Millington Healthcare Center
5081 Easley Avenue, Millington, TN 38053 · Shelby County · 85 certified beds · avg 77 residents/day · certified since Jul 1, 2001
Part of chain: WELLINGTON HEALTH CARE SERVICES (14 facilities, chain avg rating 1.9★)
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 · Mar 27, 2025 · F-0697 · triggered by a complaint
The facility did not provide safe and appropriate pain management for a resident who needed it.
Why it matters: Untreated pain causes needless suffering and can lead to depression, poor sleep, and declining health.
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: May 24, 2025 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Mar 27, 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 (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Apr 25, 2025 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Apr 26, 2022 · F-0692
The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Why it matters: Malnutrition and dehydration can quickly weaken a resident and lead to serious complications.
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: Jun 1, 2022 (Deficient, Provider has date of correction)
All citations in the current public record (21)
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 |
|---|---|---|
| Mar 27, 2025 | ▲ J · Immediate jeopardy, one-off | The facility did not provide safe and appropriate pain management for a resident who needed it. · from a complaint |
| Mar 27, 2025 | ▲ G · Actual 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. · from a complaint |
| Mar 27, 2025 | F · Potential for harm, facility-wide | 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 |
| Mar 27, 2025 | F · Potential for harm, facility-wide | 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 |
| Mar 27, 2025 | F · Potential for harm, facility-wide | The 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 |
| Mar 27, 2025 | E · Potential for harm, repeated | 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 |
| Mar 27, 2025 | E · Potential for harm, repeated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint |
| Mar 27, 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. · from a complaint |
| Mar 27, 2025 | D · Potential for harm, one-off | 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. · from a complaint |
| Mar 7, 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. |
| Mar 7, 2024 | 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. |
| Apr 26, 2022 | ▲ G · Actual harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. |
| Apr 26, 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 26, 2022 | 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. |
| Apr 26, 2022 | D · Potential for harm, one-off | The 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. |
| Apr 26, 2022 | 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. |
| Apr 26, 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. |
| Feb 12, 2020 | 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. |
| Feb 12, 2020 | 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. |
| Feb 12, 2020 | D · Potential for harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. |
| Feb 12, 2020 | D · Potential for harm, one-off | The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (6 → 2).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2020 | 4 | 0 | F |
| 2022 | 6 | 1 | G ▲ |
| 2024 | 2 | 0 | E |
| 2025 | 9 | 2 | 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)
2 fines totaling $226,623.
| Date | Type | Amount / length |
|---|---|---|
| Mar 27, 2025 | Fine | $203,873 |
| Mar 7, 2024 | Fine | $22,750 |
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) | 3.44 | 3.62 | 3.95 | bottom 47% in Tennessee; bottom 34% in the U.S. |
| Registered Nurse hours | 0.55 | 0.57 | 0.69 | top 42% in Tennessee; bottom 45% in the U.S. |
| Weekend total nurse staffing | 2.84 | 3.15 | 3.50 | bottom 34% in Tennessee; bottom 22% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.29 | 0.39 | 0.48 | bottom 40% in Tennessee; bottom 30% 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 (%) | 22.2 | 43.2 | 42.9 | top 16% in Tennessee; top 17% 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 3.30, RN 0.53, weekend 2.72. Staffing rating: 3/5.
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: 4/5 · long-stay residents: 4/5 · short-stay residents: 3/5
Who owns this facility
For profit - Partnership
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Andrews, James | Individual | 5% or Greater Indirect Ownership Interest | — | 01/10/2012 |
| Andwell Investments, LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 01/10/2012 |
| Wellington Healthcare Services LP | Organization | 5% or Greater Direct Ownership Interest | 100% | 07/31/2007 |
| Andrews, James | Individual | Corporate Director | NOT APPLICABLE | 07/31/2007 |
| Andrews, James | Individual | Corporate Officer | NOT APPLICABLE | 07/03/2007 |
| Andrews, James | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/31/2007 |
| Bailey, Teresa | Individual | W-2 Managing Employee | NOT APPLICABLE | 07/01/2023 |
| Elkins Road Associates LLC | Organization | General Partnership Interest | NOT APPLICABLE | 07/31/2007 |
| Kelman, Moshe | Individual | Corporate Officer | NOT APPLICABLE | 07/01/2023 |
| Nicks Speaks, Felicia | Individual | W-2 Managing Employee | NOT APPLICABLE | 12/20/2021 |
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 assess and manage residents' pain, especially for those who have trouble communicating?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
- "What safeguards do you have to protect residents' money and belongings, and what happens when something goes missing?"
- "How do you verify that your nurses and aides have the skills to care for residents with needs like my family member's?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "What were the findings behind this administration citation, and what has leadership changed since?"
- "How do you keep residents' medical records accurate, complete, and secure?"
- "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 |
|---|---|---|---|---|---|
| Spring Gate Rehab & Healthcare Center | 7.5 mi | Memphis, TN | ★☆☆☆☆ | 1/5 | SFF |
| Signature Healthcare of Memphis | 9.8 mi | Memphis, TN | ★★★★★ | 5/5 | |
| Ave Maria Home | 9.8 mi | Bartlett, TN | ★★☆☆☆ | 2/5 | |
| The Kings Daughters and Sons | 10.4 mi | Bartlett, TN | ★★☆☆☆ | 2/5 | |
| Rainbow Rehab and Healthcare | 10.4 mi | Bartlett, TN | ★★☆☆☆ | 2/5 | |
| Harborview Post Acute | 13.6 mi | Memphis, TN | ★★★☆☆ | 2/5 | |
| Midtown Center for Health and Rehabilitation | 14.9 mi | Memphis, TN | ★★☆☆☆ | 3/5 | |
| Majestic Gardens at Memphis Rehab & SNC | 14.9 mi | Memphis, TN | ★☆☆☆☆ | 1/5 | SFF |
| Shelby Oaks Post Acute | 14.9 mi | Memphis, TN | ★☆☆☆☆ | 1/5 | abuse |
| Gallaway Health and Rehab | 15.3 mi | Gallaway, TN | ★☆☆☆☆ | 1/5 | abuse |
| Allen Morgan Health and Rehabilitation Center | 15.4 mi | Memphis, TN | ★★★★★ | 5/5 | |
| Highlands Health and Rehabilitation Center | 15.4 mi | Memphis, TN | ★★☆☆☆ | 2/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 445425.