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 R2, indicated that the resident was not at risk for elopement at that time.
Review of Elopement Risk 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
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
09/11/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Care Pavilion Nursing and Rehabilitation Center
6212 Walnut Street Philadelphia, PA 19139
SUMMARY STATEMENT OF DEFICIENCIES
completed - 8/27/25Re-direction was completed with smoking monitors on smoking safety and updated smoking policy. - date completed- 8/27/25Dialysis staff educated regarding process for returning residents to nursing unit when the complete dialysis and not to allow resident to leave until a facility staff member comes to transport them back to their nursing unit. -9/5/25A new attendance sheet/safety check sheet was implemented with smoking monitors for each smoke break to ensure there are no safety concerns such as O2 use before initiating smoking. - 8/28/25Facility smoking times and schedules were reviewed for assigning units/times in an effort to decrease volume of resident at one time. -8/27/25A new Security Attendant safety check form and process was implemented for resident who leave the facility on independent LOAs. - 8/27/25Facility smoking policy was reviewed and revised to include resident that are on continuous O2 will not be permitted to smoke and will be offered smoking cessation alternatives. -8/27/25NHA or designee will complete 5 smoke break observations per week 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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