Pivot table counts visits by month when one visit has multiple lines

Here is the issue I have. We currently have multiple facilities that receive regulatory visits. During these visits they may get anywhere from 0 - 30 deficiencies. I need to set up a report (and I'm not even positive a pivot table would work) that lists the number of visits by facility and also one that shows visit by month. The problem is that the only way I've figured out to capture each deficiency (so I can also put them in a pivot table also) is to list each deficiency separately on a line. But, when I want to count visits by facility, it counts each time there is a date in the Date column. Does anyone know of a way around this? I have attached a sample of my source.

Thanks,
Brooke