Elder Care Record

North Carolina › Mecklenburg County › Charlotte

Pavilion Health Center At Brightmore

10011 Providence Road West, Charlotte, NC 28277

CCN 345563 · For-profit, limited liability company · 108 certified beds · chain Liberty Senior Living

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Certified for 108 beds, Pavilion Health Center At Brightmore serves Charlotte in Mecklenburg County, North Carolina and has taken Medicare and Medicaid residents since 2014.

CMS gives it 2 of 5 stars overall, below the North Carolina median of 3; the health inspection rating is 2, staffing 3 and quality measures 3.

Inspectors recorded 31 health deficiencies across the three most recent survey cycles (7, 19, 5 by cycle, most recent first), 6 of them at the actual-harm or immediate-jeopardy level. That is 28.7 per 100 beds, more than the state median of 15.6.

CMS lists 2 penalties in the period covered: fines totalling $103K.

Reported nurse staffing is 3.3 hours per resident per day (0.4 RN), close to the North Carolina median of 3.5; nursing staff turnover is 40.0%.

31health deficiencies, 3 survey cycles6 at actual harm or worse
$103Kfines listed by CMS2 penalties in period
3.3nurse hours per resident per daystate median 3.5
95%occupancy (residents ÷ beds)103 residents a day

Compared with county, state and nation

MeasureThis facilityMecklenburg Co. medianNorth Carolina medianUS average
Overall star rating2233.0
Health citations, 3 cycles31191628.7
Citations per 100 beds28.725.515.626.8
Total nurse hours per resident day3.33.53.53.9
RN hours per resident day0.40.50.50.7
Nursing staff turnover40.0%56.1%48.6%45.8%
Fines listed$103,435$15,470$8,512—

County and state figures are medians across facilities (29 in the county, 419 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)7
Cycle 219
Cycle 35

Dark bar: this facility. Grey bar: North Carolina average per facility for the same cycle, as published by CMS. Standard health survey dates: 3 Jul 2025, 26 Mar 2024.

Severity mix: J ×3 G ×3 D ×19 E ×4 B ×1 C ×1

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
9 Dec 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint investigationPast Non-Compliance
3 Jul 2025F0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.DStandard survey11 Jul 2025
3 Jul 2025F0641Ensure each resident receives an accurate assessment.DStandard survey11 Jul 2025
3 Jul 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey11 Jul 2025
3 Jul 2025F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey11 Jul 2025
3 Jul 2025F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey11 Jul 2025
3 Jul 2025F0759Ensure medication error rates are not 5 percent or greater.DStandard survey11 Jul 2025
26 Mar 2024F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.JComplaint investigation18 Apr 2024
26 Mar 2024F0760Ensure that residents are free from significant medication errors.JComplaint investigation18 Apr 2024
26 Mar 2024F0641Ensure each resident receives an accurate assessment.EStandard survey18 Apr 2024
26 Mar 2024F0679Provide activities to meet all resident's needs.EStandard survey18 Apr 2024
26 Mar 2024F0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.EStandard survey18 Apr 2024
26 Mar 2024F0880Provide and implement an infection prevention and control program.EStandard survey18 Apr 2024
26 Mar 2024F0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.DComplaint investigation18 Apr 2024
26 Mar 2024F0584Honor 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.DComplaint investigation18 Apr 2024
26 Mar 2024F0602Protect each resident from the wrongful use of the resident's belongings or money.DComplaint investigation6 Jan 2024
26 Mar 2024F0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.DStandard survey18 Apr 2024
26 Mar 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey18 Apr 2024
26 Mar 2024F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey18 Apr 2024
26 Mar 2024F0658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint investigation18 Apr 2024
26 Mar 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation18 Apr 2024
26 Mar 2024F0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.DComplaint investigation18 Apr 2024
26 Mar 2024F0692Provide enough food/fluids to maintain a resident's health.DComplaint investigation18 Apr 2024
26 Mar 2024F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard survey18 Apr 2024
26 Mar 2024F0919Make sure that a working call system is available in each resident's bathroom and bathing area.DStandard survey18 Apr 2024
26 Mar 2024F0732Post nurse staffing information every day.CStandard survey16 Apr 2024
29 Sep 2022F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.GStandard survey17 Oct 2022
29 Sep 2022F0677Provide care and assistance to perform activities of daily living for any resident who is unable.GStandard survey17 Oct 2022
29 Sep 2022F0692Provide enough food/fluids to maintain a resident's health.GStandard survey17 Oct 2022
29 Sep 2022F0880Provide and implement an infection prevention and control program.DStandard survey17 Oct 2022
29 Sep 2022F0641Ensure each resident receives an accurate assessment.BStandard survey17 Oct 2022

Penalties

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

Staffing

Total nursing3.32 h
Nurse aides1.94 h
LPN0.95 h
RN0.42 h
Weekend total3.02 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the North Carolina average. Turnover: nursing staff 40.0%, RNs 33.3%; 0 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityNorth Carolina medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay14.6%14.4%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.0%0.4%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay1.7%1.8%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay1.7%3.3%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay3.7%1.1%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay22.5%17.0%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay2.9%5.2%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay11.2%13.2%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: for-profit, limited liability company. Legal business name: Liberty Healthcare Group Llc. Chain: Liberty Senior Living (37 facilities).

OrganisationRole in the CMS recordInterestSince
Long Term Care Management Services LLC5% or greater direct ownership interest100%03/10/2011
Long Term Care Management Services LLCOperational/managerial controlNOT APPLICABLE03/10/2011

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Mecklenburg County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Brookdale Carriage Club ProvidenceCharlotte145541178.6—7 May 2026
Mecklenburg Heath and RehabilitationCharlotte10054299.0$4K23 Jul 2026
Novant Health Presbyterian Medical Center-SnuCharlotte12555541.7—15 Aug 2024
Willowbrooke Court Sc Ctr At Matthews GlenMatthews15545640.0—8 Jul 2025
Briar Creek Health CenterCharlotte64448133.3$9K6 May 2025
Lakeside Health & Rehab CenterHuntersville1144321513.2—11 Dec 2025
The Sharon At SouthparkCharlotte194441052.6—7 Nov 2024
Huntersville Health & Rehabilitation Centerabuse iconHuntersville903231415.6—12 Jun 2026

All 29 facilities in Mecklenburg County

Questions and answers

How many deficiencies has Pavilion Health Center At Brightmore been cited for?

31 health deficiencies across the three most recent survey cycles, 6 at the actual-harm or immediate-jeopardy level. The North Carolina median is 16 per facility.

Has Pavilion Health Center At Brightmore been fined?

Yes. CMS lists fines totalling $103K in the period covered.

How does staffing at Pavilion Health Center At Brightmore compare?

Reported total nurse staffing is 3.3 hours per resident per day against a North Carolina median of 3.5 and a national average of 3.9.

Who operates Pavilion Health Center At Brightmore?

It is part of the Liberty Senior Living chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Long Term Care Management Services LLC and Long Term Care Management Services LLC. Individual owners and managers are not listed on this site.

When was Pavilion Health Center At Brightmore last inspected?

The most recent survey or investigation in the CMS record is dated 9 Dec 2025; the most recent standard health survey was 3 Jul 2025.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.