Find a nursing home

Home / West Virginia / Chester

Stone Pear Pavilion

125 Fox Lane, Chester, WV 26034 · Hancock County · (304) 387-0101

60 certified beds, about 57 residents a day · For profit - Corporation · Medicare and Medicaid since 1994

Part of a continuing care retirement community Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
4 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 515130 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on March 4, 2026, inspectors cited 14 health deficiencies (the West Virginia average is 11.7, the national average 9.2).

None of its 35 health citations since September 2022 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 3.57 hours per resident per day, against 3.67 across West Virginia and 3.86 nationally. Registered nurses accounted for 0.67 of those hours.

38.0% of nursing staff left within the year CMS measured (West Virginia average 44.1%).

CMS links it to The Orchards, an affiliated group of 2 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 35 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
19D
11E
5F
Potential for minimal harm
0A
0B
0C
March 4, 2026Standard inspection · 14 citations
  1. F
    Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
    F802 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) May 4, 2026
    Inspectors wroteBased on interview and record review, the facility failed to employ kitchen staff with the appropriate credentials. This deficient practice had the potential to affect all of the residents receiving meals in the facility. Facility Census: 56.
  2. F
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    F804 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) May 4, 2026
    Inspectors wroteBased on record review, resident interviews and staff interviews, the facility failed to ensure all food was temped before leaving the kitchen, to ensure safe food temperatures to prevent foodborne illness and an appetizing temperature of the food. The facility failed to ensure hot foods were served hot and cold foods were served cold. This failed practice had the potential to affect all of the residents. Facility census:
  3. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) May 4, 2026
    Inspectors wroteBased on observation and staff interview, the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food safety. Additionally, the facility failed to follow the proper sanitation practices for the kitchen and the food preparation equipment. This practice had the potential to affect all of the residents. Facility census: 56.
  4. F
    Dispose of garbage and refuse properly.
    F814 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) May 4, 2026
    Inspectors wroteBased on observation and staff interview, the facility failed to store and dispose of garbage and refuse properly. The dumpster had two sliding doors that were both open. The lid on the trash can located in the kitchen was not on securely, during two different observations of the kitchen during the survey process. This was a random opportunity for discovery that has the potential to affect every resident at the facility. Facility census: 56.
  5. E
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 4, 2026
    Inspectors wroteBased on resident interview, observation, and staff interview, the faciltiy failed to ensure resident dignity during dining. The facility failed to ensure roommates and tablemates in the dining room received their meal trays at the same time. These were random opportunities for discovery. Resident Identifiers: #27, #55, #15, #54, #40, #31, #50, #13, and #43. Facility Census: 56.
  6. E
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 4, 2026
    Inspectors wroteBased on resident interviews, record review, and staff interviews, the facility failed to develop/implement a care plan for resident #2 regarding their role as Resident Council President. The facility also failed to follow interventions for Resident #10's falls. This finding was true for one (1) of 14 resident care plans reviewed during the long term care survey process. Resident identifiers: #2, #10. Facility census: 56a)Resident #2During an interview with Resident #2 on 02/03/26 at 1:20 PM she revealed she was the Resident Council President. During the interview, Resident #2 expressed concern about not having enough evening activities. She stated she holds a weekly reading group at 6:00 PM, but some residents would enjoy crafting and games such as Bingo in the evenings. [...]
  7. E
    Provide activities to meet all resident's needs.
    F679 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 4, 2026
    Inspectors wroteBased on observation, record review, resident interviews, and staff interviews, the facility failed to ensure the ongoing activity program met the interests and psychosocial needs of residents by a) failing to provide sufficient evening activities desired by residents, b) listing hydration cart services on the activity calendar as an activity, and c) failing to provide sensory stimulation programming for lower-functioning residents. These failures demonstrate the facility did not ensure residents were provided person-centered activities designed to meet individual interests, preferences, and functional abilities. This deficient practice had the potential to affect all residents residing in the facility. Resident identifiers: #7, #10, #13, #14, #18, #24, #32, and #48 Facility census: 56. [...]
  8. E
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 4, 2026
    Inspectors wroteBased on record review, observation and staff interview the facility failed to provide an environment free from accident hazzards. this failed practice was found true for one (1) of one (1) residents reviewed for falls during the Long term Care Survey pricess. Resident identifier: #2 Facility census:
