Starfile / Ohio

THE PAVILION REHABILITATION AND NURSING CENTER

13900 BENNETT ROAD, NORTH ROYALTON, OH 44133 · CCN 366158

Inspection history vs Ohio & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$0

Number of fines

0

Number of penalties

0

Payment denials

0

Chain

Chain

NORTHWOOD HEALTHCARE GROUP

Facilities in chain

7

Chain avg overall

2.40 / 5

Inspection citations (64)2 immediate jeopardy

1. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-02-19 · Health · corrected 2025-01-27

   Potential for more than minimal harm

2. DF0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.2025-02-19 · Health · corrected 2025-03-10

   Potential for more than minimal harm

3. DF0578Honor 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.2025-01-09 · Health · corrected 2025-01-29

   Potential for more than minimal harm

4. DF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.2025-01-09 · Health · corrected 2025-01-29

   Potential for more than minimal harm

5. DF0645PASARR screening for Mental disorders or Intellectual Disabilities2025-01-09 · Health · corrected 2025-01-29

   Potential for more than minimal harm

6. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-01-09 · Health · corrected 2025-01-29

   Potential for more than minimal harm

7. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2025-01-09 · Health · corrected 2025-01-29

   Potential for more than minimal harm

8. DF0760Ensure that residents are free from significant medication errors.2025-01-09 · Health · corrected 2025-01-29

   Potential for more than minimal harm

9. DF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.2025-01-09 · Health · corrected 2025-01-29

   Potential for more than minimal harm

10. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-01-09 · Health · corrected 2025-01-29

    Potential for more than minimal harm

11. FF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2025-01-09 · Health · corrected 2025-01-29

    Potential for more than minimal harm

12. FF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2024-11-26 · Health · corrected 2024-12-18

    Potential for more than minimal harm

13. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-08-19 · Health · corrected 2024-08-23

    Potential for more than minimal harm

14. DF0573Let each resident or the resident's legal representative access or purchase copies of all the resident's records.2024-06-26 · Health · corrected 2024-07-12

    Potential for more than minimal harm

15. EF0584Honor 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.2024-06-26 · Health · corrected 2024-07-12

    Potential for more than minimal harm

16. FF0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.2024-06-26 · Health · corrected 2024-07-12

    Potential for more than minimal harm

17. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-06-26 · Health · corrected 2024-07-12

    Potential for more than minimal harm

18. FF0908Keep all essential equipment working safely.2024-06-26 · Health · corrected 2024-07-12

    Potential for more than minimal harm

19. CF0730Observe each nurse aide's job performance and give regular training.2024-05-15 · Health · corrected 2024-06-03

    Potential for minimal harm

20. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-05-15 · Health · corrected 2024-06-03

    Potential for more than minimal harm

21. FF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2024-05-15 · Health · corrected 2024-06-03

    Potential for more than minimal harm

22. DF0584Honor 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.2024-03-22 · Health · corrected 2024-04-05

    Potential for more than minimal harm

23. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-03-22 · Health · corrected 2024-04-05

    Potential for more than minimal harm

24. DF0759Ensure medication error rates are not 5 percent or greater.2024-03-22 · Health · corrected 2024-04-05

    Potential for more than minimal harm

25. EF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2023-03-21 · Health · corrected 2023-04-13

    Potential for more than minimal harm

26. CF0577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.2023-03-21 · Health · corrected 2023-04-13

    Potential for minimal harm

27. EF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-03-21 · Health · corrected 2023-04-13

    Potential for more than minimal harm

28. FF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2023-03-21 · Health · corrected 2023-04-13

    Potential for more than minimal harm

29. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-03-21 · Health · corrected 2023-04-13

    Potential for more than minimal harm

30. EF0610Respond appropriately to all alleged violations.2023-03-21 · Health · corrected 2023-04-13

    Potential for more than minimal harm

31. DF0679Provide activities to meet all resident's needs.2023-03-21 · Health · corrected 2023-04-13

    Potential for more than minimal harm

32. FF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.2023-03-21 · Health · corrected 2023-04-13

    Potential for more than minimal harm

33. FF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2023-03-21 · Health · corrected 2023-04-13

    Potential for more than minimal harm

34. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-03-21 · Health · corrected 2023-04-13

    Potential for more than minimal harm

35. FF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2023-03-21 · Health · corrected 2023-04-13

    Potential for more than minimal harm

36. CF0880Provide and implement an infection prevention and control program.2023-03-21 · Health · corrected 2023-04-13

    Potential for minimal harm

37. FF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2023-03-21 · Health · corrected 2023-04-13

    Potential for more than minimal harm

38. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2022-10-24 · Health · corrected 2022-11-18

    Potential for more than minimal harm

39. DF0578Honor 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.2022-10-24 · Health · corrected 2022-11-18

    Potential for more than minimal harm

40. JF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2022-10-24 · Health · corrected 2022-11-18

    Immediate jeopardy

41. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2022-10-24 · Health · corrected 2022-11-18

    Potential for more than minimal harm

42. DF0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.2022-10-24 · Health · corrected 2022-11-18

    Potential for more than minimal harm

43. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2022-10-24 · Health · corrected 2022-11-18

    Potential for more than minimal harm

44. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2022-10-24 · Health · corrected 2022-11-18

    Potential for more than minimal harm

45. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2022-10-24 · Health · corrected 2022-11-18

    Potential for more than minimal harm

46. EF0679Provide activities to meet all resident's needs.2022-10-24 · Health · corrected 2022-11-18

    Potential for more than minimal harm

47. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2022-10-24 · Health · corrected 2022-11-18

    Potential for more than minimal harm

48. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2022-10-24 · Health · corrected 2022-11-18

    Potential for more than minimal harm

49. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2022-10-24 · Health · corrected 2022-11-18

    Potential for more than minimal harm

50. DF0710Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.2022-10-24 · Health · corrected 2022-11-18

    Potential for more than minimal harm

51. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2022-10-24 · Health · corrected 2022-11-18

    Potential for more than minimal harm

52. DF0758Implement 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.2022-10-24 · Health · corrected 2022-11-18

    Potential for more than minimal harm

53. DF0759Ensure medication error rates are not 5 percent or greater.2022-10-24 · Health · corrected 2022-11-18

    Potential for more than minimal harm

54. KF0760Ensure that residents are free from significant medication errors.2022-10-24 · Health · corrected 2022-11-18

    Immediate jeopardy

55. DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2022-10-24 · Health · corrected 2022-11-18

    Potential for more than minimal harm

56. EF0558Reasonably accommodate the needs and preferences of each resident.2019-10-31 · Health · corrected 2019-11-29

    Potential for more than minimal harm

57. DF0578Honor 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.2019-10-31 · Health · corrected 2019-11-29

    Potential for more than minimal harm

58. EF0584Honor 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.2019-10-31 · Health · corrected 2019-11-29

    Potential for more than minimal harm

59. DF0679Provide activities to meet all resident's needs.2019-10-31 · Health · corrected 2019-11-29

    Potential for more than minimal harm

60. DF0759Ensure medication error rates are not 5 percent or greater.2019-10-31 · Health · corrected 2019-11-29

    Potential for more than minimal harm

61. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2019-10-31 · Health · corrected 2019-11-29

    Potential for more than minimal harm

62. EF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2019-10-31 · Health · corrected 2019-11-29

    Potential for more than minimal harm

63. EF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2019-10-31 · Health · corrected 2019-11-29

    Potential for more than minimal harm

64. FF0926Have policies on smoking.2019-10-31 · Health · corrected 2019-11-29

    Potential for more than minimal harm

Ownership

Other facilities in NORTH ROYALTON

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.