Pavilion at St Luke Village, the
1000 Stacie Drive · Hazleton, PA · 18201 · 5704535100
120 certified beds For profit - Limited Liability company Chain: Avardis Health
Why this verdict
- Federal penalties on record: $94,164 in fines in the last 24 months.
- Inspection results have improved across recent cycles.
Red flags
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
$94,164 in federal fines in the last 24 months
2 fines — CMS fines are reserved for verified, serious non-compliance.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 4 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.29 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.56 | 0.55–0.75 |
| Weekend hours / resident-day | 3.02 | ≈ weekday level |
| Nursing turnover / year | 44% | median 45% |
| Fines (3-yr window) | 3 · $104,223 |
Inspection citations (42 in the current record)
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Potential for harm · E September 12, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected October 14, 2025 · Resident Rights
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Potential for harm · E September 12, 2025
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected October 14, 2025 · Resident Rights
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Potential for harm · E September 12, 2025
Ensure each resident receives an accurate assessment.
Corrected October 14, 2025 · Resident Assessment and Care Planning
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Potential for harm · D September 12, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected October 14, 2025 · Resident Assessment and Care Planning
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Potential for harm · E September 12, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected October 14, 2025 · Quality of Life and Care
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Potential for harm · D September 12, 2025
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected October 14, 2025 · Quality of Life and Care
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Potential for harm · D September 12, 2025
Provide care or services that was trauma informed and/or culturally competent.
Corrected October 14, 2025 · Quality of Life and Care
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Potential for harm · E September 12, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected October 14, 2025 · Resident Assessment and Care Planning
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Actual harm · G March 26, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected April 22, 2025 · Quality of Life and Care
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Potential for harm · D March 26, 2025 · found via complaint
Have a Compliance and Ethics Program.
Corrected April 22, 2025 · Administration
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Potential for harm · E November 21, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected December 17, 2024 · Resident Rights
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Potential for harm · E November 21, 2024
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected December 17, 2024 · Quality of Life and Care
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Potential for harm · E November 21, 2024
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.
Corrected December 17, 2024 · Quality of Life and Care
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Potential for harm · D November 21, 2024
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected December 17, 2024 · Quality of Life and Care
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Potential for harm · D November 21, 2024
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected December 17, 2024 · Pharmacy Service
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Potential for harm · D November 21, 2024
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.
Corrected December 17, 2024 · Pharmacy Service
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Potential for harm · F November 21, 2024 · found via complaint
Provide and implement an infection prevention and control program.
Corrected December 17, 2024 · Infection Control
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Potential for harm · D October 16, 2024 · found via complaint
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.
Corrected November 21, 2024 · Resident Rights
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Potential for harm · D October 16, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected November 21, 2024 · Quality of Life and Care
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Potential for harm · D October 16, 2024 · found via complaint
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected November 21, 2024 · Pharmacy Service
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Actual harm · G July 19, 2024
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected August 27, 2024 · Quality of Life and Care
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Potential for harm · D July 19, 2024
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected August 27, 2024 · Resident Rights
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Potential for harm · D July 19, 2024
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected August 27, 2024 · Resident Rights
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Potential for harm · D July 19, 2024
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.
Corrected August 27, 2024 · Resident Rights
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Potential for harm · D July 19, 2024
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected August 27, 2024 · Freedom from Abuse, Neglect, and Exploitation
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| March 26, 2025 | Fine | $38,745 |
| July 19, 2024 | Fine | $55,419 |
| October 27, 2023 | Fine | $10,059 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 395265 · certified since May 29, 1969. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.