PAVILION AT BRMC, THE
Grade C — 71/100 composite score
CMS Star Ratings
Certified Beds
95
Ownership
Non profit - Corporation
Total Fines
$24,670
Last Survey
N/A
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Staffing Hours & Turnover
Hours per Resident per Day (PBJ)
Turnover Rates
Ownership
UPPER ALLEGHENY HEALTH SYSTEM
O'CONNELL, KATIE
BELT, JEFFREY
BOUTILLETTE, MARC
DEROSE, DANIEL
FERGUSON, DAVID
FIORENTINO, LISA
JAVED, MUHAMMED
MARASCO, JULIE
PISANO, DOUGLAS
PRADHAN, ANIL
PRINCE, DAVID
RIDLEY, PAUL
SCHOENECKER, JEANNINE
SCHOLL, MELISSA
WITTE, GILBERT
KLASS, CHERYL
O'CONNELL, KATIE
Penalties & Fines (2)
| Date | Type | Description | Amount |
|---|---|---|---|
| Dec 6, 2024 | Fine | — | $12,335 |
| Dec 6, 2024 | Fine | — | $12,335 |
Health Inspection Deficiencies (12)
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
Honor 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.
Resident Rights Deficiencies
Honor 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.
Resident Rights Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies
Try 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.
Quality of Life and Care Deficiencies
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
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.
Pharmacy Service Deficiencies
Ensure 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.
Pharmacy Service Deficiencies
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Frequently Asked Questions
What is the CareGrader rating for PAVILION AT BRMC, THE?
PAVILION AT BRMC, THE in BRADFORD, Pennsylvania has a CareGrader grade of C (Average), with a composite score of 70.5 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.
What is the CMS star rating for PAVILION AT BRMC, THE?
PAVILION AT BRMC, THE has an overall CMS star rating of 3 out of 5, a health inspection rating of 2/5, and a staffing rating of 5/5. CareGrader combines this with additional data to calculate an A-F grade.
How many health deficiencies does PAVILION AT BRMC, THE have?
PAVILION AT BRMC, THE has 12 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). This facility has abuse citations on record. View the full inspection timeline above for details on each deficiency.
Has PAVILION AT BRMC, THE been fined?
Yes. PAVILION AT BRMC, THE has $24,670 in total fines from CMS enforcement actions across 2 penalties.
How many beds does PAVILION AT BRMC, THE have?
PAVILION AT BRMC, THE has 95 certified beds with approximately 65 current residents (68% occupancy). The facility is located at 200 PLEASANT STREET, BRADFORD, Pennsylvania 16701. It is a non profit - corporation facility.
Data Disclaimer
Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.