Starfile

Starfile / North Carolina

Pavilion Health Center at Brightmore

10011 Providence Road West, Charlotte, NC 28277 · CCN 345563

Ratings

Overall
★★☆☆☆ 2
Health inspection
★★☆☆☆ 2
Quality measures
★★☆☆☆ 2
Staffing
★★★☆☆ 3

Facility

Ownership type
For profit - Limited Liability company
Certified beds
108
Avg residents/day
96.3
Phone
9802458500

Inspection history vs North Carolina & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

CycleInspection dateThis facilityNorth Carolina avgNational avgvs state
12025-07-0375.69.5+1.4 worse
22024-03-26197.29.8+11.8 worse
32022-09-2957.49.3-2.4 better

Cycle 1 deficiencies by category

CategoryDeficiencies
Abuse, neglect, exploitation1
Quality of life and care2
Resident assessment and care planning3
Pharmacy service1

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)3.4247.2%
RN staffing (reported)0.4453.8%
Total nurse staffing (adjusted)3.73

Fines & penalties

Total fines
$112,580
Number of fines
2
Number of penalties
2
Payment denials
0

Chain

Chain
LIBERTY SENIOR LIVING
Facilities in chain
35
Chain avg overall
2.60 / 5

Inspection citations (31)3 immediate jeopardy3 actual harm

  1. JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-12-09 · Health

    Immediate jeopardy

  2. DF0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.2025-07-03 · Health · corrected 2025-07-11

    Potential for more than minimal harm

  3. DF0641Ensure each resident receives an accurate assessment.2025-07-03 · Health · corrected 2025-07-11

    Potential for more than minimal harm

  4. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-07-03 · Health · corrected 2025-07-11

    Potential for more than minimal harm

  5. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-07-03 · Health · corrected 2025-07-11

    Potential for more than minimal harm

  6. DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-07-03 · Health · corrected 2025-07-11

    Potential for more than minimal harm

  7. DF0759Ensure medication error rates are not 5 percent or greater.2025-07-03 · Health · corrected 2025-07-11

    Potential for more than minimal harm

  8. DF0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.2024-03-26 · Health · corrected 2024-04-18

    Potential for more than minimal harm

  9. DF0584Honor 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.2024-03-26 · Health · corrected 2024-04-18

    Potential for more than minimal harm

  10. JF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-03-26 · Health · corrected 2024-04-18

    Immediate jeopardy

  11. DF0602Protect each resident from the wrongful use of the resident's belongings or money.2024-03-26 · Health · corrected 2024-01-06

    Potential for more than minimal harm

  12. DF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.2024-03-26 · Health · corrected 2024-04-18

    Potential for more than minimal harm

  13. EF0641Ensure each resident receives an accurate assessment.2024-03-26 · Health · corrected 2024-04-18

    Potential for more than minimal harm

  14. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-03-26 · Health · corrected 2024-04-18

    Potential for more than minimal harm

  15. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-03-26 · Health · corrected 2024-04-18

    Potential for more than minimal harm

  16. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-03-26 · Health · corrected 2024-04-18

    Potential for more than minimal harm

  17. EF0679Provide activities to meet all resident's needs.2024-03-26 · Health · corrected 2024-04-18

    Potential for more than minimal harm

  18. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-03-26 · Health · corrected 2024-04-18

    Potential for more than minimal harm

  19. DF0688Provide 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.2024-03-26 · Health · corrected 2024-04-18

    Potential for more than minimal harm

  20. DF0692Provide enough food/fluids to maintain a resident's health.2024-03-26 · Health · corrected 2024-04-18

    Potential for more than minimal harm

  21. CF0732Post nurse staffing information every day.2024-03-26 · Health · corrected 2024-04-16

    Potential for minimal harm

  22. JF0760Ensure that residents are free from significant medication errors.2024-03-26 · Health · corrected 2024-04-18

    Immediate jeopardy

  23. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-03-26 · Health · corrected 2024-04-18

    Potential for more than minimal harm

  24. EF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2024-03-26 · Health · corrected 2024-04-18

    Potential for more than minimal harm

  25. EF0880Provide and implement an infection prevention and control program.2024-03-26 · Health · corrected 2024-04-18

    Potential for more than minimal harm

  26. DF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2024-03-26 · Health · corrected 2024-04-18

    Potential for more than minimal harm

  27. GF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2022-09-29 · Health · corrected 2022-10-17

    Actual harm

  28. BF0641Ensure each resident receives an accurate assessment.2022-09-29 · Health · corrected 2022-10-17

    Potential for minimal harm

  29. GF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2022-09-29 · Health · corrected 2022-10-17

    Actual harm

  30. GF0692Provide enough food/fluids to maintain a resident's health.2022-09-29 · Health · corrected 2022-10-17

    Actual harm

  31. DF0880Provide and implement an infection prevention and control program.2022-09-29 · Health · corrected 2022-10-17

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
LONG TERM CARE MANAGEMENT SERVICES LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%2011-03-10
MCNEILL, JOHNIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST50%2014-01-22
MCNEILL, RONALDIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST50%2014-01-22
LONG TERM CARE MANAGEMENT SERVICES LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL2011-03-10
BORK, MATTHEWIndividualOPERATIONAL/MANAGERIAL CONTROL2014-01-22
CALCUTT, JOESEPH VIndividualOPERATIONAL/MANAGERIAL CONTROL2014-01-22
MCNEILL, JOHNIndividualOPERATIONAL/MANAGERIAL CONTROL2011-03-10
MCNEILL, RONALDIndividualOPERATIONAL/MANAGERIAL CONTROL2011-03-10
PURIFOY, PENNYIndividualOPERATIONAL/MANAGERIAL CONTROL2014-01-22
WILSON, JEFFREYIndividualOPERATIONAL/MANAGERIAL CONTROL2014-01-22
BORK, MATTHEWIndividualCORPORATE DIRECTOR2014-01-22
MILLER, ROBERTIndividualCORPORATE DIRECTOR2024-09-01
PURIFOY, PENNYIndividualCORPORATE DIRECTOR2014-01-22
WILSON, JEFFREYIndividualCORPORATE DIRECTOR2014-01-22
CALCUTT, JOESEPH VIndividualCORPORATE OFFICER2014-01-22
KROB, JAMESIndividualW-2 MANAGING EMPLOYEE2018-10-18

Other facilities in Charlotte

NameOverallBeds
Mecklenburg Heath and Rehabilitation★★★★★100
Brookdale Carriage Club Providence★★★★☆14
Briar Creek Health Center★★★★☆6
Sardis Oaks★★★★☆124
Sharon Towers★★★★☆19

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.