Harborview Post Acute
1513 N 2nd Street, Memphis, TN 38107 · Shelby County · 113 certified beds · avg 93 residents/day · certified since Oct 1, 2001
Part of chain: LINKS HEALTHCARE GROUP (32 facilities, chain avg rating 2.9★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 3/5
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 self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Oct 27, 2025 · F-0726 · triggered by a complaint
The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident.
Why it matters: Undertrained caregivers are more likely to miss warning signs and make care mistakes.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Nov 21, 2025 (Deficient, Provider has date of correction)
All citations in the current public record (20)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jun 10, 2026 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Oct 27, 2025 | ▲ G · Actual harm, one-off | The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. · from a complaint |
| Apr 21, 2022 | F · Potential for harm, facility-wide | 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. |
| Apr 21, 2022 | F · Potential for harm, facility-wide | 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. |
| Apr 21, 2022 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Apr 21, 2022 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Apr 21, 2022 | D · Potential for harm, one-off | The 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. |
| Apr 21, 2022 | D · Potential for harm, one-off | The facility did not safely and appropriately administer IV fluids (fluids given through a vein) for residents who needed them. |
| Apr 21, 2022 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Apr 21, 2022 | D · Potential for harm, one-off | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. |
| Apr 21, 2022 | D · Potential for harm, one-off | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| Apr 21, 2022 | D · Potential for harm, one-off | The 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. |
| Apr 21, 2022 | D · Potential for harm, one-off | The facility did not dispose of garbage and refuse properly. |
| Apr 21, 2022 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| May 21, 2019 | E · Potential for harm, repeated | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. |
| May 21, 2019 | E · Potential for harm, repeated | 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. |
| May 21, 2019 | D · Potential for harm, one-off | The 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. |
| May 21, 2019 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. |
| May 21, 2019 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| May 21, 2019 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (12 → 1).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 6 | 0 | E |
| 2022 | 12 | 0 | F |
| 2025 | 1 | 1 | G ▲ |
| 2026 | 1 | 0 | D |
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)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Tennessee avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.38 | 3.62 | 3.95 | bottom 41% in Tennessee; bottom 30% in the U.S. |
| Registered Nurse hours | 0.48 | 0.57 | 0.69 | bottom 45% in Tennessee; bottom 36% in the U.S. |
| Weekend total nurse staffing | 2.87 | 3.15 | 3.50 | bottom 39% in Tennessee; bottom 24% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.20 | 0.39 | 0.48 | bottom 13% in Tennessee; bottom 12% in the U.S. |
| Total nursing staff turnover (%) | 50.0 | 48.9 | 45.8 | top 50% in Tennessee; bottom 38% in the U.S. |
| RN turnover (%) | 36.4 | 43.2 | 42.9 | top 37% in Tennessee; top 40% in the U.S. |
Hours are per resident per day, 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 3.78, RN 0.54, weekend 3.21. Staffing rating: 2/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 4/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Clawson, Scott | Individual | Indirect Ownership Interest | NOT APPLICABLE | 01/01/2025 |
| Earl, Steven | Individual | Indirect Ownership Interest | NOT APPLICABLE | 01/01/2025 |
| Sanofsky, Jack | Individual | Indirect Ownership Interest | NOT APPLICABLE | 01/01/2025 |
| 1513 N 2nd Street TN LLC | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 01/01/2025 |
| 1513 N 2nd Street TN LLC | Organization | ADP of the SNF | NOT APPLICABLE | 01/24/2025 |
| Bullick, Craig | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2025 |
| Bullick, Craig | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2025 |
| Links Healthcare Group LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/01/2025 |
| Links Healthcare Group LLC | Organization | ADP of the SNF | NOT APPLICABLE | 01/24/2025 |
| Moughrabieh, Mohamad | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/27/2024 |
| Moughrabieh, Mohamad | Individual | ADP of the SNF | NOT APPLICABLE | 01/24/2025 |
| Rodriguez, Curtis | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/27/2024 |
| Tilford, Toby | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you verify that your nurses and aides have the skills to care for residents with needs like my family member's?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
- "How do you decide when a feeding tube is truly needed, and how do staff care for residents who have one?"
- "Who on your staff manages IV therapy, and what training and monitoring is in place?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Midtown Center for Health and Rehabilitation | 2.9 mi | Memphis, TN | ★★☆☆☆ | 3/5 | |
| Majestic Gardens at Memphis Rehab & SNC | 2.9 mi | Memphis, TN | ★☆☆☆☆ | 1/5 | SFF |
| Allen Morgan Health and Rehabilitation Center | 6.0 mi | Memphis, TN | ★★★★★ | 5/5 | |
| Highlands Health and Rehabilitation Center | 6.0 mi | Memphis, TN | ★★☆☆☆ | 2/5 | |
| Signature Healthcare of Memphis | 6.0 mi | Memphis, TN | ★★★★★ | 5/5 | |
| Ave Maria Home | 6.0 mi | Bartlett, TN | ★★☆☆☆ | 2/5 | |
| Shelby Oaks Post Acute | 8.0 mi | Memphis, TN | ★☆☆☆☆ | 1/5 | abuse |
| Parkway Health and Rehabilitation Center | 8.7 mi | Memphis, TN | ★★★☆☆ | 3/5 | |
| Graceland Rehabilitation and Nursing Care Center | 9.2 mi | Memphis, TN | ★☆☆☆☆ | 1/5 | SFF |
| The Springs Broadway | 9.3 mi | West Memphis, AR | ★★☆☆☆ | 2/5 | |
| The Springs of Avalon | 9.6 mi | West Memphis, AR | ★★☆☆☆ | 2/5 | |
| Delta Blues Health & Rehabilitation | 10.1 mi | Memphis, TN | ★★☆☆☆ | 2/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 445428.