Velarion Records

Skilled nursing facility · CMS certification number 515196

NELLA'S AT AUTUMN LAKE HEALTHCARE

ELKINS, West Virginia · Medicare and Medicaid

Certified beds, as filed in Care Compare: 100

Download this facility’s record (CSV)

A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.

In Care Compare’s provider information: Penalties: 2 · Fines: 2 · Fines, total amount: $59,810.00 · Payment denials: 0. The most recent penalty on file: August 5, 2025, Fine, $22,474. Every penalty on file ↓

For this facility: the citable document with full history — $295 · an email when this record changes — $99/month

Finances, as filed

From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.

Cost report for January 1, 2024 to December 31, 2024 — a reporting period of 365 days, on form CMS-2540-10, as submitted, processed by CMS on June 23, 2025.

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$10,908,744CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$332,654CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$10,576,090CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$11,243,759CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$667,669CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,051,979CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$384,310CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $384,310 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
FigureAs filedWhere it comes from
Total facility beds, all components100CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components36,600CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days1,756CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days26,820CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days3,961CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components32,537CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges29CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges91CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges68CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components188CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days60.55CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days294.73CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days173.07CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1432226, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2023, ended December 31, 2023

Cost report for January 1, 2023 to December 31, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 28, 2025.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$9,734,022CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$328,349CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$9,405,673CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$10,855,956CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,450,283CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,725,040CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$274,757CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $274,757 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
FigureAs filedWhere it comes from
Total facility beds, all components100CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components27,166CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components115CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days86.59CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days420.23CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days236.23CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1435754, read from the public cost report file SNF10FY2023.zip.

Fiscal year 2022, ended December 31, 2022

Cost report for December 23, 2021 to December 31, 2022 — a reporting period of 373 days, on form CMS-2540-10, settled, processed by CMS on September 12, 2024.

Revenue and expenses, fiscal year 2022
FigureAs filedWhere it comes from
Total patient revenue$8,483,505CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$340,404CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$8,143,101CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$9,113,492CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$970,391CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$649,004CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$321,387CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$321,387 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
FigureAs filedWhere it comes from
Total facility beds, all components100CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components24,135CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components113CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days69.82CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days369.02CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days213.58CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1394658, read from the public cost report file SNF10FY2022.zip.

Nurse staffing

Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.

The staffing record →

Ownership, as filed with CMS

Care Compare

As filed in the CMS file dated September 1, 2026 (Care Compare ownership).

Owner or managerRoleTypeOwnership percentageAssociation
NELLAS OPCO HOLDCO LLC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%since 06/01/2021
A & R STERN FAMILY WV HOLDINGS LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganization99%since 06/01/2021
A & R STERN FAMILY WV HOLDINGS LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 06/01/2021
A STERN FAMILY TRUST WVADP OF THE SNFOrganizationNOT APPLICABLEsince 06/01/2021
ACCURATE STAFFING LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 06/01/2021
BOLYARD, JONTHANADP OF THE SNFIndividualNOT APPLICABLEsince 12/06/2021
BRAND SONNENSCHINE LLPADP OF THE SNFOrganizationNOT APPLICABLEsince 06/01/2021
CHUA, CATHERINEADP OF THE SNFIndividualNOT APPLICABLEsince 02/01/2024
R STERN FAMILY TRUSTADP OF THE SNFOrganizationNOT APPLICABLEsince 06/01/2021
STERN, ARYEHADP OF THE SNFIndividualNOT APPLICABLEsince 06/01/2021
STERN, ARYEHINDIRECT OWNERSHIP INTERESTIndividualNOT APPLICABLEsince 06/01/2021
BOLYARD, JONTHANOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 12/06/2021
CHUA, CATHERINEOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 02/01/2024
SCHWARTZ, MARKOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 06/01/2021

Medicare enrollment

As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of 499 FERGUSON ROAD OPCO LLC (enrollment ID O20211215000616).

CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; where the private equity, real estate investment trust or holding company field below has not been filed under the current cycle, it reads “Paused by CMS”.

