3909 Covington Pike, Memphis, TN 38135 · Shelby County · (901) 377-1011
206 certified beds, about 111 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1989
CMS Care Compare ratings, data as of September 1, 2026 · CCN 445220 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on October 16, 2024, inspectors cited 23 health deficiencies (the Tennessee average is 4.4, the national average 9.2).
Of 37 health citations since October 2019, 3 were rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists 2 fines totaling $128,974 in the last three years; the largest was $78,225, and the latest is dated April 30, 2025.
Nurses and nurse aides worked 3.95 hours per resident per day, against 3.80 across Tennessee and 3.86 nationally. Registered nurses accounted for 0.83 of those hours.
67.5% of nursing staff left within the year CMS measured (Tennessee average 48.9%).
CMS links it to Prestige Administrative Services, an affiliated group of 9 nursing homes.
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 37 health citations on file.
Inspectors wroteBased on policy review, medical record review, facility investigation review, and interview, the facility failed to provide an environment that was free from accident hazards for 1 of 3 (Resident #3) sampled residents reviewed. Resident #3, a cognitively impaired resident with a tracheostomy (a plastic tube inserted into the throat to allow the person to breath), who was a 2 person assistance for bed mobility and dependent on staff for activities of daily living skills (ADLs) including bed mobility and transfers, fell from an elevated bed and sustained a laceration to her forehead and was later pronounced deceased in the Emergency Room. [...]
Inspectors wroteBased on policy review, medical record review, and interview, the facility failed to follow the care plan for Activities of Daily Living (ADL) skills for 1 of 6 (Resident #3) sampled residents reviewed for ADL interventions with 2-person assistance.
Inspectors wroteBased on medical record review, and interview, the facility failed to ensure medications were given as ordered for 1 of 6 (Resident #3) sampled residents reviewed for medication administration.
Inspectors wroteBased on policy review, medical record review, fire department record review, and interview, the facility staff failed to document in the medical record or report the resident's tracheostomy (tube in throat to aid in breathing) was not attached when she was found unresponsive and not breathing and continuous Basic Life Support (BLS)/Cardiopulmonary Resuscitation (CPR) was provided for 1 of 3 (Resident #30) sampled residents reviewed for CPR.
Inspectors wroteBased on facility policy review, facility fall investigation review, medical record review, observation, and interview, the facility failed to ensure the resident environment remained free of accident hazards for 1 of 3 (Resident #77) sampled residents reviewed for accidents. On 8/9/2024, Resident #77, a vulnerable cognitively impaired resident, rolled out of the bed onto the floor and sustained a fracture to the right humerus, resulting in Actual Harm. Certified Nursing Assistant (CNA) W admitted to returning the resident to the bed without notifying the nurse. CNA W was assisted by CNA X, to get Resident #77 back in the bed.
Inspectors wroteBased on policy review, medical record review, observation and interview, the facility failed to provide appropriate care and services for residents with an indwelling catheter (a tube in the bladder that drains urine) for 2 of 3 residents (Resident #30 and #304) reviewed for indwelling catheters. The facility's failure to implement interventions to prevent pressure and/or secure catheter tubing resulted in Actual Harm when Resident #30 developed a pressure ulcer related to the catheter tubing.
Inspectors wroteBased on review of the Quality Safety Organization (QSO) - 20 -30 - Nursing Home (NH), policy review, medical record review, observation, and interview, the facility failed to maintain a clean, safe, comfortable, and sanitary environment on 4 of 4 (100, 200, 400, and 500) Hallways that included Resident #s 6, 8, 15, 17, 22, 27, 28, 32, 33, 34, 36, 38, 39, 41, 48, 49, 55, 57, 58, 61, 62, 63, 66, 68, 69 70, 71, 74, 75, 77, 79, 80, 83, 84, 87, 88, 90, 93, 97, 99, 105, 113, 116, 117, 120, 123, 129, 131, 144, 133, 139, 304, 348, and 349. The 400 and 500 Hall was the tracheostomy/ventilator units with vulnerable, high risk, and compromised residents. Observations made from 9/23/2024 through 10/2/2024 revealed there were observations of dried dark brown and tan hardened substances on the residents' bed frames and side rails, enteral feeding pumps, poles, walls, window blinds, and floors. [...]
