Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at The Pavilion At Piketon during CMS and state inspections, most recent first.
A resident with multiple medical and psychiatric conditions reported being threatened by another resident, including threats of physical harm and the presence of a knife, which was found and removed by staff. Despite staff awareness and facility policy requiring immediate reporting of suspected abuse, the incident was not reported to authorities or entered as a self-reported incident, and the resident continued to express fear after the event.
A resident with diagnoses including epilepsy, mood disorder, and major depressive disorder was inaccurately assessed on the PASARR, which failed to document recent orders for anti-anxiety and anti-depressant medications. The DON confirmed the error during the survey.
A resident with multiple medical conditions and requiring assistance with ADLs did not receive timely podiatry care as ordered. There was no documentation of podiatry visits or toenail assessments, and observations confirmed the resident's toenails were long, yellow, and thick. The resident reported not having seen a podiatrist since admission, and an LPN confirmed the lack of podiatry care.
A resident with diabetes and multiple comorbidities received an insulin injection from an LPN who failed to prime the insulin pen as required by manufacturer instructions, resulting in a significant medication error during medication administration.
A blood glucose monitoring machine was not properly disinfected between uses by an LPN, who used only an alcohol wipe instead of the manufacturer-recommended EPA-registered disinfectant. This failure was observed during blood sugar checks for a resident with diabetes and had the potential to affect others receiving similar care on the same hallway.
Failure to Report Resident-to-Resident Abuse Allegation Involving Threats and Weapon
Penalty
Summary
The facility failed to appropriately report an allegation of resident-to-resident abuse to the proper authorities as required by policy and regulation. A resident with multiple medical and psychiatric diagnoses, who was alert and oriented with minimal cognitive deficits, reported feeling threatened by another resident. The threats included statements about physical harm and the presence of a knife, which was subsequently found and removed by staff. Despite the resident expressing ongoing fear and the incident meeting the facility's criteria for a reportable event, the required notifications to authorities and creation of a self-reported incident were not completed. Documentation and interviews confirmed that staff, including the Activity Director and DON, were made aware of the incident and acknowledged it should have been reported. The facility's own policies define threatening gestures and fear as forms of abuse and require immediate reporting of suspected abuse. However, as of the time of review, there was no evidence that the incident had been reported to law enforcement or regulatory agencies, constituting a failure to follow established procedures for abuse reporting.
Inaccurate PASARR Completion for Resident Receiving Psychotropic Medications
Penalty
Summary
The facility failed to ensure accurate completion of the Preadmission Screening and Resident Review (PASARR) for one resident. The resident, who had a history of epilepsy, seizures, mood disorder, and major depressive disorder, was admitted with intact cognition and had active physician orders for Buspar (an anti-anxiety medication) and Sertraline (an anti-depressant medication) during the review period. However, the PASARR, completed and signed, incorrectly indicated that the resident had not been prescribed any psychotropic medications in the previous six months. This inaccuracy was confirmed by the Director of Nursing during an interview.
Failure to Provide Timely Podiatry Care
Penalty
Summary
The facility failed to provide timely podiatry care and services to a resident who required assistance with activities of daily living. The resident was admitted with diagnoses including infection/inflammation reaction due to internal joint prosthesis, osteoarthritis, left knee pain, and major depressive disorder. Physician orders on admission included a directive for podiatry services as needed. The resident was cognitively intact and required partial to moderate assistance for daily activities. Medical record review showed no documentation regarding the condition of the resident's toenails or any podiatry visits since admission. Observations revealed that all ten toenails were long, yellow, thick, and pressing against adjacent toes. The resident reported not having seen a podiatrist since admission and expressed a desire for toenail care. An LPN confirmed the condition of the toenails and that the resident had not been seen by podiatry.
Failure to Prime Insulin Pen Prior to Administration
Penalty
Summary
A deficiency occurred when staff failed to ensure a resident was free from significant medication errors during insulin administration. Specifically, an LPN administered insulin using an insulin pen without priming it beforehand, as observed during medication administration. The LPN confirmed in an interview that the priming step was omitted prior to giving the insulin injection. The resident involved had a history of sepsis, osteomyelitis, type 2 diabetes mellitus, hypertension, and bilateral below-knee amputations, and was cognitively intact and used a wheelchair. Physician orders required the use of an insulin pen for scheduled and sliding scale doses. Manufacturer instructions for the insulin pen explicitly state that priming is necessary before each injection to ensure accurate dosing, but this step was not followed during the observed administration.
Failure to Properly Disinfect Blood Glucose Monitoring Machine Between Uses
Penalty
Summary
The facility failed to properly clean a blood glucose monitoring machine between patient uses, as observed during medication administration for one resident. Specifically, an LPN was seen using only an alcohol wipe to clean the glucose meter after checking one resident's blood sugar and was about to use the same machine for another resident without following the manufacturer's recommended disinfecting procedure. The surveyor intervened and instructed the LPN to use a bleach wipe before proceeding. The LPN confirmed she was unaware that a bleach wipe was required for disinfecting the shared glucose meter to prevent bloodborne pathogen transmission. This deficiency affected one resident directly and had the potential to impact two additional residents who also received blood glucose monitoring on the same hallway. The residents involved had significant medical histories, including diabetes mellitus, sepsis, and bilateral lower leg amputations. Facility documentation and manufacturer guidelines specified that the glucose meter must be disinfected with EPA-registered wipes, such as bleach wipes, between uses on different patients to prevent cross-contamination, but this protocol was not followed.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 73 citations issued within 25 miles in the last 12 months — including the 2 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Piketon
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Piketon Nursing Center | 1.8 mi | ★★★★★ | 0 | 0 |
| National Church Residences Bristol Village | 5.6 mi | ★★★★★ | 4 | 0 |
| Edgewood Manor Of Lucasville I | 9.4 mi | ★★★★★ | 9 | 0 |
| Edgewood Manor Of Lucasville Ii | 10 mi | ★★★★★ | 0 | 0 |
| Rest Haven Nursing Home | 15.6 mi | ★★★★★ | 0 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.