A list of the most recent deficiencies for The Pavilion at Jacksonville. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-05-12 | 2022-06-05 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-05-12 | 2022-06-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-05-12 | 2022-06-05 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-10-27 | 2020-11-18 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-10-27 | 2020-11-18 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2020-10-27 | 2020-11-18 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-10-27 | 2020-11-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-12-13 | 2019-01-22 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-12-13 | 2019-01-22 | N |
| Ensure that residents are free from significant medication errors. | Health | 2018-12-13 | 2019-01-22 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-12-13 | 2019-01-22 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2018-12-12 | 2019-01-22 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2018-12-12 | 2019-01-22 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-12-12 | 2019-01-22 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2018-12-12 | 2019-01-22 | N |
