Nursing HomeInspections

Pavilion-Ths, Llc

Nursing home in Lebanon, TN

Medicare & Medicaid certified5★ overall (CMS)

Call (615) 444-4343Send a messageMap ↗

Public-record details

Address
1406 Medical Center Drive, Lebanon, TN 37087
Phone
(615) 444-4343
Listed under
For-profit, 4–5 star overall rating, No fines in 3 years
Medicare CCN
445500
Overall star rating
5 of 5 ★★★★★
Health inspection rating
4 of 5
Staffing rating
5 of 5
Quality measures rating
4 of 5
Certified beds
60
Average residents per day
56
Ownership
For-profit, limited Liability company
Legal business name
Pavilion-Ths, LLC
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Dec 17, 2010
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 445500. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Mar 27, 2025. CMS lists 8 health citations for this facility across its last three standard inspection cycles and complaint inspections (Nov 7, 2018 to Mar 27, 2025): 0 from complaint inspections, 0 at the “actual harm” level or higher.

InspectionCitationSeverity
Mar 27, 2025Honor 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…
Resident Rights
D
Potential for more than minimal harm, isolated
Mar 27, 2025Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Mar 27, 2025Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental
D
Potential for more than minimal harm, isolated
Mar 27, 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
E
Potential for more than minimal harm, pattern
Oct 29, 2019Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary
D
Potential for more than minimal harm, isolated
Nov 7, 2018Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Nov 7, 2018Provide and implement an infection prevention and control program.
Infection Control
D
Potential for more than minimal harm, isolated
Nov 7, 2018Keep all essential equipment working safely.
Environmental
D
Potential for more than minimal harm, isolated

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 no fines or payment denials for this facility in the last three years.

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
4.40 hours
Registered nurse (RN) time per resident per day
0.74 hours
Nurse aide time per resident per day
2.48 hours
Total nurse staffing on weekends
3.68 hours
Nursing staff turnover (yearly)
25%
RN turnover (yearly)
17%
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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