9.8 | +7.5 worse |
| 3 | 2019-11-20 | 16 | 15.1 | 9.3 | +0.9 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 1 |
| Quality of life and care | 5 |
| Resident assessment and care planning | 5 |
| Nursing and physician services | 2 |
| Resident rights | 4 |
| Nutrition and dietary | 1 |
| Pharmacy service | 3 |
| Environmental | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.03 | 46.3% |
| RN staffing (reported) | 0.87 | 40.0% |
| Total nurse staffing (adjusted) | 2.52 | — |
Fines & penalties
- Total fines
- $48,469
- Number of fines
- 4
- Number of penalties
- 4
- Payment denials
- 0
Chain
- Chain
- GENESIS HEALTHCARE
- Facilities in chain
- 193
- Chain avg overall
- 2.40 / 5
Inspection citations (61)3 immediate jeopardy1 actual harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-11-06 · Health · corrected 2025-12-11
Potential for more than minimal harm
- EF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2024-07-26 · Health · corrected 2024-09-05
Potential for more than minimal harm
- EF0583Keep residents' personal and medical records private and confidential.2024-07-26 · Health · corrected 2024-09-05
Potential for more than minimal harm
- 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.2024-07-26 · Health · corrected 2024-09-05
Potential for more than minimal harm
- JF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-07-26 · Health · corrected 2023-11-11
Immediate jeopardy
- DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2024-07-26 · Health · corrected 2024-09-05
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2024-07-26 · Health · corrected 2024-09-05
Potential for more than minimal harm
- EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-07-26 · Health · corrected 2024-09-05
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-07-26 · Health · corrected 2024-09-05
Potential for more than minimal harm
- GF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-07-26 · Health · corrected 2024-09-05
Actual harm
- DF0679Provide activities to meet all resident's needs.2024-07-26 · Health · corrected 2024-09-05
Potential for more than minimal harm
- DF0688Provide 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.2024-07-26 · Health · corrected 2024-09-05
Potential for more than minimal harm
- EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-07-26 · Health · corrected 2024-09-05
Potential for more than minimal harm
- KF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2024-07-26 · Health · corrected 2024-09-05
Immediate jeopardy
- DF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2024-07-26 · Health · corrected 2024-09-05
Potential for more than minimal harm
- EF0730Observe each nurse aide's job performance and give regular training.2024-07-26 · Health · corrected 2024-09-05
Potential for more than minimal harm
- EF0758Implement 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.2024-07-26 · Health · corrected 2024-09-05
Potential for more than minimal harm
- JF0760Ensure that residents are free from significant medication errors.2024-07-26 · Health · corrected 2024-09-05
Immediate jeopardy
- EF0761Ensure 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.2024-07-26 · Health · corrected 2024-09-05
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-07-26 · Health · corrected 2024-09-05
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-07-26 · Health · corrected 2024-09-05
Potential for more than minimal harm
- FF0880Provide and implement an infection prevention and control program.2024-07-26 · Health · corrected 2024-09-05
Potential for more than minimal harm
- EF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2024-07-26 · Health · corrected 2024-09-05
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-06-14 · Health · corrected 2023-07-22
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-03-01 · Health · corrected 2023-03-23
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2023-03-01 · Health · corrected 2023-03-23
Potential for more than minimal harm
- DF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2022-09-30 · Health · corrected 2022-11-01
Potential for more than minimal harm
- DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2022-09-30 · Health · corrected 2022-11-01
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2022-09-30 · Health · corrected 2022-11-01
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2022-09-30 · Health · corrected 2022-11-01
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2022-09-30 · Health · corrected 2022-11-01
Potential for more than minimal harm
- EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2022-09-30 · Health · corrected 2022-11-01
Potential for more than minimal harm
- EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-09-30 · Health · corrected 2022-11-01
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2022-09-30 · Health · corrected 2022-11-01
Potential for more than minimal harm
- DF0697Provide safe, appropriate pain management for a resident who requires such services.2022-09-30 · Health · corrected 2022-11-01
Potential for more than minimal harm
- EF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2022-09-30 · Health · corrected 2022-11-01
