Majestic Gardens at Memphis Rehab & SNC
Memphis, Tennessee · CCN 445150
21 surveys since 2010, 20 of them producing a finding at harm level or worse.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 158
- Surveys
- 21
- Harm or worse
- 20
- Immediate jeopardy
- 18
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
- 169
- Ownership
- For profit - Corporation
- Chain
- EPHRAM LAHASKY
- County
- Shelby
- Medicare-certified since
- 1982
CMS ratings
- Overall
- 1
- Health inspection
- 1
- Staffing
- 1
- Quality measures
- 2
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded more weighted findings than most of its peer group.
Weighted by harm level, against 77 for-profit facilities with 128 or more beds in Tennessee.
Last survey on record
Sep 11, 2025
424 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 | 3.36 | 3.56 |
| Registered-nurse hours per resident day | 0.41 | — |
| Annual nurse turnover | 68.5% | 48.6% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $334,150 across 8 penalties
- Payment denials
- 1
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 | J25.4% | K25.4% | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D2362.2% | E924.3% | F12.7% |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F6773×
Provide care and assistance to perform activities of daily living for any resident who is unable.
- F6893×
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- F7613×
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- F6092×
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- F6412×
Ensure each resident receives an accurate assessment.
In the surveyor’s words
From the most serious findings on record at Majestic Gardens at Memphis Rehab & SNC, in the surveyor’s own words.
- Immediate jeopardy, widespreadF584Jul 12, 2022
Based on a Life Safety Code (LSC) violation complaint, weather website review, observation, and interview, the facility failed to maintain the air conditioning units, maintain comfortable temperatures throughout the facility, and placed the 150 residents residing in the facility at risk for heat related negative outcomes, and created a disruption in their day-to-day routines. The facility's failure to maintain comfortable temperatures resulted in Immediate Jeopardy when the facility did not evacuate residents to prevent extreme temperatures in the facility's resident rooms when facility administration and staff were aware the air conditioning system was not functioning adequately on 6/16/2022 Immediate Jeopardy (IJ) is a situation in which the provider's noncompliance with one or more… […]
- Immediate jeopardy, widespreadF600Jul 12, 2022
Based on policy review, a Life Safety Code violation complaint, weather website review, medical record review, observation, and interview, the facility failed to prevent neglect as evidenced by 1 of 150 residents that lived in the facility (Resident #1) exhibited symptoms of distress from heat exposure. The facility's failure to provide a safe and comfortable environment to prevent the likelihood of neglect for all 150 residents in the facility resulted in Immediate Jeopardy when the facility failed to evacuate residents when the air conditioning system was not functioning adequately. […]
- Immediate jeopardy, widespreadF835Jul 12, 2022
Based on National Weather Service Reporting System, Board of Examiners for Nursing Home Administration (BENHA) review, job description review, observation, and interview, the facility Administration failed to administer the facility in a manner that enabled the facility to use its resources effectively to attain and maintain the highest practicable well-being of residents susceptible to lack of comfortable and safe temperature levels. Failure of Administration to effectively plan and develop strategies in the event the facility air conditioning system was unable to maintain comfortable temperatures for the residents, and failure to provide education to staff to ensure residents were more frequently assessed for symptoms of heat intolerance and the importance of monitoring and providing… […]
- Immediate jeopardy, widespreadF837Jul 12, 2022
Based on policy review, job description review, and interview, the Governing Body failed to provide oversight to ensure systems and processes were developed and consistently followed, failed to provide oversight of administration and nursing staff ensuring that residents at risk for negative outcomes related to heat exhaustion were frequently assessed and given necessary hydration for their health and safety, and failed to provide oversight in the development of plans for evacuation of the residents in the event the facility's historically unreliable air conditioning system failed to provide comfortable temperatures for residents enabling the residents to continue in their activities of daily living without discomfort and without risk of serious health related outcomes due to excessive… […]
- Immediate jeopardy, widespreadF867Jul 12, 2022
Based on policy review, observation, and interview, the facility's Quality Assessment Performance Improvement (QAPI) committee failed to set priorities for its performance improvement activities that focused on the high risk and problem-prone air conditioning system and develop strategies based on consideration of the potential negative health outcomes, resident safety, and quality of care concerns, which placed the 150 residents residing in the facility in Immediate Jeopardy when the air conditioning system failed. […]
Read 39 findings in full →The most serious and the most recent: 39 of 158 on record.
Every survey on record
FindingsAt actual harm or above
- Sep 11, 2025Standard6 findings
- Aug 20, 2025Complaint1 finding
- May 8, 2024Standard13 findings · 1 harm
- Aug 24, 2023Complaint13 findings · 3 harm
- Mar 15, 2023Complaint6 findings · 3 harm
- Jul 12, 2022Complaint6 findings · 6 harm
- Mar 14, 2022Complaint3 findings · 3 harm
- Apr 29, 2021Complaint2 findings
Show the 13 earlier surveys
- Mar 18, 2021Complaint2 findings
- Mar 18, 2020Complaint1 finding
- Jul 18, 2019Standard9 findings
- Sep 25, 2018Standard and complaint5 findings
- Jul 19, 2018Complaint3 findings
- Aug 24, 2017Standard14 findings
- Jun 9, 2016Standard13 findings
- Oct 29, 2015Complaint16 findings · 3 harm
- May 8, 2015Standard and complaint18 findings
- Jun 5, 2012—1 finding
- Dec 15, 2011—17 findings · 1 harm
- Aug 29, 2011—2 findings
- Sep 28, 2010—7 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.
- Magnolia Healthcare and Rehabilitation CenterColumbia7 harm findings
- Lyonsview Health and Rehabilitation CenterKnoxville8 harm findings
- Orchardview Post-Acute and Rehabilitation CenterKingsport20 harm findings
- Midtown Center for Health and RehabilitationMemphis20 harm findings
- Graceland Rehabilitation and Nursing Care CenterMemphis30 harm findings
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