Deficiency Records for The Pavilion On Main Street
Updated as of January 01, 2018
This is not the most recent data for The Pavilion On Main Street. For the most recent information, click here.
A list of the most recent deficiencies for The Pavilion On Main Street. 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? |
|---|---|---|---|---|
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-10-12 | 2017-10-24 | Y |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2017-10-12 | 2017-10-24 | Y |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2017-10-12 | 2017-10-24 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-08-29 | 2017-09-05 | Y |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2017-07-05 | 2017-07-06 | Y |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-07-05 | 2017-07-06 | Y |
| Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2017-06-07 | 2017-06-20 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-06-07 | 2017-06-20 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-06-07 | 2017-06-20 | Y |
| Try to resolve each resident's complaints quickly. | Health | 2017-02-16 | 2017-03-10 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-02-16 | 2017-03-10 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2017-02-16 | 2017-03-10 | N |
| Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. | Health | 2017-02-16 | 2017-03-10 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-02-16 | 2017-03-10 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-02-16 | 2017-03-10 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-05-25 | 2016-06-01 | Y |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2016-05-25 | 2016-06-01 | Y |
| Allow residents to easily view the results of the nursing home's most recent inspection. | Health | 2016-04-19 | 2016-04-22 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-04-19 | 2016-04-22 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2016-04-19 | 2016-04-22 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2016-04-19 | 2016-04-22 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-04-19 | 2016-04-22 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2016-04-19 | 2016-04-22 | N |
| Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. | Health | 2016-04-19 | 2016-04-22 | N |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2016-04-19 | 2016-04-22 | N |
| Provide food in a way that meets a resident's needs. | Health | 2016-04-19 | 2016-04-22 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-04-19 | 2016-04-22 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-04-19 | 2016-04-22 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-09-17 | 2015-10-14 | Y |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2015-09-17 | 2015-10-14 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2015-03-18 | 2015-04-03 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2015-03-18 | 2015-04-03 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2015-03-18 | 2015-04-03 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2015-03-18 | 2015-04-03 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2015-03-18 | 2015-04-03 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-03-18 | 2015-04-03 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2015-03-18 | 2015-04-03 | N |
| Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2015-03-18 | 2015-04-03 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-03-18 | 2015-04-03 | N |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2015-03-18 | 2015-04-03 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2015-03-18 | 2015-04-03 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-03-18 | 2015-04-03 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2015-03-18 | 2015-04-03 | N |
| Ensure that all full-time nurse aids employed for more than 4 months are fully trained and competent to provide nursing and nursing-related services, as defined by Federal requirements. | Health | 2015-03-18 | 2015-04-03 | N |
