Facility profile · CCN 145712
Pavilion On Main Street, The
33 federal citations on record , and 2 federal enforcement actions totaling $41,649.
Record summary
Federal record · Q1 202633
Total citations
33
Last 3 years
4
Actual harm+
2
Federal penalties
$41,649
Total fines
2
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
33 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Oct 9, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint |
| Sep 18, 2025 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint |
| Sep 18, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint |
| Aug 27, 2025 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Aug 27, 2025 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Aug 27, 2025 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard |
| Aug 27, 2025 | F803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | F | Standard |
| Aug 27, 2025 | F759 | Ensure medication error rates are not 5 percent or greater. | D | Standard |
| Aug 27, 2025 | F692 | Provide enough food/fluids to maintain a resident's health. | G | Standard |
| Aug 27, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Standard |
| Aug 27, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard |
| Aug 27, 2025 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard |
| Aug 27, 2025 | 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 | Standard |
| Jul 23, 2025 | F882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | Complaint |
| Jul 23, 2025 | F880 | Provide and implement an infection prevention and control program. | F | Complaint |
| Oct 30, 2024 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Oct 30, 2024 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard |
| Jun 26, 2024 | F625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | Complaint |
| Sep 28, 2023 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Sep 28, 2023 | F761 | 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. | D | Standard |
| Sep 28, 2023 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard |
| Sep 28, 2023 | F725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | Standard |
| Sep 28, 2023 | F697 | Provide safe, appropriate pain management for a resident who requires such services. | G | Standard |
| Sep 28, 2023 | F694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | Standard |
| Sep 28, 2023 | F690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard |
| Sep 28, 2023 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard |
| Sep 28, 2023 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard |
| Sep 28, 2023 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard |
| Sep 28, 2023 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard |
| May 17, 2023 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint |
| May 17, 2023 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| May 2, 2023 | F760 | Ensure that residents are free from significant medication errors. | D | Complaint |
| May 2, 2023 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint |
Federal enforcement history
Federal regulators have imposed 2 enforcement actions against this facility, including 1 civil money penalties totaling $41,649 and 1 payment-denial actions spanning 9 days.
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Sep 28, 2023 | Fine | $41,649 | — |
| Sep 28, 2023 | Payment Denial | — | Oct 25, 2023 · 9 days |
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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