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
Findings at the most serious level CMS records.
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
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 2.92 | 3.56 |
| Registered-nurse hours per resident day | 0.38 | — |
| Annual nurse turnover | 55.8% | 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
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J112.5% | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D337.5% | E450.0% | F— |
| No harm, potential for minimal | A— | B— | C— |
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.
- Wexford HouseKingsportno harm findings
- Spring City Care and Rehabilitation CenterSpring City1 harm finding
- Cordova Wellness and Rehabilitation CenterCordovano harm findings
- Trevecca Center for Rehabilitation and Healing LLCNashvilleno harm findings
- Quality Center for Rehabilitation and Healing LLCLebanon2 harm findings
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction