Pendleton Manor
68 Good Samaritan Drive, Franklin, WV 26807 · Pendleton County · 89 certified beds · avg 85 residents/day · certified since Oct 6, 1993
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 3/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
All citations in the current public record (24)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Mar 2, 2026 | E · Potential for harm, repeated | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Mar 2, 2026 | E · Potential for harm, repeated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Mar 2, 2026 | E · Potential for harm, repeated | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| Mar 2, 2026 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Mar 2, 2026 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Mar 2, 2026 | D · Potential for harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. |
| Mar 2, 2026 | D · Potential for harm, one-off | The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay). |
| Mar 2, 2026 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| May 1, 2024 | F · Potential for harm, facility-wide | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| May 1, 2024 | E · Potential for harm, repeated | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. |
| May 1, 2024 | E · Potential for harm, repeated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| May 1, 2024 | D · Potential for harm, one-off | The facility did not keep residents' personal and medical information private and confidential. |
| May 1, 2024 | D · Potential for harm, one-off | The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services. |
| May 1, 2024 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| May 1, 2024 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| Aug 30, 2022 | E · Potential for harm, repeated | The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. |
| Aug 30, 2022 | E · Potential for harm, repeated | The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. |
| Aug 30, 2022 | E · Potential for harm, repeated | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. |
| Aug 30, 2022 | D · Potential for harm, one-off | The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time. |
| Aug 30, 2022 | D · Potential for harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. |
| Aug 30, 2022 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. |
| Aug 30, 2022 | D · Potential for harm, one-off | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. |
| Aug 30, 2022 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Aug 30, 2022 | D · Potential for harm, one-off | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (7 → 8).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 9 | 0 | E |
| 2024 | 7 | 0 | F |
| 2026 | 8 | 0 | E |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | West Virginia avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.67 | 3.55 | 3.95 | top 11% in West Virginia; top 19% in the U.S. |
| Registered Nurse hours | 0.93 | 0.70 | 0.69 | top 12% in West Virginia; top 19% in the U.S. |
| Weekend total nurse staffing | 4.07 | 3.07 | 3.50 | top 12% in West Virginia; top 21% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.48 | 0.40 | 0.48 | top 26% in West Virginia; top 35% in the U.S. |
| Total nursing staff turnover (%) | 68.6 | 44.1 | 45.8 | bottom 5% in West Virginia; bottom 7% in the U.S. |
| RN turnover (%) | 50.0 | 42.4 | 42.9 | bottom 36% in West Virginia; bottom 39% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.95, RN 0.79, weekend 3.45. Staffing rating: 4/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 1/5 · long-stay residents: 2/5 · short-stay residents: 1/5
Who owns this facility
Non profit - Other
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Bennett, Ann | Individual | Corporate Director | NOT APPLICABLE | 07/01/2019 |
| Bennett, Ann | Individual | Trustee of the SNF | NOT APPLICABLE | 07/01/2019 |
| Bowers, Gregory | Individual | Corporate Director | NOT APPLICABLE | 11/04/2009 |
| Bowers, Gregory | Individual | Corporate Officer | NOT APPLICABLE | 03/21/2013 |
| Harper, Kenneth | Individual | Corporate Director | NOT APPLICABLE | 11/04/2009 |
| Harper, Marshall | Individual | Corporate Director | NOT APPLICABLE | 11/04/2009 |
| Hevener, Cary | Individual | Corporate Director | NOT APPLICABLE | 01/01/2022 |
| Hevener, Cary | Individual | Trustee of the SNF | NOT APPLICABLE | 01/01/2022 |
| Hilling, Stephanie | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/01/2025 |
| Hilling, Stephanie | Individual | ADP of the SNF | NOT APPLICABLE | 10/02/2025 |
| Mitchell, Cara | Individual | Corporate Officer | NOT APPLICABLE | 12/19/2017 |
| Pendleton Manor, INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/01/1975 |
| Pendleton Manor, INC | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/1975 |
| Sites, Patricia | Individual | Corporate Director | NOT APPLICABLE | 08/01/2020 |
| Sites, Patricia | Individual | Trustee of the SNF | NOT APPLICABLE | 08/01/2020 |
| Stevens, Karen | Individual | Corporate Director | NOT APPLICABLE | 11/01/2023 |
| Stevens, Karen | Individual | Trustee of the SNF | NOT APPLICABLE | 11/01/2023 |
| Vandevander, Lynn | Individual | Corporate Director | NOT APPLICABLE | 02/19/2013 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Could I join residents for a meal to see the food quality and temperature for myself?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "If my family member falls or their condition changes, exactly when and how will I be notified?"
- "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Bridgewater Home , INC. | 27.7 mi | Bridgewater, VA | ★★★★☆ | 3/5 | |
| VMRC, Complete Living Care | 29.3 mi | Harrisonburg, VA | ★★★☆☆ | 4/5 | |
| Grant Rehabilitation and Care Center | 29.5 mi | Petersburg, WV | ★★★☆☆ | 3/5 | |
| Blue Ridge Rehabilitation and Nursing | 29.8 mi | Harrisonburg, VA | ★★☆☆☆ | 2/5 | |
| Sunnyside Presbyterian Retirement Community | 30.2 mi | Harrisonburg, VA | ★★★★★ | 5/5 | |
| Elkins Rehabilitation & Care Center | 30.5 mi | Elkins, WV | ★★★★★ | 4/5 | |
| Harrisonburg HLTH & Rehab CNTR | 31.2 mi | Harrisonburg, VA | ★☆☆☆☆ | 1/5 | abuse |
| Nella's at Autumn Lake Healthcare | 34.7 mi | Elkins, WV | ★☆☆☆☆ | 1/5 | |
| Autumn Lake Healthcare at Crystal Springs | 34.8 mi | Elkins, WV | ★☆☆☆☆ | 2/5 | |
| Kings Daughters Community Health & Rehab | 36.0 mi | Staunton, VA | ★☆☆☆☆ | 1/5 | abuse |
| Staunton Post Acute & Rehabilitation | 36.5 mi | Staunton, VA | ★★☆☆☆ | 2/5 | abuse |
| Cortland Acres Health and Rehabilitation | 36.5 mi | Thomas, WV | ★☆☆☆☆ | 1/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 515124.