Starfile

Starfile / Tennessee

PAVILION-THS, LLC

1406 MEDICAL CENTER DRIVE, LEBANON, TN 37087 · CCN 445500

Ratings

Overall
★★★★★ 5
Health inspection
★★★★☆ 4
Quality measures
★★★★★ 5
Staffing
★★★★☆ 4

Facility

Ownership type
For profit - Limited Liability company
Certified beds
60
Avg residents/day
53.7
Phone
6154442882

Inspection history vs Tennessee & national averages

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

CycleInspection dateThis facilityTennessee avgNational avgvs state
12025-03-2745.89.5-1.8 better
22019-10-2914.69.8-3.6 better
32018-11-0734.69.3-1.6 better

Cycle 1 deficiencies by category

CategoryDeficiencies
Quality of life and care1
Resident assessment and care planning1
Resident rights1
Environmental1

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)4.1823.2%
RN staffing (reported)0.5114.3%
Total nurse staffing (adjusted)4.47

Fines & penalties

Total fines
$0
Number of fines
0
Number of penalties
0
Payment denials
0

Inspection citations (8)

  1. DF0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.2025-03-27 · Health · corrected 2025-04-21

    Potential for more than minimal harm

  2. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-03-27 · Health · corrected 2025-04-21

    Potential for more than minimal harm

  3. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-03-27 · Health · corrected 2025-04-21

    Potential for more than minimal harm

  4. DF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2025-03-27 · Health · corrected 2025-04-21

    Potential for more than minimal harm

  5. DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2019-10-29 · Health · corrected 2019-11-15

    Potential for more than minimal harm

  6. DF0695Provide safe and appropriate respiratory care for a resident when needed.2018-11-07 · Health · corrected 2018-11-23

    Potential for more than minimal harm

  7. DF0880Provide and implement an infection prevention and control program.2018-11-07 · Health · corrected 2018-11-23

    Potential for more than minimal harm

  8. DF0908Keep all essential equipment working safely.2018-11-07 · Health · corrected 2018-11-23

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
PAVILION-THS, LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%2011-11-19
L4 LIFESTYLES LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL2019-01-01
STEIN & ASSOCIATES LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL2011-11-19
NJEZIC, JOSEPHIndividualOPERATIONAL/MANAGERIAL CONTROL2019-01-01
POUND, KEVINIndividualOPERATIONAL/MANAGERIAL CONTROL2011-11-19
BONE, HAROLDIndividualCORPORATE OFFICER2011-08-22
BONE, MARGARETIndividualCORPORATE OFFICER2011-08-22
NJEZIC, JOSEPHIndividualW-2 MANAGING EMPLOYEE2011-11-19

Other facilities in LEBANON

NameOverallBeds
LEBANON CENTER FOR REHABILITATION AND HEALING, LLC★★★★★60
QUALITY CENTER FOR REHABILITATION AND HEALING LLC★☆☆☆☆280

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