Pavilion Health Center at Brightmore
State inspectors recorded 3 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.
Serious inspection findings
2025-12-09 — IMMEDIATE JEOPARDY (tag F0689, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2024-03-26 — IMMEDIATE JEOPARDY (tag F0760, severity J)
Pharmacy Service Deficiencies · correction not recorded in CMS data
Ensure that residents are free from significant medication errors.
2024-03-26 — IMMEDIATE JEOPARDY (tag F0600, severity J)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2022-09-29 — ACTUAL HARM (tag F0692, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide enough food/fluids to maintain a resident's health.
2022-09-29 — ACTUAL HARM (tag F0677, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide care and assistance to perform activities of daily living for any resident who is unable.
2022-09-29 — ACTUAL HARM (tag F0550, severity G)
Resident Rights Deficiencies · correction not recorded in CMS data
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Staffing, from payroll records
Nursing hours / resident / day
2.92
state median 3.11
Weekend staffing gap
−8%
fewer nursing hours on weekends · state median −7%
RN hours / resident / day
0.30
registered nurses only
Contract (agency) staff
0%
share of all nursing hours
Nursing staff turnover
40%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
2 enforcement action(s), totaling $103,435 in fines.
| Date | Type | Amount |
|---|---|---|
| 2025-12-09 | Fine | $16,985 |
| 2024-03-26 | Fine | $86,450 |
Ownership
Ownership type: For profit - Limited Liability company. Part of the LIBERTY SENIOR LIVING chain.
Other facilities under the same ownership, with their CMS overall ratings:
- Royal Park Rehabilitation & Health Center (Matthews, NC) —
- Summerstone Health and Rehabilitation Center (Kernersville, NC) —
- The Foley Center at Chestnut Ridge (Blowing Rock, NC) —
- Woodhaven Nursing Center (Lumberton, NC) —
- Yadkin Nursing and Care Center (Yadkinville, NC) —
- Capital Nursing and Rehabilitation Center (Raleigh, NC) —
- Liberty Commons Nursing and Rehabilitation Center (Whiteville, NC) —
- Elizabethtown Healthcare & Rehab Center (Elizabethtown, NC) —
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2025-12-09 | F0689 | Quality of Life and Care Deficiencies | J | not recorded |
| 2025-07-03 | F0605 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2025-07-03 | F0641 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-07-03 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-07-03 | F0657 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-07-03 | F0695 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-07-03 | F0759 | Pharmacy Service Deficiencies | D | not recorded |
| 2024-03-26 | F0557 | Resident Rights Deficiencies | D | not recorded |
| 2024-03-26 | F0584 | Resident Rights Deficiencies | D | not recorded |
| 2024-03-26 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | J | not recorded |
| 2024-03-26 | F0602 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2024-03-26 | F0604 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2024-03-26 | F0641 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2024-03-26 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-03-26 | F0657 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-03-26 | F0658 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-03-26 | F0679 | Quality of Life and Care Deficiencies | E | not recorded |
| 2024-03-26 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-03-26 | F0688 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-03-26 | F0692 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-03-26 | F0732 | Nursing and Physician Services Deficiencies | C | not recorded |
| 2024-03-26 | F0760 | Pharmacy Service Deficiencies | J | not recorded |
| 2024-03-26 | F0842 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-03-26 | F0867 | Administration Deficiencies | E | not recorded |
| 2024-03-26 | F0880 | Infection Control Deficiencies | E | not recorded |
| 2024-03-26 | F0919 | Environmental Deficiencies | D | not recorded |
| 2022-09-29 | F0550 | Resident Rights Deficiencies | G | not recorded |
| 2022-09-29 | F0641 | Resident Assessment and Care Planning Deficiencies | B | not recorded |
| 2022-09-29 | F0677 | Quality of Life and Care Deficiencies | G | not recorded |
| 2022-09-29 | F0692 | Quality of Life and Care Deficiencies | G | not recorded |
| 2022-09-29 | F0880 | Infection Control Deficiencies | D | not recorded |