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Deficiency Records for The Pavilion at Edgefield For Nursing and Rehabili
View the most recent health deficiencies and inspection results for The Pavilion at Edgefield For Nursing and Rehabili. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for The Pavilion at Edgefield For Nursing and Rehabili. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2026-02-18 | 2026-03-17 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-11-20 | 2025-12-12 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2025-11-20 | 2025-12-12 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2025-11-20 | 2025-12-12 | 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 | 2025-11-20 | 2025-12-12 | N |
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2025-11-20 | 2025-12-12 | N |
| Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | Health | 2025-11-20 | 2025-12-12 | N |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2025-11-20 | 2025-12-12 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2025-11-20 | 2025-12-12 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-11-20 | 2025-12-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-11-20 | 2025-12-12 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2025-11-20 | 2025-12-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-11-20 | 2025-12-12 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2025-11-20 | 2025-12-12 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2025-11-20 | 2025-12-12 | 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 | 2025-11-20 | 2025-12-12 | N |
| Provide or obtain dental services for each resident. | Health | 2025-11-20 | 2025-12-12 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2025-11-20 | 2025-12-12 | N |
| Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | Health | 2025-11-20 | 2025-12-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-11-20 | 2025-12-12 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-11-20 | 2025-12-12 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2025-11-20 | 2025-12-12 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2025-11-20 | 2025-12-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-11-20 | 2025-12-12 | N |
| Implement a program that monitors antibiotic use. | Health | 2025-11-20 | 2025-12-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-11-20 | 2025-12-12 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2025-11-20 | 2025-12-12 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-11-20 | 2025-12-12 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2025-11-20 | 2025-12-12 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2025-11-20 | 2025-12-12 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2025-11-20 | 2025-12-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-11-20 | 2025-12-12 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-11-20 | 2025-12-12 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2025-11-20 | 2025-12-12 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2025-11-20 | 2025-12-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-06-30 | 2025-07-14 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-01-19 | 2024-02-08 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-11-17 | 2023-01-06 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-11-17 | 2023-01-06 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2022-11-17 | 2023-01-06 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-11-17 | 2023-01-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-11-17 | 2023-01-06 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-11-17 | 2023-01-06 | 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 | 2022-11-17 | 2023-01-06 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2020-01-16 | 2020-02-22 | N |
| Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements. | Fire Safety | 2020-01-16 | 2020-02-22 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2020-01-16 | 2020-02-22 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-01-16 | 2020-02-22 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2020-01-16 | 2020-02-22 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2020-01-16 | 2020-02-22 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-01-16 | 2020-02-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-01-16 | 2020-02-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-01-16 | 2020-02-22 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2020-01-16 | 2020-02-22 | 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 | 2020-01-16 | 2020-02-22 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2020-01-16 | 2020-02-22 | 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 | 2020-01-16 | 2020-02-22 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2020-01-16 | 2020-02-18 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2020-01-16 | 2020-02-18 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2020-01-16 | 2020-02-18 | N |
| Ensure that residents are free from significant medication errors. | Health | 2020-01-16 | 2020-02-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-01-16 | 2020-02-18 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-01-16 | 2020-02-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-01-16 | 2020-02-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-12-22 | Not Fixed | Y |