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Pavilion-Ths, LLC

1406 Medical Center Drive, Lebanon, TN 37087 · Wilson County · (615) 444-4343

60 certified beds, about 56 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 2010

CMS high performing icon Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
4 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 445500 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on June 17, 2026, inspectors cited 3 health deficiencies (the Tennessee average is 4.4, the national average 9.2).

None of its 8 health citations since October 2019 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 4.40 hours per resident per day, against 3.80 across Tennessee and 3.86 nationally. Registered nurses accounted for 0.74 of those hours.

25.0% of nursing staff left within the year CMS measured (Tennessee average 48.9%).

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 8 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
7D
1E
0F
Potential for minimal harm
0A
0B
0C
June 17, 2026Standard inspection · 3 citations
  1. D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 17, 2026
    Inspectors wroteBased on policy review, medical record review, observation, and interview, the facility failed to follow the Physician's Order for wound treatment on 1 of 2 (Resident #2) residents reviewed for pressure ulcers.
  2. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 17, 2026
    Inspectors wroteBased on facility policy review, medical record review, observation, and interview, the facility failed to follow Physician's Orders for oxygen therapy for 1 of 1 (Resident #20) residents reviewed for respiratory care.
  3. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 17, 2026
    Inspectors wroteBased on facility policy review, medical record review, observation, and interview, the facility failed to ensure infection control practices to prevent the spread of communicable diseases for 1 of 2 (Resident #6) residents sampled reviewed for the use of Enhanced Barrier Precautions (EBP).
March 27, 2025Standard inspection · 4 citations
  1. E
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 21, 2025
    Inspectors wroteBased on policy review, medical record review, observation, and interview, the facility failed to implement a person-centered care plan to address the code status for 21 of 24 (Resident #2, #4, #5, #9, #11, #15, #16, #17, #19, #22, #25, #27, #29, #32, #33, #34, #45, #48, #51, #207 and #257) sampled residents and failed to implement a fall intervention for 1 (Resident #18) of 6 residents reviewed for accidents.
  2. D
    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.
    F578 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 21, 2025
    Inspectors wroteBased on facility policy review, medical record review and interview, the facility failed to accurately address an advanced directive for 1 (Resident #16) of 24 residents reviewed.
  3. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 21, 2025
    Inspectors wroteBased on facility policy review, medical record review, observation, and interview, the facility failed to obtain a physician's orders related to skin care treatments for 1 of 3 (Resident #33) residents reviewed for skin conditions.
  4. D
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    F921 · Environmental · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 21, 2025
    Inspectors wroteBased on facility policy review, observation, and interview, the facility failed to provide a safe, sanitary, and homelike environment for 6 of 32 (Resident #8, 11, 14, 25, 27, 31, 33, 48, 51, 207) resident rooms observed.
October 29, 2019Standard inspection · 1 citation
  1. D
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 15, 2019
    Inspectors wroteBased on facility policy review, medical record review, observation and interview, the facility failed to store foods in a safe and sanitary manner as evidenced by expired foods in the walk-in refrigerator and on the shelf in the dry storage room and serve food in a safe and sanitary manner for 1 of 30 residents (#31) during the lunch meal on 10/27/19.

Fire safety inspections

5 fire safety citations on file: 1 on June 17, 2026, 3 on March 27, 2025, 1 on October 29, 2019.

Every fire safety citation5 citations
  1. D
    Properly select, install, inspect, or maintain portable fire extinguishes.
    K 355 · June 17, 2026 · Not yet corrected
  2. D
    Develop and maintain an Emergency Preparedness Program (EP).
    E 4 · March 27, 2025 · Corrected (the home has a date of correction)
  3. D
    Address subsistence needs for staff and patients.
    E 15 · March 27, 2025 · Corrected (the home has a date of correction)
  4. D
    List the names and contact information of those in the facility.
    E 30 · March 27, 2025 · Corrected (the home has a date of correction)
  5. D
    Ensure proper usage of power strips and extension cords.
    K 920 · October 29, 2019 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeTennesseeUnited States
All nursing staff (RN, LPN and aides)4.403.803.86
Registered nurses0.740.600.69
All nursing staff on weekends3.683.313.42
Nurse aides2.48
Licensed practical nurses1.19
Nursing staff turnover (share who left in a year)25.0%48.9%45.8%
Registered nurse turnover16.7%43.2%42.9%
Administrators who left0

CMS expects 3.49 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.70 on weekdays and 3.68 on weekends, 22% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 2.2% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.15 in April to June 2025 to 4.40 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20264.400.744.703.68 2.2%0 of 9056
Oct to Dec 20254.390.724.633.77 3.6%0 of 9254
Jul to Sep 20254.180.514.403.60 4.8%0 of 9254
Apr to Jun 20254.150.644.373.60 4.4%0 of 9155
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Tennessee, Jan to Mar 20263.750.563.953.274.0%0.7% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.

