Deficiency Index

Rainbow Rehab and Healthcare

Bartlett, Tennessee · CCN 445283

15 surveys since 2011. The first finding at harm level was recorded in 2016.

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

Citations on record
80
Surveys
15
Harm or worse
11
Immediate jeopardy
11
The record, 2011–2026
’11’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy11

Findings at the most serious level CMS records.

Beyond CMS’s monthly file12/15

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

The facility

Certified beds
115
Ownership
For profit - Limited Liability company
Chain
PRESTIGE ADMINISTRATIVE SERVICES
County
Shelby
Medicare-certified since
1992

CMS ratings

Overall
1
Health inspection
1
Staffing
3
Quality measures
4

CMS’s own Five-Star ratings.

Compared with similar facilities

Not shown for this facility: too few citations in window (n=16, floor 20).

Last survey on record

Jul 22, 2026

110 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 day3.413.58
Registered-nurse hours per resident day0.46—
Annual nurse turnover43.7%48.0%

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

Enforcement

Special focus
SFF Candidate
Abuse icon
Flagged by CMS on Care Compare

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 jeopardyJ215.4%K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD753.8%E323.1%F17.7%
No harm, potential for minimalA—B—C—
CMS’s current file: 13 of the 80 citations on record.

In the surveyor’s words

From the most serious findings on record at Rainbow Rehab and Healthcare, in the surveyor’s own words.

  • Immediate jeopardy, isolatedF600Jul 22, 2026

    Based on policy review, incontinent brief manufacturer directions, medical record review, hospital record review, facility investigation review, observation, and interview, the facility failed to protect the Residents' right to be free from neglect when they failed to provide necessary care and services to meet the needs of the Resident for 1 of 6 (Resident #1) sampled residents reviewed for a change of condition and altered mental status. Resident #1, a vulnerable Resident who was cognitively intact, with a full code status was found with an acute change in condition on 7/10/2024 at approximately 10:56 AM. The facility failed to notify the physician and the family at that time. […]

  • Immediate jeopardy, isolatedF684Jul 22, 2026

    Based on the 2026 American Heart Association/American Stoke Association (AHA/ASA) Guidelines, facility policy review, hospital record review, medical record review, facility documentation review, emergency medical transportation review, and interview, the facility failed to provide treatment and care in accordance with professional standards of practice for 1 of 6 (Resident #1) sampled residents reviewed for physical injuries, timely assessments, and emergency transfer for a change in condition. Resident #1, a vulnerable Resident who was cognitively intact, with a full code status, was found with an acute change in condition and altered mental status on the morning of 7/10/202 at approximately 10:56 AM. […]

  • No harm, potential for more than minimal, widespreadF812Jun 30, 2022

    Based on policy review, observation, and interview, the facility failed to ensure food was stored, prepared, and served under sanitary conditions when opened, unlabeled, undated food was in the Kitchen and the dry storage area, black, shiny build-up was on the stove, frying pans, and ovens, a shiny yellow build-up was observed on the vent-a-hood, thick, dark gray dust was observed on the fan in the walk-in-cooler, dark, brown build-up was observed on the tea makers, 9 serving trays were wet-nested, 6 metal pans were wet-nested, and 1 of 6 dietary staff (Dietary Aide #2) used a dirty dish rack to push a clean dish rack out of the ware-washer and failed to perform hand hygiene when she went from the dirty side of the ware-washer to the clean side. […]

  • No harm, potential for more than minimal, patternF578Jun 30, 2022

    Based on policy review, medical record review, and interview, the facility failed to provide education for Advance Directives to residents or residents' responsible parties for 24 of 24 sampled residents (Resident #5, #8, #9, #11, #12, #14, #15, #17, #18, #26, #31, #32, #34, #35, #36, #44, #51, #62, #65, #67, #71, #224, #424, and #425) reviewed for Advanced Directives. The findings include: Review of the facility's policy titled, Residents' Rights Regarding Treatment and Advance Directives, dated 1/1/2022, revealed .It is the policy of this facility to support and facilitate a resident's right to request, refuse and/or discontinue medical or surgical treatment and to formulate an advance directive .The facility will provide the resident or resident representative information, in the manner… […]

  • No harm, potential for more than minimal, patternF584Jun 30, 2022

    Based on policy review, observation, and interview, the facility failed to maintain a safe, sanitary, and homelike environment for 2 of 45 resident rooms (Room #125 and #222) related to a torn fall mat on the floor and a dirty privacy curtain, and when 5 of 5 Lifts (Hoyer Lift #1, Hoyer Lift #2, Hoyer Lift #3, Stand Lift #1, and Stand Lift #2) had dirty grime build-up. The findings include: Review of the facility's policy titled, Cleaning and Disinfection of Resident-Care Equipment, dated 3/20/2020, revealed .Resident-care equipment can be a source of indirect transmission of pathogens. […]

Read 29 findings in full →The most serious and the most recent: 29 of 80 on record.

Every survey on record

FindingsAt actual harm or above

  • Jul 22, 2026Complaint3 findings · 2 harm
  • Jun 19, 2026Standard and complaint5 findings
  • Jun 30, 2022Standard7 findings
  • Jan 15, 2021Complaint1 finding
  • Nov 15, 2017Standard2 findings
  • Sep 12, 2017Complaint2 findings
  • Apr 5, 2017Complaint9 findings
  • Sep 14, 2016Standard and complaint18 findings · 9 harm
Show the 7 earlier surveys
  • Mar 29, 2016Complaint1 finding
  • Feb 8, 2016Complaint2 findings
  • Aug 26, 2015Standard5 findings
  • Jul 30, 2015Complaint1 finding
  • Jun 18, 2014Standard3 findings
  • May 9, 2012—14 findings
  • Feb 24, 2011—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.

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