Tennessee › Wilson County › Lebanon
Pavilion-Ths, LLC
1406 Medical Center Drive, Lebanon, TN 37087
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.
Pavilion-Ths, LLC, in Lebanon, Tennessee, is certified for 60 beds under for-profit, limited liability company ownership.
CMS gives it 5 of 5 stars overall, above the Tennessee median of 3; the health inspection rating is 4, staffing 5 and quality measures 4.
Inspectors recorded 8 health deficiencies across the three most recent survey cycles (4, 1, 3 by cycle, most recent first), none at the actual-harm level. That is 13.3 per 100 beds, about the same as the state median of 12.2.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 4.4 hours per resident per day (0.7 RN), close to the Tennessee median of 3.6; nursing staff turnover is 25.0%.
Compared with county, state and nation
| Measure | This facility | Wilson Co. median | Tennessee median | US average |
|---|---|---|---|---|
| Overall star rating | 5 | 5 | 3 | 3.0 |
| Health citations, 3 cycles | 8 | 19 | 13 | 28.7 |
| Citations per 100 beds | 13.3 | 13.3 | 12.2 | 26.8 |
| Total nurse hours per resident day | 4.4 | 4.4 | 3.6 | 3.9 |
| RN hours per resident day | 0.7 | 0.6 | 0.5 | 0.7 |
| Nursing staff turnover | 25.0% | 59.1% | 50.0% | 45.8% |
| Fines listed | $0 | $0 | $0 | — |
County and state figures are medians across facilities (4 in the county, 303 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Tennessee average per facility for the same cycle, as published by CMS. Standard health survey dates: 27 Mar 2025, 29 Oct 2019.
Severity mix: D ×7 E ×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)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 27 Mar 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 21 Apr 2025 |
| 27 Mar 2025 | F0578 | 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. | D | Standard survey | 21 Apr 2025 |
| 27 Mar 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 21 Apr 2025 |
| 27 Mar 2025 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | Standard survey | 21 Apr 2025 |
| 29 Oct 2019 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 15 Nov 2019 |
| 7 Nov 2018 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 23 Nov 2018 |
| 7 Nov 2018 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 23 Nov 2018 |
| 7 Nov 2018 | F0908 | Keep all essential equipment working safely. | D | Standard survey | 23 Nov 2018 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Tennessee average. Turnover: nursing staff 25.0%, RNs 16.7%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Tennessee median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 34.8% | 12.3% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.3% | 0.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.3% | 1.5% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.6% | 3.1% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.6% | 1.2% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 45.4% | 15.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.5% | 4.3% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 20.2% | 15.6% | 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: Pavilion-Ths, Llc.
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Pavilion-Ths, LLC | 5% or greater direct ownership interest | 100% | 11/19/2011 |
| L4 Lifestyles LLC | Operational/managerial control | NOT APPLICABLE | 01/01/2019 |
| Stein & Associates LLC | Operational/managerial control | NOT APPLICABLE | 11/19/2011 |
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 Wilson County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Lebanon Center For Rehabilitation and Healing, LLC | Lebanon | 60 | 5 | 4 | 2 | 4 | 6.7 | — | 17 Aug 2022 |
| Cedar Creek Post Acute | Mount Juliet | 106 | 1 | 1 | 2 | 32 | 30.2 | $211K | 30 Jul 2025 |
| Quality Center For Rehabilitation and Healing LLC | Lebanon | 280 | 1 | 2 | 2 | 19 | 6.8 | — | 7 Jan 2026 |
All 4 facilities in Wilson County
Questions and answers
How many deficiencies has Pavilion-Ths, LLC been cited for?
8 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Tennessee median is 13 per facility.
Has Pavilion-Ths, LLC been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Pavilion-Ths, LLC compare?
Reported total nurse staffing is 4.4 hours per resident per day against a Tennessee median of 3.6 and a national average of 3.9.
Who operates Pavilion-Ths, LLC?
Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Pavilion-Ths, LLC, L4 Lifestyles LLC and Stein & Associates LLC. Individual owners and managers are not listed on this site.
When was Pavilion-Ths, LLC last inspected?
The most recent survey or investigation in the CMS record is dated 27 Mar 2025; the most recent standard health survey was 27 Mar 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.