Nursing HomeInspections

Shenandoah Center

Nursing home in Charles Town, WV

Medicare & Medicaid certified2★ overall (CMS)

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Public-record details

Address
50 Mulberry Tree Street, Charles Town, WV 25414
Phone
(304) 724-1101
Listed under
For-profit
Medicare CCN
515167
Overall star rating
2 of 5 ★★☆☆☆
Health inspection rating
2 of 5
Staffing rating
3 of 5
Quality measures rating
3 of 5
Certified beds
78
Average residents per day
76
Ownership
For-profit, corporation
Legal business name
50 Mulberry Tree Street Operations LLC
Chain
Genesis Healthcare (183 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Apr 16, 1998
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 515167. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-11-07.

Inspection record

Most recent standard health inspection: Mar 11, 2026. CMS lists 53 health citations for this facility across its last three standard inspection cycles and complaint inspections (Sep 30, 2022 to Mar 11, 2026): 3 from complaint inspections, 4 at the “actual harm” level or higher, including 3 at “immediate jeopardy”.

InspectionCitationSeverity
Mar 11, 2026Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights		D
Potential for more than minimal harm, isolated
Mar 11, 2026Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights		D
Potential for more than minimal harm, isolated
Mar 11, 2026Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights		D
Potential for more than minimal harm, isolated
Mar 11, 2026Provide care or services that was trauma informed and/or culturally competent.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Mar 11, 2026Provide and implement an infection prevention and control program.
Infection Control		D
Potential for more than minimal harm, isolated
Mar 11, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection		E
Potential for more than minimal harm, pattern
Mar 11, 2026Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		E
Potential for more than minimal harm, pattern
Mar 11, 2026Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Administration		E
Potential for more than minimal harm, pattern
Nov 6, 2025Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning · complaint inspection		D
Potential for more than minimal harm, isolated
Jul 26, 2024Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights		D
Potential for more than minimal harm, isolated
Jul 26, 2024Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Jul 26, 2024Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 53. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Oct 1, 2026.

Fines and payment denials

CMS records 4 fines totalling $48,469 in the last three years.

Jul 26, 2024Fine: $8,018
Jul 26, 2024Fine: $10,023
Jul 26, 2024Fine: $13,627
Jul 26, 2024Fine: $16,801

Source: CMS Penalties file, processed Oct 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.09 hours
Registered nurse (RN) time per resident per day
0.96 hours
Nurse aide time per resident per day
1.70 hours
Total nurse staffing on weekends
2.63 hours
Nursing staff turnover (yearly)
40%
RN turnover (yearly)
35%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in Charles Town

Willow Tree Healthcare Center1263 South George Street · Charles Town, WV 25414 · (304) 725-6575 · For-profit50 health citations in 3 inspection cycles · last standard inspection Jul 24, 2025 · $8,018 in CMS fines (3 yrs)Medicare & Medicaid certified4★ overall (CMS)

All 2 in Charles Town →

Public record, not an endorsement. This listing was compiled from public records as of 2026-11-07 and may be incomplete or out of date. Nursing Home Inspections does not vet, employ, recommend or guarantee nursing homes; a badge reflects only what the public record showed on that date. Confirm current details with the official record before you decide. The information on Nursing Home Inspections is not medical advice and does not replace a doctor, nurse, discharge planner or other qualified professional. Do not use it to make decisions about diagnosis or treatment. If you have a medical emergency, call 911. Full disclaimer · Report an error