B90

PAVILION-THS, LLC

Grade B 90/100 composite score

For profit - Limited Liability company

CMS Star Ratings

Overall
5/5
Health Insp.
4/5
Quality
5/5
Staffing
4/5
RN Staffing
Not rated

Certified Beds

60

Ownership

For profit - Limited Liability company

Total Fines

None

Last Survey

N/A

1406 MEDICAL CENTER DRIVE, LEBANON, TN 37087
6154442882

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.54h
LPN
1.37h
CNA
2.55h
Total
4.47h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

PAVILION-THS, LLC

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Nov 2011

100%

L4 LIFESTYLES LLC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Jan 2019

STEIN & ASSOCIATES LLC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Nov 2011

NJEZIC, JOSEPH

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jan 2019

POUND, KEVIN

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Nov 2011

BONE, HAROLD

IndividualCORPORATE OFFICERSince Aug 2011

BONE, MARGARET

IndividualCORPORATE OFFICERSince Aug 2011

NJEZIC, JOSEPH

IndividualW-2 MANAGING EMPLOYEESince Nov 2011

Penalties & Fines

No penalties or fines on record.

Health Inspection Deficiencies (8)

March 27, 2025Health4 deficiencies
0578DMinimal harm, Isolated

Honor 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.

Resident Rights Deficiencies

Corrected Apr 21, 2025
0656EMinimal harm, Pattern

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Resident Assessment and Care Planning Deficiencies

Corrected Apr 21, 2025
0684DMinimal harm, Isolated

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Quality of Life and Care Deficiencies

Corrected Apr 21, 2025
0921DMinimal harm, Isolated

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Environmental Deficiencies

Corrected Apr 21, 2025
October 29, 2019Health1 deficiency
0812DMinimal harm, Isolated

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Nov 15, 2019
November 7, 2018Health3 deficiencies
0695DMinimal harm, Isolated

Provide safe and appropriate respiratory care for a resident when needed.

Quality of Life and Care Deficiencies

Corrected Nov 23, 2018
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Nov 23, 2018
0908DMinimal harm, Isolated

Keep all essential equipment working safely.

Environmental Deficiencies

Corrected Nov 23, 2018

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Frequently Asked Questions

What is the CareGrader rating for PAVILION-THS, LLC?

PAVILION-THS, LLC in LEBANON, Tennessee has a CareGrader grade of B (Good), with a composite score of 89.8 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for PAVILION-THS, LLC?

PAVILION-THS, LLC has an overall CMS star rating of 5 out of 5, a health inspection rating of 4/5, and a staffing rating of 4/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does PAVILION-THS, LLC have?

PAVILION-THS, LLC has 8 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

How many beds does PAVILION-THS, LLC have?

PAVILION-THS, LLC has 60 certified beds with approximately 53 current residents (88% occupancy). The facility is located at 1406 MEDICAL CENTER DRIVE, LEBANON, Tennessee 37087. It is a for profit - limited liability company facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.