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

Kirby Pines Manor

3535 Kirby Parkway, Memphis, TN · (901) 365-3665

CMS overall rating

5 of 5

Compare with a nearby home →
Certified beds
120
Residents per day
27
Ownership
Non-Profit
Chain
No chain reported
Medicare / Medicaid
Medicare
Certified since
March 7, 1986

1

How this home got 5 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

    −1 star

    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

    +1 star

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

  4. Overall

    5 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Tennessee homes

Kirby Pines Manor carries 9 inspection points. That is fewer than 87% of Tennessee's 300 rated homes.

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

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

2 health citations on record since 2025. 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 0 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 1 4 pts
E 1 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.

No citation on record at the harm or immediate-jeopardy level.

Everything else, by area of care

Infection Control1E
  1. E

    Provide and implement an infection prevention and control program.

    June 3, 2025 · Standard · F880 · Corrected June 6, 2025

Quality of Life and Care1D
  1. D

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    June 3, 2025 · Standard · F698 · Corrected June 6, 2025

Inspection history

  1. 2025-06-03

    2 health deficiencies · 0 fire-safety deficiencies

    Top issue: Infection Control (1 deficiency)

  2. 2024-04-04

    0 health deficiencies · 7 fire-safety deficiencies

    No concentrated health issue counts in this cycle.

  3. 2021-11-09

    0 health deficiencies · 0 fire-safety deficiencies

    No concentrated health issue counts in this cycle.

4

Nursing time per resident, per day

Each resident here gets about 2 h 19 min of nursing staff time a day, 32 min of it from a registered nurse.

This home

2 h 19 min

Tennessee average

3 h 49 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 57% of nursing staff and 100% of registered nurses left in the past year, along with 1 administrator.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Resident outcomes

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

MeasureThis homeStateU.S.
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine3.9 pts better83.3%79.4%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit8.6 pts better2.7%11.3%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication1.4 pts worse3.1%1.7%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine6.5 pts better85.7%79.2%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission7.7 pts better14.9%22.6%23.4%

·

Who owns and runs it

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

Show ownership list
NameRoleShareHomes
Herzke, RudolfW-2 Managing Employee · Individual0%2 facilities
Herzke, RudolfCorporate Director · Individual0%2 facilities
Myers, ConstanceW-2 Managing Employee · Individual0%1 facilities
Psalms, Inc5% Or Greater Direct Ownership Interest · Organization0%1 facilities

·

Fire safety

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

Smoke3D
  1. D

    Have approved installation, maintenance and testing program for fire alarm systems.

    April 4, 2024 · K345 · Corrected April 18, 2024

  2. D

    Inspect, test, and maintain automatic sprinkler systems.

    April 4, 2024 · K353 · Corrected April 30, 2024

  3. D

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

    April 4, 2024 · K355 · Corrected April 15, 2024

Egress2D
  1. D

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

    April 4, 2024 · K211 · Corrected April 2, 2024

  2. D

    Have properly located and lighted "Exit" signs.

    April 4, 2024 · K293 · Corrected April 18, 2024

Services1D
  1. D

    Have properly installed electrical wiring and gas equipment.

    April 4, 2024 · K511 · Corrected April 15, 2024

Miscellaneous1D
  1. D

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

    April 4, 2024 · K761 · Corrected April 12, 2024

·

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