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
NELLAS OPCO HOLDCO LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST1006/1/2021
Private equity company: No
Real estate investment trust: No
Holding company: Yes
A & R STERN FAMILY WV HOLDINGS LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST996/1/2021
Private equity company: No
Real estate investment trust: No
Holding company: Yes
A & R STERN FAMILY WV HOLDINGS LLCOrganizationADP OF THE SNFNot stated in the filing6/1/2021
Private equity company: No
Real estate investment trust: No
Holding company: Yes
A STERN FAMILY TRUST WVOrganizationADP OF THE SNFNot stated in the filing6/1/2021
Private equity company: No
Real estate investment trust: No
Holding company: No
ACCURATE STAFFING LLCOrganizationADP OF THE SNFNot stated in the filing6/1/2021
Private equity company: No
Real estate investment trust: No
Holding company: No
ARYEH STERNIndividualADP OF THE SNFNot stated in the filing6/1/2021
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
BRAND SONNENSCHINE LLPOrganizationADP OF THE SNFNot stated in the filing6/1/2021
Private equity company: No
Real estate investment trust: No
Holding company: No
CATHERINE M CHUAIndividualADP OF THE SNFNot stated in the filing2/1/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
JONTHAN PAUL BOLYARDIndividualADP OF THE SNFNot stated in the filing12/6/2021
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
R STERN FAMILY TRUSTOrganizationADP OF THE SNFNot stated in the filing6/1/2021
Private equity company: No
Real estate investment trust: No
Holding company: No
ARYEH STERNIndividualINDIRECT OWNERSHIP INTEREST16/1/2021
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
CATHERINE M CHUAIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing2/1/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
JONTHAN PAUL BOLYARDIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing12/6/2021
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
MARK SCHWARTZIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing6/1/2021
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS

Changes in ownership

Recent changes on this record

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
1August 5, 2025August 5, 2025176
2November 8, 2023November 8, 2023138
3June 2, 2021June 2, 202150

From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.

