About Pender Memorial Hosp Snf
Pender Memorial Hosp Snf, located in BURGAW, NC, is a non-profit organization that accepts Medicare and Medicaid.
Why Families Choose Pender Memorial Hosp Snf
Key Performance Indicators
- CMS Overall Rating 2 Stars
- Nursing Hours N/A
- Safety Record Clean
Chain Affiliations & Network
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Nursing Staff Analysis
Staffing levels are a critical indicator of quality care. We analyze the daily hours of care provided by Registered Nurses (RNs), Licensed Practical Nurses (LPNs), and Certified Nursing Assistants (CNAs).
Registered Nurses (RN)
Licensed Practical Nurses
Certified Assistants
CMS Quality Ratings
| Category | Rating | Stars |
|---|---|---|
| Overall Rating | 2 |
|
| Health Inspection | 2 |
|
| Quality Measures | 5 |
|
| Staffing | 1 |
|
Health Inspection History
| Inspection Cycle | Score | Date |
|---|---|---|
| Weighted Average | 69 | Combined Score |
Detailed Quality Measures
Rates are from CMS quality measures (claims-based and MDS-based) for the reporting period ending Nov 01, 2025. Some measures may be omitted when CMS does not report a numeric rate for this facility.
Medicare claims-based measures
Typically includes short-stay outcomes, hospitalizations, and ED use from Medicare claims.
| Measure | Rate |
|---|---|
| Percentage of short-stay residents who were rehospitalized after a nursi... (QM521) | N/A |
| Percentage of short-stay residents who had an outpatient emergency depar... (QM522) | N/A |
| Number of hospitalizations per 1000 long-stay resident days (QM551) | N/A |
| Number of outpatient emergency department visits per 1000 long-stay resi... (QM552) | N/A |
MDS-based measures
Resident assessment data; often used for long-stay care quality.
| Measure | Rate |
|---|---|
| Percentage of long-stay residents whose need for help with daily activit... (QM401) | 20.0% |
| Percentage of long-stay residents who lose too much weight (QM404) | 0.0% |
| Percentage of long-stay residents with a catheter inserted and left in t... (QM406) | 3.5% |
| Percentage of long-stay residents with a urinary tract infection (QM407) | 3.4% |
| Percentage of long-stay residents who have depressive symptoms (QM408) | N/A |
| Percentage of long-stay residents who were physically restrained (QM409) | 0.0% |
| Percentage of long-stay residents experiencing one or more falls with ma... (QM410) | 0.0% |
| Percentage of long-stay residents assessed and appropriately given the p... (QM415) | 89.7% |
| Percentage of long-stay residents who received an antipsychotic medicati... (QM419) | 10.3% |
| Percentage of short-stay residents assessed and appropriately given the... (QM430) | N/A |
| Percentage of short-stay residents who newly received an antipsychotic m... (QM434) | N/A |
| Percentage of long-stay residents whose ability to walk independently wo... (QM451) | N/A |
| Percentage of long-stay residents who received an antianxiety or hypnoti... (QM452) | 3.4% |
| Percentage of long-stay residents assessed and appropriately given the s... (QM454) | N/A |
| Percentage of short-stay residents who were assessed and appropriately g... (QM472) | N/A |
| Percentage of long-stay residents with pressure ulcers (QM479) | 0.0% |
| Percentage of long-stay residents with new or worsened bowel or bladder... (QM480) | 8.7% |
Complaints & Deficiencies
Complaint History by Year
This chart shows the number of complaints filed each year.
