Nursing Care Index

Pavilion At Brmc, The

Bradford, Mc Kean County, Pennsylvania · CCN 395355 · Non-profit (Corporation) · not part of a chain

CMS rates Pavilion At Brmc, The 5 of 5 overall as of August 2026. 95 certified beds, 51 residents a day on average. 12 citations on record from the current inspection cycles, 2 involving actual harm; 2 fines totalling $16,316.

CMS’s ratings

The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.

Overall★★★★★ 5 of 5
Health inspections★★★★☆ 4 of 5
Staffing★★★★★ 5 of 5
Quality measures★★★☆☆ 3 of 5
Quality: long-stay / short-stay3 / 3 of 5

Staffing

Total nurse staffing5.33679 hours per resident per day
Registered nurses1.22303 hours per resident per day
Weekend total4.77672 hours per resident per day
Nursing staff turnover41.7% (registered nurses 52.4%)
Administrators who left1

Citations from health inspections

Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.

SurveyFindingSeverityStatus
2026-04-23 Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Nursing and Physician Services Deficiencies · tag F0711
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2026-06-04
2026-04-23 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-06-04
2026-04-23 Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · tag F0641
B No actual harm, with potential for minimal harm; pattern Deficient, Provider has date of correction
2026-06-04
2024-12-06
complaint survey
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0600
G Actual harm that is not immediate jeopardy; isolated Deficient, Provider has date of correction
2025-02-04
2024-12-06
complaint survey
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
G Actual harm that is not immediate jeopardy; isolated Deficient, Provider has date of correction
2025-02-04
2024-01-05 Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Resident Rights Deficiencies · tag F0585
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-03-01
2024-01-05 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · tag F0550
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-03-01
2024-01-05 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.
Resident Rights Deficiencies · tag F0578
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-03-01
2024-01-05 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · tag F0656
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-03-01
2024-01-05 Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · tag F0695
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-03-01
2024-01-05 Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Quality of Life and Care Deficiencies · tag F0700
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-03-01
2024-01-05 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-03-01

Fines and payment denials

DatePenaltyAmount
2024-12-06Fine$8,158
2024-12-06Fine$8,158

Who owns and runs it

Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.

NameRoleShareSince
Upper Allegheny Health System
Organization
operational/managerial control2008-01-19
Belt, Jeffrey
Individual
corporate director2017-01-01
Boutillette, Marc
Individual
corporate director2022-01-01
Derose, Daniel
Individual
corporate director2022-01-01
Ferguson, David
Individual
corporate director2022-01-01
Fiorentino, Lisa
Individual
corporate director2017-01-01
Javed, Muhammed
Individual
corporate director2009-11-05
Marasco, Julie
Individual
corporate director2017-01-01
Pisano, Douglas
Individual
corporate director2022-01-01
Pradhan, Anil
Individual
corporate director2022-01-01
Prince, David
Individual
corporate director2009-09-01
Ridley, Paul
Individual
corporate director2022-01-01
Schoenecker, Jeannine
Individual
corporate director2017-01-01
Scholl, Melissa
Individual
corporate director2017-01-01
Witte, Gilbert
Individual
corporate director2022-01-01
Klass, Cheryl
Individual
corporate officer2024-09-04
O'Connell, Katie
Individual
corporate officer2022-06-01
O'Connell, Katie
Individual
operational/managerial control2022-06-01

What changed

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Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Mc Kean County.