Quick answers
- Where is Hidden Valley Center?
- 422 23rd Street, Oak Hill, WV 25901, in Fayette County, West Virginia.
- What is the phone number of Hidden Valley Center?
- (304) 465-1903, as listed by Medicare (CMS).
- What is the Medicare star rating of Hidden Valley Center?
- Medicare overall rating: 1 out of 5 stars (CMS data updated 2026-10-01).
- Has Hidden Valley Center been fined?
- Medicare lists 1 fine totaling $12,834.
- What did inspectors find at Hidden Valley Center?
- In its last three inspection cycles (January 11, 2023 to May 13, 2026), Medicare lists 58 health citations; the most serious was level J. 1 was level G or higher (actual harm or immediate jeopardy). See the list below (CMS data updated 2026-10-01).
Medicare ratings, explained
Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.
Inspections, fines and staffing
In its last three inspection cycles (January 11, 2023 to May 13, 2026), Hidden Valley Center had 58 health citations; the most serious was level J (immediate jeopardy to resident health or safety). 1 of them was level G or higher (actual harm or immediate jeopardy). It was fined $12,834 in total (1 fine, the latest on October 1, 2024). Nurse staffing is 3.20 hours per resident per day; the West Virginia average is 3.71 and the national average is 3.90.
Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.
Inspection history: last three cycles
State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.
What the letters A to L mean
| Seriousness | Isolated (a few residents) | Pattern (some) | Widespread (many) |
|---|---|---|---|
| No actual harm, potential for minimal harm | A | B | C |
| No actual harm, potential for more than minimal harm | D | E | F |
| Actual harm to residents | G | H | I |
| Immediate jeopardy to resident health or safety | J | K | L |
Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.
Most recent cycle: April 22, 2026 — 23 health citations
Inspections in this cycle: October 16, 2025 (complaint investigation); April 22, 2026 (complaint investigation); April 22, 2026 (standard health inspection); May 13, 2026 (complaint investigation).
Show 23 citations (levels A to F, no actual harm)
F0812 Level F
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0584 Level E
“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 Level E
“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.”
F0689 Level E
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0804 Level E
“Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.”
F0880 Level E
“Provide and implement an infection prevention and control program.”
F0689 Level D
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0550 Level D
“Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”
F0607 Level D
“Develop and implement policies and procedures to prevent abuse, neglect, and theft.”
F0609 Level D
“Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.”
F0610 Level D
“Respond appropriately to all alleged violations.”
F0641 Level D
“Ensure each resident receives an accurate assessment.”
F0644 Level D
“Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.”
F0645 Level D
“PASARR screening for Mental disorders or Intellectual Disabilities”
F0656 Level D
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0657 Level D
“Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.”
F0679 Level D
“Provide activities to meet all resident's needs.”
F0684 Level D
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
F0756 Level D
“Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.”
F0842 Level D
“Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.”
F0919 Level D
“Make sure that a working call system is available in each resident's bathroom and bathing area.”
F0627 Level D
“Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.”
F0628 Level D
“Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.”
Previous cycle: October 1, 2024 — 20 health citations
Inspections in this cycle: October 1, 2024 (complaint investigation); October 1, 2024 (standard health inspection); September 8, 2025 (complaint investigation).
F0807 Level J
“Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.”
immediate jeopardy to resident health or safety; isolated (a few residents) · Nutrition and Dietary Deficiencies
Show 19 less serious citations (levels A to F)
F0725 Level F
“Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.”
F0727 Level F
“Have 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.”
F0921 Level E
“Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.”
F0610 Level E
“Respond appropriately to all alleged violations.”
F0689 Level E
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0692 Level E
“Provide enough food/fluids to maintain a resident's health.”
F0804 Level E
“Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.”
F0812 Level E
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0880 Level E
“Provide and implement an infection prevention and control program.”
F0550 Level D
“Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”
F0578 Level D
“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.”
F0582 Level D
“Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.”
F0584 Level D
“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.”
F0641 Level D
“Ensure each resident receives an accurate assessment.”
F0645 Level D
“PASARR screening for Mental disorders or Intellectual Disabilities”
F0656 Level D
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0677 Level D
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
F0686 Level D
“Provide appropriate pressure ulcer care and prevent new ulcers from developing.”
F0842 Level D
“Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.”
Earlier cycle: January 11, 2023 — 15 health citations
Inspections in this cycle: January 11, 2023 (standard health inspection); April 24, 2024 (complaint investigation).
Show 15 citations (levels A to F, no actual harm)
F0684 Level E
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
F0689 Level E
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0812 Level E
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0880 Level E
“Provide and implement an infection prevention and control program.”
F0558 Level E
“Reasonably accommodate the needs and preferences of each resident.”
F0584 Level E
“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.”
F0842 Level E
“Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.”
F0880 Level E
“Provide and implement an infection prevention and control program.”
F0550 Level D
“Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”
F0656 Level D
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0657 Level D
“Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.”
F0725 Level D
“Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.”
F0842 Level D
“Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.”
F0677 Level D
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
F0732 Level C
“Post nurse staffing information every day.”
Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.
