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Deficiency Records for The Pavilion at Brmc

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

View the most recent health deficiencies and inspection results for The Pavilion at Brmc. 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 2026-04-23 2026-06-26 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2026-04-23 2026-06-01 N
Meet requirements for the installation and maintenance of electrical systems. Fire Safety 2026-04-23 2026-06-01 N
Have power receptacles that are properly grounded. Fire Safety 2026-04-23 2026-06-01 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2026-04-23 2026-06-01 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2024-12-06 2025-02-04 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-12-06 2025-02-04 Y
Provide and implement an infection prevention and control program. Health 2024-01-05 2024-03-01 N
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Health 2024-01-05 2024-03-01 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2024-01-05 2024-03-01 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-01-05 2024-03-01 N
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Health 2024-01-05 2024-03-01 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 2024-01-05 2024-03-01 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2024-01-05 2024-03-01 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2024-01-05 2024-02-16 N
Establish emergency prep training and testing. Fire Safety 2024-01-05 2024-02-16 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2026-04-23 Not Fixed N
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. Health 2026-04-23 Not Fixed N
Ensure each resident receives an accurate assessment. Health 2026-04-23 Not Fixed N

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