Care Pavilion Nursing And Rehabilitation Center
Inspection Findings
F-Tag F0842
F 0842 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some
FORM CMS-2567 (02/99) Previous Versions Obsolete
covered with sterile 2x2 absorbent dressing, the resident was, Repositioned every two hours to relieve pressure, and the resident was Educated on importance of repositioning and adequate nutrition for wound healing. Continuing review of the nursing progress notes revealed for the next 10 days, from November 2, 2025, through November 11, 2025, nursing was documenting the pressure ulcer was being monitored, the treatment was in place, and the resident was being turned and repositioned. It was confirmed on November 12, 2025, at 2:00 p.m. with the Director of Nursing that Resident Resident R6's left gluteal fold wound instead was a scar from a previous wound that since healed and no treatment was ordered from the physician. Nursing erroneously continued to document on the wound and that the treatment was in place for ten days.
Observation of Resident Resident R6 skin on November 13, 2025, at 12:00 p.m. with the DON revealing no open areas on or around the gluteal area. Furthermore, the facility developed care plan for the erroneous left gluteal fold wound due to Resident Resident R6's non-compliance with turning and repositioning, refusal of showers, and care. During the interview with the DON, it was confirmed that ongoing staff documentation indicated
the resident was being turned and repositioned, bathed and cared without noted noncompliance as stated
in the care plan. 28 Pa Code 211.12(d)(1) nursing services28 Pa Code 211.12(d)(5) nursing services
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CARE PAVILION NURSING AND REHABILITATION CENTER in PHILADELPHIA, PA inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
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 PHILADELPHIA, PA, (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 CARE PAVILION NURSING AND REHABILITATION CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.