All citations for The Pavilion at Piketon

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 Piketon

Last standard health inspection on record

April 17, 2025

Showing 1 to 25 of 47 citations

Harm to a resident
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Isolated (one or a few residents). CMS level G.
Health citation F-0688, Quality of Life and Care Deficiencies. Inspection of January 29, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (February 22, 2024).
Harm to a resident
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Isolated (one or a few residents). CMS level G.
Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of January 29, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (February 22, 2024).
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 April 17, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (May 22, 2025).
No harm, with potential for more than minimal harm
Have proper power supply for life support equipment.
Widespread (many residents). CMS level F.
Fire safety citation K-0915, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of April 17, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (May 22, 2025).
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 January 29, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (February 22, 2024).
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 29, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (February 22, 2024).
No harm, with potential for more than minimal harm
Install corridor and hallway doors that block smoke.
Widespread (many residents). CMS level F.
Fire safety citation K-0363, Smoke Deficiencies. Inspection of January 29, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (February 22, 2024).
No harm, with potential for more than minimal harm
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Widespread (many residents). CMS level F.
Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of January 29, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (February 22, 2024).
No harm, with potential for more than minimal harm
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Widespread (many residents). CMS level F.
Fire safety citation K-0914, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of January 29, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (February 22, 2024).
No harm, with potential for more than minimal harm
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Widespread (many residents). CMS level F.
Health citation F-0868, Administration Deficiencies. Inspection of May 19, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (July 1, 2022).
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 May 19, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (July 1, 2022).
No harm, with potential for more than minimal harm
Install an approved automatic sprinkler system.
Widespread (many residents). CMS level F.
Fire safety citation K-0351, Smoke Deficiencies. Inspection of May 19, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (July 1, 2022).
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 May 19, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (July 1, 2022).
No harm, with potential for more than minimal harm
Provide a written emergency evacuation plan.
Widespread (many residents). CMS level F.
Fire safety citation K-0711, Miscellaneous Deficiencies. Inspection of May 19, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (July 1, 2022).
No harm, with potential for more than minimal harm
Have simulated fire drills held at unexpected times.
Widespread (many residents). CMS level F.
Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of May 19, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (July 1, 2022).
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 May 19, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (July 1, 2022).
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.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0222, Egress Deficiencies. Inspection of April 17, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (May 22, 2025).
No harm, with potential for more than minimal harm
Inspect, test, and maintain automatic sprinkler systems.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0353, Smoke Deficiencies. Inspection of April 17, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (May 22, 2025).
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 April 17, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (May 22, 2025).
No harm, with potential for more than minimal harm
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Pattern (more than a few residents). CMS level E.
Health citation F-0758, Pharmacy Service Deficiencies. Inspection of January 29, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (February 22, 2024).
No harm, with potential for more than minimal harm
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Pattern (more than a few residents). CMS level E.
Health citation F-0921, Environmental Deficiencies. Inspection of January 29, 2024. Found during a standard inspection and a complaint inspection.
The home gave a date the problem would be corrected (February 22, 2024).
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.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0222, Egress Deficiencies. Inspection of January 29, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (February 22, 2024).
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 May 19, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (July 1, 2022).
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.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0222, Egress Deficiencies. Inspection of May 19, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (July 1, 2022).
No harm, with potential for more than minimal harm
Provide properly protected cooking facilities.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0324, Smoke Deficiencies. Inspection of May 19, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (July 1, 2022).

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.