| Pendleton Manor | |
| 68 Good Samaritan Drive, Franklin, West Virginia 26807 | |
| (304) 358-2322 | |
| Name | Pendleton Manor |
|---|---|
| Location | 68 Good Samaritan Drive, Franklin, West Virginia |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 89 |
| Occupancy Rate | 95.73% |
| Medicare ID (CCN) | 515124 |
| Legal Business Name | Pendleton Manor, Inc |
| Ownership Type | Non Profit - Other |
| NPI Number | 1750364139 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Pendleton Manor Inc. |
| Doing Business As | Pendleton Nursing Home, Inc. |
| Address | 68 Good Samaritan Drive, Franklin, WV 26807 |
| Phone Number | 304-358-2322 |
| 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 | 3.95 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.79 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.64 | 0.86 |
| Nurse aide hours per resident per day | 2.53 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 3.45 | 3.42 |
| RN hours per resident per day on the weekend | 0.48 | 0.48 |
| Physical therapist hours per resident per day | 0.06 | 0.07 |
| Total nursing staff turnover | 68.6% | 45.8% |
| Registered nurse turnover | 50% | 42.9% |
| Number of administrators who have left the nursing home | 2 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 0 |
| Total Amount of Fines in Dollars | $0 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 0 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Mar 2, 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, pattern | Corrected by Apr 15, 2026 |
| Mar 2, 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 2, 2026 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F0804, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Apr 15, 2026 |
| Mar 2, 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 2, 2026 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, pattern | Corrected by Apr 15, 2026 |
| Mar 2, 2026 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Apr 15, 2026 |
| Mar 2, 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 2, 2026 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Apr 15, 2026 |
| May 1, 2024 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, widespread | Corrected by May 30, 2024 |
| May 1, 2024 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. F0644, Resident Assessment and Care Planning, Standard inspection | Potential for harm, pattern | Corrected by May 30, 2024 |
| May 1, 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 May 30, 2024 |
| May 1, 2024 | Keep residents' personal and medical records private and confidential. F0583, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by May 30, 2024 |
| May 1, 2024 | PASARR screening for Mental disorders or Intellectual Disabilities F0645, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by May 30, 2024 |
| May 1, 2024 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by May 30, 2024 |
| May 1, 2024 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by May 30, 2024 |
| Aug 30, 2022 | Honor 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. F0585, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by Oct 14, 2022 |
| Aug 30, 2022 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. F0607, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, pattern | Corrected by Oct 14, 2022 |
| Aug 30, 2022 | Respond appropriately to all alleged violations. F0610, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, pattern | Corrected by Oct 14, 2022 |
| Aug 30, 2022 | 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, isolated | Corrected by Oct 14, 2022 |
| Aug 30, 2022 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Oct 14, 2022 |
| Aug 30, 2022 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, isolated | Corrected by Oct 14, 2022 |
| Aug 30, 2022 | 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 Oct 14, 2022 |
| Aug 30, 2022 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Oct 14, 2022 |
| Aug 30, 2022 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F0804, Nutrition and Dietary, Standard inspection | Potential for harm, isolated | Corrected by Oct 14, 2022 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 15.79 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 6.67 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.83 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 2.79 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 2.59 | 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 | 3 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.33 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 88.62 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 5.97 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 9.89 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 17.67 | 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 | Not Available | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 8.05 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 22.29 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 17.6 | 15.38 |