Inspection Reports for
The Pavilion Assisted Living at Pine Valley

NY, 10977

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Inspection Report — Jan 16, 2025

Relicensure
Capacity: 60 Violations: 8 Date: Jan 16, 2025

Visit Reason
8 violations including provider responsibilities, general provisions, resident funds, food service, and environmental standards.

Findings
8 violations including provider responsibilities, general provisions, resident funds, food service, and environmental standards.

Violations (8)
402.9(d) — Responsibilities of providers; required notif
487.3 (g) (1-2) — General provisions
487.6 (c) (11) — Resident funds and valuables
487.8 (c) — Food service
487.8 (e) (1) — Food service
487.8 (e) (3) — Food service
487.11 (j) (1-3) — Environmental standards
487.11 (k) (4) — Environmental standards

Inspection Report — Sep 12, 2024

Complaint Investigation
Capacity: 60 Violations: 1 Date: Sep 12, 2024

Visit Reason
1 violation related to environmental standards.

Findings
1 violation related to environmental standards.

Violations (1)
487.11 (j) (1-3) — Environmental standards

Inspection Report — Mar 11, 2024

Complaint Investigation
Capacity: 60 Violations: 0 Date: Mar 11, 2024

Visit Reason
No violations.

Findings
No violations.

Inspection Report — May 27, 2022

Capacity: 60 Violations: 1 Date: May 27, 2022

Visit Reason
1 violation related to records and reports.

Findings
1 violation related to records and reports.

Violations (1)
485.11 (b) — Records and reports

Inspection Report — Apr 1, 2022

Complaint Investigation
Capacity: 60 Violations: 0 Date: Apr 1, 2022

Visit Reason
No violations.

Findings
No violations.

Inspection Report — Nov 3, 2021

Complaint Investigation
Capacity: 60 Violations: 0 Date: Nov 3, 2021

Visit Reason
No violations.

Findings
No violations.

Inspection Report — Sep 15, 2021

Complaint Investigation
Capacity: 60 Violations: 2 Date: Sep 15, 2021

Visit Reason
2 violations related to resident protections and records and reports.

Findings
2 violations related to resident protections and records and reports.

Violations (2)
487.5 (a) (2) — Resident protections
487.10 (c) (1-3) — Records and reports

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