  9. E
    Post nurse staffing information every day.
    F732 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 4, 2026
    Inspectors wroteBased on observation, record review, and staff interview, the facility failed to ensure the posted daily nurse staffing information was accurate by not havinf total hours worked on the staff posting. This was found true for all staff postings reviewed for the past year. Facility census: 56Findings include:An observation on 03/02/26 at 12:04 PM showed the staff posting did not have the total hours worked posted.]Record review on 03/02/26 for staff postings for the past year revealed none of the staff posting contained total hours worked. During an interview on 03/02/26 at 1:04 PM with the Director of Nursing (DON) who questioned what's missing? When informed of the requirement for staff posting the DON stated Ok, i will get working on fixing this now. confirming the staff postings did not contain the required information.
  10. E
    Ensure medication error rates are not 5 percent or greater.
    F759 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 4, 2026
    Inspectors wroteBased on observation and staff interview, the facility failed to ensure a medication error rate of less than five (5) percent (%). Three (3) medication errors were made during 25 medication opportunities to make an error rate of 12%. Resident Identifier: #9. Facility Census: 56.
  11. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 4, 2026
    Inspectors wroteBased on observation and staff interview, the facility failed to ensure proper infection control practices were completed during medication administration and hand hygiene for staff between passing trays and offering residents hand hygiene on the resident halls. These were random opportunities for discovery. Facility Census: 56. Findings Include: a) Medication Administration On 03/04/26 at 9:39 AM, an observation of Registered Nurse (RN) #26 preparing medication for Resident #3 was made. During the observation, RN #26 dropped a pill (Zoloft) directly on the medication cart, which had no barrier, and picked the pill up with a bare hand. RN #26 did not complete hand hygiene before or after administering the medication. [...]
  12. D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 4, 2026
    Inspectors wroteBased on record review, resident interview, and staff interview, the facility failed to ensure documentation the physician was notified when the resident experienced a change in condition. Resident Identifier: #2. Facility Census: 56.
  13. D
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 4, 2026
    Inspectors wroteBased on observation, record review, and staff interview, the facility failed to store medications within acceptable standards of care. A bottle of Aplisol (tuberculin purified protein derivative) located in refrigerator in med room had been opened more than 30 days ago. This was a random opportunity for discovery during the facility task of medication storage and labeling. Facility Census: 56.
  14. D
    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
    F803 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 4, 2026
    Inspectors wroteBased on observation, record review and staff interview, the facility failed to meet the nutritional needs of the residents in accordance with established national guidelines due to not following the menu. The facility failed to follow the approved menus, making random substitutions of food items. This had the potential to affect more than a limited number of residents. This is true for Resident #51, Resident #35 and Resident Council. Facility census: 56.
August 8, 2024Standard inspection · 12 citations
  1. E
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 30, 2024
    Inspectors wroteBased on observation and staff interview, the facility failed to provide a safe, sanitary, and homelike environment. This was a random opportunity for discovery. Room identifier: east and west shower rooms. Facility census: 58.
  2. E
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 30, 2024
    Inspectors wroteBased on medical record review and staff interview, the facility failed to provide care and services in accordance with acceptable standards of practice. The facility failed to ensure the physician was notified when Resident #56's blood sugar levels were above 400. This affected one (1) of five (5) residents reviewed for unnecessary medications during the long-term care survey process. Additionally, the facility failed to have matching treatment orders when comparing the Physician Orders for Scope of Treatment (POST) form and written physician orders on the chart. This was true for one (1) of 19 residents reviewed in the Long-Term Care Survey Process. Resident identifiers: #56 and #3. Facility census: 58.
  3. E
    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
    F727 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 30, 2024
    Inspectors wroteBased on review of the staff schedules for Registered Nurse (RN) coverage and staff interview, the facility failed to ensure RN coverage eight (8) consecutive hours a day, seven (7) days a week. This had the potential to affect all residents at the facility. Facility census: 58. a) RN Coverage A review of the staffing schedules for RN coverage, completed on 08/08/24 at 12:30 PM, revealed ten (10) occasions when RN coverage did not occur eight (8) consecutive hours a day: [...]
  4. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 30, 2024
    Inspectors wroteBased on observation and staff interview the facility failed to have a clean sanitized mobile utility food cart and debris under the kitchen prep tables, the stove and [NAME]. This had the potential to affect all residents that get their nutrition from the kitchen. Facility census. 58.
