Facility profile · CCN 676388
The Pavilion At Creekwood
22 federal citations on record , including 4 at the Immediate Jeopardy level, and 3 federal enforcement actions totaling $39,674.
Record summary
Federal record · Q1 202622
Total citations
17
Last 3 years
4
Actual harm+
3
Federal penalties
$39,674
Total fines
1
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
22 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Aug 6, 2025 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | Complaint |
| Aug 6, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| Feb 26, 2025 | F759 | Ensure medication error rates are not 5 percent or greater. | E | Standard |
| Feb 26, 2025 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard |
| Feb 26, 2025 | F655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard |
| Feb 26, 2025 | F585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | Standard |
| Jan 5, 2025 | F742 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | J | Complaint |
| Jan 5, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint |
| Jan 5, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Complaint |
| Aug 27, 2024 | F578 | Honor 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. | J | Complaint |
| May 20, 2024 | F757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Complaint |
| May 20, 2024 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Complaint |
| Jan 25, 2024 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Jan 25, 2024 | F558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard |
| Dec 12, 2023 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint |
| Nov 21, 2023 | F919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Complaint |
| Nov 21, 2023 | F880 | Provide and implement an infection prevention and control program. | E | Complaint |
| Mar 21, 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 | Complaint |
| Nov 30, 2022 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Nov 30, 2022 | F730 | Observe each nurse aide's job performance and give regular training. | E | Standard |
| Nov 30, 2022 | 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 |
| Nov 30, 2022 | F558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard |
Federal enforcement history
Federal regulators have imposed 3 enforcement actions against this facility, including 3 civil money penalties totaling $39,674 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Jan 5, 2025 | Fine | $14,901 | — |
| Jan 5, 2025 | Fine | $14,901 | — |
| Aug 27, 2024 | Fine | $9,872 | — |
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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