Memphis, TN

Signature Healthcare Of Memphis

4-star overall rating with 4-star inspections with $7,901 in total fines with 3 recent health deficiencies

1150 Dovecrest Rd, Memphis, TN

(901) 382-1700

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

140

Certified beds

Average residents

111

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Signature Healthcare

Operator or chain grouping

Approved since

1989-12-21

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

71 facilities

Chain averages 3 overall / 3 health / 3 staffing / 4 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

Hours and turnover

RN hours / resident day

0.76

Registered nurse staffing · state 0.61 · national 0.68

LPN hours / resident day

0.93

Licensed practical nurse staffing · state 1.09 · national 0.87

Aide hours / resident day

1.98

Nurse aide staffing · state 2.15 · national 2.35

Total nurse hours

3.68

All reported nurse hours · state 3.85 · national 3.89

Licensed hours

1.69

RN + LPN hours · state 1.70 · national 1.54

Weekend hours

3.18

Weekend nurse staffing · state 3.34 · national 3.43

Weekend RN hours

0.52

Weekend registered nurse coverage · state 0.40 · national 0.47

Physical therapist

0.15

Reported PT staffing · state 0.08 · national 0.07

Adjusted RN hours

0.67

CMS adjusted RN staffing hours

Adjusted total hours

3.24

CMS adjusted total nurse staffing hours

Case-mix index

1.55

Higher values indicate more complex resident acuity

RN turnover

50%

Annual RN turnover · state 45% · national 45%

Total nurse turnover

50%

Annual nurse turnover · state 49% · national 46%

SNF VBP

Value-based purchasing

Program rank

7,159

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

30.59

Composite VBP score used to determine payment impact.

Payment multiplier

0.9860

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

3.31

Baseline 20.70% · Performance 19.90% · Measure score 3.31 · Achievement 3.31 · Improvement 1.68

Healthcare-associated infections

5.02

Baseline 8.78% · Performance 6.69% · Measure score 5.02 · Achievement 3.83 · Improvement 5.02

Total nurse turnover

3.90

Baseline 52.73% · Performance 47.73% · Measure score 3.90 · Achievement 3.90 · Improvement 1.29

Adjusted total nurse staffing

0

Baseline 3.13 hours · Performance 2.97 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	12.87%	10.72% 2.1 pts worse	No Different than the National Rate · Eligible stays 254 · Observed rate 16.93% · Lower 95% interval 9.89%
Discharge to community	61.75%	50.57% 11.2 pts better	Better than the National Rate · Eligible stays 251 · Observed rate 46.22% · Lower 95% interval 51.36%
Medicare spending per beneficiary	1.1	1.02 0.1 pts worse
Drug regimen review with follow-up	99.17%	95.27% 3.9 pts better	Numerator 119 · Denominator 120
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 120
Discharge self-care score	66.04%	53.69% 12.4 pts better	Numerator 35 · Denominator 53
Discharge mobility score	45.28%	50.94% 5.7 pts worse	Numerator 24 · Denominator 53
Pressure ulcers or injuries, new or worsened	8.4%	2.29% 6.1 pts worse	Numerator 10 · Denominator 119 · Adjusted rate 5.7%
Healthcare-associated infections requiring hospitalization	6.69%	7.12% 0.4 pts better	No Different than the National Rate · Eligible stays 137 · Observed rate 8.03% · Lower 95% interval 4.37%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 127
Staff flu vaccination coverage	1.37%	42% 40.6 pts worse	Numerator 3 · Denominator 219
Discharge function score	60.38%	56.45% 3.9 pts better	Numerator 32 · Denominator 53
Transfer of health information to provider	97.92%	95.95% 2 pts better	Numerator 47 · Denominator 48
Transfer of health information to patient	93.48%	96.28% 2.8 pts worse	Numerator 43 · Denominator 46
Resident COVID-19 vaccinations up to date	36.36%	25.2% 11.2 pts better	Numerator 20 · Denominator 55

