Pendleton Manor

Nursing Home, Home Care, Independent Living & Skilled Nursing · Franklin, WV

CMS overall rating

68 Good Samaritan Drive, Franklin, WV 26807 View map

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Pendleton Manor accepts Medicaid, Medicare, and private pay.

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Pendleton Manor accepts Medicaid, Medicare, and private pay.

Overview of Pendleton Manor

Pendleton Manor is a 91-bed nonprofit nursing home in Franklin, West Virginia, providing skilled nursing, memory care, and rehabilitation services, along with outpatient therapy, home health, and independent apartments — an unusually broad continuum for a rural community of its size. The facility is operated by Pendleton Manor, Inc. CMS rates Pendleton Manor 3 stars overall. Health Inspection performance is 63.9% above the West Virginia average, a meaningful signal for a facility with this breadth of care. Staffing pulls in the opposite direction: a 2-star staffing rating reflects nurse staffing that averages 2 hours and 45 minutes per resident per day — above the state average — but LPN staffing averages 37 minutes, roughly a third below the West Virginia norm. The distribution suggests strong basic care coverage with thinner clinical nursing capacity. Across the past four years, Pendleton Manor logged five inspections. The May 2024 annual survey cited seven deficiencies spanning resident privacy, incomplete medical records, infection control, and gaps in hospice coordination; a concurrent life-safety survey that same month cited eight deficiencies in fire and emergency preparedness. A 2022 survey included one substantiated complaint related to resident rights and the reporting of abuse. No fines, Immediate Jeopardy findings, or license actions appear in the record. The campus offers an on-site Nurse Aide Training and Competency Evaluation Program, an active Resident Council, and a continuum that runs from short-term post-acute rehabilitation through long-term skilled nursing and memory care. Medicaid, Medicare, and private pay are all accepted. Pendleton Manor serves residents seeking a full continuum of care in Pendleton County — particularly those who may move between rehabilitation, skilled nursing, and memory care over time without leaving the community.

Facility Direct Line (304) 358-2322 info@pendletonmanor.org

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to state averages

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.	35m per day	▼ 16% 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.	42m per day	▼ 23% 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 41m per day	▲ 30% 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 34m per day	▲ 12% 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.	23m per day	▲ 674% 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.	25m per day	▲ 10% State avg: 23m per day · National avg: 28m per day

Capacity and availability

156 days

91-bed community

A larger shared setting that may offer more common spaces and organized community services.

1 year in operation

A newer community that may feature more recent facilities and programs.

Walk Score: 38 / 100

Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

About this community

Occupancy

Occupancy rate

85%

Lower than the West Virginia average: 89.9%

Occupied beds

77 / 91

Average occupied beds in West Virginia homes 77 beds

Facility TypeNursing Home (nh)

StatusActive

IssuanceAugust 1, 2024

CountyPendleton

License Number66

CMS Certification Number515124

Pendleton Manor is legally operated by Pendleton Manor, and administered by Randall Kropp.

Owner NamePendleton Manor

Rehabilitation Services

24-Hour Staffing

Fax(304) 358-2334

Pets not allowed

Inspection Scorecard This scorecard compares key inspection, deficiency, 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.

Overall vs. WV average

Latest Inspection June 16, 2024 Plan Of Correction

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.	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 assisted living residence (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 assisted living residence (55.3 vs. WV avg 14.6).↑ 279% worse

Inspections State inspections evaluate whether the facility meets health and safety standards.	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 had 76% fewer total inspections than the West Virginia average (4 vs. WV avg 17). More inspections can mean more regulatory scrutiny rather than worse care.↓ 76% fewer

Inspection Reports Summary 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 the facility in substantial compliance with only one minor deficiency related to informing residents of their rights in a language they understand.
The May 1, 2024 annual survey cited seven deficiencies including failure to maintain resident privacy, incomplete medical records, infection control lapses, environmental hazards, and lack of hospice collaboration.
The April 30, 2024 inspection identified eight deficiencies in fire safety, electrical maintenance, and emergency preparedness, including obstructed egress, unsealed penetrations, and incomplete fire damper testing documentation.

