Piketon, OH

The Pavilion At Piketon

4-star overall rating with 3-star inspections with 5 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle

7143 Route 23 South, Piketon, OH

(740) 289-2394

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

155

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

The Pavilion Group

Operator or chain grouping

Approved since

1980-02-08

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

6 facilities

Chain averages 3 overall / 3 health / 2 staffing / 5 quality stars

Changed ownership

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.53

Registered nurse staffing · state 0.63 · national 0.68

LPN hours / resident day

1.09

Licensed practical nurse staffing · state 0.96 · national 0.87

Aide hours / resident day

3.03

Nurse aide staffing · state 2.14 · national 2.35

Total nurse hours

4.65

All reported nurse hours · state 3.72 · national 3.89

Licensed hours

1.62

RN + LPN hours · state 1.59 · national 1.54

Weekend hours

4.14

Weekend nurse staffing · state 3.29 · national 3.43

Weekend RN hours

0.37

Weekend registered nurse coverage · state 0.41 · national 0.47

Physical therapist

0.02

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

0.45

CMS adjusted RN staffing hours

Adjusted total hours

3.90

CMS adjusted total nurse staffing hours

Case-mix index

1.63

Higher values indicate more complex resident acuity

RN turnover

60%

Annual RN turnover · state 47% · national 45%

Total nurse turnover

57%

Annual nurse turnover · state 50% · national 46%

SNF VBP

Value-based purchasing

Program rank

10,605

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

19.79

Composite VBP score used to determine payment impact.

Payment multiplier

0.9822

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

2.63

Baseline 54.10% · Performance 52.94% · Measure score 2.63 · Achievement 2.63 · Improvement 0

Adjusted total nurse staffing

1.33

Baseline 2.87 hours · Performance 3.41 hours · Measure score 1.33 · Achievement 1.15 · Improvement 1.33

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	13.5%	10.72% 2.8 pts worse	No Different than the National Rate · Eligible stays 71 · Observed rate 32.39% · Lower 95% interval 10.19%
Discharge to community	47.33%	50.57% 3.2 pts worse	No Different than the National Rate · Eligible stays 49 · Observed rate 30.61% · Lower 95% interval 34.62%
Medicare spending per beneficiary	1.35	1.02 0.3 pts worse
Drug regimen review with follow-up	97.06%	95.27% 1.8 pts better	Numerator 33 · Denominator 34
Falls with major injury	2.94%	0.77% 2.2 pts worse	Numerator 1 · Denominator 34
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	2.94%	2.29% 0.6 pts worse	Numerator 1 · Denominator 34 · Adjusted rate 2.18%
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 23 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 164
Staff flu vaccination coverage	13.45%	42% 28.6 pts worse	Numerator 23 · Denominator 171
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.8	1.8 About the same	1.9 0.1 pts better	Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 1.7 · Expected 1.8 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	4.7	1.8 2.9 pts worse	1.8 2.9 pts worse	Long Stay · 20240701-20250630 · Adjusted 4.7 · Observed 4.5 · Expected 1.6 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	77.7%	92.4% 14.7 pts worse	93.4% 15.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 67.1% · Q2 71.8% · Q3 82.4% · Q4 89.3% · 4Q avg 77.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	83.5%	94.5% 11 pts worse	95.5% 12 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 83.5%
Percentage of long-stay residents experiencing one or more falls with major injury	1.5%	3.3% 1.8 pts better	3.3% 1.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.7% · Q2 0.0% · Q3 1.2% · Q4 1.2% · 4Q avg 1.5% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	4.0%	26.1% 22.1 pts better	11.4% 7.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 1.3% · Q3 0.0% · Q4 11.5% · 4Q avg 4.0%
Percentage of long-stay residents who lose too much weight	9.3%	6.2% 3.1 pts worse	5.4% 3.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 12.9% · Q2 12.7% · Q3 5.5% · Q4 6.2% · 4Q avg 9.3%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	29.3%	25.4% 3.9 pts worse	19.6% 9.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 27.0% · Q2 27.4% · Q3 30.1% · Q4 32.8% · 4Q avg 29.3%
Percentage of long-stay residents who received an antipsychotic medication	14.0%	11.5% 2.5 pts worse	16.7% 2.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 10.9% · Q2 16.3% · Q3 18.6% · Q4 10.0% · 4Q avg 14.0% · Used in QM five-star
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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	4.9%	7.7% 2.8 pts better	16.3% 11.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.8% · Q2 5.8% · Q3 2.5% · Q4 5.7% · 4Q avg 4.9% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	3.4%	6.2% 2.8 pts better	14.9% 11.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 2.9% · Q3 4.5% · Q4 3.2% · 4Q avg 3.4% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.3%	0.2% 0.1 pts worse	1.0% 0.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.3% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.3%	0.5% 0.2 pts better	1.7% 1.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.3% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	11.1%	21.7% 10.6 pts better	19.8% 8.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 11.3% · Q3 24.2% · Q4 5.0% · 4Q avg 11.1%
Percentage of long-stay residents with pressure ulcers	3.4%	3.7% 0.3 pts better	5.1% 1.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 2.5% · Q3 3.4% · Q4 5.1% · 4Q avg 3.4% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	69.9%	78.1% 8.2 pts worse	81.7% 11.8 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 59.3% · Q2 66.1% · Q3 72.9% · Q4 78.8% · 4Q avg 69.9%
Percentage of short-stay residents who had an outpatient emergency department visit	10.6%	12.5% 1.9 pts better	12.0% 1.4 pts better	Short Stay · 20240701-20250630 · Adjusted 10.6% · Observed 14.3% · Expected 15.0% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	1.6%	1.2% 0.4 pts worse	1.6% About the same	Short Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 3.6% · Q3 0.0% · Q4 0.0% · 4Q avg 1.6% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	64.4%	75.6% 11.2 pts worse	79.7% 15.3 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 64.4%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	16.5%	25.1% 8.6 pts better	23.9% 7.4 pts better	Short Stay · 20240701-20250630 · Adjusted 16.5% · Observed 22.9% · Expected 33.0% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-04-17 · Fire 2025-04-17

