1250 Farrow Road, Memphis, TN 38116 · Shelby County · (901) 332-7290
240 certified beds, about 168 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1994
CMS Care Compare ratings, data as of September 1, 2026 · CCN 445331 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on May 13, 2025, inspectors cited 10 health deficiencies (the Tennessee average is 4.4, the national average 9.2).
Of 33 health citations since July 2019, 10 were rated as actual harm or immediate jeopardy to residents (8 immediate jeopardy).
CMS lists 2 fines totaling $342,603 in the last three years; the largest was $303,310, and the latest is dated May 13, 2025.
Nurses and nurse aides worked 3.47 hours per resident per day, against 3.80 across Tennessee and 3.86 nationally. Registered nurses accounted for 0.33 of those hours.
51.6% of nursing staff left within the year CMS measured (Tennessee average 48.9%).
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 33 health citations on file.
Inspectors wroteBased on facility policy review, medical record review, facility investigation review, hospital record review, medical transport services record review, and interview, the facility failed to ensure residents remained free from accident hazards for 2 of 5 (Resident #415 and #515) sampled residents reviewed for accident hazards. The facility failed to ensure a vulnerable, non-verbal, cognitively impaired resident who required 2-person assistance with bed mobility and care, remained free from accident hazards as evidenced by failure to provide the required amount of assistance for safe repositioning and/or transfer, resulting in a significant injury and hospitalization for Resident #415. [...]
Inspectors wroteBased on policy review, observation, and interview, the facility failed to ensure food was stored, handled, prepared, and served under sanitary conditions, when stainless steel tables and metal storage racks were found with rust on the legs and black buildup around the base, the ice machine contained a dark brown, rust colored substance on the metal inside flap, food stored in the reach in cooler was unlabeled and undated, food items left on top of stainless steel tables was unattended and uncovered, dust was observed on top of a reach in cooler and around the edges of the ceiling vents, and when a substance with the appearance of rust was found around the edges of the ceiling vent and metal grates, when 9 stainless steel trays with food were found in the reach in cooler unlabeled and undated, the can opener contained thick black gummy buildup around the blade, when food items were [...]
Inspectors wroteBased on policy review, medical record review, observation, and interview, the facility failed to ensure proper infection control practices were followed when 2 of 2 staff members (Licensed Practical Nurse (LPN) DD and Housekeeping CC) failed to wear Personal Protective Equipment (PPE) for Transmission-Based (Isolation) Precautions and failed to properly perform hand hygiene after exiting Transmission-Based Precautions resident rooms. The facility failed to limit interactions with other residents when 1 of 4 (Resident #74) sampled residents reviewed for contact precautions was allowed to interact outside of his room with other residents.
Inspectors wroteBased on facility policy review, medical record review, and interviews, the facility failed to obtain consent for administration of psychotropic medications for 2 of 5 sampled residents (Resident #13 and #52) reviewed for unnecessary medications.
Inspectors wroteBased on policy review, medical record review, and interview, the facility failed to provide education and written information to resident and/or family representative to formulate an Advance Directive for 27 of 35 sampled residents (Resident #4, #22, #28, #29, #30, #37, #39, #42, #48, #66, #69, #75, #87, #91, #100, #102, #112, #119, #125, #129, #137, #139, #143, #146, #151, #265, and #465) reviewed for Advance Directives.
Inspectors wroteBased on facility policy review, medical record review, observation, and interview, the facility failed to ensure as needed (PRN) psychotropic medications for 1 of 5 (Resident #52) sampled residents reviewed for unnecessary medications were limited to 14 days duration. The facility failed to obtain a physician's assessment or document rationale for continued use of the medication.
Inspectors wroteBased on the facility policy review, medical record review, Incident Reporting System (IRS), and interview the facility failed to report sufficient information to describe the results of all investigations to the State Survey Agency within 5 working days of the incident for 1 of 2 (Resident #515) sampled residents reviewed for an injury of unknown origin.
Inspectors wroteBased on policy review, record review, and interview, the facility failed to notify the resident's representative or family member of the intent to discharge for 1 of 3 (Resident #316) sampled residents reviewed for discharge.
Inspectors wroteBased on policy review, medical record review, and interview, the facility failed to follow physician's orders and obtain lab work for 2 of 5 (Resident #4 and #100) sampled residents reviewed for unnecessary medication use.
