Majestic Gardens at Memphis Rehab & SNC
131 N Tucker, Memphis, TN 38104 · Shelby County · 169 certified beds · avg 151 residents/day · certified since Nov 1, 1982
SFF Candidate
Part of chain: EPHRAM LAHASKY (22 facilities, chain avg rating 1.8★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 1/5
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)
▲ Immediate jeopardy, repeated · May 8, 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 (K): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.
Corrected: Sep 17, 2024 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, repeated · Aug 24, 2023 · 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 (K): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.
Corrected: Jan 30, 2024 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Aug 24, 2023 · 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 (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.
Corrected: Sep 18, 2023 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Aug 24, 2023 · 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 (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.
Corrected: Jan 30, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (37)
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 |
|---|---|---|
| Sep 11, 2025 | D · Potential for harm, one-off | The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment. |
| Sep 11, 2025 | 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. |
| Sep 11, 2025 | 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. |
| Sep 11, 2025 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Sep 11, 2025 | 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. |
| Sep 11, 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. |
| Aug 20, 2025 | D · Potential for harm, one-off | The facility did not properly notify residents about the balance of money it holds for them, or failed to return those funds when a resident was discharged, evicted, or died. · from a complaint |
| May 8, 2024 | ▲ K · Immediate jeopardy, repeated | 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 |
| May 8, 2024 | E · Potential for harm, repeated | 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. · from a complaint |
| May 8, 2024 | E · Potential for harm, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint |
| May 8, 2024 | E · Potential for harm, repeated | 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. · from a complaint |
| May 8, 2024 | E · Potential for harm, repeated | The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. |
| May 8, 2024 | 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. · from a complaint |
| May 8, 2024 | D · Potential for harm, one-off | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. · from a complaint |
| May 8, 2024 | 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. · from a complaint |
| May 8, 2024 | 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. · from a complaint |
| May 8, 2024 | 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. · from a complaint |
| May 8, 2024 | 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. · from a complaint |
| May 8, 2024 | 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. · from a complaint |
| Aug 24, 2023 | ▲ K · Immediate jeopardy, repeated | 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 |
| Aug 24, 2023 | ▲ J · Immediate jeopardy, one-off | The facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents. · from a complaint |
| Aug 24, 2023 | ▲ J · Immediate jeopardy, one-off | The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. · from a complaint |
| Aug 24, 2023 | E · Potential for harm, repeated | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · from a complaint |
| Aug 24, 2023 | E · Potential for harm, repeated | 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. · from a complaint |
| Aug 24, 2023 | E · Potential for harm, repeated | The 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 |
| Aug 24, 2023 | D · Potential for harm, one-off | The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. · from a complaint |
| Aug 24, 2023 | 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. · from a complaint |
| Aug 24, 2023 | D · Potential for harm, one-off | 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. · from a complaint |
| Jul 18, 2019 | 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. |
| Jul 18, 2019 | E · Potential for harm, repeated | 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. |
| Jul 18, 2019 | E · Potential for harm, repeated | 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. |
| Jul 18, 2019 | 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. |
| Jul 18, 2019 | D · Potential for harm, one-off | The 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. |
| Jul 18, 2019 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Jul 18, 2019 | 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. |
| Jul 18, 2019 | 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. |
| Jul 18, 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. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (12 → 6).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 9 | 0 | F |
| 2023 | 9 | 3 | K ▲ |
| 2024 | 12 | 1 | K ▲ |
| 2025 | 7 | 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)
9 fines totaling $810,404, plus 2 Medicare payment denial periods.
| Date | Type | Amount / length |
|---|---|---|
| May 8, 2024 | Fine | $285,904 |
| May 8, 2024 | Payment Denial | 129 days from May 11, 2024 |
| Jan 8, 2024 | Fine | $4,893 |
| Dec 11, 2023 | Fine | $13,635 |
| Nov 20, 2023 | Fine | $4,545 |
| Nov 13, 2023 | Fine | $4,545 |
| Nov 6, 2023 | Fine | $4,545 |
| Oct 30, 2023 | Fine | $4,545 |
| Oct 10, 2023 | Fine | $11,538 |
| Aug 24, 2023 | Fine | $476,254 |
| Aug 24, 2023 | Payment Denial | 129 days from Sep 23, 2023 |
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) | 3.55 | 3.62 | 3.95 | top 44% in Tennessee; bottom 39% in the U.S. |
| Registered Nurse hours | 0.44 | 0.57 | 0.69 | bottom 34% in Tennessee; bottom 28% in the U.S. |
| Weekend total nurse staffing | 3.16 | 3.15 | 3.50 | top 38% in Tennessee; bottom 40% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.34 | 0.39 | 0.48 | bottom 49% in Tennessee; bottom 41% in the U.S. |
| Total nursing staff turnover (%) | 68.5 | 48.9 | 45.8 | bottom 5% in Tennessee; bottom 7% in the U.S. |
| RN turnover (%) | 52.9 | 43.2 | 42.9 | bottom 29% in Tennessee; bottom 31% 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 3.36, RN 0.41, weekend 3.00. Staffing rating: 1/5.