Inspectors wroteBased on policy review, medical record review, observation, and interview, the facility failed to provide care and services for residents with percutaneous endoscopic gastrostomy (PEG) tubes (plastic tube inserted into the stomach to administer medications, supplements and liquid food) when staff failed to ensure the enteral feedings and the flush solutions were properly labeled for 3 of 4 sampled residents (Resident #58, #72, and #304) reviewed for enteral feedings and failed to administer site care for 1 of 4 residents (Resident #498) reviewed for PEG tubes.
Inspectors wroteBased on facility policy review, medical record review and interview, the facility failed to ensure physician visits were conducted according to facility policy for 9 of 11 residents (#8, #38, #56, #57, #67, #71, #73, #104, #305) reviewed for Physician visits.
Inspectors wroteBased on policy review, facility documentation review, job description review, observation, and interview, the facility failed to ensure food was stored, prepared, and served under sanitary conditions. The facility failed to follow proper sanitation and food handling practices to prevent the outbreak of foodborne illnesses. Observations during the survey revealed the kitchen floors were dirty with standing water from leaking pipes, ice machines were broken and/or contained mold. There were no sanitation logs for the 3 compartment sinks. [...]
Inspectors wroteBased on review of the Quality Safety Organization (QSO) - 20 -30 - Nursing Home (NH), review of NursingHomeAbuse.org, policy review, medical record review, observation, and interview, the facility failed to maintain an infection prevention and control program which provided a safe, sanitary, and comfortable environment to help prevent the development and transmission of infections for 24 of 38 residents (Residents #22, #28, #34, #49, #62, #63, #71, #75, #77, #80, #83, #90, #116, #117, #120, #123, #129, #131, #133, #139, #144, #304, #348, and #349) reviewed for infection. The 400 and 500 Halls was the tracheostomy/ventilator units with vulnerable, high risk, and compromised residents who were exposed to unsanitary conditions.
Inspectors wroteBased on policy review, medical record review, observation, and interview, the facility failed to ensure the residents' right to retain and use their personal possessions for 1 of 1 (Resident #20) sampled residents.
Inspectors wroteBased on policy review, medical record review, observation and interview, the facility failed to ensure food preferences were acknowledged for 1 of 1 (Resident #70) sampled resident reviewed for choices.
Inspectors wroteBased on record review, and interview, the facility failed to provide information to the residents regarding their right to formulate an advance directive for 10 of 32 (Residents #34, #57, #71, #72, #73, #79, #92, #104, #140, and #498) residents reviewed for advance directives.
Inspectors wroteBased on policy review, medical record review and interview, the facility failed to notify the resident representative in advance of a change in room for 1 of 1 (Resident #305) sampled residents reviewed.
Inspectors wroteBased on policy review, medical record review, Facility Reported Incident (FRI) review, and interview the facility failed to report allegations of abuse and neglect related to injury of unknown origin within 2 hours for 1 of 3 (Resident #248) sampled residents.
Inspectors wroteBased on policy review, medical record review, facility investigation review and interview, the facility failed to thoroughly investigate an allegation of abuse and failed to report to the government agency the results of the facility investigation within 5 working days for 4 of 13 residents (Resident #58, #248, #298, #300) reviewed for abuse incidents.
Inspectors wroteBased on medical record review and interview, the facility failed to ensure Minimum Data Set (MDS) assessments were complete and accurate for 4 of 47 (Resident #6, #41, #84, and #105) MDSs reviewed.
Inspectors wroteBased on the Level 1 Pre-admission Screening and Resident Review (PASRR) form, policy review, medical record review, and interview, the facility failed to resubmit a PASRR after the resident had the addition of a new mental health diagnosis for 1 of 6 sampled residents (Resident #56) reviewed for PASRRs.
Inspectors wroteBased on policy review, medical record review and interview, the facility failed to conduct quarterly care conference meetings for 1 of 1 (Resident #20) sampled resident reviewed.
