Pavilion Health Center at Brightmore
10011 Providence Road West · Charlotte, NC · 28277 · 9802458500
108 certified beds For profit - Limited Liability company Chain: Liberty Senior Living
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Federal penalties on record: $16,985 in fines in the last 24 months.
- 3 citations involved actual harm to residents.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 2 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.31 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.41 | 0.55–0.75 |
| Weekend hours / resident-day | 3.08 | ≈ weekday level |
| Nursing turnover / year | 43% | median 45% |
| Fines (3-yr window) | 2 · $103,435 |
Inspection citations (31 in the current record)
-
Immediate jeopardy · J December 9, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Past Non-Compliance · Quality of Life and Care
-
Potential for harm · D July 3, 2025
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected July 11, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D July 3, 2025
Ensure each resident receives an accurate assessment.
Corrected July 11, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D July 3, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected July 11, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D July 3, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected July 11, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D July 3, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected July 11, 2025 · Quality of Life and Care
-
Potential for harm · D July 3, 2025
Ensure medication error rates are not 5 percent or greater.
Corrected July 11, 2025 · Pharmacy Service
-
Immediate jeopardy · J March 26, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected April 18, 2024 · Freedom from Abuse, Neglect, and Exploitation
-
Immediate jeopardy · J March 26, 2024 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected April 18, 2024 · Pharmacy Service
-
Potential for harm · D March 26, 2024
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected April 18, 2024 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · E March 26, 2024
Ensure each resident receives an accurate assessment.
Corrected April 18, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D March 26, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 18, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D March 26, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected April 18, 2024 · Resident Assessment and Care Planning
-
Potential for harm · E March 26, 2024
Provide activities to meet all resident's needs.
Corrected April 18, 2024 · Quality of Life and Care
-
Potential for harm · D March 26, 2024
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected April 18, 2024 · Resident Assessment and Care Planning
-
Potential for harm · E March 26, 2024
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected April 18, 2024 · Administration
-
Potential for harm · E March 26, 2024
Provide and implement an infection prevention and control program.
Corrected April 18, 2024 · Infection Control
-
Potential for harm · D March 26, 2024
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected April 18, 2024 · Environmental
-
Potential for harm · D March 26, 2024 · found via complaint
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected April 18, 2024 · Resident Rights
-
Potential for harm · D March 26, 2024 · found via complaint
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected April 18, 2024 · Resident Rights
-
Potential for harm · D March 26, 2024 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected January 6, 2024 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D March 26, 2024 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected April 18, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D March 26, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 18, 2024 · Quality of Life and Care
-
Potential for harm · D March 26, 2024 · found via complaint
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected April 18, 2024 · Quality of Life and Care
-
Potential for harm · D March 26, 2024 · found via complaint
Provide enough food/fluids to maintain a resident's health.
Corrected April 18, 2024 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| December 9, 2025 | Fine | $16,985 |
| March 26, 2024 | Fine | $86,450 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 345563 · certified since March 20, 2014. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.