D

THE PAVILION REHABILITATION AND NURSING CENTER

13900 BENNETT ROAD, NORTH ROYALTON, OH 44133
Score: 40 / 100

CMS data shows The Pavilion Rehabilitation And Nursing Center earning a D grade with a score of 40/100, placing it below most facilities in Ohio. Prospective residents and families should carefully review the specific areas of concern detailed below.

Staffing levels are a potential concern at The Pavilion Rehabilitation And Nursing Center, with 3.06 total nursing hours per resident per day — below the national average of 3.8 hours. Lower staffing can impact care quality and staff responsiveness.

Recent CMS inspections identified 64 deficiencies at The Pavilion Rehabilitation And Nursing Center, including 2 classified as serious — among the most concerning citation levels. The most notable finding involved: ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents..

Score Breakdown

Overall CMS Rating 16 / 40 pts
2 ★ CMS rating
Health Inspections 5 / 25 pts
1 ★ inspection rating
Staffing 4 / 20 pts
1 ★ staffing rating
Quality Measures 15 / 15 pts
5 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.06 3.8 Below Average
Registered Nurses (RN) 0.27 0.7 Below Average
Licensed Practical Nurses (LPN) 0.98 0.7 Above Average
Certified Nursing Assistants (CNA) 1.80 2.4 Below Average
Weekend Total Nursing 2.72 3.8 Below Average
Weekend RN Hours 0.27 0.7 Below Average

🔍 Inspection & Deficiency History

64
Total Deficiencies
Feb 18, 2025
Most Recent Inspection
⚪ 3 Minor 🟠 59 Moderate 🔴 2 Serious
View recent deficiencies (5 shown)
  • Tag 0689 Severity E
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    Feb 18, 2025 · Quality of Life and Care Deficiencies
  • Tag 0744 Severity D
    Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
    Feb 18, 2025 · Quality of Life and Care Deficiencies
  • Tag 0921 Severity F
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    Jan 8, 2025 · Environmental Deficiencies
  • Tag 0578 Severity D
    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and
    Jan 8, 2025 · Resident Rights Deficiencies
  • Tag 0636 Severity D
    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
    Jan 8, 2025 · Resident Assessment and Care Planning 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 8.6% 4.5% Worse
Falls with major injury 0.0% 3.0% Better
On antipsychotic medication 15.7% 14.5% Average
Urinary tract infections 0.0% 2.5% Better
ADL decline (daily activities) 1.4% 14.0% Better
Excessive weight loss 2.1% 7.5% Better
New/worsened incontinence 12.2% 45.0% Better

How This Grade Was Calculated

This facility's grade of D is based on a score of 40 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 2★ → 16 pts (max 40)
  • Health Inspection Rating: 1★ → 5 pts (max 25)
  • Staffing Rating: 1★ → 4 pts (max 20)
  • Quality Measures Rating: 5★ → 15 pts (max 15)

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Limited Liability company
Certified Beds
83
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Jan 8, 2025
Deficiencies (Cycle 1)
9