Velarion Records

The 340B register and hospital finances — joined, watched daily, delivered.

Skilled nursing facility · CMS certification number 515197

AUTUMN LAKE HEALTHCARE AT CRYSTAL SPRINGS

ELKINS, West Virginia · Medicare and Medicaid

Certified beds, as filed in Care Compare: 84

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 1 January 2024 to 31 December 2024 — a reporting period of 365 days, on form CMS-2540-10, as submitted, processed by CMS on 19 June 2025.

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$11,275,081CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$308,535CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$10,966,546CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$12,468,185CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,501,639CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$2,940,737CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,439,098CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,439,098 (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 components84CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components30,744CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days1,448CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days22,290CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days4,492CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components28,230CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges22CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges93CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges80CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components195CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days65.82CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days239.68CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days144.77CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1432227, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2023, ended 31 December 2023

Cost report for 1 January 2023 to 31 December 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 11 September 2025.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$9,455,252CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$338,266CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$9,116,986CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$10,817,633CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,700,647CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,291,992CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$408,655CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$408,655 (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 components84CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components23,646CMS-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 days64.38CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days286.54CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days205.62CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1439299, read from the public cost report file SNF10FY2023.zip.

Fiscal year 2022, ended 31 December 2022

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

Revenue and expenses, fiscal year 2022
FigureAs filedWhere it comes from
Total patient revenue$8,995,665CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$272,109CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$8,723,556CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$8,579,527CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$144,029CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$593,809CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$737,838CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $737,838 (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 components84CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components23,984CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components100CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days95.04CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days345.87CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days239.84CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1394659, 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 1 August 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
BRAND SONNENSCHINE LLPADP OF THE SNFOrganizationNOT APPLICABLEsince 06/01/2021
CHUA, CATHERINEADP OF THE SNFIndividualNOT APPLICABLEsince 02/01/2024
HOLICKER, ROSEADP OF THE SNFIndividualNOT APPLICABLEsince 11/30/2023
R STERN FAMILY TRUSTADP OF THE SNFOrganizationNOT APPLICABLEsince 06/01/2021
STERN, ARYEHADP OF THE SNFIndividualNOT APPLICABLEsince 06/01/2021
SCHWARTZ, MARKCORPORATE OFFICERIndividualNOT APPLICABLEsince 06/01/2021
CHUA, CATHERINEOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 02/01/2024
HOLICKER, ROSEOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 11/30/2023
SCHWARTZ, MARKOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 06/01/2021

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of 200 WHITMAN AVENUE OPCO LLC (enrollment ID O20220105000507).

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
ARYEH STERNIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST16/1/2021
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
A & R STERN FAMILY WV HOLDINGS LLCOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.6/1/2021
Private equity company: No
Real estate investment trust: No
Holding company: Yes
A STERN FAMILY TRUST WVOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.6/1/2021
Private equity company: No
Real estate investment trust: No
Holding company: No
ACCURATE STAFFING LLCOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.6/1/2021
Private equity company: No
Real estate investment trust: No
Holding company: No
ARYEH STERNIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.6/1/2021
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
BRAND SONNENSCHINE LLPOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.6/1/2021
Private equity company: No
Real estate investment trust: No
Holding company: No
CATHERINE M CHUAIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.2/1/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
R STERN FAMILY TRUSTOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.6/1/2021
Private equity company: No
Real estate investment trust: No
Holding company: No
ROSE HOLICKERIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.11/30/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MARK SCHWARTZIndividualCORPORATE OFFICERCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.6/1/2021
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CATHERINE M CHUAIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.2/1/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MARK SCHWARTZIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.6/1/2021
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
ROSE HOLICKERIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.11/30/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.

Changes in ownership

Recent changes on this record

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
16 March 20256 March 2025186
222 February 202422 February 2024297
313 July 202213 July 2022240

From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.

