Chester, WV

Stone Pear Pavilion

4-star overall rating with 4-star inspections with 12 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle

125 Fox Lane, Chester, WV

(304) 387-0101

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

The Orchards

Operator or chain grouping

Approved since

1994-06-08

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

2 facilities

Chain averages 4 overall / 4 health / 2 staffing / 4 quality stars

Changed ownership

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.60

Registered nurse staffing · state 0.71 · national 0.68

LPN hours / resident day

0.68

Licensed practical nurse staffing · state 0.92 · national 0.87

Aide hours / resident day

2.17

Nurse aide staffing · state 2.07 · national 2.35

Total nurse hours

3.45

All reported nurse hours · state 3.69 · national 3.89

Licensed hours

1.28

RN + LPN hours · state 1.62 · national 1.54

Weekend hours

3.04

Weekend nurse staffing · state 3.18 · national 3.43

Weekend RN hours

0.39

Weekend registered nurse coverage · state 0.39 · national 0.47

Physical therapist

0.00

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

0.53

CMS adjusted RN staffing hours

Adjusted total hours

3.08

CMS adjusted total nurse staffing hours

Case-mix index

1.53

Higher values indicate more complex resident acuity

RN turnover

38%

Annual RN turnover · state 40% · national 45%

Total nurse turnover

35%

Annual nurse turnover · state 43% · national 46%

SNF VBP

Value-based purchasing

Program rank

11,179

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

17.76

Composite VBP score used to determine payment impact.

Payment multiplier

0.9818

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

4.99

Baseline 23.04% · Performance 19.74% · Measure score 4.99 · Achievement 3.66 · Improvement 4.99

Healthcare-associated infections

2.11

Baseline 7.49% · Performance 7.20% · Measure score 2.11 · Achievement 2.11 · Improvement 0.64

Total nurse turnover

Baseline 51.85% · Performance 81.82% · Measure score 0 · Achievement 0 · Improvement 0

Adjusted total nurse staffing

Baseline 3.43 hours · Performance 3 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	9.66%	10.72% 1.1 pts better	No Different than the National Rate · Eligible stays 83 · Observed rate 8.43% · Lower 95% interval 6.63%
Discharge to community	39.15%	50.57% 11.4 pts worse	No Different than the National Rate · Eligible stays 35 · Observed rate 28.57% · Lower 95% interval 28.41%
Medicare spending per beneficiary	1.22	1.02 0.2 pts worse
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 44 · Denominator 44
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 44
Discharge self-care score	36.67%	53.69% 17 pts worse	Numerator 11 · Denominator 30
Discharge mobility score	40%	50.94% 10.9 pts worse	Numerator 12 · Denominator 30
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 44 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	7.2%	7.12% 0.1 pts worse	No Different than the National Rate · Eligible stays 45 · Observed rate 8.89% · Lower 95% interval 3.85%
Staff COVID-19 vaccination coverage	1.9%	8.2% 6.3 pts worse	Numerator 2 · Denominator 105
Staff flu vaccination coverage	16.22%	42% 25.8 pts worse	Numerator 18 · Denominator 111
Discharge function score	40%	56.45% 16.5 pts worse	Numerator 12 · Denominator 30
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	36.36%	25.2% 11.2 pts better	Numerator 8 · Denominator 22

