GoodStanding

Nursing home report

PAVILION-THS, LLC

LEBANON, TN · Medicare-certified · 60 beds

In good standing
For-profit
5 of 5 overall

PAVILION-THS, LLC (LEBANON, TN) has an overall 5 out of 5 stars, with 5-star staffing and 4-star health inspection and quality ratings. It reports 4.39 nurse hours per resident per day, above the federal benchmark of 4.1, and had $0 in fines in the last 24 months.

Facility ratings

Health inspections

Staffing

4.3867 hrs/resident/day

Quality measures

Last inspection: March 27, 2025Penalties, last 24 months: $0

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.3867.

Staffing detail

Registered nurses
0.72
Licensed practical nurses
1.22
Nurse aides
2.45
Weekend nursing
3.77

Hours per resident per day.

Total staff turnover: 28%
Registered nurse turnover: 29%

Resident outcomes

How often residents experience these outcomes, with the direction over the past year.

Long-stay residents on antipsychotic medication

15.6%Worsening

Residents with a fall causing major injury

1.4%Worsening

Residents with pressure ulcers (bedsores)

3.6%Worsening

Residents with a urinary tract infection

1.4%Worsening

Residents who lost too much weight

8%Improving

Residents who were physically restrained

0%Steady

Residents needing more help with daily activities

30.5%Improving

Residents whose ability to walk got worse

40.6%Steady
Show all measures

Long-stay residents on antianxiety or sleep medication

33.9%Improving

Short-stay residents newly given an antipsychotic

0.6%Worsening

Residents with a long-term catheter

0.6%Improving

Residents with new or worsening incontinence

35.7%Worsening

Residents with depressive symptoms

0%Steady

Long-stay residents given the seasonal flu vaccine

94.9%Steady

Long-stay residents given the pneumonia vaccine

92.3%Worsening

Short-stay residents given the seasonal flu vaccine

63.1%Steady

Short-stay residents given the pneumonia vaccine

79.4%Worsening

What the inspectors found

The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited March 2025 — limited pattern, potential for harm.

View the original federal record

F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: E

The home failed to honor residents’ choices about treatment, research participation, and advance care instructions. Cited March 2025 — isolated incident, potential for harm.

View the original federal record

F-Tag 578 — 42 CFR §483.10 — S/S: D

The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited March 2025 — isolated incident, potential for harm.

View the original federal record

F-Tag 684 — 42 CFR §483.25 — S/S: D

The nursing home failed to keep its areas safe, easy to use, clean, and comfortable for residents, staff, and visitors. Cited March 2025 — isolated incident, potential for harm.

View the original federal record

F-Tag 921 — 42 CFR §483.90 — S/S: D

The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited October 2019 — isolated incident, potential for harm.

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F-Tag 812 — 42 CFR §483.60(i) — S/S: D

Recent history

  1. STAFFING

    Reported nurse staffing met or exceeded the federal recommendation.

  2. INSPECTION

    Health inspection found 4 health deficiencies.

    See what inspectors found
  3. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  4. INSPECTION

    Health inspection found 3 health deficiencies.

    See what inspectors found

Operator & ownership

Ownership
For profit - Limited Liability company
Occupancy
53.6 residents on an average day (89% of 60 beds)
Resident voice
Resident council
Medicare history
Certified for 15 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.