Nursing home · SNF / NF

The Pavilion at Piketon

Federal · CMSActive CMS certificationCCN 365446For profit CMS overall

7143 Route 23 South, Piketon, OH 45661 · Operated by Pavilion at Piketon for Nursing and Rehabilitation LLC · Chain The Pavilion Group

Source: CMS Provider Data Catalog, release Oct 1, 2026 · provenance

$25 Full Intelligence Report

Certified beds

155

Avg residents / day

Inspections

Citations

Harm-level

Fines

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 155 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 83.5 CMS, MDS-derived
CMS Certification Number: 365446
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Feb 8, 1980
Ownership type: For profit - Limited Liability company
Operator (legal business name): Pavilion at Piketon for Nursing and Rehabilitation LLC
CMS chain: The Pavilion Group 7 facilities
Phone: (740) 289-2394
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

latest Apr 17, 2025

Citations

27 health · 20 fire

Harm or worse

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G2	H·	I·
Potential harm	D21	E10	F14
Minimal	A·	B·	C·

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

Payment denials

Latest

—

Date	Domain	Survey types	Citations	Most severe	Open
Apr 17, 2025	Fire safety	Fire Safety Standard	5	Potential harm	—	Open →
Apr 17, 2025	Health	Health Standard	5	Potential harm	—	Open →
Jan 29, 2024	Fire safety	Fire Safety Standard	6	Potential harm	—	Open →
Jan 29, 2024	Health	Health Complaint, Health Standard	15	Actual harm	—	Open →
May 19, 2022	Fire safety	Fire Safety Standard	9	Potential harm	—	Open →
May 19, 2022	Health	Health Standard	7	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

No fines or payment denials in the CMS Penalties file for this CCN.

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G2	H·	I·
Potential harm	D21	E10	F14
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Apr 17, 2025	K-0222	Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected May 22, 2025
Apr 17, 2025	K-0345	Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected May 22, 2025
Apr 17, 2025	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected May 22, 2025
Apr 17, 2025	K-0741	Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected May 22, 2025
Apr 17, 2025	K-0915	Have proper power supply for life support equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected May 22, 2025
Apr 17, 2025	F-0609	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected May 22, 2025
Apr 17, 2025	F-0645	PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected May 22, 2025
Apr 17, 2025	F-0677	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected May 22, 2025
Apr 17, 2025	F-0760	Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected May 22, 2025
Apr 17, 2025	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected May 22, 2025
Jan 29, 2024	F-0688	Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Quality of Life and Care Deficiencies · Clinical care	G · Actual harm Isolated	Corrected Feb 22, 2024
Jan 29, 2024	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	G · Actual harm Isolated	Corrected Feb 22, 2024
Jan 29, 2024	K-0222	Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Feb 22, 2024
Jan 29, 2024	K-0345	Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Feb 22, 2024
Jan 29, 2024	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Feb 22, 2024
Jan 29, 2024	K-0363	Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Feb 22, 2024
Jan 29, 2024	K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Feb 22, 2024
Jan 29, 2024	K-0914	Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Feb 22, 2024
Jan 29, 2024	F-0580	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Feb 22, 2024
Jan 29, 2024	F-0641	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Feb 22, 2024
Jan 29, 2024	F-0644	Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Feb 22, 2024
Jan 29, 2024	F-0656	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 · Clinical care	D · Potential harm Isolated	Corrected Feb 22, 2024
Jan 29, 2024	F-0677	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Feb 22, 2024	Complaint
Jan 29, 2024	F-0686	Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Feb 22, 2024
Jan 29, 2024	F-0692	Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Feb 22, 2024
Jan 29, 2024	F-0695	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Feb 22, 2024
Jan 29, 2024	F-0699	Provide care or services that was trauma informed and/or culturally competent. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Feb 22, 2024
Jan 29, 2024	F-0758	Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Pharmacy Service Deficiencies · Medication management	E · Potential harm Pattern	Corrected Feb 22, 2024
Jan 29, 2024	F-0760	Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Feb 22, 2024	Complaint
Jan 29, 2024	F-0842	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Feb 22, 2024
Jan 29, 2024	F-0921	Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Feb 22, 2024	Complaint
May 19, 2022	K-0222	Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jul 1, 2022
May 19, 2022	K-0324	Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jul 1, 2022
May 19, 2022	K-0341	Install a fire alarm system that can be heard throughout the facility. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jul 1, 2022
May 19, 2022	K-0345	Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jul 1, 2022
May 19, 2022	K-0351	Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jul 1, 2022
May 19, 2022	K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jul 1, 2022
May 19, 2022	K-0711	Provide a written emergency evacuation plan. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jul 1, 2022
May 19, 2022	K-0712	Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jul 1, 2022
May 19, 2022	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jul 1, 2022
May 19, 2022	F-0584	Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Jul 1, 2022
May 19, 2022	F-0688	Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jul 1, 2022
May 19, 2022	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jul 1, 2022
May 19, 2022	F-0692	Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jul 1, 2022
May 19, 2022	F-0740	Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jul 1, 2022
May 19, 2022	F-0758	Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Jul 1, 2022
May 19, 2022	F-0868	Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Administration Deficiencies · Administration & records	F · Potential harm Widespread	Corrected Jul 1, 2022