Show Inspection Reports

Inspections since 2021

Total health inspections 3

State average N/A

Last Health inspection on May 2024

Total health citations

State average N/A

Citations per inspection

6.33

State average N/A

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

All 19 citations resulted from standard inspections.

Breakdown of citation severity (last 5 years)

Critical health citations

In line with State average

State average: N/A

Serious health citations

In line with State average

State average: N/A

0 critical citations State average: N/A

0 serious citations State average: N/A

18 moderate citations State average: N/A

1 minor citation State average: N/A

Citations history (last 5 years)

Infection Control moderate citation May 01, 2024

Corrected

Quality of Care moderate citation May 01, 2024

Corrected

Quality of Care moderate citation May 01, 2024

Corrected

Care Planning moderate citation May 01, 2024

Corrected

Total staff 150

Employees 150

Contractors 0

Staff to resident ratio 1.90 : 1

0% compared with State average

State average ratio: 0 : 0

Avg staff/day 52

Average shift 7.9 hours

0% compared with State average

State average: 0 hours

Total staff hours (quarter) 37,809

Nursing staff breakdown

8 hours

9.2 hours

8.1 hours

Contractor staffing

Total hours from contractors 0% — all staff are direct employees this quarter

Staff by category


Certified Nursing Assistant	80	80	20,451	92	100%	8.1
Licensed Practical Nurse	17	17	5,384	92	100%	9.2
Registered Nurse	23	23	3,973	92	100%	8
Respiratory Therapy Technician	14	14	2,946	80	87%	6.6
Other Dietary Services Staff	5	5	1,898	92	100%	7.6
Administrator	2	2	1,009	71	77%	7.8
Mental Health Service Worker	3	3	927	64	70%	7.5
Nurse Practitioner	1	1	528	66	72%	8
Dental Services Staff	1	1	471	60	65%	7.9
Occupational Therapy Aide	1	1	165	64	70%	2.6
Occupational Therapy Assistant	1	1	29	34	37%	0.8
Medical Director	2	2	28	6	7%	4.6

