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Deficiency Records for The Pavilion
A list of the most recent deficiencies for The Pavilion. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for The Pavilion. 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 safe and appropriate respiratory care for a resident when needed. | Health | 2024-06-13 | 2024-07-01 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2024-06-13 | 2024-07-01 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2024-06-13 | 2024-07-01 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-06-13 | 2024-07-01 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-04-03 | 2023-05-17 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-04-03 | 2023-05-12 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-04-03 | 2023-04-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-04-03 | 2023-04-27 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-04-03 | 2023-04-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-04-03 | 2023-04-14 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-04-03 | 2023-04-14 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-04-03 | 2023-04-14 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2020-01-30 | 2020-02-17 | 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 | 2020-01-30 | 2020-02-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-01-30 | 2020-02-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-01-30 | 2020-02-17 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-12-06 | 2020-01-10 | N |
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