Inspectors wroteBased on policy review, medical record review, observation, and interview, the facility failed to ensure residents were assisted with Activities of Daily Living (ADLs) for personal grooming for 1 of 4 residents (Resident #80) reviewed for ADLs.
Inspectors wroteBased on policy review, medical record review, observations, and interview, the facility failed to follow Physician orders related to blood glucose monitoring, missed medication doses, physician orders for parameters for the use of an anti-hypertensive medication (a medication given for high blood pressure) and failed to obtain vital signs before administering anti-hypertensive medication for 3 of 3 sampled residents (Resident #12, #68, and #73) reviewed for medication administration.
Inspectors wroteBased on policy review, medical record review, observation, and interview, the facility failed to follow its policy for changing oxygen tubing and failed to follow the prescribed physician order for oxygen administration for 1 of 1 (Resident #68) sampled residents reviewed for respiratory care.
Inspectors wroteBased on facility policy review, observation, and interview, the facility failed to ensure posted staffing information was accurate and current for 5 of 15 days (9/23/2024, 9/25/2024, 10/1/2024, 10/15/2024 and 10/16/2024) during the survey.
Inspectors wroteBased on policy review, medical record review, observation, and interview, the facility failed to ensure medications were properly stored and secured for 2 of 2 sampled residents (Residents #49 and #70) when medications were found unattended and unsecured in the resident rooms, and when opened and undated medications were stored in 2 of 13 medication storage areas (100 Hall Medication Room).
Inspectors wroteBased on policy review, medical record review, and interview, the facility failed to ensure dental services were provided for 1 of 1 sampled resident (Resident #39) reviewed for dental services.
Inspectors wroteBased on facility policy review, medical record review, and interview, the facility failed to ensure that the binding arbitration agreement signed by residents or resident's legal representative was understood for 1 of 3 residents (Resident #140) reviewed for arbitration agreement.
Inspectors wroteBased on policy review, facility investigation, medical record review, and interview, the facility failed to follow up and honor a resident's right to request a room change for 1 of 6 residents (Resident #118) sampled for resident rights.
Inspectors wroteBased on policy review, medical record review, daily working schedule review, Labor Details review, employee screening logs review, observation, and interview, the facility failed to ensure measures to prevent the potential spread of infection were followed when 1 of 1 staff member(Respiratory Therapist (RT) #1 and #2) failed to follow infection control guidelines during tracheostomy care for 2 of 3 sampled residents (Resident #102 and #39) reviewed with tracheostomies, when 1 of 1 staff member (Registered Nurse (RN) #1) failed to don (putting a garment on) Personal Protective Equipment (PPE) before entering a residents room in droplet precautions for 1 of 4 sampled residents (Resident #106) reviewed in droplet precautions, and the facility failed to properly prevent and contain COVID-19 when 4 of 174 staff members (Housekeeper #1, Physical Therapist #1, Occupational Therapist #1, and [...]
Inspectors wroteBased on policy review, medical record review, observation, and interview, the facility failed to assess 1 of 1 sampled resident (Resident #34) reviewed for self-administration of medication.
Inspectors wroteBased on policy review, medical record review, and interview, the facility failed to ensure residents were invited to participate in care planning for 1 of 22 sampled residents (Resident #87) reviewed for participation in care planning.
Inspectors wroteBased on policy review, medical record review, and interview, the facility failed to administer the prescribed medication for 1 of 6 sampled residents (Resident #80) reviewed for Physician's Orders and medication administration.
Inspectors wroteBased on medical record review, observation, and interview, the facility failed to accurately assess a pressure injury for 2 of 5 sampled residents (Resident #68 and #112) reviewed for pressure injuries.
Inspectors wroteBased on policy review, observation, and interview, the facility failed to ensure food was stored, prepared, and served under sanitary conditions when dishware was washed inappropriately, wet nesting of dishware, and 2 (Dietary Aide #1 and #2) kitchen staff were observed in the kitchen without hair and beard restraints. The facility's failure had the potential to affect 170 of the 175 residents receiving a meal tray from the kitchen.