  5. D
    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
    F561 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 30, 2024
    Inspectors wroteBased on record review and resident interviews, the facility failed to ensure residents had the right to make choices about aspects of their life in the facility that are significant to the resident, including the right to participate in social, religious, and community activities that do not interfere with the rights of other residents in the facility. This was true for two (2) of five (5) residents reviewed for the category of choices, during the long-term care survey. Resident Identifiers: #25 and #40. Facility Census: 58. Findings Included: a) Resident #25 During an interview on 08/06/24 at 11:05 AM, Resident #25 revealed she would like to have three showers a week, but the facility only schedules her for showers on Tuesdays and Saturdays. She stated that she had mentioned her preference to the Nursing Assistants (NAs) on more than one occasion, but her requests had been ignored. [...]
  6. D
    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
    F585 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 30, 2024
    Inspectors wroteBased on interview, record review and policy review the facility failed to make prompt efforts to resolve a grievance and to keep the resident notified of progress toward resolution. This was true for one (1) of three (3) grievances reviewed during the Long-Term Care Survey Process (LTCSP). Resident identifier: #55. Facility census: #58. Findings Include: a) Policy Review Record review of the facility's policy titled, Grievance, revision dated 09/14/22, showed: -Upon receipt of an oral, written or anonymous grievance submitted by a Resident, the grievance official will take immediate action to prevent further potential violations of any residents' rights while alleged violation is being investigated, if indicated. -The Grievance Committee / Grievance official shall complete an investigation of the resident's grievance. [...]
  7. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 30, 2024
    Inspectors wroteBased on medical record review and staff interview, the facility failed to accurately complete a Minimum Data Set (MDS) assessment for one (1) of 19 residents reviewed during the Long-Term Care Survey process. The MDS for Resident #36 did not accurately reflect the resident had bilateral hearing amplifiers. Resident identifier: Resident #36. Facility Census: 58.
  8. D
    PASARR screening for Mental disorders or Intellectual Disabilities
    F645 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 30, 2024
    Inspectors wroteBased on record review and staff interview, the facility failed to ensure that the resident's Pre-admission Screening (PAS) reflected pre-admission diagnoses for one (1) of one (1) residents reviewed for the category of PASRR (Pre-admission Screening and Record Review), during the Long-Term Care Survey process. Resident identifier: #58. Facility census: 58.
  9. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 30, 2024
    Inspectors wroteBased on observation and interview, the facility failed to identify and implement measures to reduce hazards and risks, and to ensure that the resident environment remained free of accident hazards. This failed practice had the potential to affect more than a limited number of residents who resided at the facility. This was a random opportunity for discovery. Facility census:58. Findings Included: a) On 08/06/24 at 1:24 PM, it was observed that two bathrooms in close proximity to the physical therapy room, and conference room/lounge, were unlocked and accessible to both staff and residents at any time. Upon further inspection, it was discovered that these bathrooms were not equipped with nurse call devices or emergency pull alarms. During an interview with Administrator #72 on 08/06/24 at 1:39 PM, he stated that Those bathrooms are not for residents. [...]
  10. D
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 30, 2024
    Inspectors wroteBased on interview and record review the facility failed to provide services to provide appropriate toileting schedule for one (1) of one (1) resident reviewed for the bowel and bladder care area during the long term care survey. Resident identifier #32. Facility census: 58.
  11. D
    Provide safe, appropriate pain management for a resident who requires such services.
    F697 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 30, 2024
    Inspectors wroteBased on interview and review of documents, facility failed to adequately assess and control resident's pain. This failed practice had the potential to cause harm to one (1) of two (2) residents reviewed for pain. Resident #13. Facility Census: 58.
  12. D
    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
    F868 · Administration · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 30, 2024
    Inspectors wroteBased on review of facility documentation and staff interview, the facility failed to have the required members attend the Quality Assessment and Assurance (QAA) meetings at least quarterly. The facility failed to ensure the Medical Director or designee attended the QAA meetings at least on a quarterly basis. This practice had the potential to affect more than a limited number of residents. Facility census: 58.
September 14, 2022Standard inspection · 9 citations
  1. F
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    F756 · Pharmacy Service · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) November 17, 2022
