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Facility profile · CCN 145234

Pearl Pavilion

65 federal citations on record , including 2 at the Immediate Jeopardy level, and 5 federal enforcement actions totaling $150,091.

2 Immediate Jeopardy

Record summary

Federal record · Q1 2026
65
Total citations
65
Last 3 years
7
Actual harm+
5
Federal penalties
$150,091
Total fines
1
Overall ★ rating

Most common violation categories here

Most common F-tags at this facility

Citation history

65 on record
SurveyF-TagViolationSeveritySource
Jan 29, 2026F745Provide medically-related social services to help each resident achieve the highest possible quality of life.DComplaint
Jan 29, 2026F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Jan 20, 2026F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FComplaint
Jan 20, 2026F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.FComplaint
Jan 20, 2026F584Honor 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.DComplaint
Nov 24, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Nov 24, 2025F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DComplaint
Nov 24, 2025F602Protect each resident from the wrongful use of the resident's belongings or money.DComplaint
Nov 19, 2025F880Provide and implement an infection prevention and control program.EStandard
Nov 19, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Nov 19, 2025F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Nov 19, 2025F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard
Nov 19, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GStandard
Nov 19, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
Nov 19, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
Nov 19, 2025F645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard
Nov 19, 2025F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.EStandard
Nov 19, 2025F578Honor 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.DStandard
Nov 19, 2025F554Allow residents to self-administer drugs if determined clinically appropriate.DStandard
Nov 19, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard
Oct 16, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Mar 14, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint
Mar 14, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
Feb 19, 2025F803Ensure 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.FComplaint
Nov 14, 2024F880Provide and implement an infection prevention and control program.EStandard
Nov 14, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Nov 14, 2024F808Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.EStandard
Nov 14, 2024F803Ensure 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.FStandard
Nov 14, 2024F761Ensure 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.DStandard
Nov 14, 2024F759Ensure medication error rates are not 5 percent or greater.DStandard
Nov 14, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
Nov 14, 2024F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
Nov 14, 2024F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Nov 14, 2024F692Provide enough food/fluids to maintain a resident's health.DStandard
Nov 14, 2024F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard
Nov 14, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Nov 14, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Nov 14, 2024F584Honor 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.EStandard
Oct 1, 2024F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint
Oct 1, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
Oct 1, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Oct 1, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
May 24, 2024F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DComplaint
May 7, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Apr 2, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
Apr 2, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.GComplaint
Dec 19, 2023F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.DStandard
Dec 19, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Dec 19, 2023F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
Dec 19, 2023F697Provide safe, appropriate pain management for a resident who requires such services.GStandard
Dec 19, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GStandard
Dec 19, 2023F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
Dec 19, 2023F577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.CStandard
Dec 19, 2023F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard
Nov 28, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.JComplaint
Nov 28, 2023F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.JComplaint
Nov 2, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Aug 16, 2023F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
Aug 16, 2023F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint
Jul 5, 2023F679Provide activities to meet all resident's needs.DComplaint
Jul 5, 2023F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
Jun 15, 2023F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
Jun 15, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GComplaint
May 31, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
May 31, 2023F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint

Federal enforcement history

Federal regulators have imposed 5 enforcement actions against this facility, including 3 civil money penalties totaling $150,091 and 2 payment-denial actions spanning 45 days.

DateTypeFinePayment denial
Apr 2, 2024Fine$64,766
Apr 2, 2024Payment DenialMay 1, 2024 · 24 days
Nov 2, 2023Fine$65,201
Nov 2, 2023Payment DenialDec 22, 2023 · 21 days
Jun 15, 2023Fine$20,124
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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