Inspectors wroteBased on policy review, medical record review, observation, and interview, the facility failed to ensure the comprehensive care plan intervention of 2 person transfers via mechanical lift were implemented for 1 of 38 (Resident #6) sampled residents reviewed.
Inspectors wroteBased on policy review, medical record review, observation, and interview, the facility failed to ensure an environment was free of accident hazards for 2 of 5 (Resident #6 and #149) sampled residents reviewed for falls.
Inspectors wroteBased on policy review, observation, and interview, the facility failed to ensure medications were properly stored and secured in 1 of 13 (500 Hall Medication Cart) medication storage areas.
12 fire safety citations on file: 9 on October 16, 2024, 3 on October 3, 2019.
| Date | Penalty | Amount or length |
|---|---|---|
| April 30, 2025 | Fine | $50,749 |
| October 16, 2024 | Fine | $78,225 |
| October 16, 2024 | Payment Denial | 50 days from November 14, 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) | 3.95 | 3.80 | 3.86 |
| Registered nurses | 0.83 | 0.60 | 0.69 |
| All nursing staff on weekends | 3.45 | 3.31 | 3.42 |
| Nurse aides | 2.23 | ||
| Licensed practical nurses | 0.89 | ||
| Nursing staff turnover (share who left in a year) | 67.5% | 48.9% | 45.8% |
| Registered nurse turnover | 79.2% | 43.2% | 42.9% |
| Administrators who left | 2 |
CMS expects 4.54 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 4.15 on weekdays and 3.45 on weekends, 17% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.5% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.82 in April to June 2025 to 3.95 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 | 3.95 | 0.83 | 4.15 | 3.45 | 0.5% | 0 of 90 | 111 |
| Oct to Dec 2025 | 4.26 | 0.82 | 4.49 | 3.69 | 0.0% | 0 of 92 | 99 |
| Jul to Sep 2025 | 4.23 | 0.67 | 4.50 | 3.54 | 0.0% | 0 of 92 | 122 |
| Apr to Jun 2025 | 3.82 | 0.66 | 4.09 | 3.13 | 0.9% | 0 of 91 | 150 |
| 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. If you work here, your report helps start one.
| 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 | 6.0 | 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 | 0.5 | 1.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 1.2 | 3.4 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.8 | 1.7 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 4.1 | 17.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 16.4 | 5.0 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 11.2 | 16.9 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 16.6 | 22.6 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 8.2 | 11.2 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.0 | 1.7 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.7 | 1.6 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Spring Gate Rehab & Healthcare Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (41.4% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
41.4% 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. 78 eligible stays.
11.4% 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. 63 eligible stays.
6.5% 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. 47 eligible stays.
33.3% 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. 33 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. 71 residents counted.
9.3% 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. 11 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: MEMPHIS OPERATOR LLC. CMS links this home to Prestige Administrative Services, a group of 9 nursing homes averaging 2.4 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| B&y Healthcare S Corp | 5% or greater direct ownership interest | Organization | 50% | 12/31/2019 |
| Cody Healthcare S Corp | 5% or greater direct ownership interest | Organization | 50% | 12/31/2019 |
| B&y Trust | 5% or greater indirect ownership interest | Organization | 50% | 12/31/2019 |
| Craig Flashner 2007 Trust | 5% or greater indirect ownership interest | Organization | 50% | 12/31/2019 |
| Norcross, Robert | Contracted managing employee | Individual | 01/01/2014 | |
| Rogers, Stacey | Contracted managing employee | Individual | 10/30/2014 | |
| Kirk, Kristine | W-2 managing employee | Individual | 01/01/2014 | |
| Flashner, Craig | Corporate director | Individual | 12/31/2019 | |
| Northpoint Regional LLC | Operational/managerial control | Organization | 02/01/2007 | |
| Prestige Administrative Services, LLC | Operational/managerial control | Organization | 01/01/2016 | |
| Flashner, Craig | Operational/managerial control | Individual | 12/31/2019 | |
| Perlstein, Yitzchok | Operational/managerial control | Individual | 12/31/2019 |
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.