Memphis, TN

Waters Of Memphis A Rehabilitation & Nursing Ctr

2-star overall rating with 2-star inspections with $5,293 in total fines with 9 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

6500 Kirby Gate Boulevard, Memphis, TN

(901) 752-0772

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

90

Certified beds

Average residents

81

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Infinity Healthcare Consulting

Operator or chain grouping

Approved since

2016-04-11

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.40

Registered nurse staffing

LPN hours / resident day

1.23

Licensed practical nurse staffing

Aide hours / resident day

2.06

Nurse aide staffing

Weekend hours

3.16

Weekend nurse staffing

RN turnover

92%

Annual RN turnover

Total nurse turnover

66%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.5
1.6
0.1 pts better
1.9
0.4 pts better
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 0.8
1.6
0.8 pts better
1.8
1 pts better
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 83.9%
89.9%
6 pts worse
93.4%
9.5 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 89.6%
94.5%
4.9 pts worse
95.5%
5.9 pts worse
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 2.8%
3.6%
0.8 pts better
3.3%
0.5 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 25.0%
11.8%
13.2 pts worse
11.4%
13.6 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 14.1%
6.2%
7.9 pts worse
5.4%
8.7 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 13.8%
32.2%
18.4 pts better
19.6%
5.8 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 24.0%
18.1%
5.9 pts worse
16.7%
7.3 pts worse
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents whose ability to walk independently worsened 8.3%
19.9%
11.6 pts better
16.3%
8 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 2.0%
15.3%
13.3 pts better
14.9%
12.9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0%
0.9%
0.9 pts better
1.0%
1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 0.4%
1.9%
1.5 pts better
1.7%
1.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 26.4%
20.2%
6.2 pts worse
19.8%
6.6 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 2.8%
5.4%
2.6 pts better
5.1%
2.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 78.9%
79.6%
0.7 pts worse
81.7%
2.8 pts worse
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 4.7%
11.2%
6.5 pts better
12.0%
7.3 pts better
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 1.7%
1.6%
0.1 pts worse
1.6%
0.1 pts worse
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 78.9%
79.8%
0.9 pts worse
79.7%
0.8 pts worse
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 22.8%
22.2%
0.6 pts worse
23.9%
1.1 pts better
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2023-09-14 · Fire 2023-09-14

9 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (4 deficiencies)

4 fire-safety deficiencies

Top issue: Emergency Preparedness (1 deficiency)

Cycle 2 Health 2021-07-14 · Fire 2021-07-14

2 health deficiencies

Top issue: Nutrition and Dietary (2 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2019-06-19 · Fire 2019-06-19

1 health deficiencies

Top issue: Nutrition and Dietary (1 deficiency)

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 2023-09-14

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2023-09-26

D · Potential for more than minimal harm 2023-09-14

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-10-29

D · Potential for more than minimal harm 2023-09-14

K761 · Miscellaneous Deficiencies

Fire Safety

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

Corrected 2023-10-29

D · Potential for more than minimal harm 2023-09-14

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2023-10-29

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-06-27

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2025-07-28

E · Potential for more than minimal harm 2023-09-14

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 2023-10-29

E · Potential for more than minimal harm 2023-09-14

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 2023-10-29

D · Potential for more than minimal harm 2023-09-14

F584 · Resident Rights Deficiencies

Health

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2023-10-29

D · Potential for more than minimal harm 2023-09-14

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2023-10-29

D · Potential for more than minimal harm 2023-09-14

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 2023-10-29

D · Potential for more than minimal harm 2023-09-14

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2023-10-29

D · Potential for more than minimal harm 2023-09-14

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2023-10-29

D · Potential for more than minimal harm 2023-09-14

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-10-29

F · Potential for more than minimal harm 2021-07-14

F802 · Nutrition and Dietary Deficiencies

Health

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

Corrected 2021-08-25

F · Potential for more than minimal harm 2021-07-14

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 2021-08-25

F · Potential for more than minimal harm 2019-06-19

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 2019-06-25

Penalties and ownership

What sits behind the stars

$5,293 2023-09-18

Fine

Fine · fine $5,293

Fine

Ownership

Blisko, Michael

5% Or Greater Direct Ownership Interest · Individual

50% 33 facilities 2021-07-01
Gubin Enterprises Limited Partnership

5% Or Greater Direct Ownership Interest · Organization

50% 31 facilities 2021-07-01
Carr, Kristian

W-2 Managing Employee · Individual

0% 1 facilities 2022-09-12

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