Pendleton Manor Inc - Franklin Nursing Home
General Information
UPDATEFederal Provider Number
515124
Provider Name
PENDLETON MANOR INC
Provider Address
68 GOOD SAMARITAN DRIVE
FRANKLIN, WV 26807
FRANKLIN, WV 26807
Provider Phone Number
3043582322
Provider SSA County
350
Provider County Name
Pendleton
Ownership Type
Non profit - Corporation
Number of Certified Beds
91
Number of Residents in Certified Beds
83
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PENDLETON MANOR, INC
Date First Approved to Provide Medicare and Medicaid services
1993-10-06
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.55000
Reported LPN Staffing Hours per Resident per Day
0.60241
Reported RN Staffing Hours per Resident per Day
0.77530
Reported Licensed Staffing Hours per Resident per Day
1.37771
Reported Total Nurse Staffing Hours per Resident per Day
3.92771
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12410
Expected CNA Staffing Hours per Resident per Day
2.36185
Expected LPN Staffing Hours per Resident per Day
0.60944
Expected RN Staffing Hours per Resident per Day
0.86630
Expected Total Nurse Staffing Hours per Resident per Day
3.83759
Adjusted CNA Staffing Hours per Resident per Day
2.64917
Adjusted LPN Staffing Hours per Resident per Day
0.82042
Adjusted RN Staffing Hours per Resident per Day
0.66871
Adjusted Total Nurse Staffing Hours per Resident per Day
4.12556
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2014-02-27
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
48
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
68
Cycle 2 Standard Health Survey Date
2012-08-03
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
34
Cycle 2 Total Health Score
34
Cycle 3 Total Number of Health Deficiencies
11
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
76
Cycle 3 Standard Health Survey Date
2009-11-04
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
38
Cycle 3 Total Health Score
114
Total Weighted Health Survey Score
77.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
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