Pavilion On Pico Healthcare & Wellness Centre, LP

Inspection history (45)

• March 26, 2026 · D

  Citation F0842

  Federal surveyors cited this nursing home on 2026-03-26 under CMS tag F0842 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. The deficiency was recorded as corrected on 2026-04-02. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-03-26.GOV

• January 22, 2026 · E

  Citation F0880

  Federal surveyors cited this nursing home on 2026-01-22 under CMS tag F0880 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2026-02-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-01-22.GOV

• January 22, 2026 · D

  Citation F0698

  Federal surveyors cited this nursing home on 2026-01-22 under CMS tag F0698 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide safe, appropriate dialysis care/services for a resident who requires such services. The deficiency was recorded as corrected on 2026-02-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-01-22.GOV

• January 22, 2026 · D

  Citation F0700

  Federal surveyors cited this nursing home on 2026-01-22 under CMS tag F0700 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Try 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. The deficiency was recorded as corrected on 2026-02-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-01-22.GOV

• January 22, 2026 · D

  Citation F0605

  Federal surveyors cited this nursing home on 2026-01-22 under CMS tag F0605 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. The deficiency was recorded as corrected on 2026-02-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-01-22.GOV

• January 22, 2026 · B

  Citation F0912

  Federal surveyors cited this nursing home on 2026-01-22 under CMS tag F0912 (CMS scope/severity B: pattern, no actual harm, potential for minimal harm) for Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-01-22.GOV

• January 22, 2026 · D

  Citation F0684

  Federal surveyors cited this nursing home on 2026-01-22 under CMS tag F0684 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate treatment and care according to orders, resident’s preferences and goals. The deficiency was recorded as corrected on 2026-02-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-01-22.GOV

• January 22, 2026 · B

  Citation F0911

  Federal surveyors cited this nursing home on 2026-01-22 under CMS tag F0911 (CMS scope/severity B: pattern, no actual harm, potential for minimal harm) for Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-01-22.GOV

• January 22, 2026 · D

  Citation F0658

  Federal surveyors cited this nursing home on 2026-01-22 under CMS tag F0658 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure services provided by the nursing facility meet professional standards of quality. The deficiency was recorded as corrected on 2026-02-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-01-22.GOV

• January 22, 2026 · D

  Citation F0641

  Federal surveyors cited this nursing home on 2026-01-22 under CMS tag F0641 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure each resident receives an accurate assessment. The deficiency was recorded as corrected on 2026-02-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-01-22.GOV

• January 22, 2026 · D

  Citation F0759

  Federal surveyors cited this nursing home on 2026-01-22 under CMS tag F0759 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure medication error rates are not 5 percent or greater. The deficiency was recorded as corrected on 2026-02-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-01-22.GOV

• January 22, 2026 · E

  Citation F0881

  Federal surveyors cited this nursing home on 2026-01-22 under CMS tag F0881 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Implement a program that monitors antibiotic use. The deficiency was recorded as corrected on 2026-02-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-01-22.GOV

• January 22, 2026 · E

  Citation F0761

  Federal surveyors cited this nursing home on 2026-01-22 under CMS tag F0761 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2026-02-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-01-22.GOV

• January 22, 2026 · E

  Citation F0755

  Federal surveyors cited this nursing home on 2026-01-22 under CMS tag F0755 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. The deficiency was recorded as corrected on 2026-02-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-01-22.GOV

• January 22, 2026 · D

  Citation F0552

  Federal surveyors cited this nursing home on 2026-01-22 under CMS tag F0552 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that residents are fully informed and understand their health status, care and treatments. The deficiency was recorded as corrected on 2026-02-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-01-22.GOV

• January 22, 2026 · E

  Citation F0887

  Federal surveyors cited this nursing home on 2026-01-22 under CMS tag F0887 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. The deficiency was recorded as corrected on 2026-02-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-01-22.GOV

• March 26, 2025 · D

  Citation F0624

  Federal surveyors cited this nursing home on 2025-03-26 under CMS tag F0624 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Prepare residents for a safe transfer or discharge from the nursing home. The deficiency was recorded as corrected on 2025-04-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-03-26.GOV

• March 26, 2025 · D

  Citation F0745

  Federal surveyors cited this nursing home on 2025-03-26 under CMS tag F0745 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide medically-related social services to help each resident achieve the highest possible quality of life. The deficiency was recorded as corrected on 2025-04-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-03-26.GOV

• March 26, 2025 · D

  Citation F0740

  Federal surveyors cited this nursing home on 2025-03-26 under CMS tag F0740 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure each resident must receive and the facility must provide necessary behavioral health care and services. The deficiency was recorded as corrected on 2025-04-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-03-26.GOV

• November 17, 2024 · E

  Citation F0812

  Federal surveyors cited this nursing home on 2024-11-17 under CMS tag F0812 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. The deficiency was recorded as corrected on 2024-12-03. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-11-17.GOV

Penalties

Total fines on file: $0

Staffing

Staffing data not yet published for this provider.

Ownership

For profit - Partnership

1. Parent organization: Rockport Administrative Services, LLC

   parent · PAC 0446773832