Elder Care Record

Tennessee › Shelby County › Memphis

Spring Gate Rehab & Healthcare Center

3909 Covington Pike, Memphis, TN 38135

CCN 445220 · For-profit, limited liability company · 206 certified beds · chain Prestige Administrative Services

Special Focus Facility candidate
Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Spring Gate Rehab & Healthcare Center, in Memphis, Tennessee, is certified for 206 beds under for-profit, limited liability company ownership and belongs to the Prestige Administrative Services chain.

CMS gives it 1 of 5 stars overall, below the Tennessee median of 3; the health inspection rating is 1, staffing 2 and quality measures 4.

Inspectors recorded 37 health deficiencies across the three most recent survey cycles (23, 10, 4 by cycle, most recent first), 3 of them at the actual-harm or immediate-jeopardy level. That is 18.0 per 100 beds, more than the state median of 12.2.

CMS lists 3 penalties in the period covered: fines totalling $129K and 1 payment denial.

Reported nurse staffing is 3.9 hours per resident per day (0.8 RN), close to the Tennessee median of 3.6; nursing staff turnover is 67.5%.

CMS flags that the facility is a Special Focus Facility candidate.

37health deficiencies, 3 survey cycles3 at actual harm or worse
$129Kfines listed by CMS3 penalties in period
3.9nurse hours per resident per daystate median 3.6
54%occupancy (residents ÷ beds)111 residents a day

Compared with county, state and nation

MeasureThis facilityShelby Co. medianTennessee medianUS average
Overall star rating1233.0
Health citations, 3 cycles37161328.7
Citations per 100 beds18.012.812.226.8
Total nurse hours per resident day3.93.53.63.9
RN hours per resident day0.80.50.50.7
Nursing staff turnover67.5%53.5%50.0%45.8%
Fines listed$128,974$11,196$0—

County and state figures are medians across facilities (25 in the county, 303 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)23
Cycle 210
Cycle 34

Dark bar: this facility. Grey bar: Tennessee average per facility for the same cycle, as published by CMS. Standard health survey dates: 16 Oct 2024, 24 Sep 2021.

Severity mix: J ×1 G ×2 D ×27 E ×5 F ×2

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
30 Apr 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint investigation22 May 2025
30 Apr 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation22 May 2025
30 Apr 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation22 May 2025
30 Apr 2025F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint investigation21 Jun 2025
16 Oct 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint investigation3 Jan 2025
16 Oct 2024F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.GStandard survey14 Nov 2024
16 Oct 2024F0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.FComplaint investigation3 Jan 2025
16 Oct 2024F0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.EComplaint investigation3 Jan 2025
16 Oct 2024F0712Ensure that the resident and his/her doctor meet face-to-face at all required visits.EComplaint investigation3 Jan 2025
16 Oct 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey14 Nov 2024
16 Oct 2024F0880Provide and implement an infection prevention and control program.EComplaint investigation3 Jan 2025
16 Oct 2024F0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.DComplaint investigation3 Jan 2025
16 Oct 2024F0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DStandard survey14 Nov 2024
16 Oct 2024F0578Honor 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.DStandard survey14 Nov 2024
16 Oct 2024F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation3 Jan 2025
16 Oct 2024F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation14 Nov 2024
16 Oct 2024F0610Respond appropriately to all alleged violations.DComplaint investigation14 Nov 2024
16 Oct 2024F0641Ensure each resident receives an accurate assessment.DStandard survey3 Jan 2025
16 Oct 2024F0645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard survey14 Nov 2024
16 Oct 2024F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey14 Nov 2024
16 Oct 2024F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey3 Jan 2025
16 Oct 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation3 Jan 2025
16 Oct 2024F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey14 Nov 2024
16 Oct 2024F0732Post nurse staffing information every day.DComplaint investigation3 Jan 2025
16 Oct 2024F0761Ensure 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.DComplaint investigation3 Jan 2025
16 Oct 2024F0791Provide or obtain dental services for each resident.DComplaint investigation3 Jan 2025
16 Oct 2024F0847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.DStandard survey14 Nov 2024
16 Oct 2024F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint investigation3 Jan 2025
24 Sep 2021F0880Provide and implement an infection prevention and control program.EStandard survey8 Nov 2021
24 Sep 2021F0554Allow residents to self-administer drugs if determined clinically appropriate.DStandard survey8 Nov 2021
24 Sep 2021F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey8 Nov 2021
24 Sep 2021F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey8 Nov 2021
24 Sep 2021F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard survey8 Nov 2021
3 Oct 2019F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey30 Oct 2019
3 Oct 2019F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey30 Oct 2019
3 Oct 2019F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey30 Oct 2019
3 Oct 2019F0761Ensure 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.DStandard survey30 Oct 2019

Penalties

DateTypeAmountDetail
30 Apr 2025Fine$50,749
16 Oct 2024Payment denial—50 days
16 Oct 2024Fine$78,225

Staffing

Total nursing3.95 h
Nurse aides2.23 h
LPN0.89 h
RN0.83 h
Weekend total3.45 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Tennessee average. Turnover: nursing staff 67.5%, RNs 79.2%; 2 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityTennessee medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay6.0%12.3%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.6%0.3%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.5%1.5%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay1.2%3.1%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay1.8%1.2%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay4.1%15.4%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay16.4%4.3%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay11.2%15.6%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: for-profit, limited liability company. Legal business name: Memphis Operator Llc. Chain: Prestige Administrative Services (9 facilities).

OrganisationRole in the CMS recordInterestSince
B&Y Healthcare S Corp5% or greater direct ownership interest50%12/31/2019
Cody Healthcare S Corp5% or greater direct ownership interest50%12/31/2019
Northpoint Regional LLCOperational/managerial controlNOT APPLICABLE02/01/2007
Prestige Administrative Services, LLCOperational/managerial controlNOT APPLICABLE01/01/2016

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Shelby County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Allen Morgan Health and Rehabilitation CenterMemphis3155439.7—11 Feb 2026
Kirby Pines ManorMemphis12055421.7—3 Jun 2025
Signature Healthcare of MemphisMemphis14055275.0—13 May 2026
Signature Healthcare of PrimacyMemphis12054275.8—3 Mar 2026
Memphis Jewish HomeCordova160444148.8—11 Feb 2026
Cordova Wellness and Rehabilitation CenterCordova240332125.0—15 Apr 2026
Harborview Post AcuteMemphis1133222017.7—10 Jun 2026
Parkway Health and Rehabilitation CenterMemphis1203321915.8$68K17 Mar 2026

All 25 facilities in Shelby County

Questions and answers

How many deficiencies has Spring Gate Rehab & Healthcare Center been cited for?

37 health deficiencies across the three most recent survey cycles, 3 at the actual-harm or immediate-jeopardy level. The Tennessee median is 13 per facility.

Has Spring Gate Rehab & Healthcare Center been fined?

Yes. CMS lists fines totalling $129K in the period covered, plus 1 payment denial.

How does staffing at Spring Gate Rehab & Healthcare Center compare?

Reported total nurse staffing is 3.9 hours per resident per day against a Tennessee median of 3.6 and a national average of 3.9.

Who operates Spring Gate Rehab & Healthcare Center?

It is part of the Prestige Administrative Services chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include B&Y Healthcare S Corp, Cody Healthcare S Corp and Northpoint Regional LLC. Individual owners and managers are not listed on this site.

When was Spring Gate Rehab & Healthcare Center last inspected?

The most recent survey or investigation in the CMS record is dated 30 Apr 2025; the most recent standard health survey was 16 Oct 2024.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.