Pavilion At St Luke Village, The

Findings from federal nursing-home surveys published by CMS. Severity letters come from the official inspection grid.

• Sep 12, 2025·health survey

  Provide care or services that was trauma informed and/or culturally competent.

  Quality of Life and Care

  Severity D

  Potential for more than minimal harm
• Mar 26, 2025·health survey

  Have a Compliance and Ethics Program.

  Administration

  Severity D

  Potential for more than minimal harm
• Nov 21, 2024·health survey

  Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

  Pharmacy Service

  Severity D

  Potential for more than minimal harm
• Oct 16, 2024·health survey

  Ensure each resident’s drug regimen must be free from unnecessary drugs.

  Pharmacy Service

  Severity D

  Potential for more than minimal harm
• Jul 19, 2024·health survey

  Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

  Administration

  Severity D

  Potential for more than minimal harm
• Apr 9, 2024·health survey

  Provide and implement an infection prevention and control program.

  Infection Control

  Severity D

  Potential for more than minimal harm
• Sep 7, 2023·health survey

  Reasonably accommodate the needs and preferences of each resident.

  Resident Rights

  Severity D

  Potential for more than minimal harm