All citations for Pavilion at BRMC, the

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Pavilion at BRMC, the

Last standard health inspection on record

April 23, 2026

Showing 1 to 9 of 9 citations

  1. No harm, with potential for more than minimal harm

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of January 5, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 16, 2024).

  2. No harm, with potential for more than minimal harm

    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.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0585, Resident Rights Deficiencies. Inspection of January 5, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 1, 2024).

  3. No harm, with potential for more than minimal harm

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0550, Resident Rights Deficiencies. Inspection of January 5, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 1, 2024).

  4. No harm, with potential for more than minimal harm

    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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0578, Resident Rights Deficiencies. Inspection of January 5, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 1, 2024).

  5. No harm, with potential for more than minimal harm

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of January 5, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 1, 2024).

  6. No harm, with potential for more than minimal harm

    Provide safe and appropriate respiratory care for a resident when needed.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of January 5, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 1, 2024).

  7. No harm, with potential for more than minimal harm

    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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0700, Quality of Life and Care Deficiencies. Inspection of January 5, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 1, 2024).

  8. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0880, Infection Control Deficiencies. Inspection of January 5, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 1, 2024).

  9. No harm, with potential for minimal harm

    Establish emergency prep training and testing.

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0036, Emergency Preparedness Deficiencies. Inspection of January 5, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 16, 2024).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.