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Nursing HomeMedicaid Investigative

Stone Pear Pavilion

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

125 Fox Lane, Chester, WV 2603460 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
3.8/5

based on 5 Google reviews

5
4
3
2
1
Stone Pear Pavilion Nursing Home in Chester, WV — Street View
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1/ 10
low Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low staffing rating (2/5 stars)

Top 25% in WV · Below recommended RN staffing · Best in THE ORCHARDS chain · No penalties on record

Source: Medicare data

What this means for your family

While some families report positive experiences with the therapy team and staff kindness, the reports of neglect and communication failures regarding health status are concerning. We strongly recommend that you observe staffing levels during your tour and ask for a clear policy on how and when the facility notifies families of changes in a resident's health or appetite.

Google Reviews

Google Reviews

5 reviews on Google
Stone Pear Pavilion presents a stark contrast in experiences, with some families praising the compassionate staff and effective therapy services, while others report critical failures in basic care. Concerns regarding responsiveness and communication during medical emergencies are significant, suggesting inconsistency in the quality of care provided.

Quality Themes

Tap a score for details
Food5.0Staff5.0Clean8.0ActivitiesN/AMedsN/AMemoryN/AComms2.0ValueN/A

Strengths

  • Effective therapy department
  • Generally clean environment
  • Compassionate and kind staff members

Concerns

  • Understaffing leading to delayed basic care (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2345.02017(2)1.02019(2)5.02021(2)4.02026(2)

Distribution · 8 analyzed

5
5
4
0
3
1
2
0
1
2

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1Given that the facility has 60 residents, could you walk me through how your current staffing levels ensure that residents receive timely assistance with daily needs like hygiene and mobility?
  • 2I noticed the therapy department is highly regarded; how do you integrate those therapy services into a resident's daily routine to keep them active and engaged?
  • 3With communication being a priority for our family, what is your standard process for keeping families updated on changes in a resident's health or care plan?
  • 4Regarding the 12 recent state violations, what specific steps or quality improvement initiatives has Stone Pear Pavilion implemented to address those concerns and ensure a higher standard of care moving forward?
  • 5In the event of a sudden medical change or emergency, what is the protocol for notifying the family, and how quickly is a physician involved in the decision-making process?
  • 6Since the staff is often described as compassionate, how do you empower them to maintain that high level of personal attention even during your busiest times of the day?

Personalized based on this facility's data


Key Review Excerpts

They are under staffed my mom waited atleast an hour or more to be changed and my mom refused to eat for like 4 days and they apparently thought it was ok and didnt tell anyone

Family member · 2019☆☆☆☆

The staff were wonderful I never heard a mean word from any of the staff. They were a Blessing for us at a very scary time

Family member · 2021★★★★★

Good service, clean, great Therapy dept., and the food is good.

Visitor · 2017★★★★★
Source: 5 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.52hrs
69%
Registered nurses for medical care
Total Nursing
3.57hrs
87%
All nurses + aides combined
Staff Turnover
41%
Lower is better (< 30% = good)
RN Turnover
43%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
4/ 5
Better Than Avg

13

measures

Worse Than Avg

3

measures

Mixed Results

1

measures

Long-Stay Residents
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
15.5%
WV
14.0%
Hancock
15.6%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility12.2%
Better than Avg
Here
12.2%
US
19.5%
WV
27.0%
Hancock
26.2%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility33.4%
Worse than Avg
Here
33.4%
US
19.4%
WV
22.3%
Hancock
23.7%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility6.7%
Better than Avg
Here
6.7%
US
14.4%
WV
15.6%
Hancock
11.2%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility8.9%
Better than Avg
Here
8.9%
US
15.3%
WV
17.2%
Hancock
12.7%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
WV
96.7%
Hancock
96.2%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility98.1%
Better than Avg
Here
98.1%
US
81.8%
WV
78.4%
Hancock
81.5%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility90.0%
Better than Avg
Here
90.0%
US
79.8%
WV
79.4%
Hancock
78.8%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility3.2%
Worse than Avg
Here
3.2%
US
1.6%
WV
1.0%
Hancock
1.9%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

14deficiencies
Above state avg (13.8)

Stone Pear Pavilion shows a pattern of recurring deficiencies across three surveys, with 39 total violations covering fire safety systems, medication management, and nursing supervision. The facility has faced repeated issues with fire drills, safety equipment maintenance, and pharmacy oversight spanning from 2021 to 2024. While all deficiencies show correction dates, the persistence of similar problems across multiple years suggests ongoing operational challenges that families should carefully consider.

Mar 4, 2026Routine
18
0802Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

0804Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

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

0814Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Dispose of garbage and refuse properly.

0921Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure that testing and maintenance of electrical equipment is performed.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0550Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0656Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0679Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide activities to meet all resident's needs.

0689Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

0732Potential for harm · PatternCorrected

Nursing and Physician Services Deficiencies

Post nurse staffing information every day.

0759Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0803Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

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.

0580Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

0324Potential for harm · IsolatedCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0511Potential for harm · IsolatedCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0923Minimal · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

Aug 8, 2024Routine
18
0211Potential for harm · WidespreadCorrected

Egress Deficiencies

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

0321Potential for harm · WidespreadCorrected

Smoke Deficiencies

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

0324Potential for harm · WidespreadCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0921Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure that testing and maintenance of electrical equipment is performed.

0584Potential for harm · PatternCorrected

Resident Rights Deficiencies

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.

0684Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

0727Potential for harm · PatternCorrected

Nursing and Physician Services Deficiencies

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.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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

0561Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

0585Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0645Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

PASARR screening for Mental disorders or Intellectual Disabilities

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0690Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0697Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0868Potential for harm · IsolatedCorrected

Administration Deficiencies

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

0712Minimal · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

Sep 14, 2022Routine
11
0756Potential for harm · WidespreadCorrected

Pharmacy Service Deficiencies

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

0600Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

0623Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0521Minimal · WidespreadCorrected

Services Deficiencies

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

0712Minimal · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Stone Pear Pavilion

Organization Type

for profit

Chain Affiliation

Chain Name

The Orchards

Chain Size

2 facilities nationwide

Chain avg rating: 3.5/5 · Rank 1 of 2 (Best)

Ownership & Management

Key personnel

Fox, JamesOfficer / DirectorFox, ScottOfficer / DirectorFox, ScottManagerTinz, GregoryManagerBaker Tilly Advisory Group, LpAdp of the Snf
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 5 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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