80 Certified Nursing Assistant

% of Days 100%

17 Licensed Practical Nurse

% of Days 100%

23 Registered Nurse

% of Days 100%

14 Respiratory Therapy Technician

% of Days 87%

5 Other Dietary Services Staff

% of Days 100%

2 Administrator

% of Days 77%

3 Mental Health Service Worker

% of Days 70%

1 Nurse Practitioner

% of Days 72%

1 Dental Services Staff

% of Days 65%

1 Occupational Therapy Aide

% of Days 70%

1 Occupational Therapy Assistant

% of Days 37%

2 Medical Director

% of Days 7%

View All Staffing Data

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

High-risk clinical events score 7.6

33% better than State average

State average: 11.3

Functional decline score 17.0

19% better than State average

State average: 21.1

Long-stay resident measures

Below average State avg: 3.2

Need for Help with Daily Activities Increased 15.1%

20% better than State average

State average: 18.9%

Walking Ability Worsened 14.8%

32% better than State average

State average: 21.8%

Low Risk Residents with Bowel/Bladder Incontinence 21.2%

6% better than State average

State average: 22.6%

Falls with Major Injury 1.0%

77% better than State average

State average: 4.5%

High Risk Residents with Pressure Ulcers 4.4%

12% better than State average

State average: 4.9%

Urinary Tract Infection 2.9%

46% worse than State average

State average: 2.0%

Lost Too Much Weight 2.7%

59% better than State average

State average: 6.6%

Depressive Symptoms 3.7%

39% better than State average

State average: 6.1%

Antipsychotic Use 19.2%

45% worse than State average

State average: 13.2%

Pneumococcal Vaccine 100.0%

In line with State average

State average: 96.8%

Influenza Vaccine 100.0%

In line with State average

State average: 97.6%

Hospitalizations per 1,000 days 3.03

63% worse than State average

State average: 1.86

ED visits per 1,000 days 2.75

43% worse than State average

State average: 1.92

Short-stay resident measures

Significantly below average State avg: 2.0

Pneumococcal Vaccine 96.8%

23% better than State average

State average: 78.6%

Antipsychotic medication increase 2.4%

133% worse than State average

State average: 1.0%

Re-hospitalized after SNF stay 28.5%

24% worse than State average

State average: 23.0%

Emergency department visits 17.7%

43% worse than State average

State average: 12.4%

Falls with major injury 0.0%

100% better than State average

State average: 0.8%

Ability to care for self at discharge 35.5%

34% worse than State average

State average: 53.7%

Successful return to home or community 40.3%

20% worse than State average

State average: 50.6%

Breakdown by payment type

Medicare

39% of new residents, usually for short-term rehab.

Typical stay 4 - 5 months

Private pay

39% of new residents, often for short stays.

Typical stay 7 - 8 months

Medicaid

23% of new residents, often for long-term daily care.

Typical stay 3 - 4 years

Total residents 79

Medicare

10.1% of residents

Medicaid

63.3% of residents

Private pay or other

26.6% of residents

Programs & Services

Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Nurse Aide Training

State-approved Nurse Aide Training and Competency Evaluation Program on-site

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Financial Trends

Historical financial and operational data for Pendleton Manor from 2011–2023, based on CMS SNF Cost Reports.

Key figures below are for fiscal year ending in 12/2023.

Occupancy Rate 76.6% ↑ 0.7pp vs 2022

Net Patient Income -$1.0M ↓ ~$1.5M vs 2022

Payroll Costs $5.3M ↑ ~$388.6K vs 2022

Operating Margin -9.6% ↓ 14.2pp vs 2022

Metric	2011	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	99.8%	101.5%	101.8%	102.5%	104.6%	101.6%	100.2%	97.6%	100.6%	91.1%	83.2%	75.9%	76.6%
Beds	91	91	91	91	91	91	91	91	91	91	91	91	91
Net Income	$724,870	$748,763	$784,953	$801,135	$822,510	$585,687	$371,798	$608,832	$1,148,793	$2,086,809	$2,111,993	$506,034	-$1,013,665
Gross Revenue	$8,782,073	$9,680,848	$10,206,830	$10,873,243	$11,102,771	$10,560,983	$10,887,424	$11,546,082	$14,870,148	$15,058,340	$15,668,236	$14,955,423	$15,690,366
Operating Expenses	$7,462,758	$7,840,119	$7,742,148	$7,892,820	$8,035,523	$8,191,946	$8,565,226	$8,827,611	$9,339,571	$9,659,005	$9,436,401	$10,054,844	$11,801,246
Net Patient Income	$639,920	$704,169	$846,416	$795,132	$867,719	$549,913	$318,226	$716,645	$1,110,275	$1,343,321	$1,595,105	$490,166	-$1,031,812
Net Patient Revenue	$8,102,678	$8,544,288	$8,588,564	$8,687,952	$8,903,242	$8,741,859	$8,883,452	$9,544,256	$10,449,846	$11,002,326	$11,031,506	$10,545,010	$10,769,434
Payroll Costs	$4,211,914	$4,304,810	$4,280,874	$4,373,929	$4,493,119	$4,794,620	$4,825,871	$4,812,460	$4,781,415	$4,915,251	$4,809,613	$4,947,864	$5,336,487
Operating Margin %	7.9%	8.2%	9.9%	9.2%	9.8%	6.3%	3.6%	7.5%	10.6%	12.2%	14.5%	4.7%	-9.6%
Medicare %	14.1%	13.1%	16.2%	13.2%	11.4%	11.9%	11.6%	12.8%	12.8%	12.0%	11.1%	9.6%	11.0%
Medicaid %	73.0%	72.4%	72.7%	73.4%	76.7%	78.3%	78.8%	76.0%	76.2%	76.2%	73.2%	73.2%	68.1%
Private %	12.9%	14.5%	11.0%	13.5%	11.8%	9.8%	9.6%	11.2%	11.0%	11.8%	15.7%	17.1%	20.9%
Net Patient Revenue/Day	$244	$253	$254	$255	$256	$258	$267	$294	$313	$363	$399	$418	$423
Cost/Day	$225	$232	$229	$232	$231	$242	$257	$272	$280	$318	$342	$399	$464
Avg Length of Stay	108.4 days	134.6 days	149.1 days	154.4 days	229.1 days	230.4 days	212.7 days	80.3 days	536.2 days	184.9 days	143.0 days	144.7 days	156.2 days

