F

PAVILION AT ST LUKE VILLAGE, THE

1000 STACIE DRIVE, HAZLETON, PA 18201
Score: 35 / 100

With a score of 35/100, Pavilion At St Luke Village, The ranks in the bottom tier of Pennsylvania nursing facilities, earning an F grade. CMS data highlights significant concerns that prospective residents and families should thoroughly evaluate.

Staffing at Pavilion At St Luke Village, The is near the national average, with 3.50 total nursing hours per resident per day (national average: 3.8 hours).

Recent inspections identified 42 deficiencies at Pavilion At St Luke Village, The. While none were classified as the most serious level, families should review the detailed inspection history below.

Score Breakdown

Overall CMS Rating 16 / 40 pts
2 ★ CMS rating
Health Inspections 10 / 25 pts
2 ★ inspection rating
Staffing 16 / 20 pts
4 ★ staffing rating
Quality Measures 9 / 15 pts
3 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.50 3.8 Average
Registered Nurses (RN) 0.58 0.7 Below Average
Licensed Practical Nurses (LPN) 0.82 0.7 Above Average
Certified Nursing Assistants (CNA) 2.10 2.4 Below Average
Weekend Total Nursing 3.20 3.8 Below Average
Weekend RN Hours 0.40 0.7 Below Average

🔍 Inspection & Deficiency History

42
Total Deficiencies
Sep 11, 2025
Most Recent Inspection
🟠 42 Moderate
View recent deficiencies (5 shown)
  • Tag 0550 Severity E
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    Sep 11, 2025 · Resident Rights Deficiencies
  • Tag 0565 Severity E
    Honor the resident's right to organize and participate in resident/family groups in the facility.
    Sep 11, 2025 · Resident Rights Deficiencies
  • Tag 0641 Severity E
    Ensure each resident receives an accurate assessment.
    Sep 11, 2025 · Resident Assessment and Care Planning Deficiencies
  • Tag 0684 Severity E
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    Sep 11, 2025 · Quality of Life and Care Deficiencies
  • Tag 0842 Severity E
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standar
    Sep 11, 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 3.9% 4.5% Better
Falls with major injury 3.1% 3.0% Average
On antipsychotic medication 15.9% 14.5% Average
Urinary tract infections 0.3% 2.5% Better
ADL decline (daily activities) 13.5% 14.0% Average
Excessive weight loss 11.5% 7.5% Worse
New/worsened incontinence 33.6% 45.0% Better

⚠️ Penalties & Fines

2 penalties recorded by CMS

Total fines: $65,478

How This Grade Was Calculated

This facility's grade of F is based on a score of 35 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 2★ → 16 pts (max 40)
  • Health Inspection Rating: 2★ → 10 pts (max 25)
  • Staffing Rating: 4★ → 16 pts (max 20)
  • Quality Measures Rating: 3★ → 9 pts (max 15)
  • Penalty deductions: -10 pts
  • Fine deductions: -6 pts

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
120
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Sep 11, 2025
Deficiencies (Cycle 1)
10