Potential for more than minimal harm
- FF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2022-09-30 · Health · corrected 2022-11-01
Potential for more than minimal harm
- 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.2022-09-30 · Health · corrected 2022-11-01
Potential for more than minimal harm
- EF0732Post nurse staffing information every day.2022-09-30 · Health · corrected 2022-11-01
Potential for more than minimal harm
- EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2022-09-30 · Health · corrected 2022-11-01
Potential for more than minimal harm
- EF0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.2022-09-30 · Health · corrected 2022-11-01
Potential for more than minimal harm
- EF0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.2022-09-30 · Health · corrected 2022-11-01
Potential for more than minimal harm
- EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2022-09-30 · Health · corrected 2022-11-01
Potential for more than minimal harm
- 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.2022-09-30 · Health · corrected 2022-11-01
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-09-30 · Health · corrected 2022-11-01
Potential for more than minimal harm
- EF0838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.2022-09-30 · Health · corrected 2022-11-01
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2022-09-30 · Health · corrected 2022-11-01
Potential for more than minimal harm
- FF0885Report COVID19 data to residents and families.2022-09-30 · Health · corrected 2022-11-01
Potential for more than minimal harm
- DF0558Reasonably accommodate the needs and preferences of each resident.2019-11-20 · Health · corrected 2020-01-02
Potential for more than minimal harm
- DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2019-11-20 · Health · corrected 2020-01-02
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2019-11-20 · Health · corrected 2020-01-02
Potential for more than minimal harm
- DF0679Provide activities to meet all resident's needs.2019-11-20 · Health · corrected 2020-01-02
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2019-11-20 · Health · corrected 2020-01-02
Potential for more than minimal harm
- DF0692Provide enough food/fluids to maintain a resident's health.2019-11-20 · Health · corrected 2020-01-02
Potential for more than minimal harm
- EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2019-11-20 · Health · corrected 2020-01-02
Potential for more than minimal harm
- FF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2019-11-20 · Health · corrected 2020-01-02
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2019-11-20 · Health · corrected 2020-01-02
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2019-11-20 · Health · corrected 2020-01-02
Potential for more than minimal harm
- FF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2019-11-20 · Health · corrected 2020-01-02
Potential for more than minimal harm
- FF0880Provide and implement an infection prevention and control program.2019-11-20 · Health · corrected 2020-01-02
Potential for more than minimal harm
- FF0881Implement a program that monitors antibiotic use.2019-11-20 · Health · corrected 2020-01-02
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| GENESIS WV HOLDINGS LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2011-04-01 |
| FC-GEN OPERATIONS INVESTMENT LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2015-02-02 |
| GEN OPERATIONS I LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2015-02-02 |
| GEN OPERATIONS II LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2015-02-02 |
| GENESIS HEALTHCARE INC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2015-02-02 |
| GENESIS HEALTHCARE LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2015-02-02 |
| GENESIS HOLDINGS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2015-02-02 |
| GENESIS OPERATIONS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2015-02-02 |
| GHC HOLDINGS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2015-02-02 |
| HCCF MANAGEMENT GROUP XI LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2015-02-02 |
| SUN HEALTHCARE GROUP INC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2015-02-02 |
| SUNDANCE REHABILITATION HOLDCO INC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2016-01-01 |
| WELLTOWER OP LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2024-03-01 |
| ZAC PROPERTIES XI LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2015-02-02 |
| FISHMAN, STEVEN | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2015-02-02 |
| WHITMAN, ARNOLD | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2015-02-02 |
| ALBAUGH, MIRANDA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2020-05-01 |
| BURNER, EILISH | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2020-05-11 |
| BERG, MICHAEL | Individual | CORPORATE OFFICER | — | 2012-12-01 |
| BRIDGEFORD, LAURA | Individual | CORPORATE OFFICER | — | 2024-06-01 |
| MENDELSON, AVI | Individual | CORPORATE OFFICER | — | 2024-06-01 |
Other facilities in CHARLES TOWN
| Name | Overall | Beds |
|---|---|---|
| WILLOW TREE HEALTHCARE CENTER | ★★☆☆☆ | 104 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.