Deficiency Records for Care Pavilion Nursing and Rehabilitation Center
Updated as of September 01, 2019
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? |
|---|---|---|---|---|
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2019-04-25 | 2019-07-17 | 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 | 2019-04-25 | 2019-07-17 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-04-30 | 2019-06-29 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2019-04-30 | 2019-06-29 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-04-30 | 2019-06-29 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-04-30 | 2019-06-29 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2019-04-25 | 2019-06-24 | N |
| Have protected exits that allow the resident to escape the building. | Fire Safety | 2019-04-25 | 2019-06-24 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2019-04-25 | 2019-06-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-04-25 | 2019-06-24 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-04-25 | 2019-06-24 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-04-25 | 2019-06-24 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2019-04-25 | 2019-06-24 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2019-04-25 | 2019-06-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-04-25 | 2019-06-24 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-04-25 | 2019-06-24 | 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 | 2019-04-30 | 2019-06-24 | N |
| Respond appropriately to all alleged violations. | Health | 2019-03-08 | 2019-04-25 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-03-08 | 2019-04-25 | Y |
| Respond appropriately to all alleged violations. | Health | 2018-11-07 | 2019-01-04 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-11-05 | 2019-01-04 | Y |
| Have a correctly designed non-healthcare occupancy area in a health care facility. | Fire Safety | 2018-05-21 | 2018-09-23 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2018-05-21 | 2018-07-20 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2018-05-21 | 2018-07-20 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2018-05-21 | 2018-07-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-05-21 | 2018-07-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-05-21 | 2018-07-20 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-05-21 | 2018-07-20 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-05-21 | 2018-07-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-05-21 | 2018-07-20 | N |
| Keep all essential equipment working safely. | Health | 2018-05-15 | 2018-07-14 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-05-15 | 2018-07-14 | Y |
| 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 | 2018-05-15 | 2018-07-14 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-05-15 | 2018-07-14 | Y |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2018-05-15 | 2018-07-14 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-05-07 | 2018-06-28 | Y |
| Provide and implement an infection prevention and control program. | Health | 2018-05-07 | 2018-06-28 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-05-07 | 2018-06-28 | Y |
| 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 | 2017-12-08 | 2018-01-08 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2017-12-07 | 2018-01-08 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2017-12-07 | 2018-01-08 | Y |
| 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 |
