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The Pavilion - Cpc

1406 MEDICAL CENTER DRIVE
Lebanon, TN 37087-3643
(615) 444-4343
Services Offered:
Skilled Nursing
General Information
Skilled Nursing
Licenses
General Information
Description
Non-Profit
Skilled Nursing
Accommodations
Security Features
Fire sprinkler system
Community
Number of residents: 60
Cost
Payment Sources Accepted
Medicaid
Medicare
Staff
The Pavilion - Cpc exceeds average state scores in 3 of 4 areas.
The Pavilion - Cpc exceeds average region scores in 2 of 4 areas.
Provider Score
State Average
Region Average
Measure
0 hours
2.4 hours
4.8 hours
7.2 hours
9.6 hours
12 hours
Number of Registered Nurse hours per-resident per-day
 
 
 
 
0.34 hours
0.64 hours
0.68 hours
Number of License Practical or Licensed Vocational Nurse hours per-resident per-day
 
 
 
 
1.34 hours
1.01 hours
1.14 hours
Number of Certified Nursing Assistant hours per-resident per-day
 
 
 
 
2.54 hours
2.24 hours
2.3 hours
Total number of licensed staff hours per resident per day
 
 
 
 
1.68 hours
1.66 hours
1.82 hours
0 hours
2.4 hours
4.8 hours
7.2 hours
9.6 hours
12 hours
Star Ratings
The Pavilion - Cpc exceeds average state scores in 0 of 5 areas.
The Pavilion - Cpc exceeds average region scores in 0 of 5 areas.
Provider Score
State Average
Region Average
Measure
0 stars
1 stars
2 stars
3 stars
4 stars
5 stars
Overall Star Rating
 
 
 
 
Not Available
3 stars
2.67 stars
Nurse Staffing Star Rating
 
 
 
 
Not Available
2.86 stars
3.33 stars
Registered Nurse Only Star Rating
 
 
 
 
Not Available
2.7 stars
3.33 stars
Health Inspections Star Rating
 
 
 
 
Not Available
2.81 stars
2.33 stars
Quality Measures Star Rating
 
 
 
 
Not Available
3.38 stars
4 stars
0 stars
1 stars
2 stars
3 stars
4 stars
5 stars
Quality Measures for Short-Stay Patients
The Pavilion - Cpc exceeds average state scores in 0 of 5 areas.
The Pavilion - Cpc exceeds average region scores in 0 of 5 areas.
Provider Score
State Average
Region Average
Measure
0%
20%
40%
60%
80%
100%
Percent of short-stay residents who have delirium
 
 
 
 
Not Available
1.05%
1%
Percent of short-stay residents who had moderate to severe pain
 
 
 
 
Not Available
13.06%
13.33%
Percent of short-stay residents who were assessed and given pneumococcal vaccination
 
 
 
 
Not Available
78.41%
86.33%
Percent of short-stay residents who have pressure sores
 
 
 
 
Not Available
12.36%
13%
Percent of short-stay residents given influenza vaccination during the flu season
 
 
 
 
Not Available
81.72%
88.67%
0%
20%
40%
60%
80%
100%
Quality Measures for Long-Stay Patients
The Pavilion - Cpc exceeds average state scores in 0 of 14 areas.
The Pavilion - Cpc exceeds average region scores in 0 of 14 areas.
Provider Score
State Average
Region Average
Measure
0%
20%
40%
60%
80%
100%
Percent of long-stay residents who have moderate to severe pain
 
 
 
 
Not Available
1.99%
2%
Percent of low-risk long-stay residents who lose control of their bowels or bladder
 
 
 
 
Not Available
49.34%
61.5%
Percent of high-risk long-stay residents who have pressure sores
 
 
 
 
Not Available
9.92%
9.5%
Percent of long-stay residents who spend most of their time in bed or in a chair
 
 
 
 
Not Available
6.14%
6%
Percent of long-stay residents given influenza vaccination during the flu season
 
 
 
 
Not Available
87.77%
89.67%
Percent of long-stay residents who were physically restrained
 
 
 
 
Not Available
4.63%
3.5%
Percent of long-stay residents who have/had a catheter inserted and left in their bladder
 
 
 
 
Not Available
4.62%
4.5%
Percent of long-stay residents whose ability to move about in and around their room got worse
 
 
 
 
Not Available
9.52%
7%
Percent of long-stay residents who lose too much weight
 
 
 
 
Not Available
8.59%
7%
Percent of long-stay residents whose need for help with daily activities has increased
 
 
 
 
Not Available
12.39%
12%
Percent of long-stay residents who had a urinary tract infection
 
 
 
 
Not Available
9.5%
11.5%
Percent of low-risk long-stay residents who have pressure sores
 
 
 
 
Not Available
1.45%
1%
Percent of long-stay residents who were assessed and given pneumococcal vaccination
 
 
 
 
Not Available
84.48%
90%
Percent of long-stay residents who are more depressed or anxious
 
 
 
 
Not Available
10.15%
7.5%
0%
20%
40%
60%
80%
100%
Licenses
US DHHS Skilled Nursing Facility
License No. 445500
Issued by U.S. Department of Health & Human Services
TN Nursing Home
License No. 00000300
Issued by Tennessee Department of Health
Medicare
Issued by Medicare

Data Quality Survey

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