A list of the most recent deficiencies for The Pavilion. 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 heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-04-03 | 2023-05-17 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-04-03 | 2023-05-12 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-04-03 | 2023-04-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-04-03 | 2023-04-27 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-04-03 | 2023-04-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-04-03 | 2023-04-14 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-04-03 | 2023-04-14 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-04-03 | 2023-04-14 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2020-01-30 | 2020-02-17 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2020-01-30 | 2020-02-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-01-30 | 2020-02-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-01-30 | 2020-02-17 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-12-06 | 2020-01-10 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-10-29 | 2018-11-20 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-10-29 | 2018-11-20 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2018-10-29 | 2018-11-20 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2018-10-29 | 2018-11-20 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2018-10-24 | 2018-11-02 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-10-24 | 2018-11-01 | N |