Summary:
- 2024: 7 complaints
- Total: 7 complaints on record
Recent Complaints (Since Jan 2023)
| Date | Description |
|---|---|
| Jul 17, 2024 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. |
| May 31, 2024 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. |
| May 30, 2024 | Develop and maintain an Emergency Preparedness Program (EP). |
| May 30, 2024 | Develop Emergency Preparedness policies and procedures. |
| May 30, 2024 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. |
| May 28, 2024 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. |
| May 28, 2024 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. |
Nearby Hospitals
NOVANT HEALTH NEW HANOVER REGIONAL MEDICAL CENTER
WILMINGTON, NC
WILMINGTON TREATMENT CENTER
WILMINGTON, NC
PENDER MEMORIAL HOSPITAL
BURGAW, NC
STRATEGIC BEHAVIORAL CENTER-LELAND
LELAND, NC
Owner & Operator Information
Business Entity
PENDER MEMORIAL HOSPITAL INCORPORATED
Ownership Structure
- NOVANT HEALTH COASTAL REGION LLC Indirect
- NOVANT HEALTH INC. Indirect
Management & Direction
- WILLIE ARMSTRONG CORPORATE DIRECTOR
- TIMOTHY BAKER CORPORATE DIRECTOR
- BARBARA BIEHNER CORPORATE OFFICER
- CYNTHIA FAULKNER W-2 MANAGING EMPLOYEE
- CYNTHIA FAULKNER CORPORATE OFFICER
- RUTH GLASER CONTRACTED MANAGING EMPLOYEE
- RUTH GLASER CORPORATE DIRECTOR
- RUTH GLASER CORPORATE OFFICER
- DENISE HOUGHTON CORPORATE OFFICER
- BRETT KEELER CORPORATE DIRECTOR
- TERESA KING CORPORATE DIRECTOR
- MYRA MCDUFFIE CORPORATE DIRECTOR
- NOVANT HEALTH NEW HANOVER REGIONAL MEDICAL CENTER LLC OPERATIONAL/MANAGERIAL CONTROL
- MOSTAFA REZK CORPORATE DIRECTOR
- HIRAM WILLIAMS CORPORATE DIRECTOR
Associated Doctors
Local Comparison
| Facility | Distance | Rating |
|---|---|---|
| Wallace Rehabilitation and Healthcare Center | N/A | 4 |
| Bradley Creek Health Center | N/A | 5 |
| Cypress Pointe Rehabilitation Center | N/A | 5 |
| The Laurels of Pender | N/A | 4 |
| Woodbury Wellness Center Inc | N/A | 3 |
| August Healthcare at Wilmington | N/A | 3 |
| Davis Health and Wellness Center at Cambridge Vill | N/A | 2 |
| Liberty Commons Rehabilitation Center | N/A | 2 |
| Northchase Nursing and Rehabilitation Center | N/A | 2 |
| Davis Health Care Center | N/A | 2 |
Related Analysis
Best Nursing Homes in BURGAW, NC
Compare Pender Memorial Hosp Snf to the top-rated facilities in the area.
Ownership Details
Complete list of registered owners, including direct and indirect ownership.
Noted Deficiencies
Detailed history of deficiencies with descriptions and correction dates.
Nursing Hours Analysis
Detailed breakdown of staffing hours per resident by role.
Frequently Asked Questions
- Skilled Nursing Care: 24/7 medical supervision and complex medical treatments
- Long-term Residential Care: Assistance with daily living activities for extended stays
- Short-term Rehabilitation: Recovery services after hospital stays or surgeries
- Memory Care: Specialized programs for residents with dementia and Alzheimer's disease
- Level of care needed (skilled nursing vs. long-term care)
- Room type (private vs. semi-private)
- Insurance coverage (Medicare, Medicaid, private insurance)
- Length of stay and specific services required
For current rates and to discuss payment options, contact Pender Memorial Hosp Snf directly at 9103004004. Their admissions team can help determine coverage and out-of-pocket expenses.
Environment & Cleanliness
- Overall cleanliness and odors
- Resident room conditions
- Common area maintenance
- Safety features and accessibility
Staff & Care Quality
- Staff-to-resident ratios
- How staff interact with residents
- Response time to resident needs
- Staff knowledge and professionalism
Ask to speak with current residents and their families, tour at different times of day, and review the facility's most recent inspection reports.