Federal inspection record · CMS data as of October 1, 2026

Highlands Health And Rehabilitation Center

3549 Norriswood, Memphis, TN · (901) 325-7820

CMS overall rating

2 of 5

Compare with a nearby home →
Certified beds
180
Residents per day
155
Ownership
For-Profit
Chain
Champion Care
Medicare / Medicaid
Medicare + Medicaid
Certified since
June 25, 1984

1

How this home got 2 stars

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.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Tennessee.

  2. Staffing

    no change

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    2 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Tennessee homes

Highlands Health And Rehabilitation Center carries 32 inspection points. That is fewer than 41% of Tennessee's 300 rated homes.

5★4★3★2★1★+9 homes above 175.505102550100inspection points → fewer is better on the leftThis home · 32 pts · 2★

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

13 health citations on record since 2019. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 1 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 0 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 10 4 pts
E 2 8 pts
F 0 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

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 (1)

  1. J

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    February 10, 2026 · Complaint inspection · Quality of Life and Care · F689 · Not yet marked corrected

Everything else, by area of care

Infection Control4D
  1. D

    Provide and implement an infection prevention and control program.

    July 29, 2026 · Standard · F880 · Corrected August 17, 2026

  2. D

    Provide and implement an infection prevention and control program.

    October 14, 2025 · Complaint · F880 · Corrected December 17, 2025

  3. D

    Provide and implement an infection prevention and control program.

    August 11, 2022 · Standard · F880 · Corrected August 30, 2022

  4. D

    Provide and implement an infection prevention and control program.

    October 22, 2019 · Standard · F880 · Corrected December 5, 2019

Pharmacy Service3E
  1. 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.

    July 29, 2026 · Standard · F761 · Corrected August 17, 2026

  2. E

    Ensure that residents are free from significant medication errors.

    August 11, 2022 · Standard · F760 · Corrected August 24, 2022

  3. 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.

    October 22, 2019 · Standard · F761 · Corrected December 5, 2019

Resident Rights3D
  1. 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.

    August 11, 2022 · Standard · F578 · Corrected August 24, 2022

  2. D

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    August 11, 2022 · Standard · F582 · Corrected August 24, 2022

  3. D

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    October 22, 2019 · Standard · F580 · Corrected December 5, 2019

Quality of Life and Care2E
  1. E

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    August 11, 2022 · Standard · F689 · Corrected August 24, 2022

  2. D

    Provide for the safe, appropriate administration of IV fluids for a resident when needed.

    August 11, 2022 · Standard · F694 · Corrected August 24, 2022

Inspection history

  1. 2026-07-29

    4 health deficiencies · 1 fire-safety deficiencies

    Top issue: Infection Control (2 deficiencies)

  2. 2022-08-11

    6 health deficiencies · 4 fire-safety deficiencies

    Top issue: Quality of Life and Care (2 deficiencies)

  3. 2019-10-22

    3 health deficiencies · 13 fire-safety deficiencies

    Top issue: Infection Control (1 deficiency)

4

Nursing time per resident, per day

Each resident here gets about 3 h 16 min of nursing staff time a day, 31 min of it from a registered nurse.

This home

3 h 16 min

Tennessee average

3 h 49 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 50% of nursing staff and 47% 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

$14,901 in federal fines on record over the past three years.

DatePenaltyAmount
2026-02-10Fine$14,901

6

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.3 pts better1.31.61.8
Number of outpatient emergency department visits per 1000 long-stay resident days1.1 pts better0.41.51.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine63.2 pts worse26.3%89.5%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine50.4 pts worse43.4%93.8%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury1.9 pts better1.4%3.3%3.2%
Percentage of long-stay residents who have depressive symptoms11.5 pts better3.4%14.9%13.5%
Percentage of long-stay residents who lose too much weight4.6 pts worse10.6%6.0%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication9.8 pts better21.9%31.7%19.5%
Percentage of long-stay residents who received an antipsychotic medication2 pts worse19.0%17.0%15.4%
Percentage of long-stay residents who were physically restrained0.1 pts better0.0%0.1%0.1%
Percentage of long-stay residents whose ability to walk independently worsened2.5 pts better12.9%15.4%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased6.6 pts better6.9%13.5%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.5 pts better0.1%0.6%0.7%
Percentage of long-stay residents with a urinary tract infection1.5 pts better0.2%1.7%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence5.8 pts better13.2%19.0%18.3%
Percentage of long-stay residents with pressure ulcers4 pts worse8.8%4.8%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine69.6 pts worse9.8%79.4%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit5.1 pts better6.2%11.3%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.5 pts better1.2%1.7%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine71.5 pts worse7.7%79.2%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission10.9 pts worse33.5%22.6%23.4%

