With a score of 24/100, Pavilion Health Center At Brightmore ranks in the bottom tier of North Carolina nursing facilities, earning an F grade. CMS data highlights significant concerns that prospective residents and families should thoroughly evaluate.
Staffing at Pavilion Health Center At Brightmore is near the national average, with 3.42 total nursing hours per resident per day (national average: 3.8 hours).
Recent CMS inspections identified 31 deficiencies at Pavilion Health Center At Brightmore, including 3 classified as serious — among the most concerning citation levels. The most notable finding involved: ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.42 | 3.8 | Average |
| Registered Nurses (RN) | 0.44 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.98 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 2.00 | 2.4 | Below Average |
| Weekend Total Nursing | 3.16 | 3.8 | Below Average |
| Weekend RN Hours | 0.39 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0689 Severity JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Dec 8, 2025 · Quality of Life and Care Deficiencies
- Tag 0605 Severity DPrevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.Jul 2, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Tag 0641 Severity DEnsure each resident receives an accurate assessment.Jul 2, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0656 Severity DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Jul 2, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0657 Severity DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Jul 2, 2025 · Resident Assessment and Care Planning Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 4.8% | 4.5% | Average |
| Falls with major injury | 3.8% | 3.0% | Worse |
| On antipsychotic medication | 8.1% | 14.5% | Better |
| Urinary tract infections | 1.4% | 2.5% | Better |
| ADL decline (daily activities) | 14.6% | 14.0% | Average |
| Excessive weight loss | 3.9% | 7.5% | Better |
| New/worsened incontinence | 26.7% | 45.0% | Better |
⚠️ Penalties & Fines
2 penalties recorded by CMS
Total fines: $112,580
How This Grade Was Calculated
This facility's grade of F is based on a score of 24 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 2★ → 16 pts (max 40)
- Health Inspection Rating: 2★ → 10 pts (max 25)
- Staffing Rating: 3★ → 12 pts (max 20)
- Quality Measures Rating: 2★ → 6 pts (max 15)
- Penalty deductions: -10 pts
- Fine deductions: -10 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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