A list of the most recent deficiencies for Pavilion-Ths, LLC. 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? |
|---|---|---|---|---|
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-10-29 | 2019-11-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-10-28 | 2019-11-13 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2018-11-07 | 2018-12-19 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-11-07 | 2018-11-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-11-07 | 2018-11-23 | N |
| Keep all essential equipment working safely. | Health | 2018-11-07 | 2018-11-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-11-07 | 2018-11-14 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-09-07 | 2017-09-22 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-09-07 | 2017-09-22 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-09-07 | 2017-09-22 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-09-07 | 2017-09-22 | 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 | 2017-09-05 | 2017-09-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-09-05 | 2017-09-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-09-05 | 2017-09-15 | N |