Deficiencies cited

71 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
30 December 2025HealthF 0609Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DYesDeficient, Provider has date of correction15 January 2026
23 October 2025HealthF 0690Quality of Life and Care DeficienciesProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DYesDeficient, Provider has date of correction5 December 2025
23 October 2025HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DYesDeficient, Provider has date of correction5 December 2025
6 March 2025HealthF 0550Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DNoDeficient, Provider has date of correction2 May 2025
6 March 2025HealthF 0577Resident Rights DeficienciesAllow residents to easily view the nursing home's survey results and communicate with advocate agencies.DNoDeficient, Provider has date of correction2 May 2025
6 March 2025HealthF 0582Resident Rights DeficienciesGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DNoDeficient, Provider has date of correction2 May 2025
6 March 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 correction2 May 2025
6 March 2025HealthF 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 correction2 May 2025
6 March 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 correction2 May 2025
6 March 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.DNoDeficient, Provider has date of correction2 May 2025
6 March 2025HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.EYesDeficient, Provider has date of correction2 May 2025
6 March 2025HealthF 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 correction2 May 2025
6 March 2025HealthF 0727Nursing and Physician Services DeficienciesHave 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.EYesDeficient, Provider has date of correction2 May 2025
6 March 2025HealthF 0732Nursing and Physician Services DeficienciesPost nurse staffing information every day.DNoDeficient, Provider has date of correction2 May 2025
6 March 2025HealthF 0804Nutrition and Dietary DeficienciesEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.ENoDeficient, Provider has date of correction2 May 2025
6 March 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 correction2 May 2025
6 March 2025HealthF 0814Nutrition and Dietary DeficienciesDispose of garbage and refuse properly.DNoDeficient, Provider has date of correction2 May 2025
6 March 2025HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.EYesDeficient, Provider has date of correction2 May 2025
26 November 2024HealthF 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.EYesDeficient, Provider has date of correction6 January 2025
26 November 2024HealthF 0678Quality of Life and Care DeficienciesProvide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.DYesPast Non-Compliance24 June 2024
26 November 2024HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.EYesDeficient, Provider has date of correction6 January 2025
26 November 2024HealthF 0756Pharmacy Service DeficienciesEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DYesDeficient, Provider has date of correction6 January 2025
26 November 2024HealthF 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.EYesDeficient, Provider has date of correction6 January 2025
22 February 2024HealthF 0550Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.ENoDeficient, Provider has date of correction15 April 2024
22 February 2024HealthF 0567Resident Rights DeficienciesHonor the resident's right to manage his or her financial affairs.ENoDeficient, Provider has date of correction15 April 2024
22 February 2024HealthF 0572Resident Rights DeficienciesGive residents a notice of rights, rules, services and charges.ENoDeficient, Provider has date of correction15 April 2024
22 February 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.ENoDeficient, Provider has date of correction15 April 2024
22 February 2024HealthF 0610Freedom from Abuse, Neglect, and Exploitation DeficienciesRespond appropriately to all alleged violations.EYesDeficient, Provider has date of correction15 April 2024
22 February 2024HealthF 0645Resident Assessment and Care Planning DeficienciesPASARR screening for Mental disorders or Intellectual DisabilitiesDNoDeficient, Provider has date of correction15 April 2024
22 February 2024HealthF 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 correction15 April 2024
22 February 2024HealthF 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.DNoDeficient, Provider has date of correction15 April 2024
22 February 2024HealthF 0677Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.DYesDeficient, Provider has date of correction15 April 2024
22 February 2024HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.DYesDeficient, Provider has date of correction15 April 2024
22 February 2024HealthF 0690Quality of Life and Care DeficienciesProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.ENoDeficient, Provider has date of correction15 April 2024
22 February 2024HealthF 0695Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.DNoDeficient, Provider has date of correction15 April 2024
22 February 2024HealthF 0726Nursing and Physician Services DeficienciesEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.FNoDeficient, Provider has date of correction15 April 2024
22 February 2024HealthF 0730Nursing and Physician Services DeficienciesObserve each nurse aide's job performance and give regular training.EYesDeficient, Provider has date of correction15 April 2024
22 February 2024HealthF 0732Nursing and Physician Services DeficienciesPost nurse staffing information every day.ENoDeficient, Provider has date of correction15 April 2024
22 February 2024HealthF 0756Pharmacy Service DeficienciesEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.ENoDeficient, Provider has date of correction15 April 2024
