Pavilion On Pico Healthcare & Wellness Centre, Lp is an average performer in CMS ratings, earning a C grade with a score of 67/100. Located in Los Angeles, California, the facility meets baseline standards across most quality metrics.
Staffing at Pavilion On Pico Healthcare & Wellness Centre, Lp is near the national average, with 4.15 total nursing hours per resident per day (national average: 3.8 hours).
Recent CMS inspections identified 42 deficiencies at Pavilion On Pico Healthcare & Wellness Centre, Lp, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: prepare residents for a safe transfer or discharge from the nursing home..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 4.15 | 3.8 | Average |
| Registered Nurses (RN) | 0.53 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 1.17 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 2.44 | 2.4 | Average |
| Weekend Total Nursing | 3.71 | 3.8 | Average |
| Weekend RN Hours | 0.35 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0624 Severity DPrepare residents for a safe transfer or discharge from the nursing home.Mar 25, 2025 · Resident Rights Deficiencies
- Tag 0740 Severity DEnsure each resident must receive and the facility must provide necessary behavioral health care and services.Mar 25, 2025 · Quality of Life and Care Deficiencies
- Tag 0745 Severity DProvide medically-related social services to help each resident achieve the highest possible quality of life.Mar 25, 2025 · Quality of Life and Care Deficiencies
- Tag 0550 Severity EHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Nov 16, 2024 · Resident Rights Deficiencies
- Tag 0803 Severity EEnsure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the neeNov 16, 2024 · Nutrition and Dietary Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 9.3% | 4.5% | Worse |
| Falls with major injury | 2.0% | 3.0% | Better |
| On antipsychotic medication | 10.3% | 14.5% | Better |
| Urinary tract infections | 0.0% | 2.5% | Better |
| ADL decline (daily activities) | 13.6% | 14.0% | Average |
| Excessive weight loss | 3.2% | 7.5% | Better |
| New/worsened incontinence | 2.8% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $22,595
How This Grade Was Calculated
This facility's grade of C is based on a score of 67 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 4★ → 32 pts (max 40)
- Health Inspection Rating: 3★ → 15 pts (max 25)
- Staffing Rating: 3★ → 12 pts (max 20)
- Quality Measures Rating: 5★ → 15 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -2 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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