Below average — CMS composite of the measures below.
A standard survey is most likely before around November 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Applingwood Post Acute during CMS and state inspections, most recent first.
A resident did not receive appropriate care for existing pressure ulcers, and the facility failed to implement effective measures to prevent new ulcers from developing. Surveyors found that necessary interventions, assessments, and monitoring were not consistently provided, resulting in the occurrence and worsening of pressure ulcers.
Two residents did not receive proper ADL assistance, including scheduled showers and personal hygiene care. One resident was observed with unaddressed facial hair and dirty fingernails, while another missed multiple scheduled showers and did not receive daily oral care, as confirmed by both the resident and his spouse. The DON acknowledged that these care standards were not met.
A resident did not receive treatment and care in accordance with physician orders and their own preferences and goals, as required by their care plan.
Surveyors found that two residents had access to hazardous items in their rooms, including an aerosol air freshener and a pair of scissors. One resident was moderately cognitively impaired, and the other was cognitively intact. Facility staff confirmed these items should not have been accessible, and the facility had multiple residents with wandering behaviors.
Surveyors found that appropriate care was not consistently provided for residents who were continent or incontinent of bowel and bladder, including improper catheter care and insufficient prevention of UTIs. These failures resulted in a deficiency related to resident care.
Four LPNs provided care to a resident with a laryngeal tube without having received required education or competency training for this specialized care. The resident, who was severely cognitively impaired and had multiple complex diagnoses, required frequent monitoring and skilled interventions as outlined in physician orders and the care plan. Documentation showed ongoing issues with the resident's airway device and related care, and the ADON was unable to confirm staff competency in this area.
Surveyors found that medications, including a moisture barrier cream, antifungal medication, and antibiotic ointment, were left unsecured and unattended at the bedsides of two residents with cognitive impairments. Staff, including an LPN, ADON, and DON, confirmed that medications should not be left at the bedside and must be stored in a locked medication cart, in accordance with facility policy.
Staff failed to follow Enhanced Barrier Precautions for two residents requiring high-contact care involving a PEG tube and a laryngeal stoma. In both cases, staff did not wear the required PPE, such as gowns and gloves, and did not perform proper hand hygiene, despite facility policy and physician orders.
A resident with severe cognitive impairment and multiple medical conditions was found to be living in a room with dried brown and beige substances on the walls, headboard, and enteral feeding pole. The DON confirmed these areas should be clean and free of such substances, in accordance with facility policy.
Failure to Provide and Prevent Pressure Ulcer Care
Penalty
Summary
The facility failed to provide appropriate care for pressure ulcers and did not implement effective measures to prevent the development of new ulcers. This deficiency was identified through surveyor observations and documentation review, which indicated that residents were not consistently receiving necessary interventions to manage existing pressure ulcers or to prevent new ones from forming. The lack of proper assessment, monitoring, and timely intervention contributed to the occurrence and worsening of pressure ulcers among residents.
Failure to Provide Scheduled ADL Assistance and Personal Hygiene
Penalty
Summary
The facility failed to provide appropriate Activities of Daily Living (ADL) assistance, specifically related to showering and personal hygiene, for two residents. One resident with dementia, visual impairment, and other significant medical conditions was observed to have excessive facial hair and dirty fingernails, despite care plans indicating a need for maximal assistance with personal hygiene. The resident reported receiving a shower and nail care the previous night, but observations showed ongoing issues with hygiene. The Director of Nursing confirmed that residents should have clean faces and nails. Another resident with Parkinson's disease and limited mobility, who required partial assistance with ADLs, did not receive showers according to the facility's established schedule. Documentation showed missed showers on several scheduled days, with bed baths provided instead. Both the resident and his wife reported infrequent showers and a lack of daily oral care, with no toothbrush or toothpaste found in the resident's bathroom. The Director of Nursing acknowledged that the shower schedule and daily oral care should be followed.
Failure to Provide Care According to Orders and Resident Preferences
Penalty
Summary
A deficiency was identified when appropriate treatment and care were not provided according to physician orders, as well as the resident's preferences and goals. The report notes a failure to ensure that care was delivered in alignment with the established plan, which is required to meet the individual needs and wishes of the resident. This lapse resulted in the resident not receiving care as intended, based on their documented preferences and medical directives.
Unsafe Items Found in Resident Rooms
Penalty
Summary
The facility failed to maintain an environment free from accident hazards by allowing potentially dangerous items to be accessible in resident rooms. In one instance, a can of aerosol air freshener was observed on top of a bedside table in the room of a resident who was moderately cognitively impaired, as indicated by a BIMS score of 11. The Assistant Director of Nursing confirmed that such an item should not be present in the building. In another case, a pair of scissors was found on the bedside table of a cognitively intact resident, and an LPN confirmed that the scissors should not have been accessible at the bedside. These deficiencies were identified during observations and interviews, and the facility was noted to have 18 residents with wandering behaviors, increasing the risk associated with unsecured hazardous items. The presence of these items in resident rooms was in direct conflict with the residents' right to a safe environment as outlined in the Resident Bill of Rights.
