Pavilion at BRMC, The

In the surveyor’s words

From the most serious findings on record at Pavilion at BRMC, The, in the surveyor’s own words.

• Actual harm, isolatedF600Dec 6, 2024

  Based on review of facility policies, facility documentation and clinical record, and resident and staff interviews, it was determined that the facility failed to ensure that one of 19 residents reviewed was free of neglect during care (Resident R5). Findings include: Review of facility policy entitled Resident abuse, neglect, exploitation, and misappropriation of resident property policy, last reviewed 12/28/2023, revealed Neglect: The indifference or disregard for resident care, comfort or safety, resulting in or may result in physical harm, pain, mental anguish, or emotional distress. […]

• Actual harm, isolatedF689Dec 6, 2024

  Based on review of facility policy, clinical records, facility documentation, and staff interview, it was determined that the facility failed to provide proper resident supervision during toileting that resulted in a fall with actual harm of a fracture of the neck (C2 vertebrae) for one of 19 residents reviewed (Resident R5). Findings include: Review of facility policy entitiled Fall Protocol, with a policy review date of 12/28/23, revealed that it is the policy of the Pavilion at BRMC to make every attempt at preventing residents from falling. […]

• No harm, potential for more than minimal, widespreadF563May 13, 2021

  Based on review of Pennsylvania Department of Health (DOH) Interim Guidance and Centers for Medicare and Medicaid Services (CMS) resources, and interviews with staff and resident representatives, it was determined that the facility failed to ensure residents' rights to receive visitors without a reasonable clinical and safety cause, for all residents reviewed for visitation concerns (Residents R2, R14, R16, R22, R49, R50 and R57). Findings include: The Pennsylvania DOH Interim Guidance for Skilled Nursing Facilities During COVID-19 dated March 29, 2021, noted that skilled nursing facilities are to follow the visitation guidance set forth in the CMS Memorandum QSO-20-39-NH with the subject Nursing Home Visitation - COVID-19 as amended March 10, 2021. […]

• No harm, potential for more than minimal, patternF711Apr 23, 2026

  Based on review of facility policy and clinical records, and staff interview, it was determined that the facility failed to ensure that the attending physician documented required visits by writing, signing, and dating a physician progress note for each visit for four of 14 residents reviewed (Residents R1, R2, R6, and R30). Findings include: Facility policy entitled Physician Visit Scheduled dated 11/28/25, revealed All attending physicians will visit the residents of the Pavilion at BRMC once monthly and document a progress note relative to the MD visit. […]

• No harm, potential for more than minimal, patternF585Jan 5, 2024

  Based on a review of facility policy, facility grievances, and resident and staff interviews, it was determined that the facility failed to provide acknowledgement of a complaint/grievance and actively work toward resolution of that complaint/grievance for two of 19 residents reviewed (Residents R9 and R11). Findings include: Review of the facility policy entitled, Pavilion Complaint/Grievance Policy, dated 12/28/23, revealed that the Pavilion grievance official will oversee the Pavilion grievance process, receive and track grievances through their conclusion, will lead any necessary investigation by the facility, will maintain confidentiality of all information associated with grievances, will be responsible in issuing written grievance decision to the resident/resident representative and… […]