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Deficiency Records for Pavilion On Pico Healthcare and Wellness Centre, LP
View the most recent health deficiencies and inspection results for Pavilion On Pico Healthcare and Wellness Centre, LP. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Pavilion On Pico Healthcare and Wellness Centre, LP. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2026-03-26 | 2026-04-02 | Y |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2026-01-22 | 2026-02-13 | N |
| Implement a program that monitors antibiotic use. | Health | 2026-01-22 | 2026-02-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2026-01-22 | 2026-02-13 | N |
| 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. | Health | 2026-01-22 | 2026-02-13 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2026-01-22 | 2026-02-13 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2026-01-22 | 2026-02-13 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2026-01-22 | 2026-02-13 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2026-01-22 | 2026-02-13 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2026-01-22 | 2026-02-13 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2026-01-22 | 2026-02-13 | N |
| Ensure each resident receives an accurate assessment. | Health | 2026-01-22 | 2026-02-13 | N |
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2026-01-22 | 2026-02-13 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2026-01-22 | 2026-02-13 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2026-01-22 | 2026-02-11 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2026-01-22 | 2026-02-11 | N |
| Implement emergency and standby power systems. | Fire Safety | 2026-01-22 | 2026-02-11 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2026-01-22 | 2026-02-11 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2026-01-22 | 2026-02-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2026-01-22 | 2026-02-11 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2026-01-22 | 2026-02-11 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2026-01-22 | 2026-02-11 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2026-01-22 | 2026-02-11 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2026-01-22 | 2026-02-11 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2026-01-22 | 2026-02-11 | N |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2025-03-26 | 2025-04-17 | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2025-03-26 | 2025-04-17 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2025-03-26 | 2025-04-17 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-11-17 | 2024-12-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-11-17 | 2024-12-12 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-11-17 | 2024-12-12 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-11-17 | 2024-12-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-11-17 | 2024-12-03 | N |
| Assess the resident when there is a significant change in condition | Health | 2024-11-17 | 2024-12-03 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2024-11-17 | 2024-12-03 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-11-17 | 2024-12-03 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2024-11-17 | 2024-12-03 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-11-17 | 2024-12-03 | N |
| 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. | Health | 2024-11-17 | 2024-12-03 | N |
| 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. | Health | 2024-11-17 | 2024-12-03 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-11-17 | 2024-12-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-11-17 | 2024-12-03 | N |
| Dispose of garbage and refuse properly. | Health | 2024-11-17 | 2024-12-03 | N |
| Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. | Health | 2024-11-17 | 2024-12-03 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2024-11-17 | 2024-12-03 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2024-11-17 | 2024-12-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-09 | 2024-08-01 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-01-30 | 2024-02-16 | Y |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-10-20 | 2023-11-22 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-10-20 | 2023-11-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-10-20 | 2023-11-22 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2023-10-20 | 2023-11-22 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-10-20 | 2023-11-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-20 | 2023-11-09 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-10-20 | 2023-11-09 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2023-10-20 | 2023-11-09 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-10-20 | 2023-11-09 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-10-20 | 2023-11-09 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-20 | 2023-11-09 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2023-10-20 | 2023-11-09 | N |
| Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. | Health | 2023-10-20 | 2023-11-09 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2023-10-20 | 2023-11-09 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-08-18 | 2023-09-18 | Y |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2026-01-22 | Not Fixed | N |
| Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. | Health | 2026-01-22 | Not Fixed | N |