Independent · Federal inspection records, searchable
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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 555733

The Pavilion At Sunny Hills

81 federal citations on record .

Record summary

Federal record · Q1 2026
81
Total citations
64
Last 3 years
0
Actual harm+
0
Federal penalties
$0
Total fines
2
Overall ★ rating

Most common violation categories here

Quality of Care21 Resident Rights12 Medication & Pharmacy12 Nutrition & Dietary10 Care Planning9

Most common F-tags at this facility

F6954 F6844 F7554 F6893 F8423

Citation history

81 on record
SurveyF-TagViolationSeveritySource
Jan 30, 2026F695Provide safe and appropriate respiratory care for a resident when needed.DComplaint
Dec 8, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Dec 8, 2025F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.DComplaint
Jul 10, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
May 28, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.BComplaint
Apr 28, 2025F554Allow residents to self-administer drugs if determined clinically appropriate.BComplaint
Apr 28, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint
Apr 28, 2025F908Keep all essential equipment working safely.DStandard
Apr 28, 2025F880Provide and implement an infection prevention and control program.DStandard
Apr 28, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
Apr 28, 2025F814Dispose of garbage and refuse properly.BStandard
Apr 28, 2025F813Have a policy regarding use and storage of foods brought to residents by family and other visitors.DStandard
Apr 28, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Apr 28, 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.DStandard
Apr 28, 2025F761Ensure 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
Apr 28, 2025F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.DStandard
Apr 28, 2025F757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard
Apr 28, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
Apr 28, 2025F697Provide safe, appropriate pain management for a resident who requires such services.DStandard
Apr 28, 2025F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Apr 28, 2025F694Provide for the safe, appropriate administration of IV fluids for a resident when needed.DStandard
Apr 28, 2025F692Provide enough food/fluids to maintain a resident's health.DStandard
Apr 28, 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
Apr 28, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Apr 28, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Apr 28, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Apr 28, 2025F645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard
Apr 28, 2025F641Ensure each resident receives an accurate assessment.BStandard
Apr 28, 2025F583Keep residents' personal and medical records private and confidential.BStandard
Apr 28, 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
Mar 18, 2025F836Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.BComplaint
Mar 18, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Jul 30, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
May 28, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint
Dec 7, 2023F909Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.DStandard
Dec 7, 2023F908Keep all essential equipment working safely.BStandard
Dec 7, 2023F881Implement a program that monitors antibiotic use.DStandard
Dec 7, 2023F880Provide and implement an infection prevention and control program.DStandard
Dec 7, 2023F814Dispose of garbage and refuse properly.BStandard
Dec 7, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Dec 7, 2023F761Ensure 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.EStandard
Dec 7, 2023F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.DStandard
Dec 7, 2023F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
Dec 7, 2023F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
Dec 7, 2023F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
Dec 7, 2023F695Provide safe and appropriate respiratory care for a resident when needed.EStandard
Dec 7, 2023F694Provide for the safe, appropriate administration of IV fluids for a resident when needed.DStandard
Dec 7, 2023F693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.DStandard
Dec 7, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Dec 7, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Dec 7, 2023F679Provide activities to meet all resident's needs.DStandard
Dec 7, 2023F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.BStandard
Dec 7, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Dec 7, 2023F585Honor 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.DStandard
Dec 7, 2023F583Keep residents' personal and medical records private and confidential.BStandard
Dec 7, 2023F578Honor 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
Dec 7, 2023F554Allow residents to self-administer drugs if determined clinically appropriate.DStandard
Dec 7, 2023F552Ensure that residents are fully informed and understand their health status, care and treatments.BStandard
Nov 9, 2023F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Aug 29, 2023F606Not hire anyone with a finding of abuse, neglect, exploitation, or theft.DComplaint
Aug 29, 2023F602Protect each resident from the wrongful use of the resident's belongings or money.DComplaint
Jul 5, 2023F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.DComplaint
Jun 14, 2023F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Jun 14, 2023F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Nov 16, 2021F908Keep all essential equipment working safely.DStandard
Nov 16, 2021F880Provide and implement an infection prevention and control program.EStandard
Nov 16, 2021F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
Nov 16, 2021F814Dispose of garbage and refuse properly.BStandard
Nov 16, 2021F813Have a policy regarding use and storage of foods brought to residents by family and other visitors.DStandard
Nov 16, 2021F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Nov 16, 2021F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.DStandard
Nov 16, 2021F761Ensure 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.EStandard
Nov 16, 2021F759Ensure medication error rates are not 5 percent or greater.DStandard
Nov 16, 2021F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
Nov 16, 2021F700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.DStandard
Nov 16, 2021F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Nov 16, 2021F679Provide activities to meet all resident's needs.DStandard
Nov 16, 2021F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Nov 16, 2021F583Keep residents' personal and medical records private and confidential.DStandard
Nov 16, 2021F558Reasonably accommodate the needs and preferences of each resident.DStandard
Nov 16, 2021F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard
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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