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: 2/5 · long-stay residents: 3/5 · short-stay residents: 1/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| David M Fistel TN LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 11/27/2018 |
| Fistel, David | Individual | Indirect Ownership Interest | NOT APPLICABLE | 01/01/2025 |
| Friedman, Steven | Individual | Indirect Ownership Interest | NOT APPLICABLE | 01/01/2025 |
| Halpert, Naomi | Individual | Direct Ownership Interest | NOT APPLICABLE | 01/01/2025 |
| Halpert, Naomi | Individual | 5% or Greater Indirect Ownership Interest | 8% | 01/01/2025 |
| Kohn, Brian | Individual | Indirect Ownership Interest | NOT APPLICABLE | 01/01/2025 |
| Lme Family Holdings LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 01/01/2019 |
| Majestic Operations Holdings LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 01/01/2023 |
| ML Family Tree Trust | Organization | Indirect Ownership Interest | NOT APPLICABLE | 01/01/2025 |
| Schachter Family 2015 Trust | Organization | 5% or Greater Indirect Ownership Interest | 8% | 11/27/2018 |
| Schachter, Arthur | Individual | Indirect Ownership Interest | NOT APPLICABLE | 01/01/2025 |
| Ydgk LLC | Organization | 5% or Greater Indirect Ownership Interest | 11% | 11/27/2018 |
| Berkley, Natalie | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/17/2025 |
| Berkley, Natalie | Individual | ADP of the SNF | NOT APPLICABLE | 03/17/2025 |
| David M Fistel TN LLC | Organization | ADP of the SNF | NOT APPLICABLE | 11/27/2018 |
| Fistel, David | Individual | ADP of the SNF | NOT APPLICABLE | 06/15/2017 |
| Friedman, Steven | Individual | ADP of the SNF | NOT APPLICABLE | 06/15/2017 |
| Halpert, Naomi | Individual | ADP of the SNF | NOT APPLICABLE | 06/15/2017 |
| Iwuji, Kelechi | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/01/2024 |
| Iwuji, Kelechi | Individual | ADP of the SNF | NOT APPLICABLE | 03/01/2024 |
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?"
- "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?"
- "What is your policy on physical restraints, and what alternatives do you try first?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "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 |
|---|---|---|---|---|---|
| Midtown Center for Health and Rehabilitation | 0.0 mi | Memphis, TN | ★★☆☆☆ | 3/5 | |
| Harborview Post Acute | 2.9 mi | Memphis, TN | ★★★☆☆ | 2/5 | |
| Allen Morgan Health and Rehabilitation Center | 3.3 mi | Memphis, TN | ★★★★★ | 5/5 | |
| Highlands Health and Rehabilitation Center | 3.3 mi | Memphis, TN | ★★☆☆☆ | 2/5 | |
| Shelby Oaks Post Acute | 5.6 mi | Memphis, TN | ★☆☆☆☆ | 1/5 | abuse |
| Signature Healthcare of Memphis | 5.8 mi | Memphis, TN | ★★★★★ | 5/5 | |
| Ave Maria Home | 5.8 mi | Bartlett, TN | ★★☆☆☆ | 2/5 | |
| Graceland Rehabilitation and Nursing Care Center | 6.7 mi | Memphis, TN | ★☆☆☆☆ | 1/5 | SFF |
| Parkway Health and Rehabilitation Center | 7.2 mi | Memphis, TN | ★★★☆☆ | 3/5 | |
| Delta Blues Health & Rehabilitation | 7.2 mi | Memphis, TN | ★★☆☆☆ | 2/5 | |
| Signature Healthcare of Primacy | 9.1 mi | Memphis, TN | ★★★★★ | 4/5 | |
| Quince Nursing and Rehabilitation Center | 9.1 mi | Memphis, TN | ★★☆☆☆ | 1/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 445150.