Tennessee ›Memphis

Graceland Rehabilitation and Nursing Care Center

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1250 Farrow Road, Memphis, TN 38116 (opens Google Maps) · Shelby County · (901) 332-7290· 240 certified beds · avg 168 residents/day · certified since Jul 1, 1994 · Medicare and Medicaid certified

Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →

SFF Candidate

What Special Focus status means →

1/5
Health inspection rating (on-site)
inspected May 13, 2025
10
Serious findings on record
most recent May 13, 2025
$342,603
Fines, last 3 years
2.89
Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

New to these records? How to read an inspection report →

Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 1/5 · how star ratings work →

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and quality measures from resident assessments and claims.

Most serious findings (actual harm or immediate jeopardy)

▲ Immediate jeopardy, isolated · May 13, 2025 · F-0689 · triggered by a complaint

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Severity (J): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Jun 12, 2025 (Deficient, Provider has date of correction)

▲ Immediate jeopardy, pattern · May 1, 2024 · F-0725 · triggered by a complaint

The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care.

Why it matters: Understaffing means longer waits for help, missed care, and higher risk of falls and other harm.

Severity (K): Immediate jeopardy to resident health or safety was cited. The scope was a pattern: more than a limited occurrence, without being widespread. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: May 28, 2024 (Deficient, Provider has date of correction)

▲ Immediate jeopardy, pattern · May 1, 2024 · F-0760 · triggered by a complaint

The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.

Why it matters: A serious medication error can cause real harm, hospitalization, or worse.

Severity (K): Immediate jeopardy to resident health or safety was cited. The scope was a pattern: more than a limited occurrence, without being widespread. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: May 28, 2024 (Deficient, Provider has date of correction)

▲ Immediate jeopardy, pattern · May 1, 2024 · F-0835 · triggered by a complaint

The facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents.

Why it matters: Poor administration often shows up as understaffing, supply shortages, and care problems across the whole facility.

Severity (K): Immediate jeopardy to resident health or safety was cited. The scope was a pattern: more than a limited occurrence, without being widespread. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: May 28, 2024 (Deficient, Provider has date of correction)

▲ Immediate jeopardy, pattern · May 1, 2024 · F-0867 · triggered by a complaint

The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them.

Why it matters: Without a working quality program, the same care problems tend to repeat instead of getting fixed.

Severity (K): Immediate jeopardy to resident health or safety was cited. The scope was a pattern: more than a limited occurrence, without being widespread. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: May 28, 2024 (Deficient, Provider has date of correction)

▲ Immediate jeopardy, pattern · May 1, 2024 · F-0880 · triggered by a complaint

The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.

Why it matters: Weak infection control lets illnesses like flu, COVID-19, and drug-resistant infections spread quickly among vulnerable residents.

Severity (K): Immediate jeopardy to resident health or safety was cited. The scope was a pattern: more than a limited occurrence, without being widespread. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Aug 14, 2024 (Deficient, Provider has date of correction)

▲ Immediate jeopardy, isolated · May 1, 2024 · F-0600 · triggered by a complaint

The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.

Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.

Severity (J): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: May 28, 2024 (Deficient, Provider has date of correction)

▲ Immediate jeopardy, isolated · May 1, 2024 · F-0678 · triggered by a complaint

The facility did not provide basic life support, such as CPR, before emergency medical help arrived — care that's required when it matches the doctor's orders and the resident's own written wishes.

Why it matters: In a cardiac or breathing emergency, failure to start CPR promptly can be the difference between life and death.

Severity (J): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: May 28, 2024 (Deficient, Provider has date of correction)

▲ Actual harm, isolated · May 1, 2024 · F-0684 · triggered by a complaint

The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.

Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.

Severity (G): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Oct 23, 2024 (Deficient, Provider has date of correction)

▲ Actual harm, isolated · May 1, 2024 · F-0689 · triggered by a complaint

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Severity (G): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Oct 2, 2024 (Deficient, Provider has date of correction)

Inspection findings in the public record

Showing the latest 3 of 33 inspection findings. Open the full record below to read every finding.