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Operating entity

Pavilion at Piketon for Nursing and Rehabilitation LLC

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

The Pavilion Group

7 facilities in 3 states. CMS chain ID 514.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 2.7

Ownership disclosures

Disclosures

Organizations

Individuals

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Piketon Holdings LLC	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Jun 1, 2018
101 LLC	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Jun 1, 2018
Acm Ashem Holdings, LLC	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Jun 1, 2018
Ydr 18 LLC	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Jun 1, 2018
Yp 18 LLC	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Jun 1, 2018
Nechemia Lieberman	Individual	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Jun 1, 2018

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Piketon Holdings LLC	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Jun 1, 2018
101 LLC	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Jun 1, 2018
Acm Ashem Holdings, LLC	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Jun 1, 2018
Ydr 18 LLC	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Jun 1, 2018
Yp 18 LLC	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Jun 1, 2018
Nechemia Lieberman	Individual	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Jun 1, 2018
Akiva Krieser	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jun 1, 2018
Tara Ramsey	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jun 1, 2018
101 LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jun 1, 2018
Acm Ashem Holdings, LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jun 1, 2018
Pavilion Healthcare Group LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jun 1, 2018
Piketon Holdings LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jun 1, 2018
Ydr 18 LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jun 1, 2018
Yp 18 LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jun 1, 2018
Dirk Juschka	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jun 1, 2018
Nechemia Lieberman	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jun 1, 2018
Tara Ramsey	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jun 1, 2018
Riki Rimberg	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jun 1, 2018

Same chain in Ohio

All 6 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
The Pavilion at Stow for Nursing and Rehabilitatio 3700 Englewood Drive, Stow, OH 44224 CCN 365858	51	Jul 23, 2026	471 open	—
The Pavilion at Edgefield for Nursing and Rehabili 836 West 34th Street NW, Canton, OH 44709 CCN 366095	99	May 11, 2026	671 harm	—
The Pavilion at Canal Fulton for Nursing and Rehab 7055 High Mill Avenue NW, Canal Fulton, OH 44614 CCN 366271	60	Jun 18, 2025	51	—

Coordinates as published by CMS.

Address: 7143 Route 23 South, Piketon, OH 45661
ZIP: 45661
County: Pike County FIPS 39131
State: Ohio
Urban / rural (CMS): Rural

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	Last inspection	Citations (window)	Fines
Piketon Nursing Center 300 Overlook Drive, Piketon, OH 45661 CCN 365961	2.9 km	46	Apr 24, 2025	691 harm	—
National Church Residences Bristol Village 444 Cherry St, Waverly, OH 45690 CCN 365742	9 km	40	Apr 7, 2026	16	—
Edgewood Manor of Lucasville I 10098 Big Bear Creek Rd, Lucasville, OH 45648 CCN 365585	15.1 km	96	Apr 16, 2026	30	—
Edgewood Manor of Lucasville II 10098a Bear Creek Road, Lucasville, OH 45648 CCN 365932	16 km	71	Jul 6, 2026	423 harm	—

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	365446	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	365446	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 365446

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction

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The Pavilion at Piketon

Federal certification

State license

Penalties

Owners of record

All disclosed roles

Same chain in Ohio

Nearby nursing homes

The Pavilion at Piketon

Federal certification

State license

Penalties

Owners of record

All disclosed roles

Same chain in Ohio

Nearby nursing homes