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.5	1.9 0.6 pts worse	1.9 0.6 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.5 · Observed 1.9 · Expected 1.5 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	2.1	1.9 0.2 pts worse	1.8 0.3 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.1 · Observed 1.7 · Expected 1.4 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	96.7% 3.3 pts better	93.4% 6.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	97.6% 2.4 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	6.7%	4.5% 2.2 pts worse	3.3% 3.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 5.7% · Q2 6.0% · Q3 7.8% · Q4 7.3% · 4Q avg 6.7% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	6.5%	6.8% 0.3 pts better	11.4% 4.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.7% · Q2 4.7% · Q3 4.4% · Q4 9.6% · 4Q avg 6.5%
Percentage of long-stay residents who lose too much weight	3.9%	6.6% 2.7 pts better	5.4% 1.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 6.8% · Q3 6.8% · Q4 2.1% · 4Q avg 3.9%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	13.4%	27.0% 13.6 pts better	19.6% 6.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 15.2% · Q2 20.0% · Q3 13.0% · Q4 6.1% · 4Q avg 13.4%
Percentage of long-stay residents who received an antipsychotic medication	8.5%	15.5% 7 pts better	16.7% 8.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.1% · Q2 10.0% · Q3 10.0% · Q4 8.9% · 4Q avg 8.5% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.2% 0.2 pts better	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	12.3%	19.5% 7.2 pts better	16.3% 4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 15.3% · Q2 19.8% · Q3 10.1% · Q4 3.6% · 4Q avg 12.3% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	9.8%	17.6% 7.8 pts better	14.9% 5.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 14.0% · Q2 11.9% · Q3 11.6% · Q4 2.2% · 4Q avg 9.8% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	0.5% 0.5 pts better	1.0% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.5%	1.8% 1.3 pts better	1.7% 1.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.9% · 4Q avg 0.5% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	31.2%	22.4% 8.8 pts worse	19.8% 11.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 18.2% · Q2 45.3% · Q3 29.8% · Q4 32.2% · 4Q avg 31.2%
Percentage of long-stay residents with pressure ulcers	1.1%	4.7% 3.6 pts better	5.1% 4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.6% · Q3 0.0% · Q4 2.7% · 4Q avg 1.1% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	97.1%	78.8% 18.3 pts better	81.7% 15.4 pts better	Short Stay · 2024Q4-2025Q3 · Q1 95.2% · Q2 100.0% · Q3 96.9% · Q4 96.0% · 4Q avg 97.1%
Percentage of short-stay residents who had an outpatient emergency department visit	0.0%	12.4% 12.4 pts better	12.0% 12 pts better	Short Stay · 20240701-20250630 · Adjusted 0.0% · Observed 0.0% · Expected 11.3% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	2.9%	1.1% 1.8 pts worse	1.6% 1.3 pts worse	Short Stay · 2024Q4-2025Q3 · Q3 4.5% · 4Q avg 2.9% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	90.0%	79.4% 10.6 pts better	79.7% 10.3 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 90.0%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	17.5%	23.0% 5.5 pts better	23.9% 6.4 pts better	Short Stay · 20240701-20250630 · Adjusted 17.5% · Observed 19.4% · Expected 26.4% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-08-08 · Fire 2024-08-08

12 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

6 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 2 Health 2022-09-14 · Fire 2022-09-14

9 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)

2 fire-safety deficiencies

Top issue: Miscellaneous (1 deficiency)

Cycle 3 Health 2021-05-26 · Fire 2021-05-26

6 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

4 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-08-08

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2024-09-17

F · Potential for more than minimal harm 2024-08-08

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2024-09-17

F · Potential for more than minimal harm 2024-08-08

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-09-17

F · Potential for more than minimal harm 2024-08-08

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-09-17

F · Potential for more than minimal harm 2024-08-08

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2024-09-17

C · Minimal harm 2024-08-08

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-09-17

C · Minimal harm 2022-09-14

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2022-09-30

C · Minimal harm 2022-09-14

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2022-09-30

E · Potential for more than minimal harm 2021-05-26

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2021-07-07

D · Potential for more than minimal harm 2021-05-26

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2021-07-07

D · Potential for more than minimal harm 2021-05-26

K331 · Smoke Deficiencies

Fire Safety

Construct fire resistant interior walls.

Corrected 2021-07-07

C · Minimal harm 2021-05-26

K912 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have power receptacles that are properly grounded.

Corrected 2021-07-07

Inspection history

Recent health citations

E · Potential for more than minimal harm 2024-08-08

F584 · Resident Rights Deficiencies

Health

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.

Corrected 2024-09-30

E · Potential for more than minimal harm 2024-08-08

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-09-30

E · Potential for more than minimal harm 2024-08-08

F727 · Nursing and Physician Services Deficiencies

Health

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.

Corrected 2024-09-30

E · Potential for more than minimal harm 2024-08-08

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-09-30

D · Potential for more than minimal harm 2024-08-08

F561 · Resident Rights Deficiencies

Health

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Corrected 2024-09-30

D · Potential for more than minimal harm 2024-08-08

F585 · Resident Rights Deficiencies

Health

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.

Corrected 2024-09-30

D · Potential for more than minimal harm 2024-08-08

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2024-09-30

D · Potential for more than minimal harm 2024-08-08

F645 · Resident Assessment and Care Planning Deficiencies

Health

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2024-09-30

D · Potential for more than minimal harm 2024-08-08

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-09-30

D · Potential for more than minimal harm 2024-08-08

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2024-09-30

D · Potential for more than minimal harm 2024-08-08

F697 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2024-09-30

D · Potential for more than minimal harm 2024-08-08

F868 · Administration Deficiencies

Health

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Corrected 2024-09-30

F · Potential for more than minimal harm 2022-09-14

F756 · Pharmacy Service Deficiencies

Health

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2022-11-17