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Pavilion, The Cpc

Details

Type of Ownership For profit - Corporation
Participates in Medicare? Yes
Participates in Medicaid? No
Certified Beds 2
Continuing Care? No
Resident Council? No
Family Council? No
Multi-Home Chain? No
Located in a Hospital? No
Special Focus Facility? No

View:    Health Inspections  |  Quality Measures  |  Staffing  |  Fire Inspections

Health Inspections  

Most Recent Inspection: 02/17/2012

Date of last standard health inspection: 02/17/2012
Quality Indicator Survey No
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Health Deficiencies for this nursing home: 0
Average number of Health Deficiencies in TN: 2
Average number of Health Deficiencies in US: 3
Range of Health Deficiencies in TN: 0 - 11

Inspection, 01/07/2002

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep accurate, complete and organized clinical records on each resident that meet professional standards. 01/07/2002 01/07/2003 2 Few
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Store, cook, and serve food in a safe and clean way. 01/07/2002 02/01/2002 2 Some
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. 01/07/2002 01/07/2003 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide necessary care and services to maintain or improve the highest well being of each resident. 01/07/2002 01/07/2003 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 01/07/2002 01/06/2003 2 Few

Nursing Home Staffing  

Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.

National Average Average in TN Golden Living Center, Asheville
RN Staff Only1 N/A N/A 3 out of 5 stars
Total Number of Residents 86 96 60
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 14 hours 43 minutes 1 hour 29 minutes
RN Hours
per Resident per Day
16 hours 3 minutes 13 hours 45 minutes 28 minutes
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 14 hours 20 minutes 1 hour
CNA Hours
per Resident per Day
17 hours 46 minutes 15 hours 24 minutes 2 hours 30 minutes

1 The star rating a nursing home received for the information it provided about its Registered Nurse (RN) staffing. RNs have between 2 and 6 years of education.

Quality Measures  

Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.

Long-Term Residents

Short-Term Residents

Fire Safety Inspections

Lists the fire safety requirements that the nursing home failed to meet. Fire safety results are not included in the nursing home's Overall Rating.

Most Recent Inspection: 02/13/2012

Automatic Sprinkler Systems in all required areas 100
Date of last standard fire safety inspection: 02/13/2012
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Fire Safety Deficiencies for this nursing home: 0
Average number of Fire Safety Deficiencies in TN: 1
Average number of Fire Safety Deficiencies in US: 2
Range of Fire Safety Deficiencies in TN: 0 - 1

Inspection, 02/02/2011

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
An approved automatic sprinkler system connected to the fire alarm system. 02/02/2011 03/00/2011 2 Some
Portable fire extinguishers. 02/02/2011 02/09/2011 2 Some
Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridor and hallway doors that block smoke. 02/02/2011 01/03/2012 2 Few
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed electrical wiring and equipment. 02/02/2011 03/00/2011 2 Few
Fire Alarm Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
An approved installation, maintenance and testing program for fire alarm systems. 02/02/2011 02/03/2011 2 Some
Properly maintained smoke detectors. 02/02/2011 02/09/2011 2 Some
Hazardous Area Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. 02/02/2011 02/09/2011 2 Few
Laboratories Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Proper facilities for the use and storage of combustible liquids. 02/02/2011 02/09/2011 2 Few

Inspection, 01/03/2002

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Portable fire extinguishers. 01/03/2002 01/04/2002 2 Few
 

1406 Medical Center Drive
Lebanon, TN 37087

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