Roane County, West Virginia · Nursing home
Miletree Center
4 of 5 overall from CMS
825 Summit Street, Spencer, WV 25276
At a glance
- Overall rating 4 of 5 Above the state average of 3.0
- Nurse time per resident, per day 3.18 hours Below the state average of 3.67
- Nursing staff who left in a year 44.7% Above the state average of 44.1%
- Health citations, last 3 inspection cycles 41 None at the harm level or above
- Fines in 3 years None None listed by CMS
- Certified beds in use 96.0% of 62 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Miletree Center is a 62-bed nursing home in Spencer, West Virginia (Roane County). CMS rates it 4 of 5 stars overall as of Sep 2026. It reports 3.18 nurse staffing hours per resident per day, below the West Virginia average of 3.67. CMS lists no fines in the past three years.
- Certified beds
- 62
- Residents per day (average)
- 59.5
- Certified since
- 2002 (24 yrs)
For profit - Corporation Participates in Medicare and MedicaidPart of Genesis Healthcare (184 homes)
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Miletree Center
Chosen from this home's public data.
- Nursing staff turnover is 44.7%, above the West Virginia average of 44.1%. How often would the same aides care for my relative?Turnover in CMS data
- Reported nurse staffing is 2.81 hours per resident on weekends against 3.18 overall. Who covers Saturdays and Sundays?Weekend staffing in CMS data
- About 96.0% of certified beds are in use on an average day. Is there a waiting list, and how long is it?Certified beds and average residents in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 4 of 5 West Virginia average 3.0
- Health inspections 4 of 5 West Virginia average 2.9
- Staffing 2 of 5 West Virginia average 2.6
- Quality measures 3 of 5 West Virginia average 3.6
The vertical line marks the West Virginia average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 3.18 h West Virginia average 3.67
- Nurse aides 1.80 h West Virginia average 2.04
- Licensed practical nurses 0.87 h West Virginia average 0.90
- Registered nurses 0.51 h West Virginia average 0.73
- All staff, weekends 2.81 h West Virginia average 3.17
How much nurse staffing is enough? All bars share one scale, 0 to 8 hours. The vertical line marks the West Virginia average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover44.7%
- West Virginia average44.1%
- Registered nurse turnover16.7%
- West Virginia average42.3%
- Administrators who left1
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the West Virginia and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | West Virginia | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 11.9% | 14.7% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 8.6% | 6.3% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.4% | 0.4% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 0.0% | 1.6% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 7.7% | 7.6% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.5% | 0.2% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 6.7% | 4.4% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% | 96.4% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 10.1% | 15.9% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 20.2% | 27.0% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.2% | 97.6% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 2.5% | 4.2% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 5.7% | 22.1% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 12.0% | 13.4% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 1.25 | 1.80 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 1.89 | 1.84 | 1.78 |
Short-stay residents
| Measure | This home | West Virginia | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 85.4% | 79.1% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 5.3% | 1.0% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 93.5% | 79.4% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 15.4% | 22.5% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 9.4% | 11.3% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 41 health deficiencies in the three most recent inspection cycles. None was graded as actual harm or immediate jeopardy. 1 was cited in connection with a complaint investigation.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Aug 18, 2025 | 10 | 0 |
| Jul 11, 2024 | 15 | 0 |
| Mar 8, 2023 | 16 | 0 |
West Virginia homes averaged 11.7 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (41)
-
EPotential for more than minimal harm, pattern
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Sep 17, 2025)
-
DPotential for more than minimal harm, isolated
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights · Deficient, Provider has date of correction (Sep 17, 2025)
-
DPotential for more than minimal harm, isolated
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Sep 17, 2025)
-
DPotential for more than minimal harm, isolated
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Sep 17, 2025)
-
DPotential for more than minimal harm, isolated
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 · Deficient, Provider has date of correction (Sep 17, 2025)
Show 25 more
-
DPotential for more than minimal harm, isolated
Develop 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 · Deficient, Provider has date of correction (Sep 17, 2025)
-
DPotential for more than minimal harm, isolated
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · Deficient, Provider has date of correction (Sep 17, 2025)
-
DPotential for more than minimal harm, isolated
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Nutrition and Dietary · Deficient, Provider has date of correction (Sep 17, 2025)
-
DPotential for more than minimal harm, isolated
Ensure 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.
