Pavilion Health Center at Brightmore

10011 Providence Road West
Charlotte, NC, 28277
9802458500
CCN: 345563
2
Overall
2
Health
3
Staffing
2
Quality
ChainLIBERTY SENIOR LIVING
Special FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
NameRole%
LONG TERM CARE MANAGEMENT SERVICES LLC5% OR GREATER DIRECT OWNERSHIP INTEREST100%
MCNEILL, RONALD5% OR GREATER INDIRECT OWNERSHIP INTEREST50%
MCNEILL, JOHN5% OR GREATER INDIRECT OWNERSHIP INTEREST50%
MILLER, ROBERTCORPORATE DIRECTORNOT APPLICABLE
PURIFOY, PENNYCORPORATE DIRECTORNOT APPLICABLE
WILSON, JEFFREYCORPORATE DIRECTORNOT APPLICABLE
BORK, MATTHEWCORPORATE DIRECTORNOT APPLICABLE
CALCUTT, JOESEPH VCORPORATE OFFICERNOT APPLICABLE
PURIFOY, PENNYOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
LONG TERM CARE MANAGEMENT SERVICES LLCOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
BORK, MATTHEWOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
CALCUTT, JOESEPH VOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
MCNEILL, JOHNOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
MCNEILL, RONALDOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
WILSON, JEFFREYOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
KROB, JAMESW-2 MANAGING EMPLOYEENOT APPLICABLE
Penalties (2)
DateTypeAmount
2025-12-09Fine$26K
2024-03-26Fine$86K
Health Deficiencies (31)
2025-12-09 · Health
J
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2025-07-03 · Health
D
F759 · Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
D
F695 · Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
D
F657 · Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
D
F656 · Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
F641 · Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
D
F605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
2024-03-26 · Health
D
F919 · Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
E
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
E
F867 · Administration Deficiencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
D
F842 · Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
J
F760 · Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
C
F732 · Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
D
F692 · Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
D
F688 · Quality of Life and Care Deficiencies
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.
D
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
E
F679 · Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
D
F658 · Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
D
F657 · Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
D
F656 · Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
E
F641 · Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
D
F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
D
F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
J
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
F584 · Resident Rights Deficiencies
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.
D
F557 · Resident Rights Deficiencies
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
2022-09-29 · Health
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
G
F692 · Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
G
F677 · Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
B
F641 · Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
G
F550 · Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day
3.42
3.68
RN Hrs/Resident/Day
0.44
0.54
LPN Hrs/Resident/Day
0.98
0.81
CNA Hrs/Resident/Day
2.00
2.33
PT Hrs/Resident/Day
0.09
0.12
Data as of 2026-03-01