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 51 to 64 of 64 citations

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

    PASARR screening for Mental disorders or Intellectual Disabilities

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

    Health citation F-0645, Resident Assessment and Care Planning Deficiencies. Inspection of October 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 9, 2023).

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

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

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

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of October 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 9, 2023).

  3. 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 October 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 9, 2023).

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

    Assist a resident in gaining access to vision and hearing services.

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

    Health citation F-0685, Quality of Life and Care Deficiencies. Inspection of October 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 9, 2023).

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

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

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

    Fire safety citation K-0211, Egress Deficiencies. Inspection of October 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 22, 2023).

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

    Install an approved automatic sprinkler system.

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

    Fire safety citation K-0351, Smoke Deficiencies. Inspection of October 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 22, 2023).

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

    Have proper medical gas storage and administration areas.

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

    Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of October 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 22, 2023).

  8. 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).

  9. No harm, with potential for minimal harm

    Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.

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

    Health citation F-0911, Environmental Deficiencies. Inspection of January 22, 2026. Found during a standard inspection.

    No follow-up visit needed.

  10. No harm, with potential for minimal harm

    Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

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

    Health citation F-0912, Environmental Deficiencies. Inspection of January 22, 2026. Found during a standard inspection.

    No follow-up visit needed.

  11. No harm, with potential for minimal harm

    Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.

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

    Health citation F-0911, Environmental Deficiencies. Inspection of November 17, 2024. Found during a standard inspection.

    A waiver was granted (December 3, 2024).

  12. No harm, with potential for minimal harm

    Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

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

    Health citation F-0912, Environmental Deficiencies. Inspection of November 17, 2024. Found during a standard inspection.

    A waiver was granted (December 3, 2024).

  13. No harm, with potential for minimal harm

    Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.

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

    Health citation F-0911, Environmental Deficiencies. Inspection of October 20, 2023. Found during a standard inspection.

    A waiver was granted (November 9, 2023).

  14. No harm, with potential for minimal harm

    Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

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

    Health citation F-0912, Environmental Deficiencies. Inspection of October 20, 2023. Found during a standard inspection.

    A waiver was granted (November 9, 2023).

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.