The Pavilion at Stow for Nursing and Rehabilitatio

In the surveyor’s words

From the most serious findings on record at The Pavilion at Stow for Nursing and Rehabilitatio, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF804Jul 23, 2026

  Based on observation, interview, and record review the facility failed to ensure accurate serving sizes were served for the lunch meal. This affected all residents. The facility census was 42. Findings include:Review of the menu for lunch on 07/22/26 revealed homemade meatloaf, mashed potatoes with gravy, and California blend vegetables. Review of the menu extension sheet indicated the serving sizes for each item listed on the menu including the altered texture diets such mechanical soft and pureed. […]

• No harm, potential for more than minimal, widespreadF725Apr 17, 2024

  Based on observation, interview, record review and review of the facility policy the facility failed to ensure sufficient staffing to meet the needs of the residents. This affected Resident's #1, #6, #10, #21, #23 and had the potential to affect all the residents residing in the facility. The facility census was 36. Findings include: 1. Review of Resident #21's medical record revealed an admitted [DATE] and diagnoses included chronic respiratory failure with hypoxia, type two diabetes mellitus with diabetic nephropathy, and a personal history of urinary tract infections. Review of Resident #21's Quarterly Nutrition Evaluation dated 07/17/23 included Resident #21's diet order was low concentrated sweets, no added salt. Resident #21 was at risk for dehydration. […]

• No harm, potential for more than minimal, widespreadF812Apr 17, 2024

  Based on observation, interview, record review and review of the facility policy the facility failed to ensure a sanitary kitchen. This had the potential to affect all 36 of 36 residents residing in the facility. Findings include: Observation on 04/15/24 at 7:05 A.M. of the kitchen with Dietary Director (DD) #131 revealed two large packages of frozen ground meat were placed in a large sink full of cold water. There was no observation of running water used to thaw the frozen meat. DD #131 confirmed the frozen meat was in the sink of cold water and no water was running into the sink where the frozen meat was. Observation on 04/15/24 at 7:10 A.M. […]

• No harm, potential for more than minimal, widespreadF908Aug 21, 2023

  Based on observation and interview, the facility failed to maintain the kitchen stove/oven in a safe operating manner. This had the potential to affect all 38 residents receiving food from the kitchen. The facility identified one resident (Resident #139) who received enteral nutrition. The census was 39. Findings include: Observation of the kitchen on 08/14/23 at 10:14 A.M. revealed the facility's primary stove/oven was a six burner flat top with all but one temperature control knob for the stove's top burners missing and one of the oven temperature control knobs was missing. There was a rust-like substance on the oven doors and sides of the stove/oven. Interview on 08/14/23 at 10:15 A.M. […]

• No harm, potential for more than minimal, widespreadF880Mar 30, 2021

  Based on observation, record review, interview and Center for Disease (CDC) standard precautions and Interim Infection Prevention and Control Recommendations to Prevent [DIAGNOSES REDACTED]-CoV-2 (COVID-19) Spread in Nursing Homes and Long Term Care Facilities, the facility failed to ensure staff followed infection control practices during incontinence care for Resident #34. This had the potential to affect all facility residents. Facility census was 34. Findings include: Resident #34 was admitted on [DATE] and readmitted on [DATE] with [DIAGNOSES REDACTED]. A review of Resident #34's clinical record indicated she was readmitted to the facility from the hospital and was quarantined for 14 days in the facility with droplet isolation precautions due to the national COVID-19 pandemic. […]