All citations for The Pavilion at Creekwood

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 The Pavilion at Creekwood

Last standard health inspection on record

April 14, 2026

Showing 26 to 36 of 36 citations

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

    Reasonably accommodate the needs and preferences of each resident.

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

    Health citation F-0558, Resident Rights Deficiencies. Inspection of April 14, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 8, 2026).

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

    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

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

    Health citation F-0636, Resident Assessment and Care Planning Deficiencies. Inspection of April 14, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 15, 2026).

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

    Ensure that residents are free from significant medication errors.

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

    Health citation F-0760, Pharmacy Service Deficiencies. Inspection of April 14, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 15, 2026).

  4. 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 August 6, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 7, 2025).

  5. 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.

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

    Health citation F-0585, Resident Rights Deficiencies. Inspection of February 26, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 27, 2025).

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

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

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

    Health citation F-0655, Resident Assessment and Care Planning Deficiencies. Inspection of February 26, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 27, 2025).

  7. 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.

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

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of February 26, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 27, 2025).

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

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

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

    Health citation F-0757, Pharmacy Service Deficiencies. Inspection of May 20, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 21, 2024).

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

    Reasonably accommodate the needs and preferences of each resident.

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

    Health citation F-0558, Resident Rights Deficiencies. Inspection of January 25, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 27, 2024).

  10. 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 December 12, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 13, 2023).

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

    Make sure that a working call system is available in each resident's bathroom and bathing area.

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

    Health citation F-0919, Environmental Deficiencies. Inspection of November 21, 2023. Found during a complaint inspection.

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

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.