Below average — CMS composite of the measures below.
The next survey window likely opens around May 2027
Estimate from public CMS data, current as of August 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Collierville Nursing And Rehabilitation, Llc during CMS and state inspections, most recent first.
Unsanitary kitchen conditions were observed, including heavy grease and food debris on the deep fryer, prep tables, storage bins, walls, and steam table glass, with a slippery floor around the stove and fryer. Staff were also observed handling food and equipment improperly at the steam table by using gloved hands to move melted cheese, wiping food off a resident’s plate with an apron, and cleaning a thermometer probe on the apron before disinfecting it. In addition, staff could not accurately test chemical levels in the 3-compartment sink and reported they had not been trained on the process.
A facility failed to maintain infection prevention and control during catheter care and PEG medication administration. A resident with a chronic Foley catheter had the catheter bag touching the floor, and a CNA performed catheter care without the gown required by EBP. Another resident with a PEG tube received medications from an LPN who did not wear a gown, did not check tube placement or residuals, and removed gloves outside the room after handling the tube and syringe.
A resident with multiple medical conditions and intact cognition reported that a blonde CNA on night shift jerked off the resident’s brief and slapped the resident’s inner thigh and arm during care, later telling a PTA that the CNA was mean and that the resident did not feel safe. The PTA notified the UM, who informed the Administrator and DON and began an internal investigation, but the allegation was never reported to APS, the LTC Ombudsman, local law enforcement, or the state survey agency, and the required 5‑day follow‑up report was not completed, contrary to facility policy and federal reporting timeframes.
A resident with severe cognitive impairment and total dependence on staff was found with a painful knot on the right thigh, later diagnosed as a comminuted and displaced femur fracture. Although the facility conducted an internal investigation and staff interviews, the injury of unknown origin was not reported to the state agency as required by policy.
Unsanitary Kitchen Conditions and Improper Food Handling
Penalty
Summary
The facility failed to maintain a clean and sanitary kitchen environment during food preparation and service. Observations showed food debris on and inside the deep fryer, oil drippings down the fryer front, greasy buildup on the floor and on the metal shield between the grill and fryer, crumbs and debris on metal prep tables and in a silverware tray, splatter marks on the wall behind the two-compartment sink and tea maker, sticky buildup on storage bin lids, and a greasy substance on the viewing glass around the steam table. The floor around the stove and fryer was described as slippery, and the Dining Services Manager acknowledged the buildup had accumulated over months and maybe years. During kitchen observations, staff were seen handling food and food equipment in an unsanitary manner at the steam table. One staff member used gloved hands multiple times to pull melted cheese onto a plate and back into food pans, used a plastic apron to wipe food off the edge of a resident’s lunch plate, and wiped a thermometer probe on the apron before using it again. The probe was not disinfected with alcohol wipes until prompted by the Dining Services Manager. These actions occurred while resident lunch trays were being prepared and served from the kitchen. The facility also failed to ensure staff could accurately test chemical levels in the 3-compartment sink. A staff member used chemical testing strips from the dishwasher unit, which showed no results in the water, and had to ask another employee and then the Kitchen Director of Operations for help. Another staff member stated she had never been trained on how to do it. The Dining Services Manager and Kitchen Director of Operations confirmed the kitchen needed to be cleaned and that staff needed more education on sanitation, food preparation, and testing chemical levels in the sink.
