Shelby Oaks Post Acute

Name: Shelby Oaks Post Acute
Address: 5070 SANDERLIN AVENUE, Memphis, TN, 38117, US
Telephone: 9016825677

5070 Sanderlin Avenue, Memphis, TN 38117 · Shelby County · 77 certified beds · avg 64 residents/day · certified since Jul 18, 2001

Abuse citation flag (CMS)

Part of chain: LINKS HEALTHCARE GROUP (32 facilities, chain avg rating 2.9★)

The abuse flag means inspectors cited this facility for abuse that caused harm to a resident within the past year, or potential for harm in each of the last two years. Source: CMS.

1/5

Health inspection rating (on-site)

Serious findings on record

$79,356

Fines, last 3 years

3.08

Nurse hours/resident/day (adjusted)

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, one-off · Sep 30, 2025 · F-0600 · triggered by a complaint

The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.

Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.

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: Oct 22, 2025 (Deficient, Provider has date of correction)

▲ Actual harm, one-off · Nov 17, 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: Feb 22, 2023 (Deficient, Provider has date of correction)

All citations in the current public record (22)

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
Jan 8, 2026	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.
Jan 8, 2026	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.
Jan 8, 2026	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.
Sep 30, 2025	▲ J · Immediate jeopardy, one-off	The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint
Sep 30, 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
Nov 17, 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.
Nov 17, 2022	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.
Nov 17, 2022	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.
Nov 17, 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.
Nov 17, 2022	D · Potential for harm, one-off	The facility did not honor residents' right to form and take part in resident or family groups, such as a resident council.
Nov 17, 2022	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.
Nov 17, 2022	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.
Nov 17, 2022	D · Potential for harm, one-off	The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing.
Nov 17, 2022	D · Potential for harm, one-off	The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day.
Nov 17, 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.
Nov 17, 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.
Jul 8, 2021	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.
Jul 8, 2021	D · Potential for harm, one-off	The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason.
Jul 8, 2021	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.
Jul 8, 2021	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.
Jul 8, 2021	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.
Jul 8, 2021	D · Potential for harm, one-off	The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (11 → 3).

Year	Citations	Serious (G–L)	Worst severity that year
2021	6	0	D
2022	11	1	G ▲
2025	2	1	J ▲
2026	3	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 $79,356.

Date	Type	Amount / length
Sep 30, 2025	Fine	$79,356

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)	3.08	3.62	3.95	bottom 20% in Tennessee; bottom 16% in the U.S.
Registered Nurse hours	0.54	0.57	0.69	top 44% in Tennessee; bottom 44% in the U.S.
Weekend total nurse staffing	2.55	3.15	3.50	bottom 14% in Tennessee; bottom 11% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.27	0.39	0.48	bottom 34% in Tennessee; bottom 27% in the U.S.
Total nursing staff turnover (%)	59.7	48.9	45.8	bottom 20% in Tennessee; bottom 17% in the U.S.
RN turnover (%)	66.7	43.2	42.9	bottom 16% in Tennessee; bottom 15% 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 3.51, RN 0.62, weekend 2.91. 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 - Limited Liability company

Owner / manager	Type	Role	Stake	Since
5070 Sanderlin Avenue TN LLC	Organization	5% or Greater Mortgage Interest	NOT APPLICABLE	01/01/2025
5070 Sanderlin Avenue TN LLC	Organization	ADP of the SNF	NOT APPLICABLE	12/19/2024
Hines, Elbert	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2025
Hines, Elbert	Individual	ADP of the SNF	NOT APPLICABLE	01/01/2025
Holt, Weston	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2025
Holt, Weston	Individual	ADP of the SNF	NOT APPLICABLE	01/01/2025
Links Healthcare Group LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	12/19/2024
Links Healthcare Group LLC	Organization	ADP of the SNF	NOT APPLICABLE	01/02/2025
Rodriguez, Curtis	Individual	Operational/Managerial Control	NOT APPLICABLE	12/20/2024
Tilford, Toby	Individual	Operational/Managerial Control	NOT APPLICABLE	12/26/2024

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
"How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
"If my family member falls or their condition changes, exactly when and how will I be notified?"
"How do you decide when a feeding tube is truly needed, and how do staff care for residents who have one?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
"What is your current medication error rate, and what have you changed to bring errors down?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"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	2.5 mi	Memphis, TN	★★★★★	5/5
Highlands Health and Rehabilitation Center	2.5 mi	Memphis, TN	★★☆☆☆	2/5
Signature Healthcare of Primacy	3.6 mi	Memphis, TN	★★★★★	4/5
Quince Nursing and Rehabilitation Center	3.6 mi	Memphis, TN	★★☆☆☆	1/5
Waters of Memphis a Rehabilitation & Nursing Ctr	3.6 mi	Memphis, TN	★☆☆☆☆	2/5
Delta Blues Health & Rehabilitation	4.8 mi	Memphis, TN	★★☆☆☆	2/5
Signature Healthcare of Memphis	5.4 mi	Memphis, TN	★★★★★	5/5
Ave Maria Home	5.4 mi	Bartlett, TN	★★☆☆☆	2/5
Midtown Center for Health and Rehabilitation	5.6 mi	Memphis, TN	★★☆☆☆	3/5
Majestic Gardens at Memphis Rehab & SNC	5.6 mi	Memphis, TN	★☆☆☆☆	1/5	SFF
Kirby Pines Manor	5.7 mi	Memphis, TN	★★★★★	5/5
The Village at Germantown	6.6 mi	Germantown, TN	★★☆☆☆	1/5

Compare this facility with the 3 closest →

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Facility data as of CMS processing date 2026-08-01. CCN 445426.

The Care File

Visit checklist — Shelby Oaks Post Acute

5070 Sanderlin Avenue, Memphis, TN 38117 · 9016825677

Health inspection rating 1/5 · CMS overall 1/5 · ▲ FEDERAL ABUSE CITATION FLAG· Fines (3y): $79,356

Most serious findings on record:

▲ Sep 30, 2025 (F-0600, Immediate jeopardy, one-off): The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
▲ Nov 17, 2022 (F-0692, 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.

Questions for the administrator:

☐ "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
☐ "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
☐ "If my family member falls or their condition changes, exactly when and how will I be notified?"
☐ "How do you decide when a feeding tube is truly needed, and how do staff care for residents who have one?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
☐ "What is your current medication error rate, and what have you changed to bring errors down?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "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 445426 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)