1 health deficiencies
Top issue: Infection Control (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Memphis, TN
3-star overall rating with 2-star inspections with $12,740 in total fines with 1 recent health deficiencies
3933 Allenbrooke Cove, Memphis, TN
(901) 795-2444
Overall
3 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
180
Certified beds
Average residents
159
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Norbert Bennett & Donald Denz
Operator or chain grouping
Approved since
2007-05-09
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
29 facilities
Chain averages 2 overall / 2 health / 3 staffing / 2 quality stars
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
RN hours / resident day
0.47
Registered nurse staffing · state 0.61 · national 0.68
LPN hours / resident day
0.99
Licensed practical nurse staffing · state 1.09 · national 0.87
Aide hours / resident day
1.94
Nurse aide staffing · state 2.15 · national 2.35
Total nurse hours
3.39
All reported nurse hours · state 3.85 · national 3.89
Licensed hours
1.46
RN + LPN hours · state 1.70 · national 1.54
Weekend hours
2.89
Weekend nurse staffing · state 3.34 · national 3.43
Weekend RN hours
0.32
Weekend registered nurse coverage · state 0.40 · national 0.47
Physical therapist
0.10
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
0.52
CMS adjusted RN staffing hours
Adjusted total hours
3.81
CMS adjusted total nurse staffing hours
Case-mix index
1.22
Higher values indicate more complex resident acuity
RN turnover
67%
Annual RN turnover · state 45% · national 45%
Total nurse turnover
56%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Program rank
10,985
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
18.43
Composite VBP score used to determine payment impact.
Payment multiplier
0.9820
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Baseline 19.71% · Performance 22.03% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
2.17
Baseline 9.92% · Performance 8.61% · Measure score 2.17 · Achievement 0 · Improvement 2.17
Total nurse turnover
3.45
Baseline 70.55% · Performance 52.50% · Measure score 3.45 · Achievement 2.74 · Improvement 3.45
Adjusted total nurse staffing
1.76
Baseline 3.50 hours · Performance 3.58 hours · Measure score 1.76 · Achievement 1.76 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.58% |
10.72%
0.1 pts better
|
No Different than the National Rate · Eligible stays 112 · Observed rate 11.61% · Lower 95% interval 7.21% |
| Discharge to community | 51.31% |
50.57%
0.7 pts better
|
No Different than the National Rate · Eligible stays 87 · Observed rate 37.93% · Lower 95% interval 39.21% |
| Medicare spending per beneficiary | 1.42 |
1.02
0.4 pts worse
|
|
| Drug regimen review with follow-up | 79.79% |
95.27%
15.5 pts worse
|
Numerator 75 · Denominator 94 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 94 |
| Discharge self-care score | 44.19% |
53.69%
9.5 pts worse
|
Numerator 19 · Denominator 43 |
| Discharge mobility score | 48.84% |
50.94%
2.1 pts worse
|
Numerator 21 · Denominator 43 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 94 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 8.61% |
7.12%
1.5 pts worse
|
No Different than the National Rate · Eligible stays 82 · Observed rate 14.63% · Lower 95% interval 6.28% |
| Staff COVID-19 vaccination coverage | 1.31% |
8.2%
6.9 pts worse
|
Numerator 3 · Denominator 229 |
| Staff flu vaccination coverage | 3.34% |
42%
38.7 pts worse
|
Numerator 11 · Denominator 329 |
| Discharge function score | 37.21% |
56.45%
19.2 pts worse
|
Numerator 16 · Denominator 43 |
| Transfer of health information to provider | 89.58% |
95.95%
6.4 pts worse
|
Numerator 43 · Denominator 48 |
| Transfer of health information to patient | 73.08% |
96.28%
23.2 pts worse
|
Numerator 19 · Denominator 26 |
| Resident COVID-19 vaccinations up to date | 16.07% |
25.2%
9.1 pts worse
|
Numerator 9 · Denominator 56 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.0 |
1.6
0.4 pts worse
|
1.9
0.1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 2.2 · Expected 2.0 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.9 |
1.6
0.7 pts better
|
1.8
0.9 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.9 · Observed 0.8 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 95.8% |
89.9%
5.9 pts better
|
93.4%
2.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 91.9% · Q2 96.5% · Q3 96.0% · Q4 98.6% · 4Q avg 95.8% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 96.7% |
94.5%
2.2 pts better
|
95.5%
1.2 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 96.7% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.2% |
3.6%
3.4 pts better
|
3.3%
3.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.7% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.2% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.0% |
11.8%
11.8 pts better
|
11.4%
11.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents who lose too much weight | 4.7% |
6.2%
1.5 pts better
|
5.4%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.1% · Q2 3.8% · Q3 2.1% · Q4 8.6% · 4Q avg 4.7% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 8.4% |
32.2%
23.8 pts better
|
19.6%
11.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.4% · Q2 8.9% · Q3 8.3% · Q4 7.0% · 4Q avg 8.4% |
| Percentage of long-stay residents who received an antipsychotic medication | 9.1% |
18.1%
9 pts better
|
16.7%