Inspectors wroteBased on policy review, medical record review, observation, and interview, the facility failed to ensure medications were properly stored and secured when medications were found unsecured and unattended in 1 of 78 (Resident #83) resident occupied rooms.
Inspectors wroteBased on policy review, observation, and interview, the facility failed to provide reasonable accommodations of needs for bathing when the water was not at the minimum temperature for hot water for 5 of 10 sampled residents (Resident #2, #7, #8, #9 and #10) reviewed for resident rights.
Inspectors wroteBased on policy review, medical record review, facility investigation review and interview, the facility failed to follow the resident ' s comprehensive person-centered care plan for 1 of 3 residents (Resident #4) reviewed for fall prevention and care plans.
Inspectors wroteBased on facility policy review, Resident Assessment Instrument (RAI) manual review, medical record review, weekly skin evaluations review, facility document review, and interview, the facility failed to accurately document skin assessments for 1 of 3 (Resident #1) residents with wounds reviewed.
Inspectors wroteBased on policy review, daily staffing records, medical record review, observation, and interview, the facility failed to ensure a sufficient number of licensed staff was available to provide care and services to all residents based on physician orders when there was no nurse to provide readmission assessments and services for 1 of 3 sampled residents (Resident #1) readmitted to the Crown Ventilation Unit on 4/4/2024 and failed to administer significant and other medications for 20 of 21 (Resident #1, #2, #3, #5, #7, #8, #9, #10, #11, #12, #13, #14, #15, #16, #17, #18, #20, #22, #23, and #24 ) sampled residents reviewed on the Crown Unit. [...]
Inspectors wroteBased on policy review, medical record review, and interview, the facility failed to ensure residents were free from significant medication errors for 25 of 26 sample residents (Resident #1, #2, #3, #5, #7, #8, #9, #10, #11, #12, #13, #14, #15, #16, #17, #18, #20, #22, #23, #24, #35, #36, #38, #40, and #41) reviewed for medication administration. The facility's failure resulted in Immediate Jeopardy (IJ) when the residents' medications were not administered as prescribed for December 2023, January 2024, February 2024, March 2024, and April 2024, and had the likelihood to cause serious adverse outcomes. Immediate Jeopardy is a situation in which the provider's noncompliance with one or more requirements of participation has caused or is likely to cause serious injury, harm, or impairment, or death of a resident. [...]
Inspectors wroteBased on job description review, record review, medical record review, and interview, the facility Administration failed to administer the facility in a manner that provided oversight of the care being provided to residents, and ensure staff were sufficient in numbers and competent in their duties to provide care and services per physician orders and to meet the individualized needs of all residents. [...]
Inspectors wroteBased on job description review, facility document review, medical record review, and interview, the Quality Assurance Performance Improvement (QAPI /QA) committee failed to ensure a QAPI program that identified, implemented actions, and monitored serious issues affecting facility staffing, quality of care, prescribed care and services, and residents' rights for 20 of 21 (Resident #1, #2, #3, #5, #7, #8, #9, #10, #11, #12, #13, #14, #15, #16, #17, #18, #20, #22, #23 and #24 ) sampled residents reviewed for prescribed medications, treatments, care and services during January 2024, February 2024, March 2024 and April 2024. (Resident #4) failed to receive appropriate monitoring after a fall on 3/29/2024 and underwent an emergency craniotomy (a type of brain surgery where a surgeon removes part of your skull to access your brain) on 3/30/2024. [...]
Inspectors wroteBased on policy review, user instruction manual review, job description review, medical record review, observation, and interview, the facility failed to ensure staff practices to prevent the potential spread of infection were maintained when multi-use blood glucometers were not cleaned and disinfected after/between resident testing to prevent cross-contamination of bloodborne pathogens for 5 of 9 sampled residents (Resident #9, #10, #11, #12, and #13) reviewed for blood glucose monitoring, when 1 of 3 nurses (Licensed Practical Nurse (LPN) A) failed to use appropriate Personal Protective Equipment (PPE) when providing care to Residents #9, #10, #11, #12, #17, and #18, and when staff failed to ensure reusable equipment was cleaned and disinfected when 2 of 2 staff members (Certified Nursing Assistant (CNA) N and CNA M) were observed during transferring Resident #4 with a mechanical lift. [...]
