Stone Pear Pavilion

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF802Mar 4, 2026

  Based on interview and record review, the facility failed to employ kitchen staff with the appropriate credentials. This deficient practice had the potential to affect all of the residents receiving meals in the facility. Facility Census: 56.Findings include:03/04/2026 2:49 PM Dietary employee #28, #56 and #78 did not have their food handler card after 30 days of employment, as per [NAME] Virginia code 16-2-16. Employee #100 gave this surveyor a copy of the job description for the three employees in the kitchen that did not have their food handler cards during the beginning of the survey process. […]

• No harm, potential for more than minimal, widespreadF804Mar 4, 2026

  Based on record review, resident interviews and staff interviews, the facility failed to ensure all food was temped before leaving the kitchen, to ensure safe food temperatures to prevent foodborne illness and an appetizing temperature of the food. The facility failed to ensure hot foods were served hot and cold foods were served cold. This failed practice had the potential to affect all of the residents. Facility census: 56 Findings include: a)The facility is not following state or federal guidelines, or their own policy for taking and recording food temperatures on all food items prepared in the dietary department, before serving the residents these items. Their policy states: No food will be served that does not meet the food code standard temperatures. […]

• No harm, potential for more than minimal, widespreadF812Mar 4, 2026

  Based on observation and staff interview, the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food safety. Additionally, the facility failed to follow the proper sanitation practices for the kitchen and the food preparation equipment. This practice had the potential to affect all of the residents. Facility census: 56.Findings include: a) 03/02/2026 11:35 AM Initial walkthrough of the kitchen The Director of Dining (DOD) accompanied the surveyor during and acknowledged the following findings to be accurate. […]

• No harm, potential for more than minimal, widespreadF814Mar 4, 2026

  Based on observation and staff interview, the facility failed to store and dispose of garbage and refuse properly. The dumpster had two sliding doors that were both open. The lid on the trash can located in the kitchen was not on securely, during two different observations of the kitchen during the survey process. This was a random opportunity for discovery that has the potential to affect every resident at the facility. Facility census: 56. Findings include:a) On 03/02/2026 at 12:11 PM, the lid on the trash can located in the kitchen was not on securely. Employee #100 acknowledged that it should be on securely when not in constant use.On 03/03/2026 at 12:35 PM, the lid on the trash can located in the kitchen was not on securely. […]

• No harm, potential for more than minimal, widespreadF756Sep 14, 2022

  Based on policy review, record review and staff interview The facility failed to develop and implement policies and procedures for the monthly drug regimen review that include, but are not limited to, time frames for the different steps in the process and steps the pharmacist must take when he or she identifies an irregularity that requires urgent action to protect the resident. In addition, pharmacy recommendations were kept in the Director of Nursing's (DON) office and not forwarded to the physician for a timely response. This is true for one of five reviewed for unnecessary medications, but has the potential to affect all residents. Resident identifier: #51. […]