    Inspectors wroteBased on policy review, record review and staff interview The facility failed to develop and implement policies and procedures for the monthly drug regimen review that include, but are not limited to, time frames for the different steps in the process and steps the pharmacist must take when he or she identifies an irregularity that requires urgent action to protect the resident. In addition, pharmacy recommendations were kept in the Director of Nursing's (DON) office and not forwarded to the physician for a timely response. This is true for one of five reviewed for unnecessary medications, but has the potential to affect all residents. Resident identifier: #51. Facility census: 56.
  2. D
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 17, 2022
    Inspectors wroteBased on Resident Council Interview, observation, resident interview, staff interview, record review and documentation review the facility neglected to have a system in place for Residents to notify staff when outside on the patio. Resident identifier: #7. Facility census: 56.
  3. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 17, 2022
    Inspectors wroteBased on observation, staff interview, and operation policy the facility failed to report alleged violation related to, neglect, or abuse, and report the results of all investigation to the proper authorities within prescribe time frames. This was a random opportunity for discovery. Resident identifier: #1. Facility census: 56. Record review of the facility's policy titled, Abuse, Neglect, Exploitation & Misappropriation of Resident Property, showed: -It is the facility's policy to investigate all allegations involving Abuse, Neglect, Exploitation & Misappropriation of Resident Property, including injuries of unknown source, in accordance with this policy. -Facility staff should immediately report all such allegations to the Administrator and to [NAME] Virginia Office of Health Facility Licensing and Certification (OHFLAC) in accordance with the procedures in this policy. [...]
  4. D
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 17, 2022
    Inspectors wroteBased on observation, staff interview, and operation policy the facility failed to take actions to investigate an alleged violation related to, verbal abuse. This was a random opportunity for discovery. Resident identifier #1. Facility Census 56. Record review of the facility's policy titled, Abuse, Neglect, Exploitation & Misappropriation of Resident Property, showed: -It is the facility's policy to investigate all allegations involving Abuse, Neglect, Exploitation & Misappropriation of Resident Property, including injuries of unknown source, in accordance with this policy. -Facility staff should immediately report all such allegations to the Administrator and to [NAME] Virginia Office of Health Facility Licensing and Certification (OHFLAC) in accordance with the procedures in this policy. -If Abuse or serious Bodily Injury is Alleged. [...]
  5. D
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
    F623 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 17, 2022
    Inspectors wroteBased on record review and staff interview the facility failed to provide Notice of Discharge to the Office of the State Long Term Care (LTC) Ombudsman during a discharge / transfer or the Resident Representative. This was true for two (2) of three (3) Hospitalizations reviewed. Resident Identifier #40 and #54. Facility Census 56. Findings Included: a) Resident #40 Record review on 09/13/22 at 1:27 PM, revealed resident #40 was discharged to the hospital on [DATE] and 09/02/22. Subsequent review of the resident #40's medical record showed it did not contain documentation that the Notice of Transfer or Discharge was provided to the Resident Representative, or the Ombudsman of the discharges on 08/28/22 or 09/02/22. b) Resident #54 Record review on 09/13/22 at 1:27 PM, revealed resident #54 was discharged to the hospital on [DATE]. [...]
  6. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 17, 2022
    Inspectors wroteBased on observation, medical record review and staff interview, the facility failed to implement a care plan. Resident #50's foot brace was not applied when up in her wheel chair. This was a random opportunity for discovery. Resident identifier: #50. Facility census: 56.
  7. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 17, 2022
    Inspectors wroteBased on observation, medical record review, and staff interview the facility failed to ensure residents received treatment and care in accordance with professional standards of practice. Physician orders were not followed for the application of a foot brace when up in a wheel chair. This was a random opportunity for discovery. Resident identifier: #50. Facility census: 56.
  8. D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 17, 2022
    Inspectors wroteBased on record review and staff interview, the facility failed to ensure a resident with pressure ulcers receives necessary treatment and services, consistent with professional standards of practice, to promote healing, prevent infection and prevent new ulcers from developing. Weekly pressure ulcer assessments were not completed. This is true for one of three reviewed for pressure ulcers. Resident identifier: R #106. Facility census: 56.
  9. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 17, 2022
    Inspectors wroteBased on observation, record review and staff interview the facility failed to store oxygen tubing in the appropriate bag when not in use and ensure there was a physician order to administer oxygen to a resident. This was a random opportunity for discovery. The failed practice had the potential to affect a limited number of residents. Resident identifier: #10. Facility census: 56.

