Care Pavilion Nursing And Rehabilitation Center
CARE PAVILION NURSING AND REHABILITATION CENTER in PHILADELPHIA, PA — inspection on September 11, 2025.
Found 2 citations. 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
Review of Elopement Risk Evaluation dated August 5, 2025, for Resident
Evaluation dated August 19, 2025, for R2, indicated Resident R2 was at risk for elopement at that time.
Elopement Risk Evaluation dated August 19, 2025, directed for intervention as; nurse should implement interventions as appropriate until IDT (interdisciplinary team) reviews for final decisions.
Review of Resident R2's care plan failed did not include interventions to prevent elopement, based on the elopement risk assessment, the traffic of the facility at the front desk/main entrance, and the need for positioning of sufficient number of staff overseeing front desk or main entrance traffic. On September 10, 2025, at 1:30 p.m., during an interview with the Administrator, and the Director of Nursing, confirmed the above findings. 28 Pa Code 211.10 (c)(d) Resident care policies28 Pa Code 211.12(d)(1)(3)(5) Nursing services
395893 09/11/2025
Care Pavilion Nursing and Rehabilitation Center 6212 Walnut Street Philadelphia, PA 19139
-8/27/25A new Security Attendant safety check form and process was implemented for resident who
include resident that are on continuous O2 will not be permitted to smoke and will be offered smoking
x4 weeks.
Results will be reviewed during facilities monthly QAPI meeting to determine further need for auditing. -8/29/25DON or designee will complete weekly audits of 5 residents that smoke to ensure assessment, care plan and O2 use is assessed and care planned x4 weeks.
Results will be reviewed during facilities monthly QAPI meeting to determine further need for auditing. -8/29/25 Review was conducted of clinical records, facility documentation, staff education, and facility audits.
Residents and visitors smoking rules were revised and staff education completed.
Interview with staff revealed that the staff was knowledgeable about the facility's rules of no oxygen allowed in the smoking courtyard.
Dialysis staff were in-serviced related to returning residents to nursing unit once dialysis treatment was completed. It was determined that the plan of correction was implemented and identified as past non-compliance. 28 Pa.
Code 201.14(a) Responsibility of licensee 28 Pa.
Code 201.18(b)(1) Management
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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.