01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-04-23 | 3 | 2026-04-23 | 5 |
| Cycle 2 | 2024-12-06 | 2 | 2024-12-06 | 0 |
| Cycle 3 | 2024-01-05 | 7 | 2024-01-05 | 2 |
CMS CCN 3953552026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Pavilion At Brmc, The
200 Pleasant Street · Bradford, PA 16701 · Mc Kean County
Certified beds95CMS provider file
Recent citation rows19current CMS citation release
Penalty rows2current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
19 rows in the current release
2 rows carry G–L scope/severity codes; 0 carry J–L. 0 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-04-23 · HEALTHF0641Severity B · pattern; potential for minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Correction field: Deficient, Provider has date of correction · 2026-06-042026-04-23 · HEALTHF0711Severity E · pattern; potential for more than minimal harm
Nursing and Physician Services Deficiencies
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Correction field: Deficient, Provider has date of correction · 2026-06-042026-04-23 · HEALTHF0812Severity D · isolated; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2026-06-042026-04-23 · FIREK0345Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Correction field: Deficient, Provider has date of correction · 2026-06-242026-04-23 · FIREK0353Severity C · widespread; potential for minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2026-06-242026-04-23 · FIREK0911Severity E · pattern; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Meet requirements for the installation and maintenance of electrical systems.
Correction field: Deficient, Provider has date of correction · 2026-06-242026-04-23 · FIREK0912Severity B · pattern; potential for minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have power receptacles that are properly grounded.
Correction field: Deficient, Provider has date of correction · 2026-06-242026-04-23 · FIREK0918Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Correction field: Deficient, Provider has date of correction · 2026-06-242024-12-06 · HEALTHF0600Severity G · isolated actual harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Correction field: Deficient, Provider has date of correction · 2025-02-04 · complaint2024-12-06 · HEALTHF0689Severity G · isolated actual harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2025-02-04 · complaint2024-01-05 · FIREE0036Severity C · widespread; potential for minimal harm
Emergency Preparedness Deficiencies
Establish emergency prep training and testing.
Correction field: Deficient, Provider has date of correction · 2024-02-162024-01-05 · HEALTHF0550Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Correction field: Deficient, Provider has date of correction · 2024-03-012024-01-05 · HEALTHF0578Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Correction field: Deficient, Provider has date of correction · 2024-03-012024-01-05 · HEALTHF0585Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Correction field: Deficient, Provider has date of correction · 2024-03-012024-01-05 · HEALTHF0656Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction field: Deficient, Provider has date of correction · 2024-03-012024-01-05 · HEALTHF0695Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Correction field: Deficient, Provider has date of correction · 2024-03-012024-01-05 · HEALTHF0700Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Correction field: Deficient, Provider has date of correction · 2024-03-012024-01-05 · HEALTHF0880Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2024-03-012024-01-05 · FIREK0761Severity F · widespread; potential for more than minimal harm
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Correction field: Deficient, Provider has date of correction · 2024-02-1603 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2024-12-06 | Fine | $8,158 | 0 |
| 2024-12-06 | Fine | $8,158 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- BELT, JEFFREYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2017
- BOUTILLETTE, MARCIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2022
- DEROSE, DANIELIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2022
- FERGUSON, DAVIDIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2022
- FIORENTINO, LISAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2017
- JAVED, MUHAMMEDIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 11/05/2009
- MARASCO, JULIEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2017
- PISANO, DOUGLASIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2022
- PRADHAN, ANILIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2022
- PRINCE, DAVIDIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 09/01/2009
- RIDLEY, PAULIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2022
- SCHOENECKER, JEANNINEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2017
- SCHOLL, MELISSAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2017
- WITTE, GILBERTIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2022
- KLASS, CHERYLIndividual · CORPORATE OFFICERNOT APPLICABLE · since 09/04/2024
- O'CONNELL, KATIEIndividual · CORPORATE OFFICERNOT APPLICABLE · since 06/01/2022
- UPPER ALLEGHENY HEALTH SYSTEMOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/19/2008
- O'CONNELL, KATIEIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 06/01/2022
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours5.34per resident day
RN hours1.22per resident day
Weekend nurse hours4.78per resident day
Staff turnover41.7%CMS reported field
06 / LOCAL RECORDS
Open the Bradford ledger →