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Pendleton Manor Inc

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About Pendleton Manor Inc

General Information

Legal Business NamePendleton Manor, Inc
Ownership TypeNon Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareOctober 6, 1993 (23 years)
Capacity91
Residents90
Percent Occupied99%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsBoth
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Pendleton Manor Inc

Pendleton Manor Inc
was reviewed by Medicare to have a rating of 4 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of West Virginia Nursing Homes

Fines, Complaints, and Inspection Problems in the Past 3 Years

Compare The Number of Problems

Types of Problems at Nursing Homes

Some issues within a nursing home are much more severe than others. Medicare evaluates each problem based on 2 scales: the number of residents affected by a problem and the severity of the potential or actual harm to residents based on the problem. We have color coded the matrix below to make it easier to pick out the more severe problems. In general, orange and red issues related to the treatment of a resident are considered substandard quality of care.

  Residents Affected
Severity of the Deficiency Few Some Many
Immediate jeopardy to resident health or safety J K L
Actual harm that is not immediate jeopardy G H I
No actual harm with potential for more than minimal harm that is not immediate jeopardy D E F
No actual harm with potential for minimal harm A B C

May 28, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
CManyPotential for Minimal HarmFire Safety InspectionAutomatic sprinkler systems that have been maintained in working order.
DFewPotential for HarmFire Safety InspectionCorridor and hallway doors that block smoke.
BSomePotential for Minimal HarmFire Safety InspectionRestrictions on the use of portable space heaters.
BSomePotential for Minimal HarmFire Safety InspectionWalls that prevent smoke from passing through and would resist fire for at least one hour.

May 22, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
ESomePotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmHealth InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DFewPotential for HarmHealth InspectionEnsure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care.

February 27, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
ESomePotential for HarmHealth InspectionMake sure that a working call system is available in each resident's room or bathroom and bathing area.
ESomePotential for HarmHealth Inspection1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.
ESomePotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
ESomePotential for HarmHealth InspectionProvide housekeeping and maintenance services.
DFewPotential for HarmHealth InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
DFewPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.

February 26, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
CManyPotential for Minimal HarmFire Safety InspectionProperly installed electrical wiring and equipment.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Pendleton Manor Inc require. It is important to compare the reported time to expected time for a single facility instead of comparing the amount of time per resident of two facilities. Learn why.

2hr 30min
2hr 20min
ReportedExpected
CNA
25min
35min
ReportedExpected
LPN
40min
55min
ReportedExpected
RN
3hr 35min
3hr 50min
ReportedExpected
Total Nursing

This facility also provides approximately 1hr 25min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

100.0%
98.9%
98.9%
96.3%
Q1 2015Q2 2015Q3 2015WV
Assessed and Appropriately Given the Seasonal Influenza Vaccine
100.0%
97.6%
100.0%
96.0%
Q1 2015Q2 2015Q3 2015WV
Assessed and Appropriately Given the Pneumococcal Vaccine
37.8%
44.4%
37.0%
44.1%
Q1 2015Q2 2015Q3 2015WV
Low Risk Residents Who Lose Control of Their Bowel or Bladder
12.2%
12.5%
14.1%
16.6%
Q1 2015Q2 2015Q3 2015WV
Received an Antipsychotic Medication
16.9%
28.4%
15.5%
19.0%
Q1 2015Q2 2015Q3 2015WV
Need for Help with ADLs has Increased
22.1%
20.8%
23.7%
8.5%
Q1 2015Q2 2015Q3 2015WV
Self Report Moderate to Severe Pain
8.4%
10.1%
10.3%
9.1%
Q1 2015Q2 2015Q3 2015WV
Lose Too Much Weight
8.0%
8.2%
5.4%
7.0%
Q1 2015Q2 2015Q3 2015WV
High Risk Residents With Pressure Ulcers
8.5%
13.8%
9.5%
6.1%
Q1 2015Q2 2015Q3 2015WV
Have Depressive Symptoms
3.6%
7.6%
4.6%
6.8%
Q1 2015Q2 2015Q3 2015WV
With a Urinary Tract Infection
4.7%
6.0%
1.1%
4.6%
Q1 2015Q2 2015Q3 2015WV
Experiencing One or More Falls with Major Injury
7.8%
6.4%
3.4%
4.0%
Q1 2015Q2 2015Q3 2015WV
With a Catheter Inserted and Left in Their Bladder
1.2%
0.0%
0.0%
1.1%
Q1 2015Q2 2015Q3 2015WV
Were Physically Restrained

Quality Measures for Short Stay Residents

85.0%
92.6%
-
82.6%
Q1 2015Q2 2015Q3 2015WV
* The data for this facility for some quarters is unavailable.
Assessed and Appropriately Given the Pneumococcal Vaccine
-
75.0%
75.0%
82.8%
Q1 2015Q2 2015Q3 2015WV
* The data for this facility for some quarters is unavailable.
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
-
22.7%
-
20.0%
Q1 2015Q2 2015Q3 2015WV
* The data for this facility for some quarters is unavailable.
Self Report Moderate to Severe Pain
-
-
-
2.2%
Q1 2015Q2 2015Q3 2015WV
* The data for this facility for some quarters is unavailable.
Newly Received an Antipsychotic Medication
0.0%
0.0%
-
1.5%
Q1 2015Q2 2015Q3 2015WV
* The data for this facility for some quarters is unavailable.
With Pressure Ulcers That Are New or Worsened