Full inspection reports on Medicare Care Compare →
Fire safety citations (9)
K0353 Level F
“Inspect, test, and maintain automatic sprinkler systems.”
K0712 Level F
“Have simulated fire drills held at unexpected times.”
K0222 Level F
“Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.”
K0345 Level F
“Have approved installation, maintenance and testing program for fire alarm systems.”
K0353 Level F
“Inspect, test, and maintain automatic sprinkler systems.”
E0006 Level C
“Conduct risk assessment and an All-Hazards approach.”
E0032 Level C
“Provide primary/alternate means for communication.”
K0321 Level C
“Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.”
K0712 Level C
“Have simulated fire drills held at unexpected times.”
Fines and payment denials
Total fines over about the last three years: $12,834 (1 fine). A payment denial means Medicare stopped paying for new admissions for a time.
| Date | Penalty | Amount or length |
|---|---|---|
| October 1, 2024 | Fine | $12,834 |
Source: Medicare (CMS) Penalties file, data updated October 1, 2026.
Staffing
Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.
| Measure | This home | West Virginia | National |
|---|---|---|---|
| Registered nurse (RN) hours per resident per day | 0.54 | 0.74 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 1.06 | 0.90 | 0.86 |
| Nurse aide hours per resident per day | 1.61 | 2.07 | 2.35 |
| Total nurse staff hours per resident per day | 3.20 | 3.71 | 3.90 |
| Total nurse staff hours per resident per day on the weekend | 2.70 | 3.17 | 3.43 |
| RN hours per resident per day on the weekend | 0.30 | 0.40 | 0.48 |
| Nursing staff turnover (per year) | 52.9% | 43.7% | 45.3% |
| RN turnover (per year) | 68.8% | 42.4% | 42.5% |
| Administrators who left in the last year | 2.0 | 0.7 | 0.5 |
Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.
Owners and operator
Part of a group of 183 nursing homes: Genesis Healthcare.
Legal business name: 422 23rd Street Operations LLC.
Owners and managers Medicare lists (11)
| Name | Role | Share | Since |
|---|---|---|---|
| Genesis WV Holdings LLC | Direct owner | 100% | April 1, 2011 |
| Fc-Gen Operations Investment LLC | Indirect owner | — | February 2, 2015 |
| Gen Operations I LLC | Indirect owner | — | February 2, 2015 |
| Gen Operations II LLC | Indirect owner | — | February 2, 2015 |
| Genesis Healthcare Inc | Indirect owner | — | November 15, 2022 |
| Genesis Healthcare LLC | Indirect owner | — | February 2, 2015 |
| Genesis Holdings LLC | Indirect owner | — | February 2, 2015 |
| Genesis Operations LLC | Indirect owner | — | February 2, 2015 |
| GHC Holdings LLC | Indirect owner | — | February 2, 2015 |
| Sun Healthcare Group Inc | Indirect owner | — | November 15, 2022 |
| Whitman, Arnold | Indirect owner | — | November 15, 2022 |
Source: Medicare (CMS) Ownership file, data updated October 1, 2026. Only owners with an ownership interest and management companies are shown.
Compare with other nursing homes
Key facts
| Type | Nursing home |
|---|---|
| Certified beds | 80 |
| Average residents per day | 76.1 |
| Takes part in | Medicare and Medicaid |
| Ownership | For profit – corporation |
| Group or chain (affiliated entity) | Genesis Healthcare |
| Legal business name | 422 23rd Street Operations LLC |
| First approved by Medicare/Medicaid | 1996-10-02 |
| Resident and family councils | Resident council |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | No |
| Address | 422 23rd Street, Oak Hill, WV 25901 |
| County | Fayette County |
| State | West Virginia |
| Phone | (304) 465‑1903 |
| CMS Certification Number | 515147 |
| Name in Medicare records | HIDDEN VALLEY CENTER |
| Corrections | Report an error or suggest an update → |
What to ask when you call or visit
A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.
- Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
- Can you see the latest state inspection report? Ask how any problems found were fixed.
- How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
- Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
- What therapy (physical, occupational, speech) is offered, and how many days a week?
- Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
- What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
- Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
- Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
- Visit more than once, including at a mealtime or in the evening, without an appointment.
Other nursing homes nearby
By straight-line distance (not driving distance).
- Hilltop Center4.2 mi · Hilltop, WV · 4 of 5 stars
- Fayetteville Healthcare Center5.3 mi · Fayetteville, WV · 4 of 5 stars
- Ansted Center10 mi · Ansted, WV · 2 of 5 stars
- Pine Lodge13 mi · Beckley, WV · 2 of 5 stars
- Beckley Healthcare Center14 mi · Beckley, WV · 2 of 5 stars
Nearest hospital emergency rooms
- Camc Plateau Medical Center, Inc1.2 mi · Oak Hill, WV · Critical Access Hospital
- Beckley Arh Hospital13 mi · Beckley, WV · Acute Care Hospital
- Raleigh General Hospital15 mi · Beckley, WV · Acute Care Hospital
Sources
- Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this provider
- Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
- State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13