Pennsylvania › Luzerne County › Hazleton
Pavilion At St Luke Village, The
1000 Stacie Drive, Hazleton, PA 18201
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Pavilion At St Luke Village, The, in Hazleton, Pennsylvania, is certified for 120 beds under for-profit, limited liability company ownership and belongs to the Avardis Health chain.
CMS gives it 2 of 5 stars overall, below the Pennsylvania median of 3; the health inspection rating is 2, staffing 3 and quality measures 4.
Inspectors recorded 42 health deficiencies across the three most recent survey cycles (8, 12, 22 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 35.0 per 100 beds, more than the state median of 22.2.
CMS lists 3 penalties in the period covered: fines totalling $91K.
Reported nurse staffing is 3.4 hours per resident per day (0.6 RN), close to the Pennsylvania median of 3.6; nursing staff turnover is 47.1%.
Compared with county, state and nation
| Measure | This facility | Luzerne Co. median | Pennsylvania median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 42 | 37 | 26 | 28.7 |
| Citations per 100 beds | 35.0 | 33.3 | 22.2 | 26.8 |
| Total nurse hours per resident day | 3.4 | 3.6 | 3.6 | 3.9 |
| RN hours per resident day | 0.6 | 0.6 | 0.7 | 0.7 |
| Nursing staff turnover | 47.1% | 46.5% | 44.3% | 45.8% |
| Fines listed | $90,662 | $8,021 | $0 | — |
County and state figures are medians across facilities (22 in the county, 656 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Pennsylvania average per facility for the same cycle, as published by CMS. Standard health survey dates: 12 Sep 2025, 21 Nov 2024.
Severity mix: G ×2 D ×23 E ×16 F ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 12 Sep 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard survey | 14 Oct 2025 |
| 12 Sep 2025 | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Standard survey | 14 Oct 2025 |
| 12 Sep 2025 | F0641 | Ensure each resident receives an accurate assessment. | E | Standard survey | 14 Oct 2025 |
| 12 Sep 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Standard survey | 14 Oct 2025 |
| 12 Sep 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Standard survey | 14 Oct 2025 |
| 12 Sep 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 14 Oct 2025 |
| 12 Sep 2025 | F0693 | 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. | D | Standard survey | 14 Oct 2025 |
| 12 Sep 2025 | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | Standard survey | 14 Oct 2025 |
| 26 Mar 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Complaint investigation | 22 Apr 2025 |
| 26 Mar 2025 | F0895 | Have a Compliance and Ethics Program. | D | Complaint investigation | 22 Apr 2025 |
| 21 Nov 2024 | F0880 | Provide and implement an infection prevention and control program. | F | Complaint investigation | 17 Dec 2024 |
| 21 Nov 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard survey | 17 Dec 2024 |
| 21 Nov 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | Standard survey | 17 Dec 2024 |
| 21 Nov 2024 | F0688 | 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. | E | Standard survey | 17 Dec 2024 |
| 21 Nov 2024 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 17 Dec 2024 |
| 21 Nov 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 17 Dec 2024 |
| 21 Nov 2024 | F0758 | 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. | D | Standard survey | 17 Dec 2024 |
| 16 Oct 2024 | F0584 | 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. | D | Complaint investigation | 21 Nov 2024 |
| 16 Oct 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 21 Nov 2024 |
| 16 Oct 2024 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Complaint investigation | 21 Nov 2024 |
| 19 Jul 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Standard survey | 27 Aug 2024 |
| 19 Jul 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Standard survey | 27 Aug 2024 |
| 19 Jul 2024 | F0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | E | Standard survey | 27 Aug 2024 |
| 19 Jul 2024 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | E | Standard survey | 27 Aug 2024 |
| 19 Jul 2024 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Complaint investigation | 27 Aug 2024 |
| 19 Jul 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard survey | 27 Aug 2024 |
| 19 Jul 2024 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | Standard survey | 27 Aug 2024 |
| 19 Jul 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 27 Aug 2024 |
| 19 Jul 2024 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Standard survey | 27 Aug 2024 |
| 19 Jul 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard survey | 27 Aug 2024 |