5 health deficiencies

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

5 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2024-01-29 · Fire 2024-01-29

15 health deficiencies

Top issue: Quality of Life and Care (7 deficiencies)

6 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 3 Health 2022-05-19 · Fire 2022-05-19

8 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

9 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-04-17

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-05-22

F · Potential for more than minimal harm 2025-04-17

K915 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper power supply for life support equipment.

Corrected 2025-05-22

E · Potential for more than minimal harm 2025-04-17

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 2025-05-22

E · Potential for more than minimal harm 2025-04-17

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-05-22

E · Potential for more than minimal harm 2025-04-17

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 2025-05-22

F · Potential for more than minimal harm 2024-01-29

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-02-22

F · Potential for more than minimal harm 2024-01-29

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-02-22

F · Potential for more than minimal harm 2024-01-29

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-02-22

F · Potential for more than minimal harm 2024-01-29

K761 · Miscellaneous Deficiencies

Fire Safety

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

Corrected 2024-02-22

F · Potential for more than minimal harm 2024-01-29

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 2024-02-22

E · Potential for more than minimal harm 2024-01-29

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 2024-02-22

F · Potential for more than minimal harm 2022-05-19

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2022-07-01

F · Potential for more than minimal harm 2022-05-19

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2022-07-01

F · Potential for more than minimal harm 2022-05-19

K521 · Services Deficiencies

Fire Safety

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

Corrected 2022-07-01

F · Potential for more than minimal harm 2022-05-19

K711 · Miscellaneous Deficiencies

Fire Safety

Provide a written emergency evacuation plan.

Corrected 2022-07-01

F · Potential for more than minimal harm 2022-05-19

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2022-07-01

F · Potential for more than minimal harm 2022-05-19

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2022-07-01

E · Potential for more than minimal harm 2022-05-19

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 2022-07-01

E · Potential for more than minimal harm 2022-05-19

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2022-07-01

E · Potential for more than minimal harm 2022-05-19

K341 · Smoke Deficiencies

Fire Safety

Install a fire alarm system that can be heard throughout the facility.

Corrected 2022-07-01

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-04-17

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2025-05-22

D · Potential for more than minimal harm 2025-04-17

F645 · Resident Assessment and Care Planning Deficiencies

Health

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2025-05-22

D · Potential for more than minimal harm 2025-04-17

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2025-05-22

D · Potential for more than minimal harm 2025-04-17

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2025-05-22

D · Potential for more than minimal harm 2025-04-17

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-05-22

G · Actual harm 2024-01-29

F688 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Corrected 2024-02-22

G · Actual harm 2024-01-29

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 2024-02-22

E · Potential for more than minimal harm 2024-01-29

F758 · Pharmacy Service Deficiencies

Health

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2024-02-22

E · Potential for more than minimal harm 2024-01-29

F921 · Environmental Deficiencies

Health

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2024-02-22