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 Parkway Health And Rehabilitation Center during CMS and state inspections, most recent first.
Administration failed to ensure nursing services were provided by qualified personnel when an unlicensed individual was hired and worked as an RN under another nurse’s license. Facility records showed multiple unexplained discrepancies in the individual’s name, SSN, and birthdate across the background check, I-9, W-4, Consumer Information Sheet, and separation notice, and the I-9 was never completed or signed by facility staff. Time records confirmed the imposter worked several shifts as an RN before being terminated for no call/no show, and an abuse registry check was not completed until long after termination. The facility did not produce hiring policies or documentation that anyone questioned the conflicting identification information before or during this person’s employment.
The facility failed to ensure a sanitary environment in the kitchen and storage areas, with observations of a large hole in the kitchen bathroom wall, mouse excrement on food items, and hard water build-up in an ice machine. The Dietary Manager acknowledged the need for cleaning, and rodent control measures were initiated after the issues were identified.
A facility failed to report a resident-to-resident abuse incident in a timely manner. A resident was assaulted by a roommate, who was known for physical aggression, but the incident was not reported to the Administrator until two days later. Both residents were cognitively intact, and the facility's policy required immediate reporting of such incidents.
The facility failed to provide scheduled showers for two residents, one of whom was cognitively intact and required assistance, and another who was dependent on staff due to medical conditions. Both residents reported not receiving showers as scheduled, and facility records confirmed the lack of showers on multiple occasions. The DON acknowledged the documentation issue and mentioned a correction in the electronic health record system.
A resident with multiple diagnoses, including Bipolar Disorder and Schizophrenia, did not receive prescribed medications as indicated by blanks in the MAR for two days. The DON confirmed the night shift nurse did not sign off the medications, and it was unclear if they were administered.
A resident with severe cognitive impairment and total dependency on staff was found with a swollen left arm, which was not immediately reported to a medical practitioner. The delay in notification led to a late diagnosis of a comminuted humeral fracture. The facility failed to adhere to its policy for immediate documentation and notification, resulting in actual harm to the resident.
A resident with severe cognitive impairment and multiple medical conditions sustained a comminuted humeral fracture, which was not promptly investigated by the LTC facility. The facility's limited investigation did not include all relevant staff, and the injury was not immediately addressed, resulting in actual harm to the resident.
A facility failed to provide adequate supervision and monitoring, resulting in harm and risk to residents. A resident's fall went undocumented, leading to a delayed diagnosis of a fractured rib. Another resident was not monitored after falls, and a third resident, identified as an elopement risk, exited the facility through a malfunctioning door. These incidents highlight significant lapses in safety protocols and documentation.
A resident reported a missing art pad to the Social Worker, who promised to replace it but failed to do so in a timely manner. The facility's policy requires prompt investigation and replacement of missing items, but the art pad was not replaced by the expected timeframe. The Administrator confirmed the delay was not in accordance with the facility's expectations.
A facility failed to accurately complete assessments for a resident receiving Hospice services. Despite being under Hospice care for Respiratory Failure, the resident's quarterly MDS assessments did not reflect this status. The MDS Coordinator confirmed the incorrect coding during an interview.
A resident with severe medical conditions experienced significant weight loss due to the facility's failure to adhere to its Weight Assessment and Intervention Policy. The resident was not weighed weekly as required, and the facility did not obtain weights within 24 hours of readmission, leading to unmonitored weight changes.
The facility failed to provide proper care for residents with enteral feedings, as staff did not follow policies for medication administration and tube maintenance. An LPN crushed and mixed medications for a resident, used a plunger instead of gravity for administration, and did not flush the tube with the prescribed water amount. Another LPN did not check PEG tube residuals and improperly stored equipment. Additionally, feeding and flush solutions for a resident were not labeled with necessary information.
A resident with intact cognition and multiple health conditions missed a scheduled physician's appointment because the facility failed to provide timely assistance with grooming and dressing. Despite the facility's policy to accommodate residents' needs, the resident did not receive the necessary help to be ready for transportation, as confirmed by interviews with the resident and staff, including the DON.
The facility failed to administer medications safely during PEG administration for two residents, with LPNs not following protocols for medication separation, water flushing, and enhanced barrier precautions. Additionally, hazardous waste was improperly stored in soiled linen rooms, with sharp containers left on counters and biohazard boxes overflowing. These deficiencies were confirmed by the DON and Infection Control Preventionist.
A resident's call light system was not functioning properly, as the hall light did not activate when the call light was pressed. Despite being informed, the maintenance department took several days to fix the issue, which involved replacing the board and cords. The Administrator stated that the expected repair timeframe should be 1-2 hours.
