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Nursing HomeMedicaid Investigative

Berkeley Springs Healthcare Center

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

456 Autumn Acres Road, Berkeley Springs, WV 25411120 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
2.7/5

based on 13 Google reviews

5
4
3
2
1
Berkeley Springs Healthcare Center Nursing Home in Berkeley Springs, WV — Street View
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3/ 10
moderate Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (2/5 stars)
  • Above-median deficiencies (13 vs median 12)

Below average in WV · Below recommended RN staffing · Below chain average · $15,593 in fines

Source: Medicare data

What this means for your family

While some families report excellent care from individual staff members, there is a recurring pattern of understaffing and slow response times to call lights. When touring, we strongly recommend observing how quickly staff respond to call lights and asking management specifically about their current staffing ratios and safety protocols for fall-risk residents.

Google Reviews

Google Reviews

13 reviews analyzed
Berkeley Springs Healthcare Center receives highly polarized feedback, with recent reviews highlighting significant concerns regarding staff responsiveness and patient safety. While some families praise the dedication of individual staff members, others report long wait times for call lights and potential neglect of fall-risk patients.

Quality Themes

Tap a score for details
FoodN/AStaff4.0Clean2.0ActivitiesN/AMedsN/AMemoryN/AComms3.0ValueN/A

Strengths

  • Dedicated and kind individual nursing staff
  • Effective short-term rehab care
  • Phenomenal effort from frontline workers

Concerns

  • Slow response times to call lights (mentioned by 2 reviewers)
  • Understaffing leading to patient safety risks (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'14(1)'17(1)'22(2)'24(2)'26(1)

Distribution

5
2
4
2
3
1
2
2
1
5

How They Respond to Reviews

8%response rate

This facility rarely responds to reviews.

Questions for Your Tour

  • 1Given that some families have expressed concerns about response times to call lights, what specific protocols or technology do you have in place to ensure residents receive timely assistance?
  • 2With the current staffing levels, how does the facility ensure that frontline caregivers have enough time to provide personalized attention to each resident?
  • 3I noticed the facility has had some recent health inspection findings; what concrete steps are you taking to improve these areas and ensure a higher standard of care?
  • 4How does the facility prioritize cleanliness and sanitation throughout the day to ensure a comfortable environment for residents?
  • 5What proactive measures are in place to improve communication between the nursing staff and family members regarding a resident's daily health status?
  • 6Since the short-term rehab program is highly regarded, how do you integrate that level of dedicated care into the daily routines of long-term residents?

Personalized based on this facility's data


Key Review Excerpts

CALL LIGHTS ON FOR 20 OR 30 MINUTES. STAFF WALLS BY THE ROOM AND DOSENT STOP TO SÈE IF PATIENT NEEDS HELP. FALL RISK ISSUE.

Local Guide/Family member · 2023☆☆☆☆

I think the staff here is absolutely phenomenal. They work endlessly, to provide the best standard of care.

Family member · 2025★★★★★

They have cut costs to the point of in my opinion endangering the patients. To the point where I'm almost afraid to leave my father there.

Long-term resident's family · 2015★★★☆☆
Source: 13 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.59hrs
78%
Registered nurses for medical care
Total Nursing
3.36hrs
82%
All nurses + aides combined
Staff Turnover
40%
Lower is better (< 30% = good)
RN Turnover
25%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
4/ 5
Better Than Avg

8

measures

Worse Than Avg

3

measures

Mixed Results

6

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility1.5%
Better than Avg
Here
1.5%
US
12.1%
WV
7.2%
Morgan
28.3%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility6.1%
Better than Avg
Here
6.1%
US
14.4%
WV
15.6%
Morgan
13.5%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility8.6%
Better than Avg
Here
8.6%
US
15.3%
WV
17.2%
Morgan
13.1%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility23.7%
Mixed vs Avgs
Here
23.7%
US
19.5%
WV
27.0%
Morgan
23.1%
🩹

Residents with pressure sores (bedsores)

↓ Lower is better
This Facility2.1%
Better than Avg
Here
2.1%
US
4.9%
WV
4.4%
Morgan
4.9%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility96.2%
Mixed vs Avgs
Here
96.2%
US
93.4%
WV
96.7%
Morgan
97.5%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility54.4%
Worse than Avg
Here
54.4%
US
81.8%
WV
78.4%
Morgan
85.2%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility69.4%
Worse than Avg
Here
69.4%
US
79.7%
WV
79.4%
Morgan
79.2%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
WV
1.0%
Morgan
1.5%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

