PlainNursing
CMS Nursing Home Compare · August 2026

Pavilion at St Luke Village, the

1000 Stacie Drive, Hazleton, PA 18201

Pavilion at St Luke Village, the, a 120-bed for profit - limited liability company nursing facility in Hazleton, PA, holds a 2-star CMS overall rating - below the 3.0-star national average, ranking #406 of 652 rated homes in PA on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 2 inspection findings reached the actual-harm or immediate-jeopardy level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 5704535100

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2 / 5
Below average · CMS overall · nat'l 3.0
#406 of 652
In-state rank among rated PA homes
3.44
Below average · nurse hrs/day · nat'l 3.86
42
Inspection findings · 2 serious

The verdict

Pavilion at St Luke Village, the, a 120-bed for profit - limited liability company nursing facility in Hazleton, PA, holds a 2-star CMS overall rating - below the 3.0-star national average, ranking #406 of 652 rated homes in PA on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 2 inspection findings reached the actual-harm or immediate-jeopardy level.

2 / 5
CMS overall · national 3.0
#406 of 652
In-state rank among rated PA homes
3.44
Nurse hrs/resident-day · national 3.86
42
Inspection findings · 2 serious

CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.

In-state ownership mix · peer inventory

How 656 PA nursing homes split by ownership sector

This facility is recorded as For profit - Limited Liability company. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.

Health Inspection

2/5

Staffing

3/5

Quality Measures

4/5

Long-Stay Quality

4/5

Facility Information

Provider Number
395265
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
120
Residents
105
In Hospital
No
County
Luzerne
Last Inspection
Sep 12, 2025

Staffing Data

How the 3.44 total nursing hours per resident-day are staffed:

RN Hours
0.56 (nat'l avg: 0.69)
LPN Hours
0.89
CNA Hours
1.99
Total Nursing Hours
3.44 (nat'l avg: 3.86)
PT Hours
0.06
Nursing Turnover
47.1%
RN Turnover
10.0%

What the CMS Record Reveals About Pavilion at St Luke Village, the

According to CMS Nursing Home Compare, Pavilion at St Luke Village, the ranks #406 of 652 rated nursing homes in PA on overall stars (tie-broken by health+staffing+quality, then fewer fines). Pavilion at St Luke Village, the operates 120 certified beds in Hazleton, PA with approximately 105 residents currently in care, and carries a CMS overall rating of 2 out of 5 stars (health inspection 2★ · staffing 3★ · quality 4★).

The inspection file contains 42 deficiency records from recent surveys, of which 2 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. This provider has been fined 3 times by CMS, for a combined $91K. Per resident day, this facility reports 3.44 total nursing hours (national average 3.86) and 0.56 RN hours.

Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, Pavilion at St Luke Village, the falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 47.1% (CMS payroll-based measure).

Why sub-scores and the CMS methodology matter

The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.

For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.

Deficiency History (42 most recent)

D - Isolated - Minimal harm Sep 12, 2025 Tag: 0699

Provide care or services that was trauma informed and/or culturally competent.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 14, 2025

D - Isolated - Minimal harm Sep 12, 2025 Tag: 0693

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.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 14, 2025

D - Isolated - Minimal harm Sep 12, 2025 Tag: 0657

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Oct 14, 2025

E - Pattern - Minimal harm Sep 12, 2025 Tag: 0842

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Oct 14, 2025

E - Pattern - Minimal harm Sep 12, 2025 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 14, 2025

E - Pattern - Minimal harm Sep 12, 2025 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Oct 14, 2025

E - Pattern - Minimal harm Sep 12, 2025 Tag: 0565

Honor the resident's right to organize and participate in resident/family groups in the facility.

Category: Resident Rights Deficiencies

Corrected: Oct 14, 2025

E - Pattern - Minimal harm Sep 12, 2025 Tag: 0550

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category: Resident Rights Deficiencies

Corrected: Oct 14, 2025

D - Isolated - Minimal harm Mar 26, 2025 Tag: 0895

Have a Compliance and Ethics Program.

Category: Administration Deficiencies

Corrected: Apr 22, 2025

G - Isolated - Actual harm Mar 26, 2025 Tag: 0686

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 22, 2025

D - Isolated - Minimal harm Nov 21, 2024 Tag: 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.

Category: Pharmacy Service Deficiencies

Corrected: Dec 17, 2024

D - Isolated - Minimal harm Nov 21, 2024 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: Dec 17, 2024

D - Isolated - Minimal harm Nov 21, 2024 Tag: 0690

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Category: Quality of Life and Care Deficiencies

Corrected: Dec 17, 2024

E - Pattern - Minimal harm Nov 21, 2024 Tag: 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.

Category: Quality of Life and Care Deficiencies

Corrected: Dec 17, 2024

E - Pattern - Minimal harm Nov 21, 2024 Tag: 0686

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category: Quality of Life and Care Deficiencies

Corrected: Dec 17, 2024

E - Pattern - Minimal harm Nov 21, 2024 Tag: 0550

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category: Resident Rights Deficiencies

Corrected: Dec 17, 2024

F - Widespread - Minimal harm Nov 21, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Dec 17, 2024

D - Isolated - Minimal harm Oct 16, 2024 Tag: 0757

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Category: Pharmacy Service Deficiencies

Corrected: Nov 21, 2024

D - Isolated - Minimal harm Oct 16, 2024 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Nov 21, 2024

D - Isolated - Minimal harm Oct 16, 2024 Tag: 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.