Deficiencies cited

35 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
December 30, 2025HealthF 0584Resident Rights DeficienciesHonor 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.EYesDeficient, Provider has date of correctionJanuary 20, 2026
December 30, 2025HealthF 0801Nutrition and Dietary DeficienciesEmploy sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.FYesDeficient, Provider has date of correctionJanuary 20, 2026
December 30, 2025HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FYesDeficient, Provider has date of correctionJanuary 20, 2026
December 30, 2025HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.FYesDeficient, Provider has date of correctionJanuary 20, 2026
August 5, 2025HealthF 0584Resident Rights DeficienciesHonor 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.DNoDeficient, Provider has date of correctionSeptember 2, 2025
August 5, 2025HealthF 0628Resident Rights DeficienciesProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.DNoDeficient, Provider has date of correctionSeptember 2, 2025
August 5, 2025HealthF 0641Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.DNoDeficient, Provider has date of correctionSeptember 2, 2025
August 5, 2025HealthF 0644Resident Assessment and Care Planning DeficienciesCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DNoDeficient, Provider has date of correctionSeptember 2, 2025
August 5, 2025HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.ENoDeficient, Provider has date of correctionSeptember 2, 2025
August 5, 2025HealthF 0657Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.ENoDeficient, Provider has date of correctionSeptember 2, 2025
August 5, 2025HealthF 0679Quality of Life and Care DeficienciesProvide activities to meet all resident's needs.ENoDeficient, Provider has date of correctionSeptember 2, 2025
August 5, 2025HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.LNoDeficient, Provider has date of correctionAugust 6, 2025
August 5, 2025HealthF 0745Quality of Life and Care DeficienciesProvide medically-related social services to help each resident achieve the highest possible quality of life.DNoDeficient, Provider has date of correctionSeptember 2, 2025
August 5, 2025HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.ENoDeficient, Provider has date of correctionSeptember 2, 2025
August 5, 2025HealthF 0825Quality of Life and Care DeficienciesProvide or get specialized rehabilitative services as required for a resident.DYesDeficient, Provider has date of correctionSeptember 2, 2025
August 5, 2025HealthF 0842Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.ENoDeficient, Provider has date of correctionSeptember 2, 2025
August 5, 2025HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DNoDeficient, Provider has date of correctionSeptember 2, 2025
July 4, 2024HealthF 0584Resident Rights DeficienciesHonor 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.EYesDeficient, Provider has date of correctionAugust 27, 2024
July 4, 2024HealthF 0908Environmental DeficienciesKeep all essential equipment working safely.DYesDeficient, Provider has date of correctionAugust 27, 2024
November 8, 2023HealthF 0584Resident Rights DeficienciesHonor 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.DNoDeficient, Provider has date of correctionDecember 8, 2023
November 8, 2023HealthF 0585Resident Rights DeficienciesHonor 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.ENoDeficient, Provider has date of correctionDecember 8, 2023
November 8, 2023HealthF 0600Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.ENoDeficient, Provider has date of correctionDecember 8, 2023
November 8, 2023HealthF 0609Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DNoDeficient, Provider has date of correctionDecember 8, 2023
November 8, 2023HealthF 0641Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.ENoDeficient, Provider has date of correctionDecember 8, 2023
November 8, 2023HealthF 0645Resident Assessment and Care Planning DeficienciesPASARR screening for Mental disorders or Intellectual DisabilitiesDNoDeficient, Provider has date of correctionDecember 8, 2023
November 8, 2023HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.DNoDeficient, Provider has date of correctionDecember 15, 2023
November 8, 2023HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DNoDeficient, Provider has date of correctionDecember 8, 2023
November 8, 2023HealthF 0697Quality of Life and Care DeficienciesProvide safe, appropriate pain management for a resident who requires such services.ENoDeficient, Provider has date of correctionDecember 8, 2023
November 8, 2023HealthF 0732Nursing and Physician Services DeficienciesPost nurse staffing information every day.CNoDeficient, Provider has date of correctionDecember 8, 2023
November 8, 2023HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.ENoDeficient, Provider has date of correctionDecember 8, 2023
November 8, 2023HealthF 0943Freedom from Abuse, Neglect, and Exploitation DeficienciesGive their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.DNoDeficient, Provider has date of correctionDecember 8, 2023
November 8, 2023HealthF 0947Nursing and Physician Services DeficienciesEnsure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.DNoDeficient, Provider has date of correctionDecember 8, 2023
June 2, 2021HealthF 0561Resident Rights DeficienciesHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.ENoDeficient, Provider has date of correctionJune 28, 2021
June 2, 2021HealthF 0578Resident Rights DeficienciesHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.DNoDeficient, Provider has date of correctionJune 28, 2021
June 2, 2021HealthF 0761Pharmacy Service DeficienciesEnsure 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.ENoDeficient, Provider has date of correctionJune 28, 2021

From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.

Penalties

Penalty dateTypeFine amountPayment denial beganPayment denial, daysFine ID
August 5, 2025Fine$22,474134826
November 8, 2023Fine$37,3368975

From the Care Compare penalties file NH_Penalties_Sep2026_2.csv, processed on September 1, 2026.

Care Compare provider information

FieldAs filed
Provider TypeMedicare and Medicaid
Ownership TypeFor profit - Limited Liability company
Legal Business Name499 FERGUSON ROAD OPCO LLC
Date First Approved to Provide Medicare and Medicaid Services2021-12-23
Provider Resides in HospitalN
Continuing Care Retirement CommunityN
UrbanN
County/ParishRandolph
Telephone Number3046361008
Chain NameAUTUMN LAKE HEALTHCARE
Chain ID56
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilBoth
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds100
Average Number of Residents per Day94.7
Overall Rating1
Health Inspection Rating1
QM Rating4
Long-Stay QM Rating5
Short-Stay QM Rating3
Processing Date2026-09-01

From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.

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The citable document for NELLA'S AT AUTUMN LAKE HEALTHCARE

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