Starfile

Starfile / West Virginia

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.

CycleInspection dateThis facilityWest Virginia avgNational avgvs state
12024-07-262313.89.5+9.2 worse
22022-09-302214.59.8+7.5 worse
32019-11-201615.19.3+0.9 worse

Cycle 1 deficiencies by category

CategoryDeficiencies
Abuse, neglect, exploitation1
Quality of life and care5
Resident assessment and care planning5
Nursing and physician services2
Resident rights4
Nutrition and dietary1
Pharmacy service3
Environmental1
Infection control1

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)3.0346.3%
RN staffing (reported)0.8740.0%
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

  1. 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

  2. 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

  3. EF0583Keep residents' personal and medical records private and confidential.2024-07-26 · Health · corrected 2024-09-05

    Potential for more than minimal harm

  4. 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

  5. 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

  6. 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

  7. DF0641Ensure each resident receives an accurate assessment.2024-07-26 · Health · corrected 2024-09-05

    Potential for more than minimal harm

  8. 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

  9. 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

  10. 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

  11. DF0679Provide activities to meet all resident's needs.2024-07-26 · Health · corrected 2024-09-05

    Potential for more than minimal harm

  12. 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

  13. 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

  14. KF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2024-07-26 · Health · corrected 2024-09-05

    Immediate jeopardy

  15. 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

  16. 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

  17. 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

  18. JF0760Ensure that residents are free from significant medication errors.2024-07-26 · Health · corrected 2024-09-05

    Immediate jeopardy

  19. 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

  20. 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

  21. 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

  22. FF0880Provide and implement an infection prevention and control program.2024-07-26 · Health · corrected 2024-09-05

    Potential for more than minimal harm

  23. 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

  24. 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

  25. 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

  26. DF0610Respond appropriately to all alleged violations.2023-03-01 · Health · corrected 2023-03-23

    Potential for more than minimal harm

  27. 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

  28. 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

  29. 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

  30. DF0641Ensure each resident receives an accurate assessment.2022-09-30 · Health · corrected 2022-11-01

    Potential for more than minimal harm

  31. 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

  32. 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

  33. 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

  34. 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

  35. 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

  36. 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

  37. 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

  38. 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

  39. EF0732Post nurse staffing information every day.2022-09-30 · Health · corrected 2022-11-01

    Potential for more than minimal harm

  40. 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

  41. 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

  42. 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

  43. 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

  44. 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

  45. 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

  46. 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

  47. EF0880Provide and implement an infection prevention and control program.2022-09-30 · Health · corrected 2022-11-01

    Potential for more than minimal harm

  48. FF0885Report COVID19 data to residents and families.2022-09-30 · Health · corrected 2022-11-01

    Potential for more than minimal harm

  49. DF0558Reasonably accommodate the needs and preferences of each resident.2019-11-20 · Health · corrected 2020-01-02

    Potential for more than minimal harm

  50. 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

  51. 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

  52. DF0679Provide activities to meet all resident's needs.2019-11-20 · Health · corrected 2020-01-02

    Potential for more than minimal harm

  53. 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

  54. DF0692Provide enough food/fluids to maintain a resident's health.2019-11-20 · Health · corrected 2020-01-02

    Potential for more than minimal harm

  55. 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

  56. 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

  57. 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

  58. 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

  59. 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

  60. FF0880Provide and implement an infection prevention and control program.2019-11-20 · Health · corrected 2020-01-02

    Potential for more than minimal harm

  61. FF0881Implement a program that monitors antibiotic use.2019-11-20 · Health · corrected 2020-01-02

    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 INTEREST2015-02-02
ALBAUGH, MIRANDAIndividualOPERATIONAL/MANAGERIAL CONTROL2020-05-01
BURNER, EILISHIndividualOPERATIONAL/MANAGERIAL CONTROL2020-05-11
BERG, MICHAELIndividualCORPORATE OFFICER2012-12-01
BRIDGEFORD, LAURAIndividualCORPORATE OFFICER2024-06-01
MENDELSON, AVIIndividualCORPORATE OFFICER2024-06-01

Other facilities in CHARLES TOWN

NameOverallBeds
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.