Cycle 1
Health 2025-03-27 · Fire 2025-03-27
8 health deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
3 fire-safety deficiencies
Top issue: Emergency Preparedness (2 deficiencies)
Collierville, TN
The Suites At Jordan River
2-star overall rating with 2-star inspections with $27,169 in total fines with 8 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
10001 Crooked Creek Rd, Suite 501, Collierville, TN
(901) 779-8200
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
60
Certified beds
Average residents
54
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2022-08-24
CMS approved date
Coverage
Medicare
Participation flags
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
0.46
Registered nurse staffing · state 0.61 · national 0.68
LPN hours / resident day
1.25
Licensed practical nurse staffing · state 1.09 · national 0.87
Aide hours / resident day
2.68
Nurse aide staffing · state 2.15 · national 2.35
Total nurse hours
4.40
All reported nurse hours · state 3.85 · national 3.89
Licensed hours
1.71
RN + LPN hours · state 1.70 · national 1.54
Weekend hours
3.67
Weekend nurse staffing · state 3.34 · national 3.43
Weekend RN hours
0.33
Weekend registered nurse coverage · state 0.40 · national 0.47
Physical therapist
0.14
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
0.45
CMS adjusted RN staffing hours
Adjusted total hours
4.30
CMS adjusted total nurse staffing hours
Case-mix index
1.40
Higher values indicate more complex resident acuity
RN turnover
71%
Annual RN turnover · state 45% · national 45%
Total nurse turnover
71%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Value-based purchasing
Program rank
10,166
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
21.27
Composite VBP score used to determine payment impact.
Payment multiplier
0.9826
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0.74
Performance 21.09% · Measure score 0.74 · Achievement 0.74 · This facility did not have sufficient data to calculate a baseline period measure result.
Healthcare-associated infections
0
Performance 8.77% · Measure score 0 · Achievement 0 · This facility did not have sufficient data to calculate a baseline period measure result.
Total nurse turnover
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Adjusted total nurse staffing
5.64
Performance 4.68 hours · Measure score 5.64 · Achievement 5.64 · This facility did not have sufficient data to calculate a baseline period measure result.
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 13.3% |
10.72%
2.6 pts worse
|
No Different than the National Rate · Eligible stays 256 · Observed rate 14.06% · Lower 95% interval 9.66% |
| Discharge to community | 48.59% |
50.57%
2 pts worse
|
No Different than the National Rate · Eligible stays 239 · Observed rate 43.1% · Lower 95% interval 43.49% |
| Medicare spending per beneficiary | 0.85 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 92.06% |
95.27%
3.2 pts worse
|
Numerator 232 · Denominator 252 |
| Falls with major injury | 0.79% |
0.77%
About the same
|
Numerator 2 · Denominator 252 |
| Discharge self-care score | 64.43% |
53.69%
10.7 pts better
|
Numerator 125 · Denominator 194 |
| Discharge mobility score | 51.55% |
50.94%
0.6 pts better
|
Numerator 100 · Denominator 194 |
| Pressure ulcers or injuries, new or worsened | 2.78% |
2.29%
0.5 pts worse
|
Numerator 7 · Denominator 252 · Adjusted rate 3.04% |
| Healthcare-associated infections requiring hospitalization | 8.77% |
7.12%
1.6 pts worse
|
No Different than the National Rate · Eligible stays 190 · Observed rate 9.47% · Lower 95% interval 5.58% |
| Staff COVID-19 vaccination coverage | 4.62% |
8.2%
3.6 pts worse
|
Numerator 3 · Denominator 65 |
| Staff flu vaccination coverage | 49.23% |
42%
7.2 pts better
|
Numerator 64 · Denominator 130 |
| Discharge function score | 59.28% |
56.45%
2.8 pts better
|
Numerator 115 · Denominator 194 |
| Transfer of health information to provider | 96.97% |
95.95%
1 pts better
|
Numerator 64 · Denominator 66 |
| Transfer of health information to patient | 98.05% |
96.28%
1.8 pts better
|
Numerator 151 · Denominator 154 |
| Resident COVID-19 vaccinations up to date | 3.2% |
25.2%
22 pts worse
|
Numerator 4 · Denominator 125 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 0.8 |
1.6
0.8 pts better
|
1.9
1.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.8 · Observed 0.7 · Expected 1.7 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.9 |
1.6
0.3 pts worse
|
1.8
0.1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 1.9 · Observed 1.7 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 40.2% |
89.9%
49.7 pts worse
|
93.4%
53.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 44.8% · Q2 55.2% · Q3 38.2% · Q4 25.7% · 4Q avg 40.2% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 45.5% |
94.5%
49 pts worse
|
95.5%
50 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 45.5% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.0% |
3.6%
3.6 pts better
|
3.3%
3.3 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 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 | 2.7% |
6.2%
3.5 pts better
|
5.4%
2.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.5% · Q2 0.0% · Q3 0.0% · Q4 6.5% · 4Q avg 2.7% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 22.1% |
