CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Care Pavilion Nursing and Rehabilitation Center
View the most recent health deficiencies and inspection results for Care Pavilion Nursing and Rehabilitation Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Care Pavilion Nursing and Rehabilitation Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide or obtain dental services for each resident. | Health | 2025-12-22 | 2026-01-30 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2025-12-22 | 2026-01-30 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2025-12-22 | 2026-01-30 | N |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2025-12-22 | 2026-01-30 | N |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2025-12-22 | 2026-01-30 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2025-12-22 | 2026-01-30 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2025-12-22 | 2026-01-30 | 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 | 2025-12-22 | 2026-01-30 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-12-22 | 2026-01-30 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2025-12-22 | 2026-01-30 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2025-12-22 | 2026-01-30 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-12-22 | 2026-01-30 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2025-12-22 | 2026-01-30 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-12-22 | 2026-01-30 | N |
| Develop a communication plan. | Fire Safety | 2025-12-22 | 2026-01-30 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2025-12-22 | 2026-01-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-12-22 | 2026-01-30 | N |
| Dispose of garbage and refuse properly. | Health | 2025-12-22 | 2026-01-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-12-22 | 2026-01-30 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2025-12-22 | 2026-01-30 | N |
| Keep all essential equipment working safely. | Health | 2025-12-22 | 2026-01-30 | N |
| Put firmly secured handrails on each side of hallways. | Health | 2025-12-22 | 2026-01-30 | N |
| Develop, implement, and/or maintain an effective training program for all new and existing staff members. | Health | 2025-12-22 | 2026-01-30 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-12-22 | 2026-01-30 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2025-12-22 | 2026-01-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-12-22 | 2026-01-30 | Y |
| 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 | 2025-12-22 | 2026-01-30 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2025-12-22 | 2026-01-30 | Y |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2025-12-22 | 2026-01-30 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2025-12-22 | 2026-01-30 | 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 | 2025-12-22 | 2026-01-30 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-12-22 | 2026-01-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-12-22 | 2026-01-30 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2025-12-22 | 2026-01-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-12-22 | 2026-01-30 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2025-12-22 | 2026-01-30 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2025-12-22 | 2026-01-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-12-22 | 2026-01-30 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2025-12-22 | 2026-01-30 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2025-12-22 | 2026-01-30 | N |
| Meet other general requirements. | Fire Safety | 2025-12-22 | 2026-01-30 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2025-12-22 | 2026-01-30 | N |
| Establish staff and initial training requirements. | Fire Safety | 2025-12-22 | 2026-01-30 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2025-12-22 | 2026-01-30 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2025-12-22 | 2026-01-30 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-11-13 | 2025-12-09 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-09-11 | 2025-10-11 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-09-11 | 2025-09-05 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2025-06-26 | 2025-07-18 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2025-06-11 | 2025-07-09 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-05-29 | 2025-07-09 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-05-29 | 2025-07-09 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-05-29 | 2025-07-09 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-04-23 | 2025-05-08 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-04-23 | 2025-05-08 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2025-04-23 | 2025-05-08 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2025-04-10 | 2025-04-23 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-04-10 | 2025-04-23 | Y |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2025-02-18 | 2025-04-19 | 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 | 2025-02-18 | 2025-04-19 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2025-02-18 | 2025-04-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-02-18 | 2025-04-19 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2025-02-18 | 2025-04-19 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2025-02-18 | 2025-04-19 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-02-18 | 2025-04-19 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2025-02-18 | 2025-04-19 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-02-18 | 2025-04-19 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2025-02-18 | 2025-04-19 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-04-01 | 2025-04-09 | Y |
| 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 | 2025-04-01 | 2025-04-09 | Y |
| 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 | 2025-02-18 | 2025-03-18 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2025-02-18 | 2025-03-18 | 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 | 2025-02-18 | 2025-03-18 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-02-18 | 2025-03-18 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2025-02-18 | 2025-03-18 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-02-18 | 2025-03-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-02-18 | 2025-03-18 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2025-02-18 | 2025-03-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-02-18 | 2025-03-18 | 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 | 2025-02-18 | 2025-03-18 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2025-02-18 | 2025-03-18 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-02-18 | 2025-03-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-02-18 | 2025-03-18 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2025-02-18 | 2025-03-18 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-02-18 | 2025-03-18 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2025-02-18 | 2025-03-18 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-02-18 | 2025-03-18 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2025-02-18 | 2025-03-18 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-12-17 | 2025-01-10 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2024-12-17 | 2025-01-10 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-11-26 | 2024-12-12 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-10-22 | 2024-11-15 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2024-10-02 | 2024-11-15 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-09-30 | 2024-10-15 | Y |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-05-31 | 2024-09-16 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-08-21 | 2024-09-16 | Y |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2024-08-21 | 2024-09-16 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-08-21 | 2024-09-16 | Y |
| Assess the resident when there is a significant change in condition | Health | 2024-08-21 | 2024-09-16 | Y |
| 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 | 2024-08-21 | 2024-09-16 | Y |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-05-31 | 2024-09-16 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-05-31 | 2024-08-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-05-31 | 2024-08-30 | N |
| Meet other general requirements. | Fire Safety | 2024-05-31 | 2024-08-30 | 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 | 2024-05-31 | 2024-08-30 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2024-05-31 | 2024-08-30 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-05-31 | 2024-08-30 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-05-31 | 2024-08-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-05-31 | 2024-08-30 | N |
| Have properly sized and located compartments to protect residents from smoke. | Fire Safety | 2024-05-31 | 2024-08-30 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-05-31 | 2024-08-30 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-05-31 | 2024-08-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-05-31 | 2024-08-30 | N |
| Have enough backup water supply for essential areas of the nursing home. | Health | 2024-05-31 | 2024-07-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-05-31 | 2024-07-02 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-31 | 2024-07-02 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-05-31 | 2024-07-02 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-05-31 | 2024-07-02 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-05-31 | 2024-07-02 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-03-26 | 2024-04-23 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2024-03-26 | 2024-04-23 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-02-22 | 2024-02-28 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-01-19 | 2024-02-28 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-19 | 2024-02-28 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-12-26 | 2024-02-24 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-11-02 | 2023-11-17 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-11-02 | 2023-11-17 | Y |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2023-09-20 | 2023-10-03 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-20 | 2023-10-03 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-09-20 | 2023-10-03 | Y |
| 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 | 2023-08-16 | 2023-09-20 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-08-16 | 2023-09-20 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-08-16 | 2023-09-20 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2023-07-07 | 2023-07-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-07 | 2023-07-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-08 | 2023-07-08 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-06-01 | 2023-06-21 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-06-08 | 2023-06-08 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2026-04-08 | Not Fixed | Y |