All citations for The Pavilion at Edgefield for Nursing and Rehabili

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 Edgefield for Nursing and Rehabili

Last standard health inspection on record

November 20, 2025

Showing 1 to 25 of 67 citations

  1. Harm to a resident

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

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

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of January 19, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 8, 2024).

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

    Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

    Widespread (many residents). CMS level F.

    Health citation F-0809, Nutrition and Dietary Deficiencies. Inspection of May 11, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 5, 2026).

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

    Provide and implement an infection prevention and control program.

    Widespread (many residents). CMS level F.

    Health citation F-0880, Infection Control Deficiencies. Inspection of February 18, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 17, 2026).

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

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Widespread (many residents). CMS level F.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of November 20, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 12, 2025).

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

    Provide properly protected cooking facilities.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0324, Smoke Deficiencies. Inspection of November 20, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 12, 2025).

  6. 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 November 20, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 12, 2025).

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

    Meet other general requirements that are deficient.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0500, Services Deficiencies. Inspection of November 20, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 12, 2025).

  8. 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 November 20, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 12, 2025).

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

    Have proper medical gas storage and administration areas.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of November 20, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 12, 2025).

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

    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0222, Egress Deficiencies. Inspection of November 17, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 6, 2023).

  11. 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 November 17, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 6, 2023).

  12. 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 November 17, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 6, 2023).

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

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0521, Services Deficiencies. Inspection of November 17, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 6, 2023).

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

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Widespread (many residents). CMS level F.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of January 16, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 18, 2020).

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

    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0222, Egress Deficiencies. Inspection of January 16, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 22, 2020).

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

    Have properly located and lighted "Exit" signs.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0293, Egress Deficiencies. Inspection of January 16, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 22, 2020).

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

    Follow proper procedures when the fire alarm was out of service for more than 4 hours.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0346, Smoke Deficiencies. Inspection of January 16, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 22, 2020).

  18. 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 16, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 22, 2020).

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

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0372, Smoke Deficiencies. Inspection of January 16, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 22, 2020).

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

    Have restrictions on the use of highly flammable decorations.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0753, Miscellaneous Deficiencies. Inspection of January 16, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 22, 2020).

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

    Have power receptacles that are properly grounded.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0912, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of January 16, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 22, 2020).

  22. 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.

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

    Health citation F-0578, Resident Rights Deficiencies. Inspection of November 20, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 12, 2025).

  23. 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.

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

    Health citation F-0584, Resident Rights Deficiencies. Inspection of November 20, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 12, 2025).

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

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

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

    Health citation F-0628, Resident Rights Deficiencies. Inspection of November 20, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 12, 2025).

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

    Have stairways and smokeproof enclosures used as exits that meet safety requirements.

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

    Fire safety citation K-0225, Egress Deficiencies. Inspection of November 20, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 12, 2025).

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.