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 21 of 21 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

    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).

  3. 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).

  4. 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).

  5. 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).

  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 January 16, 2020. Found during a standard inspection.

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

  7. 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).

  8. 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).

  9. 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).

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

    Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements.

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

    Fire safety citation K-0227, 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).

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

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

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

    Fire safety citation K-0321, 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).

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

    Install corridor and hallway doors that block smoke.

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

    Fire safety citation K-0363, 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).

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

    Install properly constructed and protected linen or trash chutes.

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

    Fire safety citation K-0541, Services Deficiencies. Inspection of January 16, 2020. Found during a standard inspection.

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

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

    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

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

    Fire safety citation K-0741, 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).

  15. 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 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

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

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

    Health citation F-0582, Resident Rights Deficiencies. Inspection of January 16, 2020. Found during a standard inspection.

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

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

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

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

    Health citation F-0623, Resident Rights Deficiencies. Inspection of January 16, 2020. Found during a standard inspection.

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

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

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

  19. 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 January 16, 2020. Found during a standard inspection.

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

  20. 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 January 16, 2020. Found during a standard inspection.

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

  21. 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 16, 2020. Found during a standard inspection.

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

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.