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

Net patient revenue

$10.8M

Net patient income

-$1.0M

Nonprofit Nonprofit Corporation

Net patient revenue

$10.8M

Net patient income

-$1.0M

Other income

$66.4K

Payroll costs

$5.3M 49.6% of net patient revenue

Other operating costs

$6.5M

Total costs

$11.8M

TYPE OF STAY

Mix of rehab and long-term care

This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.

New residents most often arrive under Medicare (39% of admissions), and a typical Medicare stay runs around 4 - 5 months.

Coverage residents most often arrive under.

Medicare 39%

Private pay 39%

Medicaid 23%

Coverage residents most often leave under.

Medicare 12%

Private pay 21%

Medicaid 67%

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The information below is reported by the West Virginia Department of Health and Human Resources, Office of Health Facility Licensure.


Edgewood Summit	NH AL IL MC RESC SNF	Charleston (Edgewood)	-	42	-	10	1 Bed / 2 Bed
Serra Village	NH AL IL SNF	Weirton (Chestnut Hill)	-	137	-	31	-
Valley Center	NH HOS PC RC SNF	South Charleston (Rock Lake Village)	-	119	-	5	-
Fairhaven Opco	NH AL HOS RESC SNF	Huntington (Central City)	-	41	-	63	-
Pendleton Manor	NH HC IL SNF	Franklin	-	91	-	38	-

Nursing Home Explorer

Is Pendleton Manor in a walkable area?

Pendleton Manor has a walk score of 38. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

What is the license number of Pendleton Manor?

According to WV state health department records, Pendleton Manor's license number is 66.

What is the occupancy rate at Pendleton Manor?

Pendleton Manor's occupancy is 85%.

Are pets allowed at Pendleton Manor?

No, Pendleton Manor has a no-pet policy.

Does Pendleton Manor operate as a for-profit or non-profit?

Pendleton Manor is registered as a non-profit in WV.

Who is the administrator of Pendleton Manor?

Randall Kropp is the administrator of Pendleton Manor.

How many beds does Pendleton Manor have?

Pendleton Manor has 91 beds.

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Pendleton Manor

Overview of Pendleton Manor

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Therapy & Rehabilitation

Staffing & Medical

Contact Information

Additional Policies & Features

Amenities & Lifestyle

Contact Pendleton Manor

Inspection History

Inspection Scorecard This scorecard compares key inspection, deficiency, 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 Deficiencies are formal regulatory issues recorded during state inspections.

Inspections State inspections evaluate whether the facility meets health and safety standards.

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

Health Inspection History

Inspections since 2021

Breakdown of citation severity (last 5 years)

Citations history (last 5 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

80 Certified Nursing Assistant

17 Licensed Practical Nurse

23 Registered Nurse

14 Respiratory Therapy Technician

5 Other Dietary Services Staff

2 Administrator

3 Mental Health Service Worker

1 Nurse Practitioner

1 Dental Services Staff

1 Occupational Therapy Aide

1 Occupational Therapy Assistant

2 Medical Director

Penalties and fines

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Nurse Aide Training

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mix of rehab and long-term care

Admissions

Discharges

Places of interest near Pendleton Manor

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