32.2%
10.1 pts better
|
19.6%
2.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 24.0% · Q2 24.0% · Q3 21.9% · Q4 19.4% · 4Q avg 22.1% |
| Percentage of long-stay residents who received an antipsychotic medication | 14.5% |
18.1%
3.6 pts better
|
16.7%
2.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q2 20.0% · Q3 14.3% · Q4 13.0% · 4Q avg 14.5% · 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 need for help with daily activities has increased | 23.5% |
15.3%
8.2 pts worse
|
14.9%
8.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q2 14.3% · Q3 37.0% · Q4 20.0% · 4Q avg 23.5% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.7% |
0.9%
0.8 pts worse
|
1.0%
0.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.4% · Q2 3.2% · Q3 0.0% · Q4 0.0% · 4Q avg 1.7% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 5.6% |
1.9%
3.7 pts worse
|
1.7%
3.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 6.9% · Q3 5.9% · Q4 5.7% · 4Q avg 5.6% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 13.0% |
20.2%
7.2 pts better
|
19.8%
6.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.8% · Q2 7.5% · Q3 11.9% · Q4 21.5% · 4Q avg 13.0% |
| Percentage of long-stay residents with pressure ulcers | 8.1% |
5.4%
2.7 pts worse
|
5.1%
3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 9.6% · Q3 11.3% · Q4 7.8% · 4Q avg 8.1% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 25.4% |
79.6%
54.2 pts worse
|
81.7%
56.3 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 26.5% · Q2 39.6% · Q3 24.8% · Q4 6.8% · 4Q avg 25.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 8.4% |
11.2%
2.8 pts better
|
12.0%
3.6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 8.4% · Observed 7.5% · Expected 10.0% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.5% |
1.6%
0.9 pts worse
|
1.6%
0.9 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.2% · Q3 4.3% · Q4 2.4% · 4Q avg 2.5% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 29.8% |
79.8%
50 pts worse
|
79.7%
49.9 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 29.8% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 22.6% |
22.2%
0.4 pts worse
|
23.9%
1.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 22.6% · Observed 19.2% · Expected 20.2% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2022-08-24 · Fire 2022-08-24
0 health deficiencies
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2025-03-27
E39 · Emergency Preparedness Deficiencies
Fire Safety
Conduct testing and exercise requirements.
Corrected 2025-04-25
D · Potential for more than minimal harm
2025-03-27
E9 · Emergency Preparedness Deficiencies
Fire Safety
Include a process for Emergency Preparedness collaboration.
Corrected 2025-04-22
D · Potential for more than minimal harm
2025-03-27
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-04-22
Inspection history
Recent health citations
E · Potential for more than minimal harm
2025-03-27
F636 · Resident Assessment and Care Planning Deficiencies
Health
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2025-04-25
E · Potential for more than minimal harm
2025-03-27
F638 · Resident Assessment and Care Planning Deficiencies
Health
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected 2025-04-25
E · Potential for more than minimal harm
2025-03-27
F642 · Resident Assessment and Care Planning Deficiencies
Health
Ensure a qualified health professional conducts resident assessments.
Corrected 2025-04-25
E · Potential for more than minimal harm
2025-03-27
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 2025-04-25
E · Potential for more than minimal harm
2025-03-27
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-04-25
D · Potential for more than minimal harm
2025-03-27
F550 · Resident Rights Deficiencies
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-04-25
D · Potential for more than minimal harm
2025-03-27
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 2025-04-25
D · Potential for more than minimal harm
2025-03-27
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 2025-04-25
Penalties and ownership
What sits behind the stars
$4,235
2023-08-14
Fine
Fine · fine $4,235
Fine
$3,882
2023-08-07
Fine
Fine · fine $3,882
Fine
$9,527
2023-07-17
Fine
Fine · fine $9,527
Fine
$2,470
2023-06-26
Fine
Fine · fine $2,470
Fine
$2,117
2023-06-20
Fine
Fine · fine $2,117
Fine
$1,764
2023-06-12
Fine
Fine · fine $1,764
Fine
$3,174
2023-05-23
Fine
Fine · fine $3,174
Fine
Ownership
Herzke, Rudolf
Corporate Director · Individual
Herzke, Rudolf
Corporate Officer · Individual
Walrond, James
Contracted Managing Employee · Individual
Nearby options
Other facilities in reach
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Collierville Nursing And Rehabilitation, Llc
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1-star overall rating with 2-star inspections with 9 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#2
The Village At Germantown
Germantown, TN
2-star overall rating with 1-star inspections with 5 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#3
Applingwood Post Acute
Cordova, TN
2-star overall rating with 2-star inspections with $98,460 in total fines with 9 recent health deficiencies
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