Deficiency Records for Care Pavilion Nursing and Rehabilitation Center
Updated as of February 01, 2018
This is not the most recent data for Care Pavilion Nursing and Rehabilitation Center. For the most recent information, click here.
A list of the most recent deficiencies for Care Pavilion Nursing and Rehabilitation Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-09-07 | 2017-10-22 | Y |
| Use approved construction type or materials. | Fire Safety | 2017-05-30 | 2017-08-20 | 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 | 2017-05-30 | 2017-08-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-05-30 | 2017-08-20 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2017-05-30 | 2017-07-29 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2017-05-30 | 2017-07-29 | N |
| Have exits that are accessible at all times. | Fire Safety | 2017-05-30 | 2017-07-29 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2017-05-30 | 2017-07-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-05-30 | 2017-07-29 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2017-05-30 | 2017-07-29 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-05-30 | 2017-07-29 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2017-05-30 | 2017-07-29 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2017-05-30 | 2017-07-29 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2017-05-30 | 2017-07-29 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2017-05-18 | 2017-07-17 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-05-18 | 2017-07-17 | N |
| Give the right treatment and services to residents who display physical or psychosocial problems adapting to changes in circumstances. | Health | 2017-05-18 | 2017-07-17 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2017-05-18 | 2017-07-17 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-05-18 | 2017-07-17 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-05-18 | 2017-07-17 | N |
| Operate and provide services according to Federal, State, and local laws and professional standards. | Health | 2017-05-18 | 2017-07-17 | N |
| Protect each resident from mistreatment, neglect and misappropriation of personal property. | Health | 2017-02-10 | 2017-03-24 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-10-11 | 2016-11-13 | Y |
| Approved construction type or materials. | Fire Safety | 2016-03-21 | 2016-06-16 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2016-03-21 | 2016-06-16 | N |
| Smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2016-03-21 | 2016-06-16 | N |
| Protected exits that allow the resident to escape the building. | Fire Safety | 2016-03-21 | 2016-06-16 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-03-21 | 2016-06-16 | N |
| Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2016-03-21 | 2016-06-16 | N |
| A two-hour-resistant firewall separation. | Fire Safety | 2016-03-21 | 2016-05-20 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2016-03-21 | 2016-05-20 | N |
| Proper stairway enclosures and vertical shafts. | Fire Safety | 2016-03-21 | 2016-05-20 | N |
| Exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2016-03-21 | 2016-05-20 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2016-03-21 | 2016-05-20 | N |
| Exits that are accessible at all times. | Fire Safety | 2016-03-21 | 2016-05-20 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2016-03-21 | 2016-05-20 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2016-03-21 | 2016-05-20 | N |
| Provide activities to meet the interests and needs of each resident. | Health | 2016-03-10 | 2016-05-05 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2016-03-10 | 2016-05-05 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2015-12-23 | 2016-02-16 | Y |
| A two-hour-resistant firewall separation. | Fire Safety | 2015-02-18 | 2015-04-18 | N |
| Approved construction type or materials. | Fire Safety | 2015-02-18 | 2015-04-18 | N |
| Corridors that are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2015-02-18 | 2015-04-18 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2015-02-18 | 2015-04-18 | N |
| Proper stairway enclosures and vertical shafts. | Fire Safety | 2015-02-18 | 2015-04-18 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2015-02-18 | 2015-04-18 | N |
| Smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2015-02-18 | 2015-04-18 | N |
| Protected exits that allow the resident to escape the building. | Fire Safety | 2015-02-18 | 2015-04-18 | N |
| Exits that are accessible at all times. | Fire Safety | 2015-02-18 | 2015-04-18 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2015-02-18 | 2015-04-18 | N |
| Portable fire extinguishers. | Fire Safety | 2015-02-18 | 2015-04-18 | N |
| Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2015-02-18 | 2015-04-18 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2015-02-18 | 2015-04-18 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2015-02-18 | 2015-04-18 | N |
| Provide care for each resident in a way that maintains or improves their quality of life. | Health | 2015-02-06 | 2015-04-06 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2015-02-06 | 2015-04-06 | N |
| Make sure that special or therapeutic diets are ordered by the attending doctor. | Health | 2015-02-06 | 2015-04-06 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-02-06 | 2015-04-06 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2015-02-06 | 2015-04-06 | N |
