Nursing HomeInspections

Pavilion Health Center at Brightmore

Nursing home in Charlotte, NC

Medicare & Medicaid certified2★ overall (CMS)

Call (980) 245-8500Send a messageMap ↗

Public-record details

Address
10011 Providence Road West, Charlotte, NC 28277
Phone
(980) 245-8500
Listed under
For-profit
Medicare CCN
345563
Overall star rating
2 of 5 ★★☆☆☆
Health inspection rating
2 of 5
Staffing rating
3 of 5
Quality measures rating
3 of 5
Certified beds
108
Average residents per day
103
Ownership
For-profit, limited Liability company
Legal business name
Liberty Healthcare Group LLC
Chain
Liberty Senior Living (37 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Mar 20, 2014
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 345563. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Jul 3, 2025. CMS lists 31 health citations for this facility across its last three standard inspection cycles and complaint inspections (Sep 29, 2022 to Dec 9, 2025): 10 from complaint inspections, 6 at the “actual harm” level or higher, including 3 at “immediate jeopardy”.

InspectionCitationSeverity
Dec 9, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection
J
Immediate jeopardy, isolated
Jul 3, 2025Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Freedom from Abuse, Neglect, and Exploitation
D
Potential for more than minimal harm, isolated
Jul 3, 2025Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning
D
Potential for more than minimal harm, isolated
Jul 3, 2025Develop 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
D
Potential for more than minimal harm, isolated
Jul 3, 2025Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning
D
Potential for more than minimal harm, isolated
Jul 3, 2025Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Jul 3, 2025Ensure medication error rates are not 5 percent or greater.
Pharmacy Service
D
Potential for more than minimal harm, isolated
Mar 26, 2024Post nurse staffing information every day.
Nursing and Physician Services
C
Potential for minimal harm, widespread
Mar 26, 2024Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Resident Rights · complaint inspection
D
Potential for more than minimal harm, isolated
Mar 26, 2024Honor 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.
Resident Rights · complaint inspection
D
Potential for more than minimal harm, isolated
Mar 26, 2024Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection
D
Potential for more than minimal harm, isolated
Mar 26, 2024Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Freedom from Abuse, Neglect, and Exploitation
D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 31. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 2 fines totalling $103,435 in the last three years.

Dec 9, 2025Fine: $16,985
Mar 26, 2024Fine: $86,450

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.32 hours
Registered nurse (RN) time per resident per day
0.42 hours
Nurse aide time per resident per day
1.94 hours
Total nurse staffing on weekends
3.02 hours
Nursing staff turnover (yearly)
40%
RN turnover (yearly)
33%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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