·

Who owns and runs it

11 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
The Bay At Highlands Holdco LLC5% Or Greater Direct Ownership Interest · Organization100%2 facilities
Tn2 Opco Holdings LLC5% Or Greater Indirect Ownership Interest · Organization25%2 facilities
Legacy SNF Opco Holdings LLC5% Or Greater Indirect Ownership Interest · Organization13%2 facilities
Legacy SNF Opco Holdings Trust5% Or Greater Indirect Ownership Interest · Organization13%2 facilities
Bl Capital Group Holdings LLC5% Or Greater Indirect Ownership Interest · Organization10%7 facilities
Champion Care LLCOperational/Managerial Control · Organization0%14 facilities
Paul, CharlotteW-2 Managing Employee · Individual0%1 facilities
Ruvel, MenachemCorporate Officer · Individual0%23 facilities
Ruvel, MenachemOperational/Managerial Control · Individual0%23 facilities
Weinberg, YisroelCorporate Officer · Individual0%22 facilities
Weinberg, YisroelOperational/Managerial Control · Individual0%22 facilities

·

Fire safety

18 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke7D
  1. D

    Inspect, test, and maintain automatic sprinkler systems.

    July 29, 2026 · K353 · Corrected August 28, 2026

  2. D

    Install an approved automatic sprinkler system.

    August 11, 2022 · K351 · Corrected September 19, 2022

  3. D

    Inspect, test, and maintain automatic sprinkler systems.

    August 11, 2022 · K353 · Corrected September 19, 2022

  4. D

    Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.

    October 22, 2019 · K343 · Corrected November 13, 2019

  5. D

    Inspect, test, and maintain automatic sprinkler systems.

    October 22, 2019 · K353 · Corrected November 15, 2019

  6. D

    Properly select, install, inspect, or maintain portable fire extinguishes.

    October 22, 2019 · K355 · Corrected November 15, 2019

  7. D

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    October 22, 2019 · K372 · Corrected December 24, 2019

Miscellaneous3D
  1. D

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    August 11, 2022 · K761 · Corrected August 31, 2022

  2. D

    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

    October 22, 2019 · K741 · Corrected December 24, 2019

  3. D

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    October 22, 2019 · K761 · Corrected November 15, 2019

Gas, Vacuum, and Electrical Systems3D
  1. D

    Ensure proper usage of power strips and extension cords.

    August 11, 2022 · K920 · Corrected August 8, 2022

  2. D

    Have power receptacles that are properly grounded.

    October 22, 2019 · K912 · Corrected November 15, 2019

  3. D

    Ensure proper usage of power strips and extension cords.

    October 22, 2019 · K920 · Corrected November 15, 2019

Emergency Preparedness3D
  1. D

    Establish an Emergency Preparedness Program (EP).

    October 22, 2019 · E1 · Corrected November 15, 2019

  2. D

    Address subsistence needs for staff and patients.

    October 22, 2019 · E15 · Corrected December 24, 2019

  3. D

    Establish roles under a Waiver declared by secretary.

    October 22, 2019 · E26 · Corrected December 24, 2019

Services2D
  1. D

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    October 22, 2019 · K521 · Corrected December 24, 2019

  2. D

    Install properly constructed and protected linen or trash chutes.

    October 22, 2019 · K541 · Corrected November 15, 2019

·

Other homes nearby

  1. Worst citation, 3 yrs
    D
    Nursing / resident / day
    6 h 37 min
    Fines
    $0
  2. Shelby Oaks Post Acute

    Memphis, TN · Links Healthcare Group

    Worst citation, 3 yrs
    J
    Nursing / resident / day
    3 h 28 min
    Fines
    $79,356
  3. Majestic Gardens At Memphis Rehab & Snc

    Memphis, TN · Ephram Lahasky

    Worst citation, 3 yrs
    K
    Nursing / resident / day
    3 h 27 min
    Fines
    $322,612