Starfile / Pennsylvania

PAVILION AT ST LUKE VILLAGE, THE

1000 STACIE DRIVE, HAZLETON, PA 18201 · CCN 395265

Inspection history vs Pennsylvania & 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

$65,478

Number of fines

2

Number of penalties

2

Payment denials

0

Chain

Chain

AVARDIS HEALTH

Facilities in chain

14

Chain avg overall

2.10 / 5

Inspection citations (42)2 actual harm

1. EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-09-12 · Health · corrected 2025-10-14

   Potential for more than minimal harm

2. EF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2025-09-12 · Health · corrected 2025-10-14

   Potential for more than minimal harm

3. EF0641Ensure each resident receives an accurate assessment.2025-09-12 · Health · corrected 2025-10-14

   Potential for more than minimal harm

4. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-09-12 · Health · corrected 2025-10-14

   Potential for more than minimal harm

5. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-09-12 · Health · corrected 2025-10-14

   Potential for more than minimal harm

6. DF0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.2025-09-12 · Health · corrected 2025-10-14

   Potential for more than minimal harm

7. DF0699Provide care or services that was trauma informed and/or culturally competent.2025-09-12 · Health · corrected 2025-10-14

   Potential for more than minimal harm

8. EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-09-12 · Health · corrected 2025-10-14

   Potential for more than minimal harm

9. GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-03-26 · Health · corrected 2025-04-22

   Actual harm

10. DF0895Have a Compliance and Ethics Program.2025-03-26 · Health · corrected 2025-04-22

    Potential for more than minimal harm

11. EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-11-21 · Health · corrected 2024-12-17

    Potential for more than minimal harm

12. EF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-11-21 · Health · corrected 2024-12-17

    Potential for more than minimal harm

13. EF0688Provide 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.2024-11-21 · Health · corrected 2024-12-17

    Potential for more than minimal harm

14. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-11-21 · Health · corrected 2024-12-17

    Potential for more than minimal harm

15. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-11-21 · Health · corrected 2024-12-17

    Potential for more than minimal harm

16. 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.2024-11-21 · Health · corrected 2024-12-17

    Potential for more than minimal harm

17. FF0880Provide and implement an infection prevention and control program.2024-11-21 · Health · corrected 2024-12-17

    Potential for more than minimal harm

18. 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.2024-10-16 · Health · corrected 2024-11-21

    Potential for more than minimal harm

19. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-10-16 · Health · corrected 2024-11-21

    Potential for more than minimal harm

20. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2024-10-16 · Health · corrected 2024-11-21

    Potential for more than minimal harm

21. DF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2024-07-19 · Health · corrected 2024-08-27

    Potential for more than minimal harm

22. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-07-19 · Health · corrected 2024-08-27

    Potential for more than minimal harm

23. 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.2024-07-19 · Health · corrected 2024-08-27

    Potential for more than minimal harm

24. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-07-19 · Health · corrected 2024-08-27

    Potential for more than minimal harm

25. DF0610Respond appropriately to all alleged violations.2024-07-19 · Health · corrected 2024-08-27

    Potential for more than minimal harm

26. DF0641Ensure each resident receives an accurate assessment.2024-07-19 · Health · corrected 2024-08-27

    Potential for more than minimal harm

27. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-07-19 · Health · corrected 2024-08-27

    Potential for more than minimal harm

28. GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-07-19 · Health · corrected 2024-08-27

    Actual harm

29. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-07-19 · Health · corrected 2024-08-27

    Potential for more than minimal harm

30. EF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.2024-07-19 · Health · corrected 2024-08-27

    Potential for more than minimal harm

31. EF0697Provide safe, appropriate pain management for a resident who requires such services.2024-07-19 · Health · corrected 2024-08-27

    Potential for more than minimal harm

32. EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2024-07-19 · Health · corrected 2024-08-27

    Potential for more than minimal harm

33. DF0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.2024-07-19 · Health · corrected 2024-08-27

    Potential for more than minimal harm

34. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-07-19 · Health · corrected 2024-08-27

    Potential for more than minimal harm

35. EF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2024-07-19 · Health · corrected 2024-08-27

    Potential for more than minimal harm

36. DF0777Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.2024-07-19 · Health · corrected 2024-08-27

    Potential for more than minimal harm

37. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-07-19 · Health · corrected 2024-08-27

    Potential for more than minimal harm

38. DF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.2024-07-19 · Health · corrected 2024-08-27

    Potential for more than minimal harm

39. EF0880Provide and implement an infection prevention and control program.2024-07-19 · Health · corrected 2024-08-27

    Potential for more than minimal harm

40. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-04-09 · Health · corrected 2024-05-07

    Potential for more than minimal harm

41. DF0880Provide and implement an infection prevention and control program.2024-04-09 · Health · corrected 2024-05-07

    Potential for more than minimal harm

42. DF0558Reasonably accommodate the needs and preferences of each resident.2023-09-07 · Health · corrected 2023-09-27

    Potential for more than minimal harm

Ownership

Other facilities in HAZLETON

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