The Pavilion At Sunny Hills

Inspection history (85)

• December 7, 2023 · D

  Citation F0578

  Federal surveyors cited this nursing home on 2023-12-07 under CMS tag F0578 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2024-01-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-12-07.GOV

• December 7, 2023 · D

  Citation F0684

  Federal surveyors cited this nursing home on 2023-12-07 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 2024-01-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-12-07.GOV

• December 7, 2023 · D

  Citation F0698

  Federal surveyors cited this nursing home on 2023-12-07 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 2024-01-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-12-07.GOV

• December 7, 2023 · D

  Citation F0689

  Federal surveyors cited this nursing home on 2023-12-07 under CMS tag F0689 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. The deficiency was recorded as corrected on 2024-01-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-12-07.GOV

• December 7, 2023 · D

  Citation F0554

  Federal surveyors cited this nursing home on 2023-12-07 under CMS tag F0554 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Allow residents to self-administer drugs if determined clinically appropriate. The deficiency was recorded as corrected on 2024-01-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-12-07.GOV

• December 7, 2023 · B

  Citation F0552

  Federal surveyors cited this nursing home on 2023-12-07 under CMS tag F0552 (CMS scope/severity B: pattern, no actual harm, potential for minimal harm) for Ensure that residents are fully informed and understand their health status, care and treatments. The deficiency was recorded as corrected on 2024-01-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-12-07.GOV

• December 7, 2023 · D

  Citation F0881

  Federal surveyors cited this nursing home on 2023-12-07 under CMS tag F0881 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Implement a program that monitors antibiotic use. The deficiency was recorded as corrected on 2024-01-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-12-07.GOV

• December 7, 2023 · D

  Citation F0758

  Federal surveyors cited this nursing home on 2023-12-07 under CMS tag F0758 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Implement 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 l…. The deficiency was recorded as corrected on 2024-01-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-12-07.GOV

• December 7, 2023 · D

  Citation F0679

  Federal surveyors cited this nursing home on 2023-12-07 under CMS tag F0679 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide activities to meet all resident's needs. The deficiency was recorded as corrected on 2024-01-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-12-07.GOV

• December 7, 2023 · D

  Citation F0585

  Federal surveyors cited this nursing home on 2023-12-07 under CMS tag F0585 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2024-01-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-12-07.GOV

• December 7, 2023 · B

  Citation F0583

  Federal surveyors cited this nursing home on 2023-12-07 under CMS tag F0583 (CMS scope/severity B: pattern, no actual harm, potential for minimal harm) for Keep residents' personal and medical records private and confidential. The deficiency was recorded as corrected on 2024-01-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-12-07.GOV

• December 7, 2023 · D

  Citation F0693

  Federal surveyors cited this nursing home on 2023-12-07 under CMS tag F0693 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure 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. The deficiency was recorded as corrected on 2024-01-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-12-07.GOV

• December 7, 2023 · D

  Citation F0909

  Federal surveyors cited this nursing home on 2023-12-07 under CMS tag F0909 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Regularly 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. The deficiency was recorded as corrected on 2024-01-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-12-07.GOV

• December 7, 2023 · E

  Citation F0812

  Federal surveyors cited this nursing home on 2023-12-07 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 2024-01-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-12-07.GOV

• December 7, 2023 · D

  Citation F0756

  Federal surveyors cited this nursing home on 2023-12-07 under CMS tag F0756 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. The deficiency was recorded as corrected on 2024-01-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-12-07.GOV

• December 7, 2023 · B

  Citation F0657

  Federal surveyors cited this nursing home on 2023-12-07 under CMS tag F0657 (CMS scope/severity B: pattern, no actual harm, potential for minimal harm) for Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. The deficiency was recorded as corrected on 2024-01-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-12-07.GOV

• December 7, 2023 · D

  Citation F0755

  Federal surveyors cited this nursing home on 2023-12-07 under CMS tag F0755 (CMS scope/severity D: isolated, 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 2024-01-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-12-07.GOV

• December 7, 2023 · D

  Citation F0880

  Federal surveyors cited this nursing home on 2023-12-07 under CMS tag F0880 (CMS scope/severity D: isolated, 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 2024-01-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-12-07.GOV

• December 7, 2023 · E

  Citation F0761

  Federal surveyors cited this nursing home on 2023-12-07 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 2024-01-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-12-07.GOV

• December 7, 2023 · B

  Citation F0814

  Federal surveyors cited this nursing home on 2023-12-07 under CMS tag F0814 (CMS scope/severity B: pattern, no actual harm, potential for minimal harm) for Dispose of garbage and refuse properly. The deficiency was recorded as corrected on 2024-01-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-12-07.GOV

Penalties

Total fines on file: $0

Staffing

Latest: 4.50 nurse staffing hours per resident per day (2026-06-01)

Ownership

For profit - Partnership

1. Parent organization: Abby Gl LLC

   parent · PAC 1759677727