Official wage estimates for Tennessee

JobMedianMiddle halfEmployed
Tennessee, all employers
CNAs (nursing assistants)$18.27$17.09 to $19.6627,040
LPNs and LVNs$28.31$23.64 to $30.1220,830
Registered nurses$39.18$36.28 to $45.7972,200
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

Work here? Share your pay anonymously

For Pavilion-Ths, LLC. No name, email or phone, and nothing you could type about a resident: every answer is a number or a choice.

Your job
Employed by
Usual shift
Do you get a shift differential?
Optional questions
Mandatory overtime?
How did staffing feel on your usual shift?

Every report is reviewed before it counts; what it says about the home never decides whether it counts. How pay reports are handled.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeTennesseeUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
34.814.013.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.30.70.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
1.31.81.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
2.63.43.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
1.61.71.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
45.417.214.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
4.55.04.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
20.216.915.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
19.322.623.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
5.211.212.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.01.71.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.31.61.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Pavilion-Ths, LLC's Medicare short-stay residents. On returning residents home or to the community, CMS rates it better than the national rate (69.8% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

69.8% this home

Better than the national rate

US median of homes 51.5% · Tennessee: 62 better, 16 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 223 eligible stays.

Potentially preventable readmissions

10.0% this home

No different from the national rate

US median of homes 10.7% · Tennessee: 1 better, 7 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 225 eligible stays.

Infections that led to a hospital stay

7.0% this home

No different from the national rate

US median of homes 7.1% · Tennessee: 2 better, 1 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 147 eligible stays.

Self-care and mobility at discharge

56.6% this home

Median of homes: Tennessee58.3% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 122 residents counted.

Falls with major injury

0.7% this home

Median of homes: Tennessee0.8% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 135 residents counted.

New or worsened pressure ulcers

1.6% this home

Median of homes: Tennessee1.6% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 135 residents counted.

Medication list given at discharge

98.6% this home

Median of homes: Tennessee98.7% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 73 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: PAVILION-THS, LLC.

NameRoleTypeShareSince
Pavilion-Ths, LLC5% or greater direct ownership interestOrganization100%11/19/2011
Njezic, JosephW-2 managing employeeIndividual11/19/2011
Bone, HaroldCorporate officerIndividual08/22/2011
Bone, MargaretCorporate officerIndividual08/22/2011
L4 Lifestyles LLCOperational/managerial controlOrganization01/01/2019
Stein & Associates LLCOperational/managerial controlOrganization11/19/2011
Njezic, JosephOperational/managerial controlIndividual01/01/2019
Pound, KevinOperational/managerial controlIndividual11/19/2011

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 3 problems in this area, most recently on June 17, 2026: "Provide appropriate pressure ulcer care and prevent new ulcers from developing."
  2. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on June 17, 2026: "Provide and implement an infection prevention and control program."
  3. When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on March 27, 2025: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
  4. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on March 27, 2025: "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."

Other nursing homes nearby

Tennessee contacts for a concern about a nursing home

These are the official offices in Tennessee. NursingHomeClear cannot take or act on complaints.

Common questions

What is Pavilion-Ths, LLC's Medicare star rating?
CMS rates Pavilion-Ths, LLC 5 out of 5 stars overall, with 4 for health inspections, 5 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Pavilion-Ths, LLC get at its last inspection?
3 health deficiencies at the standard inspection on June 17, 2026. The Tennessee average is 4.4.
Has Pavilion-Ths, LLC been fined?
CMS lists no fines in the last three years.
Does Pavilion-Ths, LLC accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Pavilion-Ths, LLC?
CMS lists 8 owners and managers. Legal business name: PAVILION-THS, LLC.

Sources

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