Deficiency Index

Memphis Convalescent Center

Memphis, Texas · CCN 675970

21 surveys since 2011. The first finding at harm level was recorded in 2021.

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

Citations on record
51
Surveys
21
Harm or worse
4
Immediate jeopardy
4
The record, 2011–2025
’11’15’20’25
No harm recordedHarm or worseNot surveyed
Immediate jeopardy4

Findings at the most serious level CMS records.

Beyond CMS’s monthly file15/21

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

The facility

Certified beds
72
Ownership
Government - Hospital district
Chain
CREATIVE SOLUTIONS IN HEALTHCARE
County
Hall · rural
Medicare-certified since
2003

CMS ratings

Overall
2
Health inspection
2
Staffing
1
Quality measures
5

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 49 government-run facilities of 66–99 beds in Texas.

Last survey on record

Nov 19, 2025

355 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 day3.393.24
Registered-nurse hours per resident day0.35—
Annual nurse turnover100.0%54.3%

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

Enforcement

Fines
$19,754 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 jeopardyJ15.0%K210.0%L—
Actual harmG—H—I—
No harm, potential for more than minimalD840.0%E630.0%F315.0%
No harm, potential for minimalA—B—C—
CMS’s current file: 20 of the 51 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F8124×

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • F6412×

    Ensure each resident receives an accurate assessment.

  • F5651×

    Honor the resident's right to organize and participate in resident/family groups in the facility.

  • F6001×

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

  • F6071×

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

In the surveyor’s words

From the most serious findings on record at Memphis Convalescent Center, in the surveyor’s own words.

  • Immediate jeopardy, patternF600Dec 17, 2023

    Based on interviews, observations, and record reviews, the facility failed to protect residents of verbal abuse and neglect for 1 (Resident #1) of 6 residents reviewed for abuse and neglect. 1) AD verbally abused Resident #1 by yelling at her in front of residents and family members during an activity. 2) ADM failed to protect Resident #1 from verbal abuse from AD when it was reported to her by other staff members An Immediate Jeopardy (IJ) was identified on 12/16/2023 at 2:30 PM. While the immediate jeopardy was removed on 12/17/2023 at 4:00 PM, the facility remained out of compliance at actual harm that is not immediate jeopardy and scope of isolated, due to the facility's need to evaluate the effectiveness of their plan of correction to prevent further concerns. […]

  • Immediate jeopardy, patternF607Dec 17, 2023

    Based on observation, interviews, and record reviews, the facility failed to implement its' written policies and procedures that prohibit and prevent abuse and neglect for 1 of 6 residents (Resident #1) reviewed for abuse and neglect when: -The ADM was made aware of an allegation that AD was yelling during an activity and failed to follow policy and procedures of abuse and neglect. The facility's failure to ensure suspicions of abuse/neglect were investigated and reported to State could place all residents at risk for injuries, physical and mental decline, decrease in social gatherings, and delay of care. An Immediate Jeopardy (IJ) was identified on 12/16/2023 at 2:30 PM. […]

  • Immediate jeopardy, isolatedF610Dec 17, 2023

    Based on interviews and record reviews, the facility failed to conduct a thorough investigation of all allegations of abuse and neglect for 1 of 6 residents (Resident #1) reviewed for abuse and neglect when: -the facility reported an allegation of abuse reported by a family member and did not conduct a thorough investigation. The facility's failure to ensure allegations of abuse and neglect were thoroughly investigated could lead to continuous abuse, mental and physical decline, psychosocial harm. An Immediate Jeopardy (IJ) was identified on 12/16/2023 at 2:30 PM. […]

  • Immediate jeopardy, isolatedF689Oct 28, 2021

    Based on observation, interview, and record review, the facility failed to ensure that the residents' environment remained as free from accident hazards as was possible and that each resident received assistance devices to prevent accidents for 1 of 5 Residents (Resident #1), reviewed for accident hazards. CNA A failed to secure the seat belt around Resident #1 when transporting him in the facility's van to a doctor's appointment almost 86 miles away, causing the resident to fall out of his wheelchair when the driver slammed on the brakes to avoid hitting another car that cut her off in a construction zone. […]

  • No harm, potential for more than minimal, widespreadF812Aug 6, 2024

    Based on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with the professional standards for food service safety for 1 of 1 kitchen reviewed for kitchen sanitation. 1. The facility failed to ensure freezer items were properly stored, labeled, and dated. 2. The facility failed to ensure dented cans were not in circulation. 3. The facility failed to ensure pantry foods were properly stored, labeled, and dated. 4. The facility failed to ensure refrigerated foods were properly stored, labeled, and dated. 5. The facility failed to ensure expired foods were disposed of timely. These failures could place residents who ate food served by the kitchen at risk of food-borne illness. […]

Read 21 findings in full →The most serious and the most recent: 21 of 51 on record.

Every survey on record

FindingsAt actual harm or above

  • Nov 19, 2025Standard4 findings
  • Aug 6, 2024Standard3 findings
  • May 22, 2024Complaint1 finding
  • Dec 17, 2023Complaint6 findings · 3 harm
  • Oct 17, 2023Complaint1 finding
  • Jul 18, 2023Standard5 findings
  • May 24, 2022Standard5 findings
  • Dec 21, 2021Complaint1 finding
Show the 13 earlier surveys
  • Oct 28, 2021Complaint1 finding · 1 harm
  • Feb 3, 2021Standard1 finding
  • Jan 28, 2021Complaint2 findings
  • Mar 6, 2019Standard2 findings
  • Mar 29, 2018Standard3 findings
  • Oct 18, 2017Complaint2 findings
  • Feb 8, 2017Standard1 finding
  • Dec 9, 2015Standard and complaint4 findings
  • Nov 20, 2014Standard2 findings
  • Oct 30, 2013—3 findings
  • Feb 23, 2012—1 finding
  • Oct 12, 2011—2 findings
  • May 18, 2011—1 finding

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.

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