Inspectors wroteBased on policy review, job descriptions, medical record review, observation, and interview, the facility failed to provide supervision and monitoring for 1 of 5 (Resident #4) sampled residents reviewed for unwitnessed falls, failed to ensure the resident's right to be free from neglect when the facility failed to provide necessary goods and services and failed to treat residents in a manner that promoted a sense of self-worth, dignity and individuality for 11 of 11 sampled residents (Resident #7, #20, #28, #30, #37, #42, #44, #45, #46, #47 and #48) reviewed for daily hair care, and failed to ensure residents' vital signs were monitored [DATE], February 2024, [DATE] and [DATE], for 20 of 21 (Resident #1, #2, #3, #5, #7, #8, #9, #10, #11, #12, #13, #14, #15, #16, #17, #18, #20, #22, #23, and #24 ) sampled residents reviewed on the Crown Unit, a unit with residents that are dependent on [...]
Inspectors wroteBased on policy review, review of the American Heart Association Provider Manual, medical record review, observation, and interview, the facility failed to initiate and provide Basic Life Support (BLS)/Cardiopulmonary Resuscitation (CPR - perform measures to assist the person with breathing and to stimulate a heart rate) for 2 of 3 sampled residents (Resident #5 and #6) reviewed in accordance with the professional standards of care related to basic life support for healthcare providers. Resident #5 who resided on the ventilation unit called the Crown Unit was found unresponsive and not breathing by Certified Nursing Assistant (CNA) B on [DATE] at 2:45 AM and was a full code (to receive CPR). Resident #6 who resided on the [NAME] Unit was found unresponsive on [DATE] at 3:50 AM by CNA H and was a full code. [...]
Inspectors wroteBased on facility policy, medical review and interview, the facility failed to follow physician orders to administer Tylenol (a medication used for moderate pain) for 1 of 6 (Resident #14) reviewed for quality of care.
Inspectors wroteBased on policy review, medical record review, observation, and interview, the facility failed to prevent accidents/hazards, provide education and monitoring for 1 of 5 (Resident #4) sampled residents reviewed for falls, and failed to ensure a safe environment for 1 of 3 (Resident #3) residents sampled for elopement. The facility's failure to provide appropriate transfer with a mechanical lift resulted in actual harm when Resident #4 sustained a fall which resulted in a laceration to the forehead and required sutures.
Inspectors wroteBased on facility policy review, Pharmacy Services agreement, review of facility medication reconciliation documents, observation, and interview, the facility failed to have a system of records of receipt and disposition of all narcotic medications in sufficient detail to ensure accurate narcotic drug reconciliation for 5 of 9 (Resident #7, #15, #35, #36, #41) sampled residents reviewed with orders for controlled narcotics and 5 of 5 medication storage carts reviewed.
Inspectors wroteBased on policy review, medical record review, job descriptions, and interview, the facility failed to ensure nursing administered nutritional support and services in January 2024, February 2024, March 2024 and April 2024 for 20 of 21 (Resident #1, #2, #3, #5, #7, #8, #9, #10, #11, #12, #13, #14, #15, #17, #18, #20, #22, #23, and #24 ) sampled residents reviewed on the Crown Unit, a unit with residents that are dependent on ventilators and high acuity care requirements.
Inspectors wroteBased on policy review, medical record review, observation and interview, the facility failed to assess a resident for self-administration of medication for 1 of 1 resident (Resident #29) reviewed for self-administration of medications.
Inspectors wroteBased on facility policy review, Nursing Home Notice of Involuntary Transfer or Discharge document review, medical record review, and interview, the facility failed to ensure the 30 day discharge notice initiated by the facility, included physician documentation for the specific needs the facility could not meet, the facility's efforts made to meet those needs, and the specific services the receiving facility will provide to meet those needs that could not be provided by the facility for 1 of 1 (Resident #2) sampled residents for facility initiated discharge.
Inspectors wroteBased medical record review, observation, and interview, the facility failed to implement Comprehensive Care Plans for 2 of 18 sample resident (Resident #4 and #9) reviewed for care planning.
Inspectors wroteBased on policy review, medical record review, observation, and interview, it was determined the facility failed to have physician orders and failed to provide pressure ulcer/injury treatments for 1 of 2 (Resident #9) sampled residents determined to have pressure injuries.
Inspectors wroteBased on facility policy, facility document review, medical record review, and interview revealed the facility failed to maintain an accurate and complete medical record for 1 of 3 sampled residents (Resident #3) for elopement and 1 of 6 sample resident (Resident #14) reviewed for falls.
