A+
96/100

Ball Pavilion, The Inspection Report, Violations & Safety Grade (ERIE, Pennsylvania)

5416 EAST LAKE ROAD, ERIE, Pennsylvania 16511

Phone: 8148998600

CMS Overall:5/5

Overview & Bed Count

Certified Beds
85
Avg Residents/Day
56
Ownership
Non profit - Corporation
Provider Type
Medicare and Medicaid
County
Erie
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall5/5
Health4/5
Staffing5/5
Quality2/5

Nurse Staffing Check

MetricThis FacilityPennsylvania AvgDifference
RN Hours per Resident per Day0.940.78+0.16
Total Nurse Hours per Resident per Day4.533.90+0.63
CMS Staffing Rating5/53.1/5-
Nursing Staff Turnover35.0%44.6%-

Health Citation History

11 health citations on record

DateCategoryDescriptionSeverity
2026-03-27Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E – Moderate Harm Potential
2026-03-27Infection Control DeficienciesProvide and implement an infection prevention and control program.E – Moderate Harm Potential
2026-03-27Resident Rights DeficienciesProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.D – Moderate Harm Potential
2026-03-27Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D – Moderate Harm Potential
2026-03-27Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.D – Moderate Harm Potential
2026-03-27Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.D – Moderate Harm Potential
2026-03-27Pharmacy Service DeficienciesEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.D – Moderate Harm Potential
2026-03-27Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D – Moderate Harm Potential
2025-03-21Pharmacy Service DeficienciesEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.E – Moderate Harm Potential
2025-03-21Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.D – Moderate Harm Potential
2025-03-21Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.B – Minimal Harm Potential

Fire Safety Citation History

11 fire safety citations on record

DateCategoryDescriptionSeverity
2026-03-27Miscellaneous DeficienciesTo conduct inspection, testing and maintenance of fire doors by qualified individuals.F – Moderate Harm Potential
2026-03-27Services DeficienciesEnsure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.E – Moderate Harm Potential
2026-03-27Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.C – Minimal Harm Potential
2025-03-21Egress DeficienciesHave exits that are accessible at all times.E – Moderate Harm Potential
2025-03-21Miscellaneous DeficienciesTo conduct inspection, testing and maintenance of fire doors by qualified individuals.E – Moderate Harm Potential
2025-03-21Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.D – Moderate Harm Potential
2025-03-21Smoke DeficienciesProperly select, install, inspect, or maintain portable fire extinguishes.D – Moderate Harm Potential
2025-03-21Construction DeficienciesMeet other general requirements.C – Minimal Harm Potential
2025-03-21Smoke DeficienciesProvide properly protected cooking facilities.C – Minimal Harm Potential
2024-04-18Smoke DeficienciesProvide properly protected cooking facilities.C – Minimal Harm Potential
2024-04-18Smoke DeficienciesInstall corridor and hallway doors that block smoke.B – Minimal Harm Potential

Total Penalties & Fines

$0
Total Fine Amount (CMS)
0
Number of Fines
0
Total Penalties

No penalty records found.

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