Cycle 1
Health 2021-07-14 · Fire 2021-07-14
2 health deficiencies
Top issue: Infection Control (1 deficiency)
3 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Memphis, TN
Allen Morgan Health And Rehabilitation Center
4-star overall rating with 4-star inspections with 2 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
177 North Highland, Memphis, TN
(901) 325-4003
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
104
Certified beds
Average residents
12
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1980-08-28
CMS approved date
Coverage
Medicare
Participation flags
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.00
Registered nurse staffing
LPN hours / resident day
0.00
Licensed practical nurse staffing
Aide hours / resident day
0.00
Nurse aide staffing
Total nurse hours
0.00
All reported nurse hours
Licensed hours
0.00
RN + LPN hours
Weekend hours
0.00
Weekend nurse staffing
Weekend RN hours
0.00
Weekend registered nurse coverage
Physical therapist
0.00
Reported PT staffing
Adjusted RN hours
0.00
CMS adjusted RN staffing hours
Adjusted total hours
0.00
CMS adjusted total nurse staffing hours
Case-mix index
0.00
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
0%
Annual nurse turnover
SNF VBP
Value-based purchasing
Program rank
4,840
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
38.37
Composite VBP score used to determine payment impact.
Payment multiplier
0.9915
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
3.41
Baseline 17.31% · Performance 19.85% · Measure score 3.41 · Achievement 3.41 · Improvement 0
Healthcare-associated infections
3.40
Baseline 7.34% · Performance 6.82% · Measure score 3.40 · Achievement 3.40 · Improvement 1.73
Total nurse turnover
4.71
Baseline 45.83% · Performance 44.44% · Measure score 4.71 · Achievement 4.71 · Improvement 0.16
Adjusted total nurse staffing
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 12.05% |
10.72%
1.3 pts worse
|
No Different than the National Rate · Eligible stays 268 · Observed rate 11.57% · Lower 95% interval 9.13% |
| Discharge to community | 53.15% |
50.57%
2.6 pts better
|
No Different than the National Rate · Eligible stays 273 · Observed rate 47.25% · Lower 95% interval 47.88% |
| Medicare spending per beneficiary | 1 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 96.15% |
95.27%
0.9 pts better
|
Numerator 150 · Denominator 156 |
| Falls with major injury | 1.92% |
0.77%
1.1 pts worse
|
Numerator 3 · Denominator 156 |
| Discharge self-care score | 78.86% |
53.69%
25.2 pts better
|
Numerator 97 · Denominator 123 |
| Discharge mobility score | 26.83% |
50.94%
24.1 pts worse
|
Numerator 33 · Denominator 123 |
| Pressure ulcers or injuries, new or worsened | 1.29% |
2.29%
1 pts better
|
Numerator 2 · Denominator 155 · Adjusted rate 1.4% |
| Healthcare-associated infections requiring hospitalization | 6.82% |
7.12%
0.3 pts better
|
No Different than the National Rate · Eligible stays 172 · Observed rate 6.4% · Lower 95% interval 4.18% |
| Staff COVID-19 vaccination coverage | 4.46% |
8.2%
3.7 pts worse
|
Numerator 7 · Denominator 157 |
| Staff flu vaccination coverage | Not Available |
42%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Discharge function score | 47.97% |
56.45%
8.5 pts worse
|
Numerator 59 · Denominator 123 |
| Transfer of health information to provider | 93.75% |
95.95%
2.2 pts worse
|
Numerator 45 · Denominator 48 |
| Transfer of health information to patient | 98.13% |
96.28%
1.8 pts better
|
Numerator 105 · Denominator 107 |
| Resident COVID-19 vaccinations up to date | 27.38% |
25.2%
2.2 pts better
|
Numerator 23 · Denominator 84 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 82.2% |
79.6%
2.6 pts better
|
81.7%
0.5 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 88.4% · Q2 85.2% · Q3 79.5% · Q4 73.5% · 4Q avg 82.2% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 4.9% |
11.2%
6.3 pts better
|
12.0%
7.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 4.9% · Observed 5.2% · Expected 11.9% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
1.6%
1.6 pts better
|
1.6%
1.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 89.9% |
79.8%
10.1 pts better
|
79.7%
10.2 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 89.9% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 17.3% |
22.2%
4.9 pts better
|
23.9%
6.6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 17.3% · Observed 18.3% · Expected 25.1% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2019-08-06 · Fire 2019-08-06
0 health deficiencies
No concentrated health issue counts in this cycle.
4 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Cycle 3
Health 2018-10-02 · Fire 2018-10-02
1 health deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
4 fire-safety deficiencies
Top issue: Miscellaneous (2 deficiencies)
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2021-07-14
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2021-08-28
D · Potential for more than minimal harm
2021-07-14
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2021-08-28
D · Potential for more than minimal harm
2021-07-14
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2021-08-28
E · Potential for more than minimal harm
2019-08-06
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2019-09-20
D · Potential for more than minimal harm
2019-08-06
K321 · Smoke Deficiencies
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2019-09-20
D · Potential for more than minimal harm
2019-08-06
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2019-09-20
D · Potential for more than minimal harm
2019-08-06
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2019-09-20
D · Potential for more than minimal harm
2018-10-02
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2018-11-01
D · Potential for more than minimal harm
2018-10-02
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2018-11-01
D · Potential for more than minimal harm
2018-10-02
K781 · Miscellaneous Deficiencies
Fire Safety
Have restrictions on the use of portable space heaters.
Corrected 2018-11-01
D · Potential for more than minimal harm
2018-10-02
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2018-11-01
Inspection history
Recent health citations
F · Potential for more than minimal harm
2021-07-14
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2021-08-21
D · Potential for more than minimal harm
2021-07-14
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2021-08-28
D · Potential for more than minimal harm
2018-10-02
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2018-11-01
Penalties and ownership
What sits behind the stars
Ownership
Calandruccio, James
Corporate Director · Individual
Clark, Kenneth
Corporate Director · Individual
Foster, C Bradford
Corporate Director · Individual
Hanlen, Thomas
Corporate Officer · Individual
Hopkins, Bruce
Corporate Director · Individual
Ivy, John
Corporate Director · Individual
Lee, Linda
W-2 Managing Employee · Individual
Malmo, John
Corporate Director · Individual
Mangum, Merilyn
Corporate Director · Individual
Martin, Paul
Operational/Managerial Control · Individual
Phillips, Kent
Corporate Officer · Individual
Reynolds, Stephen
Corporate Director · Individual
Schadt, Deborah
Corporate Director · Individual
Taylor, Bruce
Corporate Director · Individual
Wade, Dawn
Corporate Officer · Individual
Webb, John
Corporate Officer · Individual
Nearby options
Other facilities in reach
#1
Highlands Health And Rehabilitation Center
Memphis, TN
2-star overall rating with 2-star inspections with $305,320 in total fines with 7 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
#2
Shelby Oaks Post Acute
Memphis, TN
1-star overall rating with 1-star inspections with abuse icon flag with $126,318 in total fines with 13 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
#3
Majestic Gardens At Memphis Rehab & Snc
Memphis, TN
1-star overall rating with 1-star inspections with Special Focus status with $810,404 in total fines with 7 recent health deficiencies with 18 fire-safety deficiencies in the latest cycle
Jump out