Inspectors wroteBased on policy review, medical record review, observation, and interview, 3 of 8 (Licensed Practical Nurse (LPN) #1, #2 and #6) nurses failed to ensure practices to prevent the potential spread of infection during wound care and medication administration observations, and the facility failed to identify 1 of 1 (Resident #43) isolation room.
Inspectors wroteBased on policy review, medical record review, observation, and interview, the facility failed to maintain a resident's dignity and respect when 6 of 25 (Certified Nursing Assistant (CNA) #1, #2, and Licensed Practical Nurse (LPN #1, #2, #4, and #5) staff members failed to knock and request permission to enter a resident's room, and 1 of 1 (CNA #3) failed to provide privacy and dignity while assisting a resident during toileting.
Inspectors wroteBased on medical record review, observation, and interview, the facility failed to implement a splint device for 2 of 6 (Resident #125 and #130) sampled residents reviewed with limited range of motion.
Inspectors wroteBased on policy review, observation, and interview, the facility failed to ensure medications were properly stored and secured in 1 of 14 (400 Hall Medication Cart #2) medication storage areas.
14 fire safety citations on file: 7 on May 13, 2025, 2 on June 17, 2021, 5 on July 11, 2019.
| Date | Penalty | Amount or length |
|---|---|---|
| May 13, 2025 | Fine | $39,293 |
| May 1, 2024 | Fine | $303,310 |
| May 1, 2024 | Payment Denial | 145 days from May 31, 2024 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Tennessee | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.47 | 3.80 | 3.86 |
| Registered nurses | 0.33 | 0.60 | 0.69 |
| All nursing staff on weekends | 3.10 | 3.31 | 3.42 |
| Nurse aides | 1.94 | ||
| Licensed practical nurses | 1.20 | ||
| Nursing staff turnover (share who left in a year) | 51.6% | 48.9% | 45.8% |
| Registered nurse turnover | 20.0% | 43.2% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.61 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.63 on weekdays and 3.10 on weekends, 15% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 8.3% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.16 in April to June 2025 to 3.47 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.47 | 0.33 | 3.63 | 3.10 | 8.3% | 0 of 90 | 168 |
| Oct to Dec 2025 | 3.22 | 0.38 | 3.32 | 2.96 | 5.5% | 0 of 92 | 173 |
| Jul to Sep 2025 | 3.28 | 0.47 | 3.42 | 2.92 | 5.6% | 0 of 92 | 174 |
| Apr to Jun 2025 | 3.16 | 0.38 | 3.31 | 2.79 | 6.1% | 0 of 91 | 162 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Tennessee, Jan to Mar 2026 | 3.75 | 0.56 | 3.95 | 3.27 | 4.0% | 0.7% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Tennessee, all employers | |||
| CNAs (nursing assistants) | $18.27 | $17.09 to $19.66 | 27,040 |
| LPNs and LVNs | $28.31 | $23.64 to $30.12 | 20,830 |
| Registered nurses | $39.18 | $36.28 to $45.79 | 72,200 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Tennessee | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 8.3 | 14.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.6 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.5 | 1.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 0.3 | 3.4 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 3.3 | 1.7 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 10.1 | 17.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 10.8 | 5.0 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 11.4 | 16.9 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 24.6 | 22.6 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 15.0 | 11.2 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.0 | 1.7 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.7 | 1.6 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Graceland Rehabilitation and Nursing Care Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (42.8% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
42.8% this home
No different from the national rate
US median of homes 51.5% · Tennessee: 62 better, 16 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 65 eligible stays.
12.0% this home
No different from the national rate
US median of homes 10.7% · Tennessee: 1 better, 7 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 78 eligible stays.
8.1% this home
No different from the national rate
US median of homes 7.1% · Tennessee: 2 better, 1 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 49 eligible stays.
32.4% this home
Median of homes: Tennessee58.3% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 34 residents counted.
0.0% this home
Median of homes: Tennessee0.8% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 70 residents counted.
4.5% this home
Median of homes: Tennessee1.6% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 70 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Tennessee98.7% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 8 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: GRACELAND NURSING OPERATOR LLC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Lichtschein, Raphael | Operational/managerial control | Individual | 07/01/2017 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Chosen from this home's own inspection record.
These are the official offices in Tennessee. NursingHomeClear cannot take or act on complaints.