13deficiencies
1penalties
Near state avg (13.8)
$15,593 in fines

Berkeley Springs Healthcare Center shows a pattern of recurring deficiencies across three surveys, with issues persisting in food service and nutrition, care planning, and infection control. The facility has faced 52 total deficiencies, including problems with daily care assistance, meal quality and safety, and proper assessment procedures. While all deficiencies have correction dates, the repeated nature of issues in these core areas suggests ongoing operational challenges that families should carefully consider.

Mar 27, 2025Routine
13
0804ModerateCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0584ModerateCorrected

Resident Rights Deficiencies

Honor 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.

0677ModerateCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0812ModerateCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0732MinorCorrected

Nursing and Physician Services Deficiencies

Post nurse staffing information every day.

0609MinorCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0644MinorCorrected

Resident Assessment and Care Planning Deficiencies

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

0656MinorCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0658MinorCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0684MinorCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0806MinorCorrected

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

0814MinorCorrected

Nutrition and Dietary Deficiencies

Dispose of garbage and refuse properly.

0880MinorCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Mar 29, 2023Routine
27
0693SevereCorrected

Quality of Life and Care Deficiencies

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

0583ModerateCorrected

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

0641ModerateCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0656ModerateCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0727ModerateCorrected

Nursing and Physician Services Deficiencies

Have 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.

0761ModerateCorrected

Pharmacy Service Deficiencies

Ensure 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.

0803ModerateCorrected

Nutrition and Dietary Deficiencies

Ensure 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.

0812ModerateCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0814ModerateCorrected

Nutrition and Dietary Deficiencies

Dispose of garbage and refuse properly.

0842ModerateCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

0868ModerateCorrected

Administration Deficiencies

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

0880ModerateCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0883ModerateCorrected

Infection Control Deficiencies

Develop and implement policies and procedures for flu and pneumonia vaccinations.

0924ModerateCorrected

Environmental Deficiencies

Put firmly secured handrails on each side of hallways.

0550MinorCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0580MinorCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

0623MinorCorrected

Resident Rights Deficiencies

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

0625MinorCorrected

Resident Rights Deficiencies

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

0657MinorCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0677MinorCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0684MinorCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0689MinorCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0692MinorCorrected

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

0695MinorCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0726MinorCorrected

Nursing and Physician Services Deficiencies

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

0756MinorCorrected

Pharmacy Service Deficiencies

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

0918MinorCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

Oct 6, 2021Routine
12
0609ModerateCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0812ModerateCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0732ModerateCorrected

Nursing and Physician Services Deficiencies

Post nurse staffing information every day.

0804ModerateCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0550MinorCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0558MinorCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0584MinorCorrected

Resident Rights Deficiencies

Honor 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.

0641MinorCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0684MinorCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0686MinorCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0689MinorCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0695MinorCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Berkeley Springs Healthcare Center

Organization Type

for profit

Chain Affiliation

Chain Name

Communicare Health

Chain Size

122 facilities nationwide

Chain avg rating: 2.8/5 · Rank 69 of 121

Ownership & Management

Owners

C R Stoltz II LLC

Owner (parent company) · Organization

C.r. Stoltz Irrevocable Trust

Owner (parent company) · Organization

Hc Real Estate Holdings, LLC

Owner (parent company) · Organization

I. Rosedale Irrevocable Trust

Owner (parent company) · Organization

Omg Re Holdings LLC

Owner (parent company) · Organization

R.s. Wilheim Irrevocable Trust

Owner (parent company) · Organization

Ronald S Wilheim 2012 Spousal Trust

Owner (parent company) · Organization

Rosedale Family Investment Company, INC

Owner (parent company) · Organization

Rrw, LLC

Owner (parent company) · Organization

S.l. Rosedale Irrevocable Trust

Owner (parent company) · Organization

Wilheim Family Investment Company, INC.

Owner (parent company) · Organization

Odenthal, Richard

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Key personnel

Romeo, DominicOfficer / DirectorStoltz, CharlesOfficer / DirectorWilheim, RonaldOfficer / DirectorAutumn Mgt Co., LLCManagerGriffith, CharlesManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 1 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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