Ripley Healthcare and Rehab Center
118 Halliburton Drive, Ripley, TN 38063 · Lauderdale County · 144 certified beds · avg 51 residents/day · certified since Mar 30, 2009
Part of chain: PRESTIGE ADMINISTRATIVE SERVICES (9 facilities, chain avg rating 2.6★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · 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)
▲ Immediate jeopardy, one-off · Jun 5, 2025 · F-0686 · triggered by a complaint
The 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.
Why it matters: Bedsores are painful, can become deeply infected, and in serious cases can be life-threatening.
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: Jun 24, 2025 (Deficient, Provider has date of correction)
All citations in the current public record (11)
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 |
|---|---|---|
| May 6, 2026 | D · Potential for harm, one-off | The facility did not let a resident help develop and carry out their own plan of care — the written roadmap of the services and support they'll receive, built around their personal goals and preferences. |
| May 6, 2026 | 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. |
| Jun 5, 2025 | ▲ J · Immediate jeopardy, one-off | The 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 |
| Aug 4, 2021 | 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. |
| Aug 4, 2021 | 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. |
| Aug 4, 2021 | D · Potential for harm, one-off | 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. |
| Aug 4, 2021 | D · Potential for harm, one-off | The 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. |
| Aug 4, 2021 | D · Potential for harm, one-off | 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 11, 2020 | E · Potential for harm, repeated | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. |
| Mar 11, 2020 | 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 11, 2020 | 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. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (5 → 2).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2020 | 3 | 0 | E |
| 2021 | 5 | 0 | E |
| 2025 | 1 | 1 | J ▲ |
| 2026 | 2 | 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)
1 fine totaling $66,472.
| Date | Type | Amount / length |
|---|---|---|
| Jun 5, 2025 | Fine | $66,472 |
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) | 3.66 | 3.62 | 3.95 | top 36% in Tennessee; bottom 45% in the U.S. |
| Registered Nurse hours | 0.52 | 0.57 | 0.69 | top 49% in Tennessee; bottom 41% in the U.S. |
| Weekend total nurse staffing | 2.84 | 3.15 | 3.50 | bottom 35% in Tennessee; bottom 23% 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 (%) | 45.7 | 48.9 | 45.8 | top 41% in Tennessee; bottom 48% in the U.S. |
| RN turnover (%) | 44.4 | 43.2 | 42.9 | bottom 45% in Tennessee; bottom 45% 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 4.09, RN 0.58, weekend 3.17. 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: 2/5 · long-stay residents: 2/5 · short-stay residents: —/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| B&y Healthcare S Corp | Organization | 5% or Greater Direct Ownership Interest | 50% | 12/31/2019 |
| B&y Trust | Organization | 5% or Greater Indirect Ownership Interest | 50% | 12/31/2019 |
| Cody Healthcare S Corp | Organization | 5% or Greater Direct Ownership Interest | 50% | 12/31/2019 |
| Craig Flashner 2007 Trust | Organization | 5% or Greater Indirect Ownership Interest | 50% | 12/31/2019 |
| Flashner, Craig | Individual | Corporate Director | NOT APPLICABLE | 12/31/2019 |
| Flashner, Craig | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/31/2019 |
| Kirk, Kristine | Individual | W-2 Managing Employee | NOT APPLICABLE | 12/31/2018 |
| Norcross, Robert | Individual | Contracted Managing Employee | NOT APPLICABLE | 01/01/2014 |
| Northpoint Regional LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 10/01/2007 |
| Perlstein, Yitzchok | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/31/2019 |
| Prestige Administrative Services, LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 12/31/2019 |
| Rogers, Stacey | Individual | Contracted Managing Employee | NOT APPLICABLE | 10/30/2014 |
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 prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "How are residents and families included in care plan meetings, and how often do those meetings happen?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "What do you do daily to keep residents moving, and how do you help residents at risk of losing mobility?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How do you coordinate and monitor care for residents who receive dialysis?"
- "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 |
|---|---|---|---|---|---|
| Lauderdale Community Living Center | 0.7 mi | Ripley, TN | ★☆☆☆☆ | 1/5 | |
| Haywood Post Acute | 11.6 mi | Brownsville, TN | ★★★☆☆ | 3/5 | |
| Covington Post Acute | 13.5 mi | Covington, TN | ★★★★☆ | 4/5 | |
| Magnolia Creek Nursing and Rehabilitation | 15.3 mi | Covington, TN | ★☆☆☆☆ | 1/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 445492.