  1. J · Immediate jeopardy, isolated

    The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint F-0689

  2. E · Potential for more than minimal harm, pattern

    The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. F-0812

  3. E · Potential for more than minimal harm, pattern

    The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. F-0880

View all 33 inspection findingsShow only the latest 3 findings

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.

DateSeverityWhat the facility was cited for
May 13, 2025▲ J · Immediate jeopardy, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689
May 13, 2025E · Potential for more than minimal harm, patternThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812
May 13, 2025E · Potential for more than minimal harm, patternThe facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880
May 13, 2025D · Potential for more than minimal harm, isolatedThe facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand. · F-0552
May 13, 2025D · Potential for more than minimal harm, isolatedThe facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. · F-0578
May 13, 2025D · Potential for more than minimal harm, isolatedThe facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function. · F-0605
May 13, 2025D · Potential for more than minimal harm, isolatedThe facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint · F-0609
May 13, 2025D · Potential for more than minimal harm, isolatedThe facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay). · from a complaint · F-0628
May 13, 2025D · Potential for more than minimal harm, isolatedThe facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684
May 13, 2025D · Potential for more than minimal harm, isolatedThe facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · F-0761
Jan 29, 2025D · Potential for more than minimal harm, isolatedThe facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. · from a complaint · F-0558
Jan 29, 2025D · Potential for more than minimal harm, isolatedThe facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint · F-0656
Jan 29, 2025D · Potential for more than minimal harm, isolatedThe facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint · F-0686
May 1, 2024▲ K · Immediate jeopardy, patternThe facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. · from a complaint · F-0725
May 1, 2024▲ K · Immediate jeopardy, patternThe facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint · F-0760
May 1, 2024▲ K · Immediate jeopardy, patternThe facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents. · from a complaint · F-0835
May 1, 2024▲ K · Immediate jeopardy, patternThe facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. · from a complaint · F-0867
May 1, 2024▲ K · Immediate jeopardy, patternThe facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint · F-0880
May 1, 2024▲ J · Immediate jeopardy, isolatedThe facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint · F-0600
May 1, 2024▲ J · Immediate jeopardy, isolatedThe facility did not provide basic life support, such as CPR, before emergency medical help arrived — care that's required when it matches the doctor's orders and the resident's own written wishes. · from a complaint · F-0678
May 1, 2024▲ G · Actual harm, isolatedThe facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint · F-0684
May 1, 2024▲ G · Actual harm, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689
May 1, 2024F · Potential for more than minimal harm, widespreadThe facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint · F-0755
May 1, 2024E · Potential for more than minimal harm, patternThe facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. · from a complaint · F-0693
May 1, 2024D · Potential for more than minimal harm, isolatedThe facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate. · from a complaint · F-0554
May 1, 2024D · Potential for more than minimal harm, isolatedThe facility transferred or discharged a resident without a valid reason, or failed to provide the required documentation and information when moving a resident out. · from a complaint · F-0622
May 1, 2024D · Potential for more than minimal harm, isolatedThe facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint · F-0656
May 1, 2024D · Potential for more than minimal harm, isolatedThe facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint · F-0686
May 1, 2024D · Potential for more than minimal harm, isolatedThe facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint · F-0842
Jul 11, 2019E · Potential for more than minimal harm, patternThe facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880
Jul 11, 2019D · Potential for more than minimal harm, isolatedThe facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · F-0550
Jul 11, 2019D · Potential for more than minimal harm, isolatedThe facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. · F-0688
Jul 11, 2019D · Potential for more than minimal harm, isolatedThe facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · F-0761

Inspection trend by year

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2019
All citations: 4
Serious citations (G–L): 0
2024
All citations: 16
Serious citations (G–L): 9
2025
All citations: 13
Serious citations (G–L): 1

All bars start at zero. Exact values and supporting details remain below.

YearCitationsSerious (G–L)Worst severity that year
201940E
2024169K ▲
2025131J ▲

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

How to file a complaint about care →

2 fines totaling $342,603, plus 1 Medicare payment denial period.

Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.

