Canal Fulton, OH

The Pavilion at Canal Fulton for Nursing and Rehab

2-star overall rating with 3-star inspections with 9 recent health deficiencies with 14 fire-safety deficiencies in the latest cycle

7055 High Mill Avenue Nw, Canal Fulton, OH

(330) 854-4545

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

60

Certified beds

Average residents

46

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

The Pavilion Group

Operator or chain grouping

Approved since

2003-05-13

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.47

Registered nurse staffing

LPN hours / resident day

0.96

Licensed practical nurse staffing

Aide hours / resident day

1.85

Nurse aide staffing

Weekend hours

2.96

Weekend nurse staffing

RN turnover

80%

Annual RN turnover

Total nurse turnover

57%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 77.6%
92.4%
14.8 pts worse
93.4%
15.8 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 89.6%
94.5%
4.9 pts worse
95.5%
5.9 pts worse
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 4.6%
3.3%
1.3 pts worse
3.3%
1.3 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 7.8%
26.1%
18.3 pts better
11.4%
3.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 12.9%
6.2%
6.7 pts worse
5.4%
7.5 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 21.0%
25.4%
4.4 pts better
19.6%
1.4 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 23.4%
11.5%
11.9 pts worse
16.7%
6.7 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who were physically restrained 0.0%
0.1%
0.1 pts better
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose ability to walk independently worsened 17.2%
7.7%
9.5 pts worse
16.3%
0.9 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 5.3%
6.2%
0.9 pts better
14.9%
9.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.5%
0.2%
0.3 pts worse
1.0%
0.5 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 0.0%
0.5%
0.5 pts better
1.7%
1.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 24.0%
21.7%
2.3 pts worse
19.8%
4.2 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 2.2%
3.7%
1.5 pts better
5.1%
2.9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 37.2%
78.1%
40.9 pts worse
81.7%
44.5 pts worse
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who newly received an antipsychotic medication 0.0%
1.2%
1.2 pts better
1.6%
1.6 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 36.4%
75.6%
39.2 pts worse
79.7%
43.3 pts worse
Short Stay · 2024Q3-2025Q2

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-06-18 · Fire 2025-06-18

9 health deficiencies

Top issue: Resident Assessment and Care Planning (3 deficiencies)

14 fire-safety deficiencies

Top issue: Egress (4 deficiencies)

Cycle 2 Health 2022-12-07 · Fire 2022-12-07

4 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)

9 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)

Cycle 3 Health 2019-12-18 · Fire 2019-12-18

4 health deficiencies

Top issue: Infection Control (1 deficiency)

11 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-06-18

K225 · Egress Deficiencies

Fire Safety

Have stairways and smokeproof enclosures used as exits that meet safety requirements.

Corrected 2025-08-14

F · Potential for more than minimal harm 2025-06-18

K271 · Egress Deficiencies

Fire Safety

Have exits that are accessible at all times.

Corrected 2025-08-14

F · Potential for more than minimal harm 2025-06-18

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2025-08-14

F · Potential for more than minimal harm 2025-06-18

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2025-08-14

F · Potential for more than minimal harm 2025-06-18

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2025-08-14

F · Potential for more than minimal harm 2025-06-18

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-08-29

F · Potential for more than minimal harm 2025-06-18

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2025-08-14

F · Potential for more than minimal harm 2025-06-18

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-08-14

F · Potential for more than minimal harm 2025-06-18

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-08-14

E · Potential for more than minimal harm 2025-06-18

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2025-08-14

E · Potential for more than minimal harm 2025-06-18

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2025-08-14

E · Potential for more than minimal harm 2025-06-18

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2025-08-14

E · Potential for more than minimal harm 2025-06-18

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2025-08-14

E · Potential for more than minimal harm 2025-06-18

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2025-08-29

F · Potential for more than minimal harm 2022-12-07

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2023-01-11

F · Potential for more than minimal harm 2022-12-07

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2023-01-11

F · Potential for more than minimal harm 2022-12-07

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2023-01-11

F · Potential for more than minimal harm 2022-12-07

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2023-01-11

F · Potential for more than minimal harm 2022-12-07

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2023-01-11

F · Potential for more than minimal harm 2022-12-07

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2023-01-11

E · Potential for more than minimal harm 2022-12-07

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-01-11

E · Potential for more than minimal harm 2022-12-07

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2023-01-11

E · Potential for more than minimal harm 2022-12-07

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2023-01-11

F · Potential for more than minimal harm 2019-12-18

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2020-02-03

F · Potential for more than minimal harm 2019-12-18

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2020-02-03

E · Potential for more than minimal harm 2019-12-18

K222 · Egress Deficiencies

Fire Safety

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2020-02-03

E · Potential for more than minimal harm 2019-12-18

K311 · Smoke Deficiencies

Fire Safety

Have an enclosure around a vertical opening shaft.

