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The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 43m per day | ■ Avg State avg: 42m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 37m per day | ▼ 33% State avg: 55m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 45m per day | ▲ 33% State avg: 2h 4m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 42m per day | ▲ 16% State avg: 3h 11m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 17m per day | ▲ 467% State avg: 3m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 34m per day | ▲ 48% State avg: 23m per day · National avg: 28m per day |
Lower than the West Virginia average: 89.9%Pendleton Manor is administrated by Randall Kropp.
In West Virginia, the Department of Health and Human Resources, Office of Health Facility Licensure is responsible for the unannounced inspection and certification of all senior care facilities.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the West Virginia state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | WV Average | vs. WV Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 221 | 249 | This facility has 11% fewer total deficiencies than a typical West Virginia nursing home (221 vs. WV avg 249).↓ 11% better |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 55.3 | 14.6 | This facility has 279% more deficiencies per inspection than a typical West Virginia nursing home (55.3 vs. WV avg 14.6).↑ 279% worse |
Inspections
| This Facility | WV Average | vs. WV Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 4 | 17 | This facility has 76% fewer total inspections than a typical West Virginia nursing home (4 vs. WV avg 17).↓ 76% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on June 16, 2024, found Pendleton Manor in substantial compliance but cited a deficiency for failing to inform residents of their rights and rules in a language they understand. Earlier inspections showed a pattern of deficiencies related to resident privacy, medical record accuracy, infection control, fire safety, and emergency preparedness. Complaint investigations were mostly unsubstantiated, with one substantiated complaint in 2022 related to resident rights and abuse reporting. No fines, immediate jeopardy findings, or license actions were listed in the available reports. The facility’s record shows ongoing challenges in regulatory compliance, with some correction plans accepted, but no clear trend of consistent improvement or worsening over time.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsWest Virginia average 4.8
Last Health inspection on May 2024
West Virginia average 43.1
West Virginia average 9.25
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 19 citations resulted from standard inspections.
100% better than West Virginia averageWest Virginia average: 0.8
100% better than West Virginia averageWest Virginia average: 0.5
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
28% better than West Virginia average
6% worse than West Virginia average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hoursNo contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 hoursNo contractors work on this role.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hoursNo contractors work on this role.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
0 contractor hours this quarter
No contractor roles were reported this quarter.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 80 | 0 | 80 | 20,451 | 92 | 100% | 8.1 |
| Licensed Practical Nurse | 17 | 0 | 17 | 5,384 | 92 | 100% | 9.2 |
| Registered Nurse | 23 | 0 | 23 | 3,973 | 92 | 100% | 8 |
| Respiratory Therapy Technician | 14 | 0 | 14 | 2,946 | 80 | 87% | 6.6 |
| Other Dietary Services Staff | 5 | 0 | 5 | 1,898 | 92 | 100% | 7.6 |
| Administrator | 2 | 0 | 2 | 1,009 | 71 | 77% | 7.8 |
| Mental Health Service Worker | 3 | 0 | 3 | 927 | 64 | 70% | 7.5 |
| Nurse Practitioner | 1 | 0 | 1 | 528 | 66 | 72% | 8 |
| Dental Services Staff | 1 | 0 | 1 | 471 | 60 | 65% | 7.9 |
| Occupational Therapy Aide | 1 | 0 | 1 | 165 | 64 | 70% | 2.6 |
| Occupational Therapy Assistant | 1 | 0 | 1 | 29 | 34 | 37% | 0.8 |
| Medical Director | 2 | 0 | 2 | 28 | 6 | 7% | 4.6 |
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
7.6
33% better than West Virginia averageWest Virginia average: 11.3
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
17.0
19% better than West Virginia averageWest Virginia average: 21.1
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
15.1%
20% better than West Virginia averageWest Virginia average: 18.9%
Percent of long-stay residents whose ability to move independently worsened
14.8%
32% better than West Virginia averageWest Virginia average: 21.8%
Percent of low risk long-stay residents who lose control of their bowels or bladder
21.2%
6% better than West Virginia averageWest Virginia average: 22.6%
Percent of long-stay residents experiencing one or more falls with major injury
1.0%
77% better than West Virginia averageWest Virginia average: 4.5%
Percent of long-stay high risk residents with pressure ulcers
4.4%
12% better than West Virginia averageWest Virginia average: 4.9%
Percent of long-stay residents with a urinary tract infection
2.9%
46% worse than West Virginia averageWest Virginia average: 2.0%
Percent of long-stay residents who lose too much weight
2.7%
59% better than West Virginia averageWest Virginia average: 6.6%
Percent of long-stay residents who have depressive symptoms
3.7%
39% better than West Virginia averageWest Virginia average: 6.1%
Percent of long-stay residents who received an antipsychotic medication
19.2%
45% worse than West Virginia averageWest Virginia average: 13.2%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with West Virginia averageWest Virginia average: 96.8%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with West Virginia averageWest Virginia average: 97.6%
Number of hospitalizations per 1,000 long-stay resident days.
3.03
63% worse than West Virginia averageWest Virginia average: 1.86
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.75
43% worse than West Virginia averageWest Virginia average: 1.92
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
96.8%
23% better than West Virginia averageWest Virginia average: 78.6%
Percent of short-stay residents who newly received an antipsychotic medication
2.4%
133% worse than West Virginia averageWest Virginia average: 1.0%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
28.5%
24% worse than West Virginia averageWest Virginia average: 23.0%
Percentage of short-stay residents who had an outpatient emergency department visit.
17.7%
43% worse than West Virginia averageWest Virginia average: 12.4%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than West Virginia averageWest Virginia average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
35.5%
34% worse than West Virginia averageWest Virginia average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
40.3%
20% worse than West Virginia averageWest Virginia average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
39% of new residents, usually for short-term rehab.
39% of new residents, often for short stays.
23% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
79Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Pendleton Manor based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #14 / 46Payroll — State benchmarkedThis home is ranked 14th out of 46 homes in West Virginia. Shows total annual staff payroll benchmarked to the West Virginia average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
0.0 miles from city center
Estimated distance in miles from Franklin's city center to Pendleton Manor's address, calculated via Google Maps.
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Pendleton Manor is located in FRANKLIN, West Virginia.
Here are the financial assistance programs available to residents in West Virginia.
Pendleton Manor has a walk score of 38. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
According to WV state health department records, Pendleton Manor's license number is 66.
Pendleton Manor's occupancy is 85%.
Randall Kropp is the administrator of Pendleton Manor.
Pendleton Manor has 91 beds.
Yes — there are 20 photos of Pendleton Manor in the photo gallery on this page.
Pendleton Manor is located at 68 GOOD SAMARITAN DRIVE.
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