PAVILION AT BRMC, THE
200 PLEASANT STREET, BRADFORD, PA 16701 · CCN 395355
Abuse icon
Ratings
- Overall
- ★★★☆☆ 3
- Health inspection
- ★★☆☆☆ 2
- Quality measures
- ★★☆☆☆ 2
- Staffing
- ★★★★★ 5
Facility
- Ownership type
- Non profit - Corporation
- Certified beds
- 95
- Avg residents/day
- 65.5
- Phone
- 8143628293
Inspection history vs Pennsylvania & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Pennsylvania avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2024-12-06 | 2 | 10.1 | 9.5 | -8.1 better |
| 2 | 2024-01-05 | 7 | 10.9 | 9.8 | -3.9 better |
| 3 | 2023-02-16 | 3 | 10.5 | 9.3 | -7.5 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 1 |
| Quality of life and care | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 4.95 | 42.3% |
| RN staffing (reported) | 1.02 | 55.6% |
| Total nurse staffing (adjusted) | 5.82 | — |
Fines & penalties
- Total fines
- $16,036
- Number of fines
- 2
- Number of penalties
- 2
- Payment denials
- 0
Inspection citations (12)2 actual harm
- GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-12-06 · Health · corrected 2025-02-04
Actual harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-12-06 · Health · corrected 2025-02-04
Actual harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-01-05 · Health · corrected 2024-03-01
Potential for more than minimal harm
- 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.2024-01-05 · Health · corrected 2024-03-01
Potential for more than minimal harm
- EF0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.2024-01-05 · Health · corrected 2024-03-01
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-01-05 · Health · corrected 2024-03-01
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-01-05 · Health · corrected 2024-03-01
Potential for more than minimal harm
- DF0700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.2024-01-05 · Health · corrected 2024-03-01
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2024-01-05 · Health · corrected 2024-03-01
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-02-16 · Health · corrected 2023-04-04
Potential for more than minimal harm
- 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.2023-02-16 · Health · corrected 2023-04-04
Potential for more than minimal harm
- 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.2023-02-16 · Health · corrected 2023-04-04
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| UPPER ALLEGHENY HEALTH SYSTEM | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2008-01-19 |
| O'CONNELL, KATIE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-06-01 |
| BELT, JEFFREY | Individual | CORPORATE DIRECTOR | — | 2017-01-01 |
| BOUTILLETTE, MARC | Individual | CORPORATE DIRECTOR | — | 2022-01-01 |
| DEROSE, DANIEL | Individual | CORPORATE DIRECTOR | — | 2022-01-01 |
| FERGUSON, DAVID | Individual | CORPORATE DIRECTOR | — | 2022-01-01 |
| FIORENTINO, LISA | Individual | CORPORATE DIRECTOR | — | 2017-01-01 |
| JAVED, MUHAMMED | Individual | CORPORATE DIRECTOR | — | 2009-11-05 |
| MARASCO, JULIE | Individual | CORPORATE DIRECTOR | — | 2017-01-01 |
| PISANO, DOUGLAS | Individual | CORPORATE DIRECTOR | — | 2022-01-01 |
| PRADHAN, ANIL | Individual | CORPORATE DIRECTOR | — | 2022-01-01 |
| PRINCE, DAVID | Individual | CORPORATE DIRECTOR | — | 2009-09-01 |
| RIDLEY, PAUL | Individual | CORPORATE DIRECTOR | — | 2022-01-01 |
| SCHOENECKER, JEANNINE | Individual | CORPORATE DIRECTOR | — | 2017-01-01 |
| SCHOLL, MELISSA | Individual | CORPORATE DIRECTOR | — | 2017-01-01 |
| WITTE, GILBERT | Individual | CORPORATE DIRECTOR | — | 2022-01-01 |
| KLASS, CHERYL | Individual | CORPORATE OFFICER | — | 2024-09-04 |
| O'CONNELL, KATIE | Individual | CORPORATE OFFICER | — | 2022-06-01 |
Other facilities in BRADFORD
| Name | Overall | Beds |
|---|---|---|
| BRADFORD ECUMENICAL HOME, INC | ★★★★★ | 100 |
| BRADFORD MANOR | ★★★★☆ | 115 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.