Berkeley Springs Healthcare Center
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 13 Google reviews

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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
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 detailsStrengths
- 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
Distribution
How They Respond to Reviews
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.”
“I think the staff here is absolutely phenomenal. They work endlessly, to provide the best standard of care.”
“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.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both 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
8
measures
3
measures
6
measures
Residents with depression symptoms
Residents needing more daily help over time
Residents whose walking got worse
Residents on anti-anxiety or sleep medication
Residents with pressure sores (bedsores)
Residents vaccinated for pneumonia
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
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, 2025Routine13
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
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.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
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.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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.
Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Mar 29, 2023Routine27
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.
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
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.
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.
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.
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.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
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.
Administration Deficiencies
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Environmental Deficiencies
Put firmly secured handrails on each side of hallways.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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.
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.
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.
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.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
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.
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.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Oct 6, 2021Routine12
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
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.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Ownership & Operations
Who Operates This Facility
Berkeley Springs Healthcare Center
for profit
Chain Affiliation
Communicare Health
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
Contact
Get in Touch
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References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
13 reviews from families & visitors
Official Website
Visit communicarehealth.com
Medicare data downloads
Original nursing home datasets
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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.