All citations for The Pavilion at Crescent Lake

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 Crescent Lake

Last standard health inspection on record

January 8, 2026

Showing 1 to 13 of 13 citations

No harm, with potential for more than minimal harm
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pattern (more than a few residents). CMS level E.
Health citation F-0756, Pharmacy Service Deficiencies. Inspection of January 8, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (February 17, 2026).
No harm, with potential for more than minimal harm
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Isolated (one or a few residents). CMS level D.
Health citation F-0584, Resident Rights Deficiencies. Inspection of January 8, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (February 17, 2026).
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 8, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (February 17, 2026).
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 January 8, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (February 17, 2026).
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 8, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (February 17, 2026).
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 8, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (February 17, 2026).
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 January 8, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (February 17, 2026).
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 8, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (February 17, 2026).
No harm, with potential for more than minimal harm
Implement emergency and standby power systems.
Isolated (one or a few residents). CMS level D.
Emergency preparedness citation E-0041, Emergency Preparedness Deficiencies. Inspection of January 8, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (February 17, 2026).
No harm, with potential for more than minimal harm
Meet the requirements of an integrated health system.
Isolated (one or a few residents). CMS level D.
Emergency preparedness citation E-0042, Emergency Preparedness Deficiencies. Inspection of January 8, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (February 17, 2026).
No harm, with potential for more than minimal harm
Provide properly protected cooking facilities.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0324, Smoke Deficiencies. Inspection of January 8, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (February 17, 2026).
No harm, with potential for more than minimal harm
Have approved installation, maintenance and testing program for fire alarm systems.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0345, Smoke Deficiencies. Inspection of January 8, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (February 17, 2026).
No harm, with potential for minimal harm
Post nurse staffing information every day.
Widespread (many residents). CMS level C.
Health citation F-0732, Nursing and Physician Services Deficiencies. Inspection of January 8, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (February 17, 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.