Pavilion at BRMC, the

Name: Pavilion at BRMC, the
Address: 200 PLEASANT STREET, Bradford, PA, 16701, US
Telephone: 8143628293

200 Pleasant Street, Bradford, PA 16701 · Mc Kean County · 95 certified beds · avg 51 residents/day · certified since Jul 1, 1976

4/5

Health inspection rating (on-site)

Serious findings on record

$16,316

Fines, last 3 years

6.44

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, one-off · Dec 6, 2024 · F-0600 · triggered by a complaint

The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.

Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: Feb 4, 2025 (Deficient, Provider has date of correction)

▲ Actual harm, one-off · Dec 6, 2024 · F-0689 · triggered by a complaint

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: Feb 4, 2025 (Deficient, Provider has date of correction)

All citations in the current public record (12)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Apr 23, 2026	E · Potential for harm, repeated	The facility did not make sure the resident's doctor reviewed their care and wrote, signed, and dated progress notes and orders at each required visit.
Apr 23, 2026	D · Potential for harm, one-off	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Apr 23, 2026	B · Minimal risk, repeated	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Dec 6, 2024	▲ G · Actual harm, one-off	The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint
Dec 6, 2024	▲ G · Actual harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Jan 5, 2024	E · Potential for harm, repeated	The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly.
Jan 5, 2024	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Jan 5, 2024	D · Potential for harm, one-off	The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.
Jan 5, 2024	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Jan 5, 2024	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Jan 5, 2024	D · Potential for harm, one-off	The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly.
Jan 5, 2024	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (2 → 3).

Year	Citations	Serious (G–L)	Worst severity that year
2024	9	2	G ▲
2026	3	0	E

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

2 fines totaling $16,316.

Date	Type	Amount / length
Dec 6, 2024	Fine	$8,158
Dec 6, 2024	Fine	$8,158

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Pennsylvania avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	6.44	3.94	3.95	top 3% in Pennsylvania; top 3% in the U.S.
Registered Nurse hours	1.48	0.80	0.69	top 8% in Pennsylvania; top 5% in the U.S.
Weekend total nurse staffing	5.77	3.58	3.50	top 3% in Pennsylvania; top 2% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.78	0.56	0.48	top 18% in Pennsylvania; top 12% in the U.S.
Total nursing staff turnover (%)	41.7	44.5	45.8	top 40% in Pennsylvania; top 41% in the U.S.
RN turnover (%)	52.4	39.9	42.9	bottom 27% in Pennsylvania; bottom 32% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 5.34, RN 1.22, weekend 4.78. Staffing rating: 5/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 3/5 · long-stay residents: 3/5 · short-stay residents: 3/5

Who owns this facility

Non profit - Corporation

Owner / manager	Type	Role	Stake	Since
Belt, Jeffrey	Individual	Corporate Director	NOT APPLICABLE	01/01/2017
Boutillette, Marc	Individual	Corporate Director	NOT APPLICABLE	01/01/2022
Derose, Daniel	Individual	Corporate Director	NOT APPLICABLE	01/01/2022
Ferguson, David	Individual	Corporate Director	NOT APPLICABLE	01/01/2022
Fiorentino, Lisa	Individual	Corporate Director	NOT APPLICABLE	01/01/2017
Javed, Muhammed	Individual	Corporate Director	NOT APPLICABLE	11/05/2009
Klass, Cheryl	Individual	Corporate Officer	NOT APPLICABLE	09/04/2024
Marasco, Julie	Individual	Corporate Director	NOT APPLICABLE	01/01/2017
O'Connell, Katie	Individual	Corporate Officer	NOT APPLICABLE	06/01/2022
O'Connell, Katie	Individual	Operational/Managerial Control	NOT APPLICABLE	06/01/2022
Pisano, Douglas	Individual	Corporate Director	NOT APPLICABLE	01/01/2022
Pradhan, Anil	Individual	Corporate Director	NOT APPLICABLE	01/01/2022
Prince, David	Individual	Corporate Director	NOT APPLICABLE	09/01/2009
Ridley, Paul	Individual	Corporate Director	NOT APPLICABLE	01/01/2022
Schoenecker, Jeannine	Individual	Corporate Director	NOT APPLICABLE	01/01/2017
Scholl, Melissa	Individual	Corporate Director	NOT APPLICABLE	01/01/2017
Upper Allegheny Health System	Organization	Operational/Managerial Control	NOT APPLICABLE	01/19/2008
Witte, Gilbert	Individual	Corporate Director	NOT APPLICABLE	01/01/2022

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"How often does each resident's doctor visit and review their care in person?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"Walk me through what happens when a resident or family files a grievance — who responds and how fast?"
"Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
"How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Bradford Manor Nursing and Rehab	1.8 mi	Bradford, PA	★★★☆☆	4/5
Bradford Ecumenical Home, INC	1.9 mi	Bradford, PA	★★★★★	5/5
Absolut Center for Nursing and Rehabilitation at a	12.7 mi	Allegany, NY	★★★★★	5/5
The Pines Healthcare & Rehab Centers Olean Campus	13.1 mi	Olean, NY	★★★★☆	4/5
Salamanca Rehabilitation & Nursing Center	14.1 mi	Salamanca, NY	★★★★☆	4/5
Amaryllis Nursing and Rehab	15.3 mi	Smethport, PA	★★★★☆	3/5
Sena Kean Nursing and Rehabilitation	15.7 mi	Smethport, PA	★☆☆☆☆	2/5	abuse

Compare this facility with the 3 closest →

All facilities in Bradford →

Facility data as of CMS processing date 2026-08-01. CCN 395355.

The Care File

Visit checklist — Pavilion at BRMC, the

200 Pleasant Street, Bradford, PA 16701 · 8143628293

Health inspection rating 4/5 · CMS overall 5/5· Fines (3y): $16,316

Most serious findings on record:

▲ Dec 6, 2024 (F-0600, Actual harm, one-off): The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
▲ Dec 6, 2024 (F-0689, Actual harm, one-off): The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Questions for the administrator:

☐ "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "How often does each resident's doctor visit and review their care in person?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "Walk me through what happens when a resident or family files a grievance — who responds and how fast?"
☐ "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
☐ "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 395355 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)