Pavilion Health Center at Brightmore has a 2-star overall rating, with a 2-star health inspection rating and 3-star staffing and quality ratings. It reports nurse staffing of 3.32 hours per resident per day versus the 4.1 federal benchmark, along with $16,985 in fines in the last 24 months and a recent federal penalty.
Last inspection: December 9, 2025Penalties, last 24 months: $16,985recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3176.
Staffing detail
Registered nurses
0.42
Licensed practical nurses
0.95
Nurse aides
1.94
Weekend nursing
3.02
Hours per resident per day.
Total staff turnover: 40%
Registered nurse turnover: 33%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Last yrNowTrend
Long-stay residents on antipsychotic medication
6.5%15.7%Worsening
Residents with a fall causing major injury
2.9%2.6%No change
Residents with pressure ulcers (bedsores)
3.2%3.2%No change
Residents with a urinary tract infection
0%1.3%Worsening
Residents who lost too much weight
1.9%5.2%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
11.5%19.3%Worsening
Residents whose ability to walk got worse
33.1%18.5%Improving
Long-stay residents on antianxiety or sleep medication
14.8%10.2%Improving
Short-stay residents newly given an antipsychotic
3.2%2.3%Improving
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
29.6%31.3%Worsening
Residents with depressive symptoms
0%0%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—97.4%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—89.6%—
Short-stay residents given the pneumonia vaccine
97.5%97.4%No change
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited December 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The nursing home failed to protect residents from abuse and neglect by others. Cited March 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: J
The nursing home failed to ensure residents were free from significant medication errors. Cited March 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: J
The home failed to provide enough food and fluids to keep residents healthy. Cited September 2022 — isolated incident, actual harm.
View the original federal record
F-Tag 692 — 42 CFR §483.25(g) — S/S: G
The home failed to ensure residents were treated with dignity and could make their own choices and communicate freely. Cited September 2022 — isolated incident, actual harm.
View the original federal record
F-Tag 550 — 42 CFR §483.10(a) — S/S: G
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
PENALTY
A federal fine of $16,985 was recorded.
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 19 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 2 fines · $103,435 in total fines.
Federal fine
Dec 9, 2025
$16,985
Federal fine
Mar 26, 2024
$86,450
Operator & ownership
Ownership
For profit - Limited Liability company
Chain
Part of LIBERTY SENIOR LIVING · 37 homes · 2.8 stars avg
Occupancy
102.5 residents on an average day (95% of 108 beds)
Resident voice
Resident council
Medicare history
Certified for 12 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.