D

PAVILION AT BRMC, THE

200 PLEASANT STREET, BRADFORD, PA 16701
Score: 49 / 100

CMS data shows Pavilion At Brmc, The earning a D grade with a score of 49/100, placing it below most facilities in Pennsylvania. Prospective residents and families should carefully review the specific areas of concern detailed below.

Pavilion At Brmc, The provides above-average staffing with 4.95 total nurse hours per resident per day. Higher staffing levels are generally associated with better care outcomes and more attentive staff.

Recent inspections identified 12 deficiencies at Pavilion At Brmc, The. While none were classified as the most serious level, families should review the detailed inspection history below.

Score Breakdown

Overall CMS Rating 24 / 40 pts
3 ★ CMS rating
Health Inspections 10 / 25 pts
2 ★ inspection rating
Staffing 20 / 20 pts
5 ★ staffing rating
Quality Measures 6 / 15 pts
2 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 4.95 3.8 Above Average
Registered Nurses (RN) 1.02 0.7 Above Average
Licensed Practical Nurses (LPN) 1.05 0.7 Above Average
Certified Nursing Assistants (CNA) 2.88 2.4 Above Average
Weekend Total Nursing 4.32 3.8 Above Average
Weekend RN Hours 0.73 0.7 Average

🔍 Inspection & Deficiency History

12
Total Deficiencies
Dec 5, 2024
Most Recent Inspection
🟠 12 Moderate
View recent deficiencies (5 shown)
  • Tag 0600 Severity G
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    Dec 5, 2024 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
  • Tag 0689 Severity G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    Dec 5, 2024 · Quality of Life and Care Deficiencies
  • Tag 0585 Severity E
    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt e
    Jan 4, 2024 · Resident Rights Deficiencies
  • Tag 0550 Severity D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    Jan 4, 2024 · Resident Rights 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 4, 2024 · Resident Rights 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 8.5% 4.5% Worse
Falls with major injury 6.9% 3.0% Worse
On antipsychotic medication 20.4% 14.5% Worse
Urinary tract infections 1.7% 2.5% Better
ADL decline (daily activities) 23.9% 14.0% Worse
Excessive weight loss 7.4% 7.5% Average
New/worsened incontinence 26.8% 45.0% Better

⚠️ Penalties & Fines

2 penalties recorded by CMS

Total fines: $16,036

How This Grade Was Calculated

This facility's grade of D is based on a score of 49 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 3★ → 24 pts (max 40)
  • Health Inspection Rating: 2★ → 10 pts (max 25)
  • Staffing Rating: 5★ → 20 pts (max 20)
  • Quality Measures Rating: 2★ → 6 pts (max 15)
  • Penalty deductions: -10 pts
  • Fine deductions: -1 pts

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

Facility Details

Ownership
Non profit - Corporation
Certified Beds
95
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Dec 5, 2024
Deficiencies (Cycle 1)
2