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.1	1.6 0.5 pts worse	1.9 0.2 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.1 · Observed 2.9 · Expected 2.5 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.0	1.6 0.6 pts better	1.8 0.8 pts better	Long Stay · 20240701-20250630 · Adjusted 1.0 · Observed 1.2 · Expected 1.9 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	74.3%	89.9% 15.6 pts worse	93.4% 19.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 76.1% · Q2 67.4% · Q3 71.6% · Q4 83.6% · 4Q avg 74.3%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	93.0%	94.5% 1.5 pts worse	95.5% 2.5 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 93.0%
Percentage of long-stay residents experiencing one or more falls with major injury	0.3%	3.6% 3.3 pts better	3.3% 3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.4% · 4Q avg 0.3% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	56.8%	11.8% 45 pts worse	11.4% 45.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 64.9% · Q2 60.5% · Q3 50.0% · Q4 50.0% · 4Q avg 56.8%
Percentage of long-stay residents who lose too much weight	9.0%	6.2% 2.8 pts worse	5.4% 3.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 7.1% · Q2 10.8% · Q3 10.3% · Q4 7.6% · 4Q avg 9.0%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	11.2%	32.2% 21 pts better	19.6% 8.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 11.5% · Q2 12.6% · Q3 10.3% · Q4 10.1% · 4Q avg 11.2%
Percentage of long-stay residents who received an antipsychotic medication	23.7%	18.1% 5.6 pts worse	16.7% 7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 26.8% · Q2 22.9% · Q3 21.0% · Q4 24.1% · 4Q avg 23.7% · 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	13.9%	19.9% 6 pts better	16.3% 2.4 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 13.9% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	12.3%	15.3% 3 pts better	14.9% 2.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 19.5% · Q2 14.5% · Q3 5.6% · Q4 7.7% · 4Q avg 12.3% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.8%	0.9% 0.1 pts better	1.0% 0.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.0% · Q4 1.4% · 4Q avg 0.8% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.0%	1.9% 1.9 pts better	1.7% 1.7 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 new or worsened bowel or bladder incontinence	14.1%	20.2% 6.1 pts better	19.8% 5.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 12.4% · Q2 12.5% · Q3 12.4% · Q4 20.2% · 4Q avg 14.1%
Percentage of long-stay residents with pressure ulcers	11.9%	5.4% 6.5 pts worse	5.1% 6.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 11.9% · Q2 16.9% · Q3 12.3% · Q4 5.3% · 4Q avg 11.9% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	78.0%	79.6% 1.6 pts worse	81.7% 3.7 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 75.1% · Q2 73.7% · Q3 77.2% · Q4 84.9% · 4Q avg 78.0%
Percentage of short-stay residents who had an outpatient emergency department visit	14.6%	11.2% 3.4 pts worse	12.0% 2.6 pts worse	Short Stay · 20240701-20250630 · Adjusted 14.6% · Observed 16.7% · Expected 12.8% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	2.1%	1.6% 0.5 pts worse	1.6% 0.5 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 1.5% · Q3 2.1% · Q4 2.7% · 4Q avg 2.1% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	65.7%	79.8% 14.1 pts worse	79.7% 14 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 65.7%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	24.8%	22.2% 2.6 pts worse	23.9% 0.9 pts worse	Short Stay · 20240701-20250630 · Adjusted 24.8% · Observed 29.4% · Expected 28.2% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2022-01-27 · Fire 2022-01-27

3 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2019-05-09 · Fire 2019-05-09

3 health deficiencies

Top issue: Infection Control (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2018-07-12 · Fire 2018-07-12

10 health deficiencies

Top issue: Quality of Life and Care (6 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-11-21

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2025-11-22

G · Actual harm 2023-04-17

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2023-05-17

D · Potential for more than minimal harm 2023-04-17

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2023-05-17

D · Potential for more than minimal harm 2023-04-17

F661 · Resident Assessment and Care Planning Deficiencies

Health

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

Corrected 2023-05-17

D · Potential for more than minimal harm 2023-04-17

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-05-17

D · Potential for more than minimal harm 2022-01-27

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2022-03-11

D · Potential for more than minimal harm 2022-01-27

F761 · Pharmacy Service Deficiencies

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 2022-03-11

D · Potential for more than minimal harm 2019-05-09

F693 · Quality of Life and Care Deficiencies

Health

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.

Corrected 2019-06-21

D · Potential for more than minimal harm 2019-05-09

F761 · Pharmacy Service Deficiencies

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 2019-06-21

D · Potential for more than minimal harm 2019-05-09

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2019-06-21

F · Potential for more than minimal harm 2018-07-12

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2018-08-11