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Deficiency Records for The Pavilion at Piketon
View the most recent health deficiencies and inspection results for The Pavilion at Piketon. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for The Pavilion at Piketon. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-04-17 | 2025-05-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-04-17 | 2025-05-22 | N |
| Ensure that residents are free from significant medication errors. | Health | 2025-04-17 | 2025-05-22 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-04-17 | 2025-05-22 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2025-04-17 | 2025-05-22 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-04-17 | 2025-05-22 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2025-04-17 | 2025-05-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-04-17 | 2025-05-22 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2025-04-17 | 2025-05-22 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2025-04-17 | 2025-05-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-29 | 2024-02-22 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-01-29 | 2024-02-22 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-01-29 | 2024-02-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-01-29 | 2024-02-22 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-01-29 | 2024-02-22 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2024-01-29 | 2024-02-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-01-29 | 2024-02-22 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-01-29 | 2024-02-22 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-01-29 | 2024-02-22 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2024-01-29 | 2024-02-22 | 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 | 2024-01-29 | 2024-02-22 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-01-29 | 2024-02-22 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-01-29 | 2024-02-22 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-01-29 | 2024-02-22 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-01-29 | 2024-02-22 | Y |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2024-01-29 | 2024-02-22 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-01-29 | 2024-02-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-01-29 | 2024-02-22 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-01-29 | 2024-02-22 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-01-29 | 2024-02-22 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-01-29 | 2024-02-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-05-19 | 2022-07-01 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2022-05-19 | 2022-07-01 | 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 | 2022-05-19 | 2022-07-01 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2022-05-19 | 2022-07-01 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-05-19 | 2022-07-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-19 | 2022-07-01 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2022-05-19 | 2022-07-01 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2022-05-19 | 2022-07-01 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-05-19 | 2022-07-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-05-19 | 2022-07-01 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-05-19 | 2022-07-01 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2022-05-19 | 2022-07-01 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-05-19 | 2022-07-01 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-05-19 | 2022-07-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-05-19 | 2022-07-01 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-05-19 | 2022-07-01 | N |