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Deficiency Records for The Pavilion

View the most recent health deficiencies and inspection results for The Pavilion. Stay informed about quality of care issues.

View the most recent health deficiencies and inspection results for The Pavilion. Stay informed about quality of care issues.

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 2025-06-17 2025-09-03 N
Meet requirements for the installation and maintenance of electrical systems. Fire Safety 2025-06-17 2025-08-14 N
Use approved construction type or materials. Fire Safety 2025-06-17 2025-08-01 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2025-06-17 2025-08-01 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2024-06-13 2024-07-01 N
Provide care or services that was trauma informed and/or culturally competent. Health 2024-06-13 2024-07-01 N
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Health 2024-06-13 2024-07-01 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2024-06-13 2024-07-01 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2023-04-05 2023-05-17 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2023-04-05 2023-05-12 N
Implement emergency and standby power systems. Fire Safety 2023-04-05 2023-04-27 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-04-05 2023-04-27 N
Provide properly protected cooking facilities. Fire Safety 2023-04-05 2023-04-14 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-04-05 2023-04-14 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2023-04-05 2023-04-14 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-04-05 2023-04-14 N

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