The Pavilion at Piketon

Name: The Pavilion at Piketon
Address: 7143 ROUTE 23 SOUTH, Piketon, OH, 45661, US
Telephone: 7402892394

7143 Route 23 South, Piketon, OH 45661 · Pike County · 155 certified beds · avg 85 residents/day · certified since Feb 8, 1980

Part of chain: THE PAVILION GROUP (6 facilities, chain avg rating 2.8★)

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

2.84

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: 4/5

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 · Jan 29, 2024 · F-0688

The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline.

Why it matters: Without this care, residents can develop stiff, contracted joints and lose the ability to move on their own.

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 22, 2024 (Deficient, Provider has date of correction)

▲ Actual harm, one-off · Jan 29, 2024 · F-0689

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 22, 2024 (Deficient, Provider has date of correction)

All citations in the current public record (27)

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 17, 2025	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation.
Apr 17, 2025	D · Potential for harm, one-off	The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services.
Apr 17, 2025	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Apr 17, 2025	D · Potential for harm, one-off	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
Apr 17, 2025	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.
Jan 29, 2024	▲ G · Actual harm, one-off	The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline.
Jan 29, 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.
Jan 29, 2024	E · Potential for harm, repeated	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.
Jan 29, 2024	E · Potential for harm, repeated	The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · from a complaint
Jan 29, 2024	D · Potential for harm, one-off	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away.
Jan 29, 2024	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Jan 29, 2024	D · Potential for harm, one-off	The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need.
Jan 29, 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 29, 2024	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint
Jan 29, 2024	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Jan 29, 2024	D · Potential for harm, one-off	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Jan 29, 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 29, 2024	D · Potential for harm, one-off	The facility did not provide care that took into account residents' past trauma or their cultural backgrounds. Care is supposed to be sensitive to what residents have lived through and where they come from.
Jan 29, 2024	D · Potential for harm, one-off	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint
Jan 29, 2024	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.
May 19, 2022	F · Potential for harm, facility-wide	The facility's quality committee — the internal group responsible for finding and fixing care problems — did not have the required members or did not meet at least every three months.
May 19, 2022	E · Potential for harm, repeated	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
May 19, 2022	D · Potential for harm, one-off	The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline.
May 19, 2022	D · Potential for 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.
May 19, 2022	D · Potential for harm, one-off	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
May 19, 2022	D · Potential for harm, one-off	The facility did not provide necessary behavioral health care and services — support for residents' mental and emotional wellbeing, including conditions like depression and anxiety.
May 19, 2022	D · Potential for harm, one-off	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (15 → 5).

Year	Citations	Serious (G–L)	Worst severity that year
2022	7	0	F
2024	15	2	G ▲
2025	5	0	D

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)

No fines or payment denials in the published 3-year window.

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

Measure	This facility	Ohio avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	2.84	3.45	3.95	bottom 14% in Ohio; bottom 9% in the U.S.
Registered Nurse hours	0.36	0.60	0.69	bottom 13% in Ohio; bottom 17% in the U.S.
Weekend total nurse staffing	2.56	3.07	3.50	bottom 16% in Ohio; bottom 11% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.35	0.42	0.48	bottom 41% in Ohio; bottom 42% in the U.S.
Total nursing staff turnover (%)	59.0	48.7	45.8	bottom 23% in Ohio; bottom 18% in the U.S.
RN turnover (%)	55.6	43.9	42.9	bottom 31% in Ohio; bottom 28% 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 3.92, RN 0.50, weekend 3.55. Staffing rating: 1/5.

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: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
101 LLC	Organization	5% or Greater Indirect Ownership Interest	—	06/01/2018
Acm Ashem Holdings, LLC	Organization	5% or Greater Indirect Ownership Interest	—	06/01/2018
Lieberman, Nechemia	Individual	5% or Greater Indirect Ownership Interest	—	06/01/2018
Piketon Holdings LLC	Organization	5% or Greater Direct Ownership Interest	100%	06/01/2018
Ydr 18 LLC	Organization	5% or Greater Indirect Ownership Interest	—	06/01/2018
Yp 18 LLC	Organization	5% or Greater Indirect Ownership Interest	—	06/01/2018
101 LLC	Organization	ADP of the SNF	NOT APPLICABLE	06/01/2018
Acm Ashem Holdings, LLC	Organization	ADP of the SNF	NOT APPLICABLE	06/01/2018
Juschka, Dirk	Individual	ADP of the SNF	NOT APPLICABLE	06/01/2018
Krieser, Akiva	Individual	Operational/Managerial Control	NOT APPLICABLE	06/01/2018
Lieberman, Nechemia	Individual	ADP of the SNF	NOT APPLICABLE	06/01/2018
Pavilion Healthcare Group LLC	Organization	ADP of the SNF	NOT APPLICABLE	06/01/2018
Piketon Holdings LLC	Organization	ADP of the SNF	NOT APPLICABLE	06/01/2018
Ramsey, Tara	Individual	Operational/Managerial Control	NOT APPLICABLE	06/01/2018
Ramsey, Tara	Individual	ADP of the SNF	NOT APPLICABLE	06/01/2018
Rimberg, Riki	Individual	ADP of the SNF	NOT APPLICABLE	06/01/2018
Ydr 18 LLC	Organization	ADP of the SNF	NOT APPLICABLE	06/01/2018
Yp 18 LLC	Organization	ADP of the SNF	NOT APPLICABLE	06/01/2018

Questions to ask on your visit

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

"What do you do daily to keep residents moving, and how do you help residents at risk of losing mobility?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
"How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
"How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
"What systems do you use to prevent medication errors, and what happens when one occurs?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
"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
Piketon Nursing Center	1.8 mi	Piketon, OH	★★★★☆	4/5
National Church Residences Bristol Village	5.6 mi	Waverly, OH	★★★★★	5/5
Edgewood Manor of Lucasville I	9.4 mi	Lucasville, OH	★★★★★	4/5
Edgewood Manor of Lucasville II	10.0 mi	Lucasville, OH	★★★★☆	4/5
Rest Haven Nursing Home	15.6 mi	McDermott, OH	★★★★★	5/5
Ayden Healthcare of Rosemount Pavilion	17.8 mi	Portsmouth, OH	★★☆☆☆	3/5
National Church Residences Chillicothe	18.9 mi	Chillicothe, OH	★★★★☆	4/5
Chillicothe Post Acute	19.2 mi	Chillicothe, OH	★★★☆☆	2/5
Westmoreland Place	19.3 mi	Chillicothe, OH	★☆☆☆☆	1/5

Compare this facility with the 3 closest →

All facilities in Piketon →

Facility data as of CMS processing date 2026-08-01. CCN 365446.

The Care File

Visit checklist — The Pavilion at Piketon

7143 Route 23 South, Piketon, OH 45661 · 7402892394

Health inspection rating 4/5 · CMS overall 4/5· Fines (3y): $0

Most serious findings on record:

▲ Jan 29, 2024 (F-0688, Actual harm, one-off): The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline.
▲ Jan 29, 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:

☐ "What do you do daily to keep residents moving, and how do you help residents at risk of losing mobility?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
☐ "How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
☐ "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
☐ "What systems do you use to prevent medication errors, and what happens when one occurs?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
☐ "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 365446 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)