PAVILION AT ST LUKE VILLAGE, THE
PAVILION AT ST LUKE VILLAGE, THE is a 120-bed nursing home in HAZLETON, Pennsylvania. CMS has certified it for Medicare and Medicaid since 1969-05-29. It averages 105.3 residents a day.
What harm was found in the violations cited at PAVILION AT ST LUKE VILLAGE, THE?
CMS lists 42 health-inspection deficiencies for PAVILION AT ST LUKE VILLAGE, THE, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is G; the most recent health inspection was 2025-09-12.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2025-09-12 | F0550, F0565, F0641, F0684, F0842 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Honor the resident's right to organize and participate in resident/family groups in the facility. / Ensure each resident receives an accurate assessment. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E |
| 2025-09-12 | F0657, F0693, F0699 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. / Provide care or services that was trauma informed and/or culturally competent. | D |
| 2025-03-26 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G |
| 2025-03-26 | F0895 | Have a Compliance and Ethics Program. | D |
| 2024-11-21 | F0880 | Provide and implement an infection prevention and control program. | F |
| 2024-11-21 | F0550, F0686, F0688 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | E |
| 2024-11-21 | F0690, F0755, F0758 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / 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. | D |
| 2024-10-16 | F0584, F0684, F0757 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure each resident’s drug regimen must be free from unnecessary drugs. | D |
| 2024-07-19 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G |
| 2024-07-19 | F0684, F0694, F0697, F0725, F0755, F0756, F0880 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide for the safe, appropriate administration of IV fluids for a resident when needed. / Provide safe, appropriate pain management for a resident who requires such services. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Provide and implement an infection prevention and control program. | E |
| 2024-07-19 | F0561, F0580, F0584, F0600, F0610, F0641, F0690, F0744, F0777, F0842, F0849 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. / Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Respond appropriately to all alleged violations. / Ensure each resident receives an accurate assessment. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. / Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / 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. | D |
| 2024-04-09 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E |
| 2024-04-09 | F0880 | Provide and implement an infection prevention and control program. | D |
| 2023-09-07 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D |
Why was PAVILION AT ST LUKE VILLAGE, THE fined 3 times?
| Date | Type | Amount |
|---|---|---|
| 2025-03-26 | Fine | $25,184 |
| 2024-07-19 | Fine | $55,419 |
| 2023-10-27 | Fine | $10,059 |
How is PAVILION AT ST LUKE VILLAGE, THE staffed relative to the PA average?
| Measure | This facility | PA average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.43949 | 3.88823 |
| Total nursing staff turnover (%) | 47.1 | 44.5 |
| Average number of residents per day | 105.3 | 104.6 |
Who owns PAVILION AT ST LUKE VILLAGE, THE, and what chain is it in?
PAVILION AT ST LUKE VILLAGE, THE is registered with CMS as For profit - Limited Liability company, operates under the legal business name 1000 STACIE DRIVE OPCO LLC and belongs to the AVARDIS HEALTH chain.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | GROVE OF HAZEL PARENTCO LLC | since 05/01/2025 |
| 5% OR GREATER INDIRECT OWNERSHIP INTEREST | CITEANTHRA HOLDCO LLC, PAOP HOLDCO LLC | since 05/01/2025 |
| 5% OR GREATER SECURITY INTEREST | HAZLETON RE OWNER, LLC | since 05/01/2025 |
| MANAGING CONTROL - GOVERNING BODY | HOBACK, TIFFANY, MORGAN, DANIEL | since 05/01/2025 |
| OPERATIONAL/MANAGERIAL CONTROL | SNF MGR LLC, CORCORAN, MARY, HOBACK, TIFFANY, JONES, TEQUILLA, LOBITZ, MARK, MARTUSCELLI, CASSANDRA, MORGAN, DANIEL | since 05/01/2025 |
| ADP OF THE SNF | HAZLETON RE OWNER, LLC, SNF MGR LLC, CORCORAN, MARY, HOBACK, TIFFANY, JONES, TEQUILLA, LOBITZ, MARK, MARTUSCELLI, CASSANDRA, MORGAN, DANIEL | since 04/09/2025 |
Were you or a family member harmed at PAVILION AT ST LUKE VILLAGE, THE?