All citations for Pavilion on Pico Healthcare & Wellness Centre, LP

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 on Pico Healthcare & Wellness Centre, LP

Last standard health inspection on record

January 22, 2026

Showing 1 to 25 of 27 citations

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

    Have approved installation, maintenance and testing program for fire alarm systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of January 22, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 11, 2026).

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

    Inspect, test, and maintain automatic sprinkler systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of January 22, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 11, 2026).

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

    Have generator or other power source capable of supplying service within 10 seconds.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of January 22, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 11, 2026).

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

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

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

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of January 22, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 13, 2026).

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

    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.

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

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of January 22, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 13, 2026).

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

    Provide and implement an infection prevention and control program.

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

    Health citation F-0880, Infection Control Deficiencies. Inspection of January 22, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 13, 2026).

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

    Implement a program that monitors antibiotic use.

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

    Health citation F-0881, Infection Control Deficiencies. Inspection of January 22, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 13, 2026).

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

    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.

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

    Health citation F-0887, Infection Control Deficiencies. Inspection of January 22, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 13, 2026).

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

    Have properly installed electrical wiring and gas equipment.

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

    Fire safety citation K-0511, Services Deficiencies. Inspection of January 22, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 11, 2026).

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

    Ensure proper usage of power strips and extension cords.

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

    Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of January 22, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 11, 2026).

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

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

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

    Health citation F-0842, Resident Assessment and Care Planning Deficiencies. Inspection of March 26, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 2, 2026).

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

    Ensure that residents are fully informed and understand their health status, care and treatments.

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

    Health citation F-0552, Resident Rights Deficiencies. Inspection of January 22, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 13, 2026).

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

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

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

    Health citation F-0605, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of January 22, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 13, 2026).

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

    Ensure each resident receives an accurate assessment.

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

    Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of January 22, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 13, 2026).

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

    Ensure services provided by the nursing facility meet professional standards of quality.

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

    Health citation F-0658, Resident Assessment and Care Planning Deficiencies. Inspection of January 22, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 13, 2026).

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

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

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

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of January 22, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 13, 2026).

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

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

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

    Health citation F-0698, Quality of Life and Care Deficiencies. Inspection of January 22, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 13, 2026).

  18. 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 22, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 13, 2026).

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

    Ensure medication error rates are not 5 percent or greater.

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

    Health citation F-0759, Pharmacy Service Deficiencies. Inspection of January 22, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 13, 2026).

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

    Install emergency lighting that can last at least 1 1/2 hours.

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

    Fire safety citation K-0291, Egress Deficiencies. Inspection of January 22, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 11, 2026).

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

    Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.

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

    Fire safety citation K-0342, Smoke Deficiencies. Inspection of January 22, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 11, 2026).

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

    Properly select, install, inspect, or maintain portable fire extinguishes.

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

    Fire safety citation K-0355, Smoke Deficiencies. Inspection of January 22, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 11, 2026).

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

    Have simulated fire drills held at unexpected times.

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

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of January 22, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 11, 2026).

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

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

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

    Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of January 22, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 11, 2026).

  25. No harm, with potential for minimal harm

    Implement emergency and standby power systems.

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0041, Emergency Preparedness Deficiencies. Inspection of January 22, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 11, 2026).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of October 1, 2026. Inspection results describe the home at the time of each inspection.