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.
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)
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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
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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
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Potential for harm · D July 3, 2025
Ensure each resident receives an accurate assessment.
Corrected July 11, 2025 · Resident Assessment and Care Planning
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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
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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
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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
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Potential for harm · D July 3, 2025
Ensure medication error rates are not 5 percent or greater.
Corrected July 11, 2025 · Pharmacy Service
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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
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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
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Potential for harm · E March 26, 2024
Provide activities to meet all resident's needs.
Corrected April 18, 2024 · Quality of Life and Care
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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
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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
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Potential for harm · E March 26, 2024
Provide and implement an infection prevention and control program.
Corrected April 18, 2024 · Infection Control
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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
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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
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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
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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
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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
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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
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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
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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.
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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.