22 February 2024HealthF 0758Pharmacy Service DeficienciesImplement 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.DNoDeficient, Provider has date of correction15 April 2024
22 February 2024HealthF 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.DNoDeficient, Provider has date of correction15 April 2024
22 February 2024HealthF 0803Nutrition and Dietary DeficienciesEnsure 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.ENoDeficient, Provider has date of correction15 April 2024
22 February 2024HealthF 0804Nutrition and Dietary DeficienciesEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.ENoDeficient, Provider has date of correction15 April 2024
22 February 2024HealthF 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 correction15 April 2024
22 February 2024HealthF 0851Administration DeficienciesElectronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.ENoDeficient, Provider has date of correction15 April 2024
22 February 2024HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.FNoDeficient, Provider has date of correction15 April 2024
22 February 2024HealthF 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.ENoDeficient, Provider has date of correction15 April 2024
13 July 2022HealthF 0550Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DNoDeficient, Provider has date of correction8 August 2022
13 July 2022HealthF 0574Resident Rights DeficienciesThe resident has the right to receive notices in a format and a language he or she understands.DNoDeficient, Provider has date of correction8 August 2022
13 July 2022HealthF 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.ENoDeficient, Provider has date of correction8 August 2022
13 July 2022HealthF 0582Resident Rights DeficienciesGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DNoDeficient, Provider has date of correction8 August 2022
13 July 2022HealthF 0583Resident Rights DeficienciesKeep residents' personal and medical records private and confidential.DNoDeficient, Provider has date of correction8 August 2022
13 July 2022HealthF 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.DNoDeficient, Provider has date of correction8 August 2022
13 July 2022HealthF 0604Freedom from Abuse, Neglect, and Exploitation DeficienciesEnsure that each resident is free from the use of physical restraints, unless needed for medical treatment.DNoDeficient, Provider has date of correction8 August 2022
13 July 2022HealthF 0609Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.ENoDeficient, Provider has date of correction8 August 2022
13 July 2022HealthF 0610Freedom from Abuse, Neglect, and Exploitation DeficienciesRespond appropriately to all alleged violations.DNoDeficient, Provider has date of correction8 August 2022
13 July 2022HealthF 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 correction8 August 2022
13 July 2022HealthF 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 correction8 August 2022
13 July 2022HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.ENoDeficient, Provider has date of correction8 August 2022
13 July 2022HealthF 0686Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.DNoDeficient, Provider has date of correction8 August 2022
13 July 2022HealthF 0695Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.DNoDeficient, Provider has date of correction8 August 2022
13 July 2022HealthF 0740Quality of Life and Care DeficienciesEnsure each resident must receive and the facility must provide necessary behavioral health care and services.DNoDeficient, Provider has date of correction8 August 2022
13 July 2022HealthF 0755Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DNoDeficient, Provider has date of correction8 August 2022
13 July 2022HealthF 0757Pharmacy Service DeficienciesEnsure each resident’s drug regimen must be free from unnecessary drugs.DNoDeficient, Provider has date of correction8 August 2022
13 July 2022HealthF 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 correction8 August 2022
13 July 2022HealthF 0791Quality of Life and Care DeficienciesProvide or obtain dental services for each resident.DNoDeficient, Provider has date of correction8 August 2022
13 July 2022HealthF 0809Nutrition and Dietary DeficienciesEnsure 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.DNoDeficient, Provider has date of correction8 August 2022
13 July 2022HealthF 0810Nutrition and Dietary DeficienciesProvide special eating equipment and utensils for residents who need them and appropriate assistance.DNoDeficient, Provider has date of correction8 August 2022
13 July 2022HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DNoDeficient, Provider has date of correction8 August 2022
13 July 2022HealthF 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 correction8 August 2022
13 July 2022HealthF 0888Infection Control DeficienciesEnsure staff are vaccinated for COVID-19DNoDeficient, Provider has date of correction8 August 2022

From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.

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Care Compare provider information

FieldAs filed
Provider TypeMedicare and Medicaid
Ownership TypeFor profit - Corporation
Legal Business Name200 WHITMAN AVENUE 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 Number3046362033
Chain NameAUTUMN LAKE HEALTHCARE
Chain ID56
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilResident
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds84
Average Number of Residents per Day78.9
Overall Rating1
Health Inspection Rating2
QM Rating2
Long-Stay QM Rating2
Short-Stay QM Rating1
Processing Date2026-08-01

From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.

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On 1 July 2026: BRAND SONNENSCHINE LLP no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. That is one line of the alert.

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