Fire safety inspections

12 fire safety citations on file: 4 on March 4, 2026, 6 on August 8, 2024, 2 on September 14, 2022.

Every fire safety citation12 citations
  1. F
    Ensure that testing and maintenance of electrical equipment is performed.
    K 921 · March 4, 2026 · Corrected (the home has a date of correction)
  2. D
    Provide properly protected cooking facilities.
    K 324 · March 4, 2026 · Corrected (the home has a date of correction)
  3. D
    Have properly installed electrical wiring and gas equipment.
    K 511 · March 4, 2026 · Corrected (the home has a date of correction)
  4. C
    Have proper medical gas storage and administration areas.
    K 923 · March 4, 2026 · Corrected (the home has a date of correction)
  5. F
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · August 8, 2024 · Corrected (the home has a date of correction)
  6. F
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · August 8, 2024 · Corrected (the home has a date of correction)
  7. F
    Provide properly protected cooking facilities.
    K 324 · August 8, 2024 · Corrected (the home has a date of correction)
  8. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · August 8, 2024 · Corrected (the home has a date of correction)
  9. F
    Ensure that testing and maintenance of electrical equipment is performed.
    K 921 · August 8, 2024 · Corrected (the home has a date of correction)
  10. C
    Have simulated fire drills held at unexpected times.
    K 712 · August 8, 2024 · Corrected (the home has a date of correction)
  11. C
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · September 14, 2022 · deficient, provider has
  12. C
    Have simulated fire drills held at unexpected times.
    K 712 · September 14, 2022 · deficient, provider has

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeWest VirginiaUnited States
All nursing staff (RN, LPN and aides)3.573.673.86
Registered nurses0.670.730.69
All nursing staff on weekends3.203.173.42
Nurse aides2.18
Licensed practical nurses0.72
Nursing staff turnover (share who left in a year)38.0%44.1%45.8%
Registered nurse turnover44.4%42.3%42.9%
Administrators who left2

CMS expects 4.22 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.73 on weekdays and 3.20 on weekends, 14% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.5% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.61 in April to June 2025 to 3.57 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.570.673.733.20 0.5%0 of 9057
Oct to Dec 20253.570.523.703.25 0.4%0 of 9257
Jul to Sep 20253.450.603.613.04 2.3%0 of 9259
Apr to Jun 20253.610.503.833.09 1.6%0 of 9158
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
West Virginia, Jan to Mar 20263.560.673.753.083.9%0.2% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.

