Facility profile · CCN 345563
Pavilion Health Center At Brightmore
31 federal citations on record , including 3 at the Immediate Jeopardy level, and 2 federal enforcement actions totaling $112,580.
Record summary
Federal record · Q1 202631
Total citations
26
Last 3 years
6
Actual harm+
2
Federal penalties
$112,580
Total fines
2
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
31 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Dec 9, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint |
| Jul 3, 2025 | F759 | Ensure medication error rates are not 5 percent or greater. | D | Standard |
| Jul 3, 2025 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Jul 3, 2025 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard |
| Jul 3, 2025 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard |
| Jul 3, 2025 | F641 | Ensure each resident receives an accurate assessment. | D | Standard |
| Jul 3, 2025 | F605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | Standard |
| Mar 26, 2024 | F760 | Ensure that residents are free from significant medication errors. | J | Complaint |
| Mar 26, 2024 | F692 | Provide enough food/fluids to maintain a resident's health. | D | Complaint |
| Mar 26, 2024 | F688 | 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. | D | Complaint |
| Mar 26, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| Mar 26, 2024 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint |
| Mar 26, 2024 | F602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Complaint |
| Mar 26, 2024 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint |
| Mar 26, 2024 | F584 | 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. | D | Complaint |
| Mar 26, 2024 | F557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | Complaint |
| Mar 26, 2024 | F919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Standard |
| Mar 26, 2024 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Mar 26, 2024 | F867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | E | Standard |
| Mar 26, 2024 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard |
| Mar 26, 2024 | F732 | Post nurse staffing information every day. | C | Standard |
| Mar 26, 2024 | F679 | Provide activities to meet all resident's needs. | E | Standard |
| Mar 26, 2024 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard |
| Mar 26, 2024 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard |
| Mar 26, 2024 | F641 | Ensure each resident receives an accurate assessment. | E | Standard |
| Mar 26, 2024 | F604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Standard |
| Sep 29, 2022 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Sep 29, 2022 | F692 | Provide enough food/fluids to maintain a resident's health. | G | Standard |
| Sep 29, 2022 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | G | Standard |
| Sep 29, 2022 | F641 | Ensure each resident receives an accurate assessment. | B | Standard |
| Sep 29, 2022 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | G | Standard |
Federal enforcement history
Federal regulators have imposed 2 enforcement actions against this facility, including 2 civil money penalties totaling $112,580 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Dec 9, 2025 | Fine | $26,130 | — |
| Mar 26, 2024 | Fine | $86,450 | — |
About this record
A citation is a finding by a state survey team working under federal contract. It is not a court
judgment. The description above is drawn verbatim from federal public datasets. Facilities have
the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.
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