Highlands Health and Rehabilitation Center

Name: Highlands Health and Rehabilitation Center
Address: 3549 NORRISWOOD, Memphis, TN, 38111, US
Telephone: 9013257820

3549 Norriswood, Memphis, TN 38111 · Shelby County · 180 certified beds · avg 158 residents/day · certified since Jun 25, 1984

Part of chain: CHAMPION CARE (22 facilities, chain avg rating 2.2★)

2/5

Health inspection rating (on-site)

Serious findings on record

$22,925

Fines, last 3 years

3.09

Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5

⚠ The most recent standard health inspection was more than 2 years ago — conditions may have changed.

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)

▲ Immediate jeopardy, one-off · Feb 10, 2026 · 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): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.

All citations in the current public record (16)

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
Feb 10, 2026	▲ J · Immediate jeopardy, one-off	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
Oct 14, 2025	D · Potential for harm, one-off	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. · from a complaint
Aug 11, 2022	E · Potential for harm, repeated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Aug 11, 2022	E · Potential for harm, repeated	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.
Aug 11, 2022	D · Potential for harm, one-off	The 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.
Aug 11, 2022	D · Potential for harm, one-off	The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered.
Aug 11, 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.
Aug 11, 2022	D · Potential for harm, one-off	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.
Oct 22, 2019	D · Potential for harm, one-off	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away.
Oct 22, 2019	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.
Oct 22, 2019	D · Potential for harm, one-off	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.
Dec 6, 2018	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.
Dec 6, 2018	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.
Dec 6, 2018	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.
Dec 6, 2018	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
Dec 6, 2018	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.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (3 → 6).

Year	Citations	Serious (G–L)	Worst severity that year
2018	5	0	E
2019	3	0	D
2022	6	0	E
2025	1	0	D
2026	1	1	J ▲

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)

1 fine totaling $22,925.

Date	Type	Amount / length
Feb 10, 2026	Fine	$22,925

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)	3.09	3.62	3.95	bottom 21% in Tennessee; bottom 17% in the U.S.
Registered Nurse hours	0.46	0.57	0.69	bottom 38% in Tennessee; bottom 31% in the U.S.
Weekend total nurse staffing	2.71	3.15	3.50	bottom 25% in Tennessee; bottom 17% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.39	0.39	0.48	top 40% in Tennessee; top 50% in the U.S.
Total nursing staff turnover (%)	53.6	48.9	45.8	bottom 36% in Tennessee; bottom 28% in the U.S.
RN turnover (%)	50.0	43.2	42.9	bottom 37% in Tennessee; bottom 39% 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 3.22, RN 0.48, weekend 2.83. 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: 3/5 · long-stay residents: 4/5 · short-stay residents: 2/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
BL Capital Group Holdings LLC	Organization	5% or Greater Indirect Ownership Interest	10%	06/01/2022
Legacy SNF Opco Holdings LLC	Organization	5% or Greater Indirect Ownership Interest	13%	06/01/2022
Legacy SNF Opco Holdings Trust	Organization	5% or Greater Indirect Ownership Interest	13%	06/01/2022
The Bay at Highlands Holdco LLC	Organization	5% or Greater Direct Ownership Interest	100%	06/01/2022
TN2 Opco Holdings LLC	Organization	5% or Greater Indirect Ownership Interest	25%	06/01/2022
Champion Care LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	06/01/2022
Paul, Charlotte	Individual	W-2 Managing Employee	NOT APPLICABLE	06/20/2022
Ruvel, Menachem	Individual	Corporate Officer	NOT APPLICABLE	06/01/2022
Ruvel, Menachem	Individual	Operational/Managerial Control	NOT APPLICABLE	06/01/2022
Weinberg, Yisroel	Individual	Corporate Officer	NOT APPLICABLE	06/01/2022
Weinberg, Yisroel	Individual	Operational/Managerial Control	NOT APPLICABLE	06/01/2022

Questions to ask on your visit

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?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"What systems do you use to prevent medication errors, and what happens when one occurs?"
"How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
"Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
"Who on your staff manages IV therapy, and what training and monitoring is in place?"
"If my family member falls or their condition changes, exactly when and how will I be notified?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"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
Allen Morgan Health and Rehabilitation Center	0.0 mi	Memphis, TN	★★★★★	5/5
Shelby Oaks Post Acute	2.5 mi	Memphis, TN	★☆☆☆☆	1/5	abuse
Midtown Center for Health and Rehabilitation	3.3 mi	Memphis, TN	★★☆☆☆	3/5
Majestic Gardens at Memphis Rehab & SNC	3.3 mi	Memphis, TN	★☆☆☆☆	1/5	SFF
Delta Blues Health & Rehabilitation	4.6 mi	Memphis, TN	★★☆☆☆	2/5
Signature Healthcare of Memphis	5.6 mi	Memphis, TN	★★★★★	5/5
Ave Maria Home	5.6 mi	Bartlett, TN	★★☆☆☆	2/5
Signature Healthcare of Primacy	5.8 mi	Memphis, TN	★★★★★	4/5
Quince Nursing and Rehabilitation Center	5.8 mi	Memphis, TN	★★☆☆☆	1/5
Waters of Memphis a Rehabilitation & Nursing Ctr	5.8 mi	Memphis, TN	★☆☆☆☆	2/5
Harborview Post Acute	6.0 mi	Memphis, TN	★★★☆☆	2/5
Graceland Rehabilitation and Nursing Care Center	6.3 mi	Memphis, TN	★☆☆☆☆	1/5	SFF

Compare this facility with the 3 closest →

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Facility data as of CMS processing date 2026-08-01. CCN 445165.

The Care File

Visit checklist — Highlands Health and Rehabilitation Center

3549 Norriswood, Memphis, TN 38111 · 9013257820

Health inspection rating 2/5 · CMS overall 2/5· Fines (3y): $22,925

Most serious findings on record:

▲ Feb 10, 2026 (F-0689, Immediate jeopardy, one-off): The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Questions for the administrator:

☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "What systems do you use to prevent medication errors, and what happens when one occurs?"
☐ "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
☐ "Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
☐ "Who on your staff manages IV therapy, and what training and monitoring is in place?"
☐ "If my family member falls or their condition changes, exactly when and how will I be notified?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "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?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 445165 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)