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
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
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
Staffing
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
Weekend hours
0.00
Weekend nurse staffing
RN turnover
0%
Annual RN turnover
Total nurse turnover
0%
Annual nurse turnover
Quality measures
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
Survey summary
Top issue: Infection Control (1 deficiency)
3 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
No concentrated health issue counts in this cycle.
4 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Top issue: Nutrition and Dietary (1 deficiency)
4 fire-safety deficiencies
Top issue: Miscellaneous (2 deficiencies)
Fire safety
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2021-08-28
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2021-08-28
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2021-08-28
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2019-09-20
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
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2019-09-20
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2019-09-20
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2018-11-01
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2018-11-01
Fire Safety
Have restrictions on the use of portable space heaters.
Corrected 2018-11-01
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2018-11-01
Inspection history
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
Health
Provide and implement an infection prevention and control program.
Corrected 2021-08-28
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
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Director · Individual
W-2 Managing Employee · Individual
Corporate Director · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Nearby options
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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
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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
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