Complaint investigation · Nutrition and Dietary · Deficient, Provider has date of correction (Sep 17, 2025)
-
DPotential for more than minimal harm, isolated
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Sep 17, 2025)
-
EPotential for more than minimal harm, pattern
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Aug 13, 2024)
-
EPotential for more than minimal harm, pattern
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 · Deficient, Provider has date of correction (Aug 13, 2024)
-
EPotential for more than minimal harm, pattern
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care · Deficient, Provider has date of correction (Aug 13, 2024)
-
EPotential for more than minimal harm, pattern
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.
Pharmacy Service · Deficient, Provider has date of correction (Aug 13, 2024)
-
EPotential for more than minimal harm, pattern
Provide or obtain dental services for each resident.
Quality of Life and Care · Deficient, Provider has date of correction (Aug 13, 2024)
-
EPotential for more than minimal harm, pattern
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Aug 13, 2024)
-
DPotential for more than minimal harm, isolated
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights · Deficient, Provider has date of correction (Aug 13, 2024)
-
DPotential for more than minimal harm, isolated
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights · Deficient, Provider has date of correction (Aug 13, 2024)
-
DPotential for more than minimal harm, isolated
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 Rights · Deficient, Provider has date of correction (Aug 13, 2024)
-
DPotential for more than minimal harm, isolated
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Aug 13, 2024)
-
DPotential for more than minimal harm, isolated
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care · Deficient, Provider has date of correction (Aug 13, 2024)
-
DPotential for more than minimal harm, isolated
Provide activities to meet all resident's needs.
Quality of Life and Care · Deficient, Provider has date of correction (Aug 13, 2024)
-
DPotential for more than minimal harm, isolated
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · Deficient, Provider has date of correction (Aug 13, 2024)
-
DPotential for more than minimal harm, isolated
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care · Deficient, Provider has date of correction (Aug 13, 2024)
-
DPotential for more than minimal harm, isolated
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Aug 13, 2024)
-
EPotential for more than minimal harm, pattern
Keep residents' personal and medical records private and confidential.
Resident Rights · Deficient, Provider has date of correction (Mar 24, 2023)
-
EPotential for more than minimal harm, pattern
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Mar 24, 2023)
-
EPotential for more than minimal harm, pattern
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service · Deficient, Provider has date of correction (Mar 24, 2023)
-
EPotential for more than minimal harm, pattern
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Mar 24, 2023)
-
DPotential for more than minimal harm, isolated
Honor 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.
Resident Rights · Deficient, Provider has date of correction (Mar 24, 2023)
Showing the 30 most recent of 41.
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
CMS lists no fines or payment denials for this home in the past three years.
West Virginia homes averaged 0.8 fines and $29,505 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within West Virginia
- Size85 of 123 by certified beds
- West Virginia average residents per day78.4
- ChainGenesis Healthcare
- Chain average overall rating2.3 of 5
- Resident or family councilResident
- Homes in Roane County2
Common questions
What is the CMS star rating for Miletree Center?
Miletree Center has an overall rating of 4 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 4, staffing is 2 and quality measures is 3.
How many beds does Miletree Center have?
Miletree Center has 62 certified beds. It averages 59.5 residents per day, about 96.0% of its certified beds.
How much nursing care do residents get at Miletree Center?
The home reports 3.18 hours of nurse staffing per resident per day, including 0.51 hours from registered nurses. The West Virginia average is 3.67 hours and 0.73 hours from registered nurses.
Has Miletree Center been fined?
CMS lists no fines for this home in the past three years.
Does Miletree Center accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 5 of 5 Roane General Hospital 35beds 92.0%in use 4.67nurse hours a day
- 4 of 5 Minnie Hamilton Health Care 24beds 95.4%in use 4.33nurse hours a day
- 4 of 5 Elizabeth Care Center 36beds 94.4%in use 3.21nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Roane County
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 515182. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.