Category: Resident Rights Deficiencies

Corrected: Nov 21, 2024

D - Isolated - Minimal harm Jul 19, 2024 Tag: 0849

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.

Category: Administration Deficiencies

Corrected: Aug 27, 2024

D - Isolated - Minimal harm Jul 19, 2024 Tag: 0842

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Aug 27, 2024

D - Isolated - Minimal harm Jul 19, 2024 Tag: 0777

Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.

Category: Administration Deficiencies

Corrected: Aug 27, 2024

D - Isolated - Minimal harm Jul 19, 2024 Tag: 0744

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 27, 2024

D - Isolated - Minimal harm Jul 19, 2024 Tag: 0690

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 27, 2024

D - Isolated - Minimal harm Jul 19, 2024 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Aug 27, 2024

D - Isolated - Minimal harm Jul 19, 2024 Tag: 0610

Respond appropriately to all alleged violations.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Aug 27, 2024

D - Isolated - Minimal harm Jul 19, 2024 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Aug 27, 2024

D - Isolated - Minimal harm Jul 19, 2024 Tag: 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.

Category: Resident Rights Deficiencies

Corrected: Aug 27, 2024

D - Isolated - Minimal harm Jul 19, 2024 Tag: 0580

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Category: Resident Rights Deficiencies

Corrected: Aug 27, 2024

D - Isolated - Minimal harm Jul 19, 2024 Tag: 0561

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Category: Resident Rights Deficiencies

Corrected: Aug 27, 2024

E - Pattern - Minimal harm Jul 19, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Aug 27, 2024

E - Pattern - Minimal harm Jul 19, 2024 Tag: 0756

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Category: Pharmacy Service Deficiencies

Corrected: Aug 27, 2024

E - Pattern - Minimal harm Jul 19, 2024 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: Aug 27, 2024

E - Pattern - Minimal harm Jul 19, 2024 Tag: 0725

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Category: Nursing and Physician Services Deficiencies

Corrected: Aug 27, 2024

E - Pattern - Minimal harm Jul 19, 2024 Tag: 0697

Provide safe, appropriate pain management for a resident who requires such services.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 27, 2024

E - Pattern - Minimal harm Jul 19, 2024 Tag: 0694

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 27, 2024

E - Pattern - Minimal harm Jul 19, 2024 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 27, 2024

G - Isolated - Actual harm Jul 19, 2024 Tag: 0686

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 27, 2024

D - Isolated - Minimal harm Apr 9, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: May 7, 2024

E - Pattern - Minimal harm Apr 9, 2024 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: May 7, 2024

D - Isolated - Minimal harm Sep 7, 2023 Tag: 0558

Reasonably accommodate the needs and preferences of each resident.

Category: Resident Rights Deficiencies

Corrected: Sep 27, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 14.1% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.7% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.8% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 4.9% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 13.5% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 4.4% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 14.2% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.0% Yes
Percentage of long-stay residents who lose too much weight Long Stay 9.6% No
Percentage of long-stay residents who have depressive symptoms Long Stay 0.6% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 99.5% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 22.0% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 99.0% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 32.5% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 94.8% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 86.7% No

Penalty History 3 penalties totaling $91K

Date Type Amount
Mar 26, 2025 Fine $25K
Jul 19, 2024 Fine $55K
Oct 27, 2023 Fine $10K

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for Pavilion at St Luke Village, the, both outside PA so the neighborhoods are not the same-state geography list below.

What the CMS records show for Pavilion at St Luke Village, the

The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.

  • The PA registry aggregates state averages and the highest-rated homes in this cohort. View PA registry
  • Peer homes near 120 beds show how CMS stars vary at a similar scale in PA. Compare a similar-size peer
  • CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work

CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.

Frequently Asked Questions

What is the overall CMS rating for Pavilion at St Luke Village, the?
Pavilion at St Luke Village, the has an overall CMS rating of 2 out of 5 stars. This rating combines health inspection results (2★), staffing levels (3★), and quality measures (4★).
Where does Pavilion at St Luke Village, the rank among nursing homes in PA?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), Pavilion at St Luke Village, the ranks 406th among 652 rated nursing homes in PA (#406 of 652). CMS force-curves the overall star within each state, so this peer set is the honest comparison.
What are the staffing levels at Pavilion at St Luke Village, the?
Pavilion at St Luke Village, the reports 3.44 total nursing hours per resident day (national average: 3.86). RN hours are 0.56 per resident day (national average: 0.69). Nursing staff turnover is 47.1%.
How many beds does Pavilion at St Luke Village, the have?
Pavilion at St Luke Village, the has 120 certified beds with approximately 105 residents. The facility is located at 1000 Stacie Drive, Hazleton, PA 18201.
Does Pavilion at St Luke Village, the have any deficiencies on record?
Yes, Pavilion at St Luke Village, the has 42 deficiencies on record from recent inspections. Of these, 2 are classified as causing actual harm or jeopardy.
Has Pavilion at St Luke Village, the received any fines or penalties?
Yes, Pavilion at St Luke Village, the has received 3 penalties totaling $91K.
Who owns Pavilion at St Luke Village, the?
Pavilion at St Luke Village, the is classified as "For profit - Limited Liability company" ownership. The facility type is "Medicare and Medicaid".
When was Pavilion at St Luke Village, the last inspected?
The most recent health inspection for Pavilion at St Luke Village, the was on Sep 12, 2025. The facility received a health inspection rating of 2 out of 5 stars.
What quality measures are tracked for Pavilion at St Luke Village, the?
Pavilion at St Luke Village, the is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.
Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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