Pavilion On Pico Healthcare & Wellness Centre, Lp
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.
Inspection Findings
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.
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.