Elder Care Record

West Virginia › Pendleton County › Franklin

Pendleton Manor

68 Good Samaritan Drive, Franklin, WV 26807

CCN 515124 · Non-profit, other · 89 certified beds

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Certified for 89 beds, Pendleton Manor serves Franklin in Pendleton County, West Virginia and has taken Medicare and Medicaid residents since 1993.

CMS gives it 3 of 5 stars overall, equal to the West Virginia median; the health inspection rating is 4, staffing 4 and quality measures 1.

Inspectors recorded 24 health deficiencies across the three most recent survey cycles (8, 7, 9 by cycle, most recent first), none at the actual-harm level. That is 27.0 per 100 beds, fewer than the state median of 47.3.

CMS lists no fines or payment denials against the facility in the period covered.

Reported nurse staffing is 4.0 hours per resident per day (0.8 RN), close to the West Virginia median of 3.5; nursing staff turnover is 68.6%.

24health deficiencies, 3 survey cyclesnone at actual-harm level
$0fines listed by CMS0 penalties in period
4.0nurse hours per resident per daystate median 3.5
96%occupancy (residents ÷ beds)85 residents a day

Compared with county, state and nation

MeasureThis facilityPendleton Co. medianWest Virginia medianUS average
Overall star rating3333.0
Health citations, 3 cycles24243828.7
Citations per 100 beds27.027.047.326.8
Total nurse hours per resident day4.04.03.53.9
RN hours per resident day0.80.80.70.7
Nursing staff turnover68.6%68.6%43.2%45.8%
Fines listed$0$0$8,021—

County and state figures are medians across facilities (1 in the county, 123 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)8
Cycle 27
Cycle 39

Dark bar: this facility. Grey bar: West Virginia average per facility for the same cycle, as published by CMS. Standard health survey dates: 2 Mar 2026, 1 May 2024.

Severity mix: D ×13 E ×10 F ×1

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
2 Mar 2026F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EStandard survey15 Apr 2026
2 Mar 2026F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EComplaint investigation15 Apr 2026
2 Mar 2026F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EStandard survey15 Apr 2026
2 Mar 2026F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey15 Apr 2026
2 Mar 2026F0880Provide and implement an infection prevention and control program.EStandard survey15 Apr 2026
2 Mar 2026F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard survey15 Apr 2026
2 Mar 2026F0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.DStandard survey15 Apr 2026
2 Mar 2026F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey15 Apr 2026
1 May 2024F0880Provide and implement an infection prevention and control program.FStandard survey30 May 2024
1 May 2024F0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.EStandard survey30 May 2024
1 May 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EStandard survey30 May 2024
1 May 2024F0583Keep residents' personal and medical records private and confidential.DStandard survey30 May 2024
1 May 2024F0645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard survey30 May 2024
1 May 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey30 May 2024
1 May 2024F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard survey30 May 2024
30 Aug 2022F0585Honor 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.EStandard survey14 Oct 2022
30 Aug 2022F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.EStandard survey14 Oct 2022
30 Aug 2022F0610Respond appropriately to all alleged violations.EStandard survey14 Oct 2022
30 Aug 2022F0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DStandard survey14 Oct 2022
30 Aug 2022F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard survey14 Oct 2022
30 Aug 2022F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard survey14 Oct 2022
30 Aug 2022F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DStandard survey14 Oct 2022
30 Aug 2022F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey14 Oct 2022
30 Aug 2022F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.DStandard survey14 Oct 2022

Penalties

CMS lists no fines or payment denials for this facility in the period covered.

Staffing

Total nursing3.95 h
Nurse aides2.53 h
LPN0.64 h
RN0.79 h
Weekend total3.45 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the West Virginia average. Turnover: nursing staff 68.6%, RNs 50.0%; 2 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityWest Virginia medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay15.8%14.2%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay1.8%0.0%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay2.8%1.0%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay3.0%4.4%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay6.0%0.7%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay9.9%15.1%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay8.0%3.6%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay17.6%10.9%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: non-profit, other. Legal business name: Pendleton Manor, Inc.

OrganisationRole in the CMS recordInterestSince
Pendleton Manor, IncOperational/managerial controlNOT APPLICABLE01/01/1975
Pendleton Manor, IncAdp of the snfNOT APPLICABLE01/01/1975

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Questions and answers

How many deficiencies has Pendleton Manor been cited for?

24 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The West Virginia median is 38 per facility.

Has Pendleton Manor been fined?

CMS lists no fines against the facility in the period covered.

How does staffing at Pendleton Manor compare?

Reported total nurse staffing is 4.0 hours per resident per day against a West Virginia median of 3.5 and a national average of 3.9.

Who operates Pendleton Manor?

Ownership type is non-profit, other. Organisations in the CMS ownership record include Pendleton Manor, Inc. Individual owners and managers are not listed on this site.

When was Pendleton Manor last inspected?

The most recent survey or investigation in the CMS record is dated 2 Mar 2026; the most recent standard health survey was 2 Mar 2026.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.