Pavilion-Ths, LLC

Name: Pavilion-Ths, LLC
Address: 1406 MEDICAL CENTER DRIVE, Lebanon, TN, 37087, US
Telephone: 6154444343

1406 Medical Center Drive, Lebanon, TN 37087 · Wilson County · 60 certified beds · avg 56 residents/day · certified since Dec 17, 2010

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.83

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (8)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Mar 27, 2025	E · Potential for harm, repeated	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Mar 27, 2025	D · Potential for harm, one-off	The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.
Mar 27, 2025	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Mar 27, 2025	D · Potential for harm, one-off	The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors.
Oct 29, 2019	D · Potential for harm, one-off	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Nov 7, 2018	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Nov 7, 2018	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Nov 7, 2018	D · Potential for harm, one-off	The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (1 → 4).

Year	Citations	Worst severity that year
2018	3	D
2019	1	D
2025	4	E

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Tennessee avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	4.83	3.62	3.95	top 9% in Tennessee; top 16% in the U.S.
Registered Nurse hours	0.81	0.57	0.69	top 13% in Tennessee; top 27% in the U.S.
Weekend total nurse staffing	4.03	3.15	3.50	top 10% in Tennessee; top 22% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.62	0.39	0.48	top 10% in Tennessee; top 22% in the U.S.
Total nursing staff turnover (%)	25.0	48.9	45.8	top 3% in Tennessee; top 7% in the U.S.
RN turnover (%)	16.7	43.2	42.9	top 6% in Tennessee; top 9% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.40, RN 0.74, weekend 3.68. Staffing rating: 5/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 4/5 · long-stay residents: 2/5 · short-stay residents: 5/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Pavilion-Ths, LLC	Organization	5% or Greater Direct Ownership Interest	100%	11/19/2011
Bone, Harold	Individual	Corporate Officer	NOT APPLICABLE	08/22/2011
Bone, Margaret	Individual	Corporate Officer	NOT APPLICABLE	08/22/2011
L4 Lifestyles LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	01/01/2019
Njezic, Joseph	Individual	W-2 Managing Employee	NOT APPLICABLE	11/19/2011
Njezic, Joseph	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2019
Pound, Kevin	Individual	Operational/Managerial Control	NOT APPLICABLE	11/19/2011
Stein & Associates LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	11/19/2011

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"Can you show me an example care plan, and how are families included when it's created and updated?"
"How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"Can we tour the whole building today, including resident bathrooms and common areas, not just the lobby?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"How do you inspect and maintain essential equipment, and how quickly are repairs made?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Lebanon Center for Rehabilitation and Healing, LLC	1.4 mi	Lebanon, TN	★★★★★	4/5
Quality Center for Rehabilitation and Healing LLC	3.4 mi	Lebanon, TN	★☆☆☆☆	2/5
Cedar Creek Post Acute	10.4 mi	Mount Juliet, TN	★☆☆☆☆	1/5
The Waters of Gallatin	13.0 mi	Gallatin, TN	★★☆☆☆	3/5
NHC Place Sumner	13.5 mi	Gallatin, TN	★★★★★	5/5
Gallatin Center for Rehabilitation and Healing	13.7 mi	Gallatin, TN	★★★★☆	3/5
Hartsville Convalescent Center	15.6 mi	Hartsville, TN	★☆☆☆☆	2/5
The McKendree Post Acute & Rehabilitation	15.8 mi	Hermitage, TN	★☆☆☆☆	1/5	abuseSFF
NHC Healthcare, Hendersonville	17.6 mi	Hendersonville, TN	★★★☆☆	3/5
Life Care Center of Old Hickory Village	18.6 mi	Old Hickory, TN	★★★☆☆	2/5
Smith County Health and Rehabilitation	19.0 mi	Carthage, TN	★★★★★	5/5
Heartland	19.1 mi	Nashville, TN	★★★★★	4/5

Compare this facility with the 3 closest →

All facilities in Lebanon →

Facility data as of CMS processing date 2026-08-01. CCN 445500.

The Care File

Visit checklist — Pavilion-Ths, LLC

1406 Medical Center Drive, Lebanon, TN 37087 · 6154444343

Health inspection rating 4/5 · CMS overall 5/5· Fines (3y): $0

Questions for the administrator:

☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "Can we tour the whole building today, including resident bathrooms and common areas, not just the lobby?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "How do you inspect and maintain essential equipment, and how quickly are repairs made?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 445500 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)