Deficiency Index

Delta Blues Health & Rehabilitation

Memphis, Tennessee · CCN 445485

12 surveys since 2010. The first finding at harm level was recorded in 2025.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
44
Surveys
12
Harm or worse
1
Immediate jeopardy
1
The record, 2010–2025
’10’15’20’25
No harm recordedHarm or worseNot surveyed
Immediate jeopardy1

Findings at the most serious level CMS records.

Beyond CMS’s monthly file10/12

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
180
Ownership
For profit - Limited Liability company
Chain
LYON HEALTHCARE
County
Shelby
Medicare-certified since
2007

CMS ratings

Overall
2
Health inspection
2
Staffing
1
Quality measures
5

CMS’s own Five-Star ratings.

Compared with similar facilities

Not shown for this facility: too few citations in window (n=8, floor 20).

Last survey on record

Oct 2, 2025

403 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day2.923.56
Registered-nurse hours per resident day0.38—
Annual nurse turnover55.8%48.6%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

Fines
$8,281 across 1 penalty

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ112.5%K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD337.5%E450.0%F—
No harm, potential for minimalA—B—C—
CMS’s current file: 8 of the 44 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F8802×

    Provide and implement an infection prevention and control program.

  • F5501×

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

  • F6411×

    Ensure each resident receives an accurate assessment.

  • F6561×

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  • F6771×

    Provide care and assistance to perform activities of daily living for any resident who is unable.

In the surveyor’s words

From the most serious findings on record at Delta Blues Health & Rehabilitation, in the surveyor’s own words.

  • Immediate jeopardy, isolatedF880Oct 2, 2025

    Based on Centers for Disease Control and Prevention (CDC) guidelines, (Named Glucometer-a device/meter used to check blood sugar levels with the use of a blood sample) User Instruction Manual review, facility policy and protocol review, medical record review, observation, and interview, the facility failed to ensure practices to prevent the potential spread of infection were maintained when multi-use glucometers were not cleaned and disinfected with an Environmental Protection Agency (EPA) approved disinfecting wipe to prevent the cross-contamination of bloodborne pathogens, failed to ensure staff allowed the proper drying time for multi-use blood glucose meters (glucometers), failed to perform hand hygiene after glove removal during medication administration, and failed to clean reusable… […]

  • No harm, potential for more than minimal, patternF550Jan 13, 2022

    Based on policy review, observation, and interview, the facility failed to promote care that maintained residents' dignity, respect, and quality of care when staff failed to provide privacy for 2 of 5 sampled residents (Resident #64 and #69) reviewed for urinary catheters, 3 of 15 staff members (Certified Nursing Assistant (CNA) #2, #11 and #12) did not knock on resident doors prior to entering the room, called residents feeders, and addressed them with pet names for 4 of 155 residents (Resident #2, #37, #88, 108 and #154) observed during dining. […]

  • No harm, potential for more than minimal, patternF677Jan 13, 2022

    Based on policy review, medical record review, observation, and interview, the facility failed to ensure Activities of Daily Living (ADL) assistance was provided related to shaving, nail care, and grooming for 5 of 5 sampled residents (Resident #64, #76, #143, #160, and #166) reviewed for ADLs. The findings included: Review of the facility's policy titled, .A.M. [morning] CARE dated 10/2009, revealed .A.M. Care will be given to residents daily .RESPONSIBILITY .All Nursing Assistants .Provide nail care as needed .Provide .assist with shaving . Review of the medical record, revealed Resident #64 was admitted to the facility on [DATE], with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

  • No harm, potential for more than minimal, patternF761Jan 13, 2022

    Based on policy review, observation, and interview, the facility failed to ensure medications were stored properly and securely in 4 of 8 medication storage areas (100 Back Hall Medication Cart, East Hall Medication Room, West Front Hall Medication Cart, and West Back Hall Medication Cart) and 2 of 96 resident rooms (room [ROOM NUMBER] and #335) observed. The findings include: Review of the facility's policy titled, Medication Storage, dated 4/2014, revealed .Medication supply must be accessible only to licensed nursing personnel, or staff members lawfully authorized to administer medications. […]

  • No harm, potential for more than minimal, patternF812Jan 13, 2022

    Based on policy review, observation, and interview, 6 of 15 staff members (Certified Nursing Assistants (CNA) #2, #6, #10, #13, #14, and #15) failed to serve food under sanitary conditions for 19 of 155 residents (Resident #29, #30, #36, #55, #45, #78, #84, #98, #102, #108, #116, #123, #124, #125, #132, #135, #148, #164, and #165) observed during dining. The findings include: Review of the facility's policy titled, The Dining Experience: Objectives, dated 2016, revealed .Resident meals will be served in a sanitary environment with proper food handling procedures . Dining observations during the breakfast meal service on 1/10/2022 beginning at 8:48 AM, revealed the following: a. CNA #2 served a tray to Resident #102. […]

Read 20 findings in full →The most serious and the most recent: 20 of 44 on record.

Every survey on record

FindingsAt actual harm or above

  • Oct 2, 2025Standard1 finding · 1 harm
  • Jan 13, 2022Standard7 findings
  • Jan 30, 2019Standard1 finding
  • Mar 14, 2018Standard2 findings
  • Nov 29, 2017Complaint1 finding
  • Mar 2, 2017Standard and complaint12 findings
  • Jul 27, 2016Complaint1 finding
  • Dec 2, 2015Standard1 finding
Show the 4 earlier surveys
  • Oct 9, 2014Standard and complaint5 findings
  • Apr 11, 2013—1 finding
  • Jan 11, 2012—7 findings
  • Oct 20, 2010—5 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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