Highlands Health and Rehabilitation CenterCMS ratings, inspections and fines
- Address
- 3549 Norriswood, Memphis, TN 38111
- CCN
- 445165
- Ownership type
- For-profit, corporation
- Certified beds
- 180
- Chain
- Champion Care
- Residents per day
- 158
- CMS flags
- No standard survey in more than 2 years
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Highlands Health and Rehabilitation Center an overall rating of 2 of 5 stars. The last standard survey was on 11 Aug 2022. The latest survey cycle has 8 health citations. The median for nursing homes in Tennessee is 4. CMS lists 1 fine of $22,925 for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Shelby County median | Tennessee median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 2 | 2.0 | 3.0 | 3.0 |
| Health inspection rating | 2 | 2.0 | 3.0 | 2.8 |
| Staffing rating | 2 | 2.0 | 2.0 | 2.9 |
| Quality measure rating | 3 | 4.0 | 4.0 | 3.6 |
A median is the middle value of the homes in the group: 25 homes in the county, 303 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Tennessee median |
|---|---|---|---|
| Cycle 1 (latest) | 11 Aug 2022 | 8 | 4 |
| Cycle 2 | 22 Oct 2019 | 3 | 4 |
| Cycle 3 | No date | 5 | 4 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | K0 | L0 | |
| Actual harm that is not immediate jeopardy | G0 | H0 | I0 |
| No actual harm, potential for more than minimal harm | F0 | ||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 8 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 10 Feb 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | Past Non-Compliance |
| 14 Oct 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 17 Dec 2025 |
| 11 Aug 2022 | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Standard survey | 24 Aug 2022 |
| 11 Aug 2022 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 24 Aug 2022 |
| 11 Aug 2022 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 24 Aug 2022 |
| 11 Aug 2022 | F0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | Standard survey | 24 Aug 2022 |
| 11 Aug 2022 | F0760 | Ensure that residents are free from significant medication errors. | E | Standard survey | 24 Aug 2022 |
| 11 Aug 2022 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 30 Aug 2022 |
Survey cycle 2: 3 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 22 Oct 2019 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard survey | 5 Dec 2019 |
| 22 Oct 2019 | F0761 | 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. | D | Standard survey | 5 Dec 2019 |
| 22 Oct 2019 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 5 Dec 2019 |
Survey cycle 3: 5 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 6 Dec 2018 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 6 Jan 2019 |
| 6 Dec 2018 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 6 Jan 2019 |
| 6 Dec 2018 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 6 Jan 2019 |
| 6 Dec 2018 | F0761 | 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. | D | Standard survey | 6 Jan 2019 |
| 6 Dec 2018 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 6 Jan 2019 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 10 Feb 2026 | Fine | $22,925 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Tennessee median | Tennessee average (CMS) |
|---|---|---|---|
| All nurse staff | 3.22 | 3.60 | 3.80 |
| Registered nurses (RN) | 0.48 | 0.50 | 0.60 |
| Licensed practical nurses (LPN) | 0.92 | 1.09 | |
| Nurse aides | 1.83 | 2.12 | |
| All nurse staff, weekends | 2.83 | 3.20 | 3.31 |
- Nurse staff turnover in a year
- 53.6%
- Nurse staff turnover, Tennessee median
- 50.0%
- RN turnover in a year
- 50.0%
- Administrators who left in a year
- 0
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Tennessee median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 7.5% | 12.3% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.5% | 0.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.8% | 1.5% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.2% | 3.1% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 2.7% | 1.2% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 16.4% | 15.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 8.9% | 4.3% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 20.5% | 15.6% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, corporation
- Legal business name
- The Bay at Highlands Health and Rehabilitation Center LLC
- Chain
- Champion Care (22 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| The Bay at Highlands Holdco LLC | 5% or greater direct ownership interest | 100% | 1 Jun 2022 |
| BL Capital Group Holdings LLC | 5% or greater indirect ownership interest | 10% | 1 Jun 2022 |
| Legacy SNF Opco Holdings LLC | 5% or greater indirect ownership interest | 13% | 1 Jun 2022 |
| Tn2 Opco Holdings LLC | 5% or greater indirect ownership interest | 25% | 1 Jun 2022 |
| Champion Care LLC | Operational/managerial control | 1 Jun 2022 |
The site shows organisations only. It does not show the names of persons.
Other homes in Shelby County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Allen Morgan Health and Rehabilitation Center | Memphis | 5 of 5 | 1 | $0 | 11 Feb 2026 | |
| Shelby Oaks Post Acute | Memphis | 1 of 5 | 5 | $79,356 | 8 Jan 2026 | |
| Majestic Gardens at Memphis Rehab & SNCSpecial Focus candidate | Memphis | 1 of 5 | 7 | $810,404 | 11 Sep 2025 | |
| Midtown Center for Health and Rehabilitation | Memphis | 2 of 5 | 3 | $188,379 | 4 Sep 2025 | |
| Delta Blues Health & Rehabilitation | Memphis | 2 of 5 | 1 | $8,281 | 2 Oct 2025 | |
| Ave Maria Home | Bartlett | 2 of 5 | 5 | $27,921 | 12 May 2022 | |
| Signature Healthcare of Memphis | Memphis | 5 of 5 | 2 | $0 | 13 May 2026 | |
| Quince Nursing and Rehabilitation Center | Memphis | 2 of 5 | 3 | $71,822 | 5 Mar 2026 | |
| Signature Healthcare of Primacy | Memphis | 5 of 5 | 3 | $0 | 3 Mar 2026 | |
| Waters of Memphis A Rehabilitation & Nursing Ctr | Memphis | 1 of 5 | 9 | $5,293 | 14 Sep 2023 | |
| Harborview Post Acute | Memphis | 3 of 5 | 2 | $0 | 10 Jun 2026 | |
| Graceland Rehabilitation and Nursing Care CenterSpecial Focus candidate | Memphis | 1 of 5 | 10 | $342,603 | 13 May 2025 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Tennessee Health Facilities Commission: filing a complaintThe complaint page of the State Survey Agency for Tennessee, from the CMS list of agencies.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Highlands Health and Rehabilitation Center (CCN 445165). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/highlands-health-and-rehabilitation-center-memphis-tn-445165/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Highlands Health and Rehabilitation Center last inspected?
- The latest inspection with a citation in the CMS record was on 10 Feb 2026. It was a complaint investigation. It gave 1 citation. The standard survey before the last one was on 22 Oct 2019. CMS marks the last health inspection of this home as more than 2 years old.
- Who operates Highlands Health and Rehabilitation Center?
- The CMS record gives the ownership type as for-profit, corporation. CMS lists the home in the chain Champion Care. The CMS ownership file names Champion Care LLC for operational or managerial control. This site does not show the names of persons.
- Is Highlands Health and Rehabilitation Center a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 2 homes in Tennessee as Special Focus Facilities and 10 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.