Infection Control Failures During Catheter Care and PEG Medication Administration
Penalty
Summary
The facility failed to maintain infection prevention and control during catheter care and PEG medication administration for two residents. Facility policies reviewed addressed indwelling catheter care, hand hygiene, enhanced barrier precautions (EBP), and feeding tube care, including the use of PPE for residents with indwelling medical devices and verification of tube placement before medication administration. The report identified failures involving a resident with a chronic Foley catheter and another resident with a PEG tube. Resident #8 had diagnoses including chronic kidney disease stage 4 and neuromuscular dysfunction of the bladder, was severely cognitively impaired, dependent for ADLs, and had a Foley catheter with an order for catheter care every shift and EBP for a chronic Foley catheter. During observations, the resident’s catheter bag was seen touching the floor on multiple occasions. During catheter care, a CNA performed hand hygiene and wore gloves but did not wear a gown despite the EBP signage indicating the resident was on EBP. The CNA stated a gown should have been worn, and the DON stated staff should know what EBP was and should wear gown and gloves for urinary catheter care. Resident #80 had diagnoses including gastrostomy status, traumatic brain injury, heart failure, and dysphagia, and was cognitively intact. Orders included medications via PEG tube and residual checks before administration. During medication administration, an LPN prepared medications, entered the room wearing gloves, and administered medications through the PEG tube without wearing a gown, without checking tube placement or residuals, and without removing gloves in the resident’s room. The LPN then washed the syringe in the bathroom, returned it to the bedside, and walked to the medication cart with gloved hands before removing the gloves there. The DON stated staff should check residual and placement before PEG medication administration, should wear PPE with PEG medication administration, and should remove dirty gloves in the room and perform hand hygiene.
Failure to Report Resident Abuse Allegation to Required Authorities
Penalty
Summary
The facility failed to report an allegation of abuse to Adult Protective Services, the Long-Term Care Ombudsman, local law enforcement, and the state survey agency, and failed to complete the required 5-day follow-up report to the state agency. Facility policy on Abuse, Neglect and Exploitation, dated 6/2025, requires that all alleged violations be reported to the Administrator, state agency, APS, and all other required agencies within specified timeframes: immediately but no later than 2 hours if the allegation involves abuse or results in serious bodily injury, or within 24 hours if it does not. The policy also requires the Administrator to follow up with government agencies to confirm receipt of the initial report and to report the results of the investigation within 5 working days. Despite these requirements, there was no documentation that the allegation involving one resident was reported to any of the required external authorities or that a 5-day follow-up was completed. The resident involved was admitted with diagnoses including diabetes, hypertension, sepsis, and PTSD, and was documented as cognitively intact with a BIMS score of 13. On the night in question, the resident reported that a blonde CNA on night shift jerked her diaper off and slapped or tapped her inner thigh and arm during incontinence care, and later told a PTA that the CNA was mean to her, had slapped her leg and arm, and that she did not feel safe. The PTA immediately notified the Unit Manager, who in turn notified the Administrator and DON and initiated an internal investigation. The former DON confirmed awareness of the allegation and acknowledged that such allegations should be reported to the state, stating she thought the Administrator had reported it. The Administrator confirmed the allegation was not reported to the state agency and acknowledged that, under federal regulations, an allegation of abuse should have been reported within 2 hours of facility knowledge.
Failure to Report Injury of Unknown Origin to State Agency
Penalty
Summary
The facility failed to report an injury of unknown origin for a resident who was severely cognitively impaired, dependent on staff for all activities of daily living, and had a history of falls and muscle weakness. During morning care, staff observed a knot on the resident's right thigh, and the resident indicated pain. An x-ray was requested, which later revealed a comminuted and displaced fracture of the femoral diaphysis. The resident was subsequently sent to the hospital for further evaluation and treatment. The facility's policy required immediate reporting of suspected abuse, neglect, or injuries of unknown origin to the state agency and other authorities, especially when serious bodily injury was involved. Despite conducting an internal investigation, staff interviews, resident interviews, and skin audits, the facility did not report the injury of unknown origin to the state agency as required by their policy. The Director of Nursing confirmed that an investigation was initiated because the cause of the injury was unknown, but the required external reporting was not completed. The deficiency centers on the facility's failure to notify the appropriate authorities about the injury of unknown origin in accordance with regulatory requirements.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 106 citations issued within 25 miles in the last 12 months — including the 4 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
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.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Collierville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| The Suites At Jordan River | 0 mi | ★★★★★ | 1 | 0 |
| The Village At Germantown | 6.7 mi | ★★★★★ | 0 | 0 |
| Cordova Wellness And Rehabilitation Center | 7.3 mi | ★★★★★ | 6 | 0 |
| Memphis Jewish Home | 7.3 mi | ★★★★★ | 3 | 0 |
| Applingwood Post Acute | 7.3 mi | ★★★★★ | 0 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Collierville Nursing And Rehabilitation, Llc.
100% money-back within 48 hours.
Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.