PAVILION AT ST LUKE VILLAGE, THE
State inspectors recorded 2 citation(s) in the last three years where CMS determined a resident was actually harmed.
Serious inspection findings
2025-03-26 — ACTUAL HARM (tag F0686, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
2024-07-19 — ACTUAL HARM (tag F0686, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Staffing, from payroll records
Nursing hours / resident / day
3.28
state median 3.36
Weekend staffing gap
−12%
fewer nursing hours on weekends · state median −4%
RN hours / resident / day
0.46
registered nurses only
Contract (agency) staff
0%
share of all nursing hours
Nursing staff turnover
47%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
3 enforcement action(s), totaling $90,662 in fines.
| Date | Type | Amount |
|---|---|---|
| 2025-03-26 | Fine | $25,184 |
| 2024-07-19 | Fine | $55,419 |
| 2023-10-27 | Fine | $10,059 |
Ownership
Ownership type: For profit - Limited Liability company. Part of the AVARDIS HEALTH chain.
Other facilities under the same ownership, with their CMS overall ratings:
- COURTYARD HEALTH AND REHABILITATION (MCCOMB, MS) —
- MIDDLETON OAKS HEALTH AND REHABILITATION (WINONA, MS) —
- STARKVILLE MANOR HEALTH CARE AND REHABILITATION CE (STARKVILLE, MS) —
- GRAND TRACE HEALTH AND REHABILITATION (NATCHEZ, MS) —
- HILLTOP MANOR HEALTH AND REHABILITATION CENTER (UNION, MS) —
- THE OAKS REHABILITATION AND HEALTHCARE CENTER (MERIDIAN, MS) —
- Walnut Cove Health and Rehabilitation (Walnut Cove, NC) —
- Kannapolis Health and Rehabilitation (Kannapolis, NC) —
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2025-09-12 | F0550 | Resident Rights Deficiencies | E | not recorded |
| 2025-09-12 | F0565 | Resident Rights Deficiencies | E | not recorded |
| 2025-09-12 | F0641 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2025-09-12 | F0657 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-09-12 | F0684 | Quality of Life and Care Deficiencies | E | not recorded |
| 2025-09-12 | F0693 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-09-12 | F0699 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-09-12 | F0842 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2025-03-26 | F0686 | Quality of Life and Care Deficiencies | G | not recorded |
| 2025-03-26 | F0895 | Administration Deficiencies | D | not recorded |
| 2024-11-21 | F0550 | Resident Rights Deficiencies | E | not recorded |
| 2024-11-21 | F0686 | Quality of Life and Care Deficiencies | E | not recorded |
| 2024-11-21 | F0688 | Quality of Life and Care Deficiencies | E | not recorded |
| 2024-11-21 | F0690 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-11-21 | F0755 | Pharmacy Service Deficiencies | D | not recorded |
| 2024-11-21 | F0758 | Pharmacy Service Deficiencies | D | not recorded |
| 2024-11-21 | F0880 | Infection Control Deficiencies | F | not recorded |
| 2024-10-16 | F0584 | Resident Rights Deficiencies | D | not recorded |
| 2024-10-16 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-10-16 | F0757 | Pharmacy Service Deficiencies | D | not recorded |
| 2024-07-19 | F0561 | Resident Rights Deficiencies | D | not recorded |
| 2024-07-19 | F0580 | Resident Rights Deficiencies | D | not recorded |
| 2024-07-19 | F0584 | Resident Rights Deficiencies | D | not recorded |
| 2024-07-19 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2024-07-19 | F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2024-07-19 | F0641 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-07-19 | F0684 | Quality of Life and Care Deficiencies | E | not recorded |
| 2024-07-19 | F0686 | Quality of Life and Care Deficiencies | G | not recorded |
| 2024-07-19 | F0690 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-07-19 | F0694 | Quality of Life and Care Deficiencies | E | not recorded |
| 2024-07-19 | F0697 | Quality of Life and Care Deficiencies | E | not recorded |
| 2024-07-19 | F0725 | Nursing and Physician Services Deficiencies | E | not recorded |
| 2024-07-19 | F0744 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-07-19 | F0755 | Pharmacy Service Deficiencies | E | not recorded |
| 2024-07-19 | F0756 | Pharmacy Service Deficiencies | E | not recorded |
| 2024-07-19 | F0777 | Administration Deficiencies | D | not recorded |
| 2024-07-19 | F0842 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-07-19 | F0849 | Administration Deficiencies | D | not recorded |
| 2024-07-19 | F0880 | Infection Control Deficiencies | E | not recorded |
| 2024-04-09 | F0755 | Pharmacy Service Deficiencies | E | not recorded |
| 2024-04-09 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2023-09-07 | F0558 | Resident Rights Deficiencies | D | not recorded |