DateTypeAmount / length
May 13, 2025Fine$39,293
May 1, 2024Fine$303,310
May 1, 2024Payment Denial145 days from May 31, 2024

Nurse staffing (from payroll records, adjusted for how much care residents need)

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01
This facilityTennessee averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 2.89
Tennessee average: 3.62
U.S. average: 3.95
Registered Nurse hours
This facility: 0.28
Tennessee average: 0.57
U.S. average: 0.69
Weekend total nurse staffing
This facility: 2.57
Tennessee average: 3.15
U.S. average: 3.50

All bars start at zero. Exact values and supporting details remain below.

MeasureThis facilityTennessee avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)2.893.623.95bottom 12% in Tennessee; bottom 10% in the U.S.
Registered Nurse hours0.280.570.69bottom 7% in Tennessee; bottom 7% in the U.S.
Weekend total nurse staffing2.573.153.50bottom 17% in Tennessee; bottom 11% in the U.S.
Weekend RN hours (not acuity-adjusted)0.140.390.48bottom 3% in Tennessee; bottom 5% in the U.S.
Total nursing staff turnover (%)51.648.945.8bottom 44% in Tennessee; bottom 33% in the U.S.
RN turnover (%)20.043.242.9top 11% in Tennessee; top 13% in the U.S.

Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.47, RN 0.33, weekend 3.10.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.47 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 2/5.

Quality measures: assessments & claims

Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.

Quality measures rating: 1/5 · long-stay residents: 4/5 · short-stay residents: 1/5

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Graceland Rehabilitation and Nursing Care Center. CMS inspection and staffing records do not tell us what this home will charge you.

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Who owns this facility

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

For profit - Limited Liability company

Owner / managerTypeRoleStakeSince
Lichtschein, RaphaelIndividualOperational/Managerial ControlNOT APPLICABLE07/01/2017

All 1 owning or managing party CMS has on file are shown — none excluded.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

  • "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
  • "What is your nurse and aide staffing ratio on each shift, including nights and weekends?"
  • "What systems do you use to prevent medication errors, and what happens when one occurs?"
  • "What were the findings behind this administration citation, and what has leadership changed since?"
  • "How does your quality committee work, and can you give an example of a problem it recently identified and fixed?"
  • "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
  • "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
  • "Are staff on every shift trained and certified in CPR, and how do they know each resident's resuscitation wishes?"

Also worth asking anywhere

  • "Your weekend nurse staffing is reported below the Tennessee midpoint — how does the weekend schedule differ from a weekday?"
  • "Can I see the plan of correction for the findings in your most recent state inspection?"
  • "CMS reports 52% total nursing staff turnover here — who on the care team has been with you longest?"
  • "CMS lists this facility under its Special Focus program — what is being done differently, and by when?"
  • "Can I visit again unannounced, at a mealtime or on a weekend?"

Nearby facilities (12 closest of 29 within 20 miles)

FacilityDistanceCityOverallInspectionFlags
Parkway Health and Rehabilitation Center3.4 miMemphis, TN★★★☆☆3/5
Diversicare of Southaven4.7 miSouthaven, MS★☆☆☆☆1/5
Delta Blues Health & Rehabilitation4.8 miMemphis, TN★★☆☆☆2/5
Desoto Healthcare Center5.2 miSouthaven, MS★★★☆☆3/5
Allen Morgan Health and Rehabilitation Center6.3 miMemphis, TN★★★★★5/5
Highlands Health and Rehabilitation Center6.3 miMemphis, TN★★☆☆☆2/5
Landmark of Desoto6.4 miHorn Lake, MS★★☆☆☆2/5
Midtown Center for Health and Rehabilitation6.7 miMemphis, TN★★☆☆☆3/5
Majestic Gardens at Memphis Rehab & SNC6.7 miMemphis, TN★☆☆☆☆1/5SFF
Shelby Oaks Post Acute8.2 miMemphis, TN★☆☆☆☆1/5abuse
Kirby Pines Manor9.1 miMemphis, TN★★★★★5/5
Harborview Post Acute9.2 miMemphis, TN★★★☆☆2/5

Compare this facility with the 3 closest →

Other facilities in the same county

CMS records place this facility in Shelby, TN — 25 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.

Listed by facility name — not a ranking. Homes already in the table above are not repeated here.

All facilities in Memphis →

Facility data as of CMS processing date 2026-08-01. CCN 445331.

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