Official wage estimates for West Virginia

JobMedianMiddle halfEmployed
West Virginia, all employers
CNAs (nursing assistants)$17.66$17.05 to $18.479,390
LPNs and LVNs$26.61$23.71 to $29.476,050
Registered nurses$38.52$32.77 to $47.9723,430
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

Work here? Share your pay anonymously

For Stone Pear Pavilion. No name, email or phone, and nothing you could type about a resident: every answer is a number or a choice.

Your job
Employed by
Usual shift
Do you get a shift differential?
Optional questions
Mandatory overtime?
How did staffing feel on your usual shift?

Every report is reviewed before it counts; what it says about the home never decides whether it counts. How pay reports are handled.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeWest VirginiaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
4.814.713.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.40.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
1.41.61.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
5.94.43.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
3.71.11.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
4.815.914.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
0.74.24.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
0.013.415.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
13.522.423.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
7.411.312.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.31.81.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.01.81.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Stone Pear Pavilion's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (39.1% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

39.1% this home

No different from the national rate

US median of homes 51.5% · West Virginia: 9 better, 28 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 35 eligible stays.

Potentially preventable readmissions

9.7% this home

No different from the national rate

US median of homes 10.7% · West Virginia: 0 better, 0 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 83 eligible stays.

Infections that led to a hospital stay

7.2% this home

No different from the national rate

US median of homes 7.1% · West Virginia: 0 better, 2 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 45 eligible stays.

Self-care and mobility at discharge

40.0% this home

Median of homes: West Virginia50.0% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 30 residents counted.

Falls with major injury

0.0% this home

Median of homes: West Virginia1.2% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 41 residents counted.

New or worsened pressure ulcers

7.5% this home

Median of homes: West Virginia2.4% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 41 residents counted.

Medication list given at discharge

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Median of homes: West Virginia97.6% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 13 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: FOX NURSING HOME, INC. CMS links this home to The Orchards, a group of 2 nursing homes averaging 3.5 stars overall.

NameRoleTypeShareSince
Fox, JamesCorporate directorIndividual12/01/2009
Fox, ScottCorporate officerIndividual12/01/2009
Fox, ScottOperational/managerial controlIndividual12/01/2009
Tinz, GregoryOperational/managerial controlIndividual11/01/2024
Baker Tilly Advisory Group, LPAdp of the SNFOrganization01/01/2025
Fox & Fox Limited PartnershipAdp of the SNFOrganization12/01/2009
The Orchard's Real Estate, LLCAdp of the SNFOrganization12/01/2009
Patani, HemantAdp of the SNFIndividual01/01/2025
Tinz, GregoryAdp of the SNFIndividual11/01/2024

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 9 problems in this area, most recently on March 4, 2026: "Provide activities to meet all resident's needs."
  2. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 6 problems in this area, most recently on March 4, 2026: "Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service."
  3. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 6 problems in this area, most recently on March 4, 2026: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
  4. When is the care plan meeting, and can family attend it?Inspectors cited 4 problems in this area, most recently on March 4, 2026: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
  5. How long has the current administrator been here?CMS counts 2 administrators who left in the period it measured.

Other nursing homes nearby

West Virginia contacts for a concern about a nursing home

These are the official offices in West Virginia. NursingHomeClear cannot take or act on complaints.

Common questions

What is Stone Pear Pavilion's Medicare star rating?
CMS rates Stone Pear Pavilion 2 out of 5 stars overall, with 2 for health inspections, 2 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Stone Pear Pavilion get at its last inspection?
14 health deficiencies at the standard inspection on March 4, 2026. The West Virginia average is 11.7.
Has Stone Pear Pavilion been fined?
CMS lists no fines in the last three years.
Does Stone Pear Pavilion accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Stone Pear Pavilion?
CMS lists 9 owners and managers, and links the home to The Orchards. Legal business name: FOX NURSING HOME, INC.

Sources

Find a nursing home Read an inspection