| Shenandoah Center | |
| 50 Mulberry Tree Street, Charles Town, West Virginia 25414 | |
| (304) 724-1101 | |
| Name | Shenandoah Center |
|---|---|
| Location | 50 Mulberry Tree Street, Charles Town, West Virginia |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 78 |
| Occupancy Rate | 96.03% |
| Medicare ID (CCN) | 515167 |
| Legal Business Name | 50 Mulberry Tree Street Operations LLC |
| Ownership Type | For Profit - Corporation |
| Chain | Genesis Healthcare (184 nursing homes) |
| Chain Average Overall Rating | 2.4 out of 5 |
| NPI Number | 1750565941 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | 50 Mulberry Tree Street Operations LLC |
| Doing Business As | Shenandoah Center |
| Address | 50 Mulberry Tree Street, Charles Town, WV 25414 |
| Phone Number | 304-724-1101 |
| NPI Number | 1942245006 |
| Match | Possible same name, address or phone number |
| Organization Name | Markglen, Inc. |
| Doing Business As | Shenandoah Health Village Center |
| Address | 50 Mulberry Tree Street, Charles Town, WV 25414 |
| Phone Number | 304-724-1101 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 3.03 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.91 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.36 | 0.86 |
| Nurse aide hours per resident per day | 1.76 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 2.75 | 3.42 |
| RN hours per resident per day on the weekend | 0.55 | 0.48 |
| Physical therapist hours per resident per day | 0.1 | 0.07 |
| Total nursing staff turnover | 41.9% | 45.8% |
| Registered nurse turnover | 43.8% | 42.9% |
| Number of administrators who have left the nursing home | 0 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 4 |
| Total Amount of Fines in Dollars | $48,469 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 4 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Mar 11, 2026 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Standard inspection, Complaint inspection | Potential for harm, pattern | Corrected by Apr 15, 2026 |
| Mar 11, 2026 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Apr 15, 2026 |
| Mar 11, 2026 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. F0835, Administration, Standard inspection | Potential for harm, pattern | Corrected by Apr 15, 2026 |
| Mar 11, 2026 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Apr 15, 2026 |
| Mar 11, 2026 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. F0582, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Apr 15, 2026 |
| Mar 11, 2026 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. F0628, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Apr 15, 2026 |
| Mar 11, 2026 | Provide care or services that was trauma informed and/or culturally competent. F0699, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Apr 15, 2026 |
| Mar 11, 2026 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Apr 15, 2026 |
| Nov 6, 2025 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, isolated | Corrected by Dec 11, 2025 |
| Jul 26, 2024 | Provide safe, appropriate dialysis care/services for a resident who requires such services. F0698, Quality of Life and Care, Standard inspection | Immediate jeopardy, pattern | Corrected by Sep 5, 2024 |
| Jul 26, 2024 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600, Freedom from Abuse, Neglect, and Exploitation, Standard inspection, Complaint inspection | Immediate jeopardy, isolated | Past non-compliance (already corrected) |
| Jul 26, 2024 | Ensure that residents are free from significant medication errors. F0760, Pharmacy Service, Standard inspection | Immediate jeopardy, isolated | Corrected by Sep 5, 2024 |
| Jul 26, 2024 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677, Quality of Life and Care, Standard inspection | Actual harm, isolated | Corrected by Sep 5, 2024 |
| Jul 26, 2024 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, widespread | Corrected by Sep 5, 2024 |
| Jul 26, 2024 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. F0561, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by Sep 5, 2024 |
| Jul 26, 2024 | Keep residents' personal and medical records private and confidential. F0583, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by Sep 5, 2024 |
| Jul 26, 2024 | 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. F0584, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by Sep 5, 2024 |
| Jul 26, 2024 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Standard inspection | Potential for harm, pattern | Corrected by Sep 5, 2024 |
| Jul 26, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Standard inspection | Potential for harm, pattern | Corrected by Sep 5, 2024 |
| Jul 26, 2024 | Observe each nurse aide's job performance and give regular training. F0730, Nursing and Physician Services, Standard inspection | Potential for harm, pattern | Corrected by Sep 5, 2024 |
| Jul 26, 2024 | Implement 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. F0758, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by Sep 5, 2024 |
| Jul 26, 2024 | 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. F0761, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by Sep 5, 2024 |
| Jul 26, 2024 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Sep 5, 2024 |
| Jul 26, 2024 | Make sure that a working call system is available in each resident's bathroom and bathing area. F0919, Environmental, Standard inspection | Potential for harm, pattern | Corrected by Sep 5, 2024 |
| Jul 26, 2024 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. F0623, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Sep 5, 2024 |
| Jul 26, 2024 | Ensure each resident receives an accurate assessment. F0641, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Sep 5, 2024 |
| Jul 26, 2024 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Sep 5, 2024 |
| Jul 26, 2024 | Provide activities to meet all resident's needs. F0679, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Sep 5, 2024 |
| Jul 26, 2024 | Provide 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. F0688, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Sep 5, 2024 |
| Jul 26, 2024 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. F0725, Nursing and Physician Services, Standard inspection | Potential for harm, isolated | Corrected by Sep 5, 2024 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 23.65 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 10.61 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 2.82 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 1.47 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 8.22 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.54 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 91.91 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.53 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 31.97 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 23.11 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 89.86 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 7.66 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 28.37 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 5.81 | 15.38 |
Willow Tree Healthcare Center Location: 1263 South George Street, Charles Town, West Virginia 25414 Phone: (304) 725-6575 |