Deficient Bowel/Bladder and Catheter Care Leading to UTI Risk
Penalty
Summary
The report identifies a deficiency related to the provision of care for residents who are continent or incontinent of bowel and bladder, as well as the management of catheter care and the prevention of urinary tract infections (UTIs). Surveyors found that appropriate care was not consistently provided to residents in these areas. Specific failures included inadequate attention to the needs of residents with incontinence, improper catheter care practices, and insufficient measures to prevent UTIs. These lapses were observed during the survey and contributed to the deficiency cited.
Failure to Ensure Nurse Competency in Laryngeal Tube Care
Penalty
Summary
The facility failed to ensure that four licensed nurses had the necessary competencies and skill sets to care for a resident with a laryngeal tube. Education record review showed that these nurses did not receive required training or information on the new process for laryngeal tube care. Despite this, medical record review confirmed that these nurses provided care to the resident, who had complex medical needs including surgical aftercare following respiratory surgery, cancer of the supraglottis and lymph nodes, diabetes, dementia, and anxiety. The resident was severely cognitively impaired and required total care, including frequent monitoring and specialized respiratory interventions as outlined in physician orders and the care plan. Documentation revealed that the resident experienced issues such as the tracheostomy cap repeatedly coming off, stoma tenderness and redness, and frequent coughing up of phlegm, all of which required prompt and skilled intervention. The care plan specified the need for regular cleaning, monitoring for infection, and suctioning as needed. During an interview, the Assistant Director of Nursing acknowledged that she could not confirm staff competency in laryngeal tube care if they had not received the necessary education prior to their shifts.
Unsecured Medications Found in Resident Rooms
Penalty
Summary
Surveyors identified that the facility failed to ensure medications were properly stored in accordance with facility policy and professional standards. Specifically, during multiple observations, medications including a moisture barrier cream, an antifungal medication, and an antibiotic ointment were found unsecured and unattended at the bedsides of two residents in their occupied rooms. The facility's policy requires all medications and biologicals to be stored in locked compartments, and both the LPN and ADON confirmed during interviews that medications should not be left at the bedside and must be stored in a locked medication cart. The first resident involved had diagnoses of dementia, glaucoma, memory deficit, and diabetes, with a BIMS score indicating severe cognitive impairment. The second resident had a history of right humerus fracture, diabetes, and adult failure to thrive, with a BIMS score indicating moderate cognitive impairment. Despite these conditions, medications were left accessible in their rooms on several occasions, as confirmed by staff and observed by surveyors. The DON also acknowledged that medications should not be left unsecured and unattended at the bedside.
Failure to Follow Enhanced Barrier Precautions During High-Contact Care
Penalty
Summary
The facility failed to maintain proper infection prevention and control practices by not following Enhanced Barrier Precautions (EBP) for two residents with conditions requiring such measures. For one resident with dysphagia and hemiparesis, who had a PEG tube and was cognitively impaired, a registered nurse administered medications through the PEG tube while wearing gloves but did not wear a gown, contrary to facility policy and physician orders specifying EBP during high-contact care activities. The Director of Nursing confirmed that both gloves and a gown should have been worn during this procedure. In another instance, a resident with a laryngeal stoma and severe cognitive impairment required EBP during high-contact care, including suctioning for airway clearance. An LPN entered the resident's room and did not don any PPE while the resident was coughing thick yellow sputum through the stoma. The LPN left to call for help and returned without donning PPE. The Infection Preventionist also entered and assisted with the procedure without donning PPE or performing hand hygiene prior to donning gloves. Both staff members failed to wear the required PPE during this invasive procedure, as observed and documented.
Failure to Maintain Clean and Sanitary Resident Room Environment
Penalty
Summary
The facility failed to maintain a clean and sanitary environment in one occupied resident room, as evidenced by multiple observations of dried brown and beige substances on various surfaces. Specifically, surveyors observed these substances on the walls underneath the television, near the heating and air conditioning unit, behind the bed, in the corner of the room, on the headboard of the bed, and on the base and wheels of the enteral feeding pole. The facility's policy on housekeeping and routine cleaning, dated 1/10/2025, requires regular cleaning of surfaces, including enteral pump poles and walls, to remove visible soils. The affected resident had significant medical conditions, including hemiplegia, dysphagia, aphasia, COPD, diabetes, and used a PEG tube. The resident was also noted to be severely cognitively impaired, with a BIMS score of 2. During an interview and observation, the DON confirmed that the areas should be clean and free of dried substances, and was unable to identify the nature of the substances present, but acknowledged they should not be there.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Cordova
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Cordova Wellness And Rehabilitation Center | 0 mi | ★★★★★ | 6 | 0 |
| Memphis Jewish Home | 0 mi | ★★★★★ | 3 | 0 |
| The Village At Germantown | 4.3 mi | ★★★★★ | 11 | 1 |
| The Kings Daughters And Sons | 5.1 mi | ★★★★★ | 1 | 0 |
| Rainbow Rehab And Healthcare | 5.1 mi | ★★★★★ | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.