Pavilion-Ths, Llc is one of the top-rated nursing facilities in Lebanon, Tennessee, earning an A grade based on CMS data. With a score of 91/100, it ranks in the top 4% of facilities statewide — a strong indicator of quality care.
Staffing at Pavilion-Ths, Llc is near the national average, with 4.18 total nursing hours per resident per day (national average: 3.8 hours).
Recent inspections identified 8 deficiencies at Pavilion-Ths, Llc. While none were classified as the most serious level, families should review the detailed inspection history below.
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 4.18 | 3.8 | Average |
| Registered Nurses (RN) | 0.51 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 1.28 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 2.39 | 2.4 | Average |
| Weekend Total Nursing | 3.60 | 3.8 | Average |
| Weekend RN Hours | 0.43 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0656 Severity EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Mar 26, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0578 Severity DHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, andMar 26, 2025 · Resident Rights Deficiencies
- Tag 0684 Severity DProvide appropriate treatment and care according to orders, resident’s preferences and goals.Mar 26, 2025 · Quality of Life and Care Deficiencies
- Tag 0921 Severity DMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.Mar 26, 2025 · Environmental Deficiencies
- Tag 0812 Severity DProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Oct 28, 2019 · Nutrition and Dietary 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 | 3.5% | 4.5% | Better |
| Falls with major injury | 2.1% | 3.0% | Better |
| On antipsychotic medication | 15.2% | 14.5% | Average |
| Urinary tract infections | 1.4% | 2.5% | Better |
| ADL decline (daily activities) | 30.8% | 14.0% | Worse |
| Excessive weight loss | 11.0% | 7.5% | Worse |
| New/worsened incontinence | 35.8% | 45.0% | Better |
How This Grade Was Calculated
This facility's grade of A is based on a score of 91 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 5★ → 40 pts (max 40)
- Health Inspection Rating: 4★ → 20 pts (max 25)
- Staffing Rating: 4★ → 16 pts (max 20)
- Quality Measures Rating: 5★ → 15 pts (max 15)
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
Other Facilities in Tennessee
- BNHC HEALTHCARE, OAKWOODLEWISBURG
- ANHC HEALTHCARE, DICKSONDICKSON
- DSISKIN SUBACUTE WESTCHATTANOOGA
- BNHC HEALTHCARE, CHATTANOOGACHATTANOOGA
- FASBURY PLACE AT MARYVILLEMARYVILLE