Federal inspection record · CMS data as of October 1, 2026
Graceland Rehabilitation And Nursing Care Center
1250 Farrow Road, Memphis, TN · (901) 332-7290
- Special Focus Facility
- Certified beds
- 240
- Residents per day
- 167
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- July 1, 1994
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Tennessee.
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Staffing
★★★★★no change (already 1)
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Tennessee homes
Graceland Rehabilitation And Nursing Care Center carries 282 inspection points. That is fewer than 1% of Tennessee's 300 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Tennessee: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–9 pts
- 4★ 9–17 pts
- 3★ 17–31 pts
- 2★ 31–61 pts
- 1★ over 61 pts
Bars show every rated home in Tennessee by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
33 health citations on record since 2019. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (10)
-
J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
K
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
-
K
Ensure that residents are free from significant medication errors.
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K
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
-
K
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
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K
Provide and implement an infection prevention and control program.
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J
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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J
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
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G
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Resident Rights7D
- D
Ensure that residents are fully informed and understand their health status, care and treatments.
- D
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
- D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- D
Reasonably accommodate the needs and preferences of each resident.
- D
Allow residents to self-administer drugs if determined clinically appropriate.
- D
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Quality of Life and Care5E
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- E
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
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.
Pharmacy Service3F
- D
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.
- F
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
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.
Resident Assessment and Care Planning3D
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Infection Control2E
- E
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
Freedom from Abuse, Neglect, and Exploitation2D
- D
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Nutrition and Dietary1E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspection history
2025-05-13
10 health deficiencies · 7 fire-safety deficiencies
Top issue: Resident Rights (3 deficiencies)
2021-06-17
3 health deficiencies · 2 fire-safety deficiencies
Top issue: Quality of Life and Care (1 deficiency)
2019-07-11
20 health deficiencies · 5 fire-safety deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 30 min of nursing staff time a day, 20 min of it from a registered nurse.
This home
3 h 30 min
Tennessee average
3 h 49 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 54% of nursing staff and 35% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$342,603 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-05-13 | Fine | $39,293 |
| 2024-05-01 | Fine | $303,310 |
| 2024-05-01 | Payment Denial · 145 day denial | $0 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.3 pts worse | 1.9 | 1.6 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.9 pts worse | 2.4 | 1.5 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine40.3 pts worse | 49.2% | 89.5% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine10.8 pts worse | 83.0% | 93.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury3 pts better | 0.3% | 3.3% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms13.1 pts better | 1.8% | 14.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight4.8 pts better | 1.2% | 6.0% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication11.5 pts better | 20.2% | 31.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication5.9 pts better | 11.1% | 17.0% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened6.5 pts better | 8.9% | 15.4% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased7 pts better | 6.5% | 13.5% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.1 pts better | 0.5% | 0.6% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.7 pts better | 1.0% | 1.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence11.4 pts better | 7.6% | 19.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers5 pts worse | 9.8% | 4.8% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine72.5 pts worse | 6.9% | 79.4% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit1.5 pts worse | 12.8% | 11.3% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.8 pts worse | 3.5% | 1.7% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine65.7 pts worse | 13.5% | 79.2% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission2.5 pts worse | 25.1% | 22.6% | 23.4% |
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Who owns and runs it
1 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Lichtschein, Raphael | Operational/Managerial Control · Individual | 0% | 2 facilities |
·
Fire safety
14 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke5D
- D
Have approved installation, maintenance and testing program for fire alarm systems.
- D
Inspect, test, and maintain automatic sprinkler systems.
- D
Install corridor and hallway doors that block smoke.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- B
Inspect, test, and maintain automatic sprinkler systems.
Gas, Vacuum, and Electrical Systems4D
- D
Have generator or other power source capable of supplying service within 10 seconds.
- D
Ensure proper usage of power strips and extension cords.
- D
Ensure proper usage of power strips and extension cords.
- C
Ensure proper usage of power strips and extension cords.
Emergency Preparedness3D
- D
Address subsistence needs for staff and patients.
- D
Establish policies and procedures for sheltering.
- D
Establish roles under a Waiver declared by secretary.
Egress1D
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Miscellaneous1D
- D
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
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Other homes nearby
-
Parkway Health And Rehabilitation Center
Memphis, TN · Wellington Health Care Services
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 47 min
- Fines
- $67,587
-
Diversicare Of Southaven
Southaven, MS · Diversicare Healthcare
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 30 min
- Fines
- $71,603
-
Delta Blues Health & Rehabilitation
Memphis, TN · Lyon Healthcare
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 4 min
- Fines
- $8,281