Corrected 2020-02-03

E · Potential for more than minimal harm 2019-12-18

K331 · Smoke Deficiencies

Fire Safety

Construct fire resistant interior walls.

Corrected 2020-02-03

E · Potential for more than minimal harm 2019-12-18

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2020-02-03

E · Potential for more than minimal harm 2019-12-18

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2020-02-03

E · Potential for more than minimal harm 2019-12-18

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2020-02-03

E · Potential for more than minimal harm 2019-12-18

K926 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.

Corrected 2020-02-03

D · Potential for more than minimal harm 2019-12-18

K781 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of portable space heaters.

Corrected 2020-02-03

D · Potential for more than minimal harm 2019-12-18

K912 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have power receptacles that are properly grounded.

Corrected 2020-02-03

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-06-18

F868 · Administration Deficiencies

Health

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Corrected 2025-08-19

F · Potential for more than minimal harm 2025-06-18

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-08-19

E · Potential for more than minimal harm 2025-06-18

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2025-08-19

D · Potential for more than minimal harm 2025-06-18

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2025-08-19

D · Potential for more than minimal harm 2025-06-18

F578 · Resident Rights Deficiencies

Health

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Corrected 2025-08-19

D · Potential for more than minimal harm 2025-06-18

F582 · Resident Rights Deficiencies

Health

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Corrected 2025-08-19

D · Potential for more than minimal harm 2025-06-18

F637 · Resident Assessment and Care Planning Deficiencies

Health

Assess the resident when there is a significant change in condition

Corrected 2025-08-19

D · Potential for more than minimal harm 2025-06-18

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2025-08-19

D · Potential for more than minimal harm 2025-06-18

F756 · Pharmacy Service Deficiencies

Health

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2025-08-19

D · Potential for more than minimal harm 2024-07-31

F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from the wrongful use of the resident's belongings or money.

Corrected 2024-03-19

F · Potential for more than minimal harm 2022-12-07

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2023-01-11

D · Potential for more than minimal harm 2022-12-07

F569 · Resident Rights Deficiencies

Health

Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

Corrected 2023-01-11

D · Potential for more than minimal harm 2022-12-07

F638 · Resident Assessment and Care Planning Deficiencies

Health

Assure that each resident’s assessment is updated at least once every 3 months.

Corrected 2023-01-11

F · Potential for more than minimal harm 2019-12-18

F727 · Nursing and Physician Services Deficiencies

Health

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Corrected 2020-02-03

E · Potential for more than minimal harm 2019-12-18

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2020-02-03

D · Potential for more than minimal harm 2019-12-18

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2020-02-03

D · Potential for more than minimal harm 2019-12-18

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2020-02-03

Penalties and ownership

What sits behind the stars

Ownership

Canal Group Holdings LLC

5% Or Greater Direct Ownership Interest · Organization

100% 1 facilities 2024-12-16
Acm Ashem Holdings, LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 9 facilities 2024-12-16
Birnbaum, Ezra

5% Or Greater Indirect Ownership Interest · Individual

0% 5 facilities 2024-12-16
Canal Group Holdings LLC

Operational/Managerial Control · Organization

0% 1 facilities 2024-12-16
Evans, Tyler

5% Or Greater Indirect Ownership Interest · Individual

0% 2 facilities 2025-02-06
Hirsch, Shaye

5% Or Greater Indirect Ownership Interest · Individual

0% 4 facilities 2024-12-16
Kodrin, Matthew

Operational/Managerial Control · Individual

0% 2 facilities 2024-12-16
Moerman, Rafael

5% Or Greater Indirect Ownership Interest · Individual

0% 13 facilities 2024-12-16
Moerman, Rafael

Operational/Managerial Control · Individual

0% 13 facilities 2024-12-16
Npnh1 LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 9 facilities 2024-12-16
Schonfeld, Simcha

5% Or Greater Indirect Ownership Interest · Individual

0% 2 facilities 2025-02-06
Shs Keren LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 9 facilities 2024-12-16

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