| 19 Jul 2024 | F0584 | 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. | D | Standard survey | 27 Aug 2024 |
| 19 Jul 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Standard survey | 27 Aug 2024 |
| 19 Jul 2024 | F0610 | Respond appropriately to all alleged violations. | D | Standard survey | 27 Aug 2024 |
| 19 Jul 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 27 Aug 2024 |
| 19 Jul 2024 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Complaint investigation | 27 Aug 2024 |
| 19 Jul 2024 | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | Standard survey | 27 Aug 2024 |
| 19 Jul 2024 | F0777 | Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results. | D | Standard survey | 27 Aug 2024 |
| 19 Jul 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 27 Aug 2024 |
| 19 Jul 2024 | F0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | Standard survey | 27 Aug 2024 |
| 9 Apr 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Complaint investigation | 7 May 2024 |
| 9 Apr 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 7 May 2024 |
| 7 Sep 2023 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint investigation | 27 Sep 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 26 Mar 2025 | Fine | $25,184 | |
| 19 Jul 2024 | Fine | $55,419 | |
| 27 Oct 2023 | Fine | $10,059 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Pennsylvania average. Turnover: nursing staff 47.1%, RNs 10.0%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Pennsylvania median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 14.1% | 15.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.7% | 0.4% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.8% | 1.1% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.9% | 2.9% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 13.5% | 16.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.4% | 4.5% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 14.2% | 17.2% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: 1000 Stacie Drive Opco Llc. Chain: Avardis Health (38 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Grove of Hazel Parentco LLC | 5% or greater direct ownership interest | 100% | 05/01/2025 |
| Citeanthra Holdco LLC | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 05/01/2025 |
| Paop Holdco LLC | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 05/01/2025 |
| Hazleton Re Owner, LLC | 5% or greater security interest | NOT APPLICABLE | 05/01/2025 |
| SNF Mgr LLC | Operational/managerial control | NOT APPLICABLE | 05/01/2025 |
| Hazleton Re Owner, LLC | Adp of the snf | NOT APPLICABLE | 05/01/2025 |
| SNF Mgr LLC | Adp of the snf | NOT APPLICABLE | 04/09/2025 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Luzerne County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Heinz Transitional Rehabilitation Unit | Wilkes-Barre | 44 | 5 | 4 | 5 | 10 | 22.7 | — | 25 Sep 2025 |
| Allied Services Meade Street Skilled Nursing | Wilkes Barre | 133 | 4 | 4 | 3 | 20 | 15.0 | — | 16 Jan 2026 |
| Third Avenue Health & Rehab Center | Kingston | 65 | 4 | 3 | 3 | 37 | 56.9 | — | 27 Mar 2026 |
| Allied Services Center City Skilled Nursing | Wilkes Barre | 92 | 3 | 3 | 4 | 20 | 21.7 | — | 14 Nov 2025 |
| Edenbrook At Hampton | Wilkes Barre | 104 | 3 | 3 | 3 | 36 | 34.6 | — | 10 Apr 2026 |
| Maple Ridge Rehabilitation & Healthcare Center | Kingston | 92 | 3 | 3 | 2 | 23 | 25.0 | $8K | 24 Apr 2026 |
| Wesley Village | Pittston | 160 | 3 | 3 | 4 | 29 | 18.1 | $8K | 13 Feb 2026 |
| Embassy of Wyoming Valleyabuse icon | Wilkes Barre | 120 | 2 | 1 | 3 | 51 | 42.5 | $20K | 23 Jun 2026 |
All 22 facilities in Luzerne County
Questions and answers
How many deficiencies has Pavilion At St Luke Village, The been cited for?
42 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The Pennsylvania median is 26 per facility.
Has Pavilion At St Luke Village, The been fined?
Yes. CMS lists fines totalling $91K in the period covered.
How does staffing at Pavilion At St Luke Village, The compare?
Reported total nurse staffing is 3.4 hours per resident per day against a Pennsylvania median of 3.6 and a national average of 3.9.
Who operates Pavilion At St Luke Village, The?
It is part of the Avardis Health chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Grove of Hazel Parentco LLC, Citeanthra Holdco LLC and Paop Holdco LLC. Individual owners and managers are not listed on this site.
When was Pavilion At St Luke Village, The last inspected?
The most recent survey or investigation in the CMS record is dated 12 Sep 2025; the most recent standard health survey was 12 Sep 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.