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Complaint Investigation

Pavilion On Pico Healthcare & Wellness Centre, Lp

March 26, 2026 · Los Angeles, CA · 5916 W. Pico Boulevard
Citations 1
CMS Rating 3/5
Beds 59
Provider ID 055160
Healthcare Facility
Pavilion On Pico Healthcare & Wellness Centre, Lp
Los Angeles, CA  ·  View full profile →
Inspection Summary

PAVILION ON PICO HEALTHCARE & WELLNESS CENTRE, LP in LOS ANGELES, CA — inspection on March 26, 2026.

Found 1 citation. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

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Inspection Findings

FF0842
Resident Assessment and Care Planning Deficiencies

During a review of Resident 2's Minimum Data Set (MDS-resident assessment tool) dated 12/22/25 indicated Resident 2 had intact cognition (thinking, reasoning, judgement and learning) and required setup or clean-up assistance for eating and required substantial assistance to being dependent on staff for bathing, toileting, oral and personal hygiene, dressing, oral and personal hygiene, and bed mobility.

The same MDS further indicated the resident required hemodialysis (HD - a procedure where a patient is hooked up to a machine that cleans their blood of waste and fluid) treatments.During a concurrent interview and record review on 6/26/26 at 12:44 pm with Licensed Vocational Nurse (LVN) 1, Resident 2's Pre-Dialysis Evaluation and Post-Dialysis Evaluation records for March were reviewed. LVN 1 verified the medical record was missing a Post-Dialysis Evaluation for 3/17/26. LVN 1 stated the risk to the resident would be they could miss changes of condition, or medications given during the treatment.During a review of the facility's policy and procedures (P&P) titled Dialysis Management reviewed 6/20/25 indicated, A pre and post dialysis evaluation will be completed by the licensed nurse.All documentation concerning dialysis services and care of the dialysis resident will be maintained in the resident's medical record.

Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.

For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.

LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in LOS ANGELES, CA, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from PAVILION ON PICO HEALTHCARE & WELLNESS CENTRE, LP or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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