7.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.2% · Q2 7.4% · Q3 9.7% · Q4 9.9% · 4Q avg 9.1% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.1%
0.1 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 8.1% |
19.9%
11.8 pts better
|
16.3%
8.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 4.3% · Q3 18.4% · Q4 8.5% · 4Q avg 8.1% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 6.0% |
15.3%
9.3 pts better
|
14.9%
8.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.2% · Q2 7.7% · Q3 5.5% · Q4 4.7% · 4Q avg 6.0% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
0.9%
0.9 pts better
|
1.0%
1 pts better
|
Long 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 long-stay residents with a urinary tract infection | 0.5% |
1.9%
1.4 pts better
|
1.7%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.4% · Q4 0.7% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 2.2% |
20.2%
18 pts better
|
19.8%
17.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.7% · Q2 1.7% · Q3 0.7% · Q4 0.0% · 4Q avg 2.2% |
| Percentage of long-stay residents with pressure ulcers | 6.4% |
5.4%
1 pts worse
|
5.1%
1.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.0% · Q2 8.0% · Q3 7.2% · Q4 6.2% · 4Q avg 6.4% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 91.3% |
79.6%
11.7 pts better
|
81.7%
9.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 87.2% · Q2 92.5% · Q3 95.9% · Q4 90.5% · 4Q avg 91.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 8.5% |
11.2%
2.7 pts better
|
12.0%
3.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 8.5% · Observed 9.7% · Expected 12.7% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.7% |
1.6%
0.9 pts better
|
1.6%
0.9 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 1.2% · Q3 0.0% · Q4 0.0% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 86.8% |
79.8%
7 pts better
|
79.7%
7.1 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 86.8% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 25.8% |
22.2%
3.6 pts worse
|
23.9%
1.9 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 25.8% · Observed 29.2% · Expected 27.0% · Used in QM five-star |
Survey summary
Top issue: Infection Control (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Top issue: Resident Assessment and Care Planning (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
No concentrated health issue counts in this cycle.
25 fire-safety deficiencies
Top issue: Emergency Preparedness (14 deficiencies)
Fire safety
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2020-04-15
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2020-02-14
Fire Safety
Establish policies and procedures for sheltering.
Corrected 2020-02-14
Fire Safety
Establish policies and procedures for volunteers.
Corrected 2020-04-08
Fire Safety
Create arrangements with other facilities to receive patients.
Corrected 2020-02-14
Fire Safety
Establish roles under a Waiver declared by secretary.
Corrected 2020-04-08
Fire Safety
Provide emergency officials' contact information.
Corrected 2020-02-14
Fire Safety
Provide a means of sharing information on occupancy/needs.
Corrected 2020-04-08
Fire Safety
Provide family notifications of emergency plan.
Corrected 2020-02-14
Fire Safety
Establish emergency prep training and testing.
Corrected 2020-02-14
Fire Safety
Establish staff and initial training requirements.
Corrected 2020-02-14
Fire Safety
Conduct testing and exercise requirements.
Corrected 2020-02-14
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2020-02-14
Fire Safety
Conduct risk assessment and an All-Hazards approach.
Corrected 2020-02-14
Fire Safety
Include a process for Emergency Preparedness collaboration.
Corrected 2020-02-14
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 2020-04-15
Fire Safety
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
Corrected 2020-01-30
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2020-01-29
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2020-02-25
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2020-01-30
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2020-01-30
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2020-01-30
Fire Safety
Have restrictions on the use of portable space heaters.
Corrected 2020-01-30
Fire Safety
Have power receptacles that are properly grounded.
Corrected 2020-01-30
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2020-01-30
Inspection history
Health
Provide and implement an infection prevention and control program.
Corrected 2025-10-27
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2022-02-11
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2022-02-11
Health
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2022-02-11
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-02-11
Health
Ensure each resident receives an accurate assessment.
Corrected 2022-02-11
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2022-02-11
Health
Provide and implement an infection prevention and control program.
Corrected 2022-02-24
Penalties and ownership
Fine · fine $12,740
Fine
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Organization
W-2 Managing Employee · Individual
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Nearby options
Memphis, TN
5-star overall rating with 5-star inspections with 2 recent health deficiencies
Memphis, TN
4-star overall rating with 4-star inspections with 2 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
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
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