Imposter RN Hired and Allowed to Work Despite Multiple Identification Discrepancies
Penalty
Summary
Administration failed to ensure that nursing services were provided by qualified personnel when an unlicensed individual was hired and worked as an RN using another nurse’s Tennessee license. Personnel file and document review showed multiple inconsistencies in the imposter nurse’s identifying information that were not questioned by the facility. The background check dated 06/14/2024 used a Social Security Number (SSN) that did not match the SSN on the Social Security card submitted. The I-9 form dated 06/15/2024 listed the imposter’s legal first and last name, with a copy of her Social Security card and a valid Tennessee driver’s license, but the SSN on the I-9 did not match the SSN on the Social Security card. The I-9 form was not completed, signed, or dated by any facility representative. Time punch data showed the imposter nurse worked multiple days in June and July 2024. A separation notice dated 07/31/2024 listed the imposter’s real first and last name with an SSN that did not match the SSN on the I-9 form, and documented employment dates from 06/12/2024 to 07/31/2024 with termination for no call/no show. An undated Consumer Information Sheet listed the imposter’s first and last name with the legitimate RN’s last name as her middle name, a birth year that did not match the I-9, and an SSN that did not match the SSN on the W-4 form or the separation notice. The abuse registry check for the imposter was not completed until 08/04/2025, after termination. The facility did not provide any hiring policies and there was no evidence that staff questioned the discrepancies in names, birth dates, or SSNs on the pre-employment forms, resulting in the employment of an unqualified person as an RN.
Sanitation and Pest Control Deficiencies in Kitchen and Storage Areas
Penalty
Summary
The facility failed to maintain a safe and sanitary environment in the kitchen and related areas, as evidenced by several observations and interviews. In the kitchen bathroom, a large hole in the drywall was covered with black plastic, exposing the wooden inner framing of the wall. This condition was observed on multiple occasions. Additionally, mouse excrement was found on top of a can of green beans and in an open box containing cans of chicken noodle soup in the Storage Room. Similar findings of mouse excrement and shredded paper and cardboard were noted in the Emergency Food Supply closet. In the Nutrition Room on the East Hall, a white hard powdery build-up was discovered on the plastic casing and coolant tubes inside the ice machine, which the Dietary Manager identified as hard water build-up. The Dietary Manager acknowledged the need for cleaning. During an interview, the Administrator presented an invoice indicating that rodent control measures had been initiated on the same day the issue was identified. The Dietary Manager confirmed that mouse excrement should not be present in the Storage Room, highlighting a lapse in maintaining sanitary conditions.
Failure to Timely Report Resident-to-Resident Abuse
Penalty
Summary
The facility failed to ensure timely reporting of an allegation of resident-to-resident abuse involving Resident #37. According to the facility's Abuse Prevention Policy, any suspected abuse should be reported immediately to the Facility Abuse Coordinator, Director of Nursing, and Administrator, and no later than two hours after the allegation is made. However, in this case, the incident involving Resident #37 and his roommate, Resident #112, was not reported to the Administrator until two days after it occurred. The incident involved Resident #112 physically assaulting Resident #37 by hitting him on the chest and using a racial slur. A nurse witnessed the incident but failed to report it to the appropriate authorities within the required timeframe. Resident #37, who was cognitively intact with a BIMS score of 15, reported the incident during an interview. The medical record review revealed that Resident #112, also cognitively intact with a BIMS score of 14, had a care plan indicating a history of physical aggression. The facility's failure to report the incident promptly was confirmed by the Administrator during an interview, acknowledging that the nurse did not notify the Director of Nursing or the Administrator as required by the facility's policies.
Failure to Provide Scheduled Showers for Residents
Penalty
Summary
The facility failed to provide necessary assistance with Activities of Daily Living (ADLs), specifically showering, for two residents. Resident #82, who was cognitively intact and required substantial assistance with bathing, reported not receiving showers as scheduled since January. The facility's records showed inconsistencies in the shower schedule and documentation, indicating that Resident #82 did not receive showers on multiple occasions in January and February, despite being scheduled for them. Similarly, Resident #320, who was dependent on staff for bathing due to conditions such as spinal stenosis and paraplegia, reported not receiving any showers since admission. The facility's documentation confirmed that Resident #320 did not receive showers on scheduled days in February. The Director of Nurses acknowledged the lack of documentation for showers and mentioned a correction in the facility's electronic health record system to address this issue.
Failure to Administer Prescribed Medications
Penalty
Summary
The facility failed to administer prescribed medications to a resident, identified as Resident #90, who was admitted with multiple diagnoses including Viral Hepatitis, Malnutrition, Bipolar Disorder, Depression, and Schizophrenia. The resident was moderately cognitively impaired, as indicated by a Brief Interview of Mental Status score of 9. Physician's orders included medications such as Famotidine, Trazodone, Atorvastatin, Baclofen, and Zyprexa, which were to be administered at specific dosages and times. However, a review of the Medication Administration Record (MAR) for January 2025 revealed that these medications were not signed off as administered on January 4th and 5th, 2025. During an interview, the Director of Nursing (DON) confirmed that the blanks on the MAR indicated that the night shift nurse did not sign off the medications, and she could not confirm whether the medications were administered. This oversight in medication administration represents a failure to provide appropriate treatment and care according to the physician's orders and the resident's needs, as required by the facility's standards.
Neglect Resulting in Resident Harm Due to Delayed Medical Intervention
Penalty
Summary
The facility failed to ensure the right of a resident to be free from neglect, resulting in actual harm. The resident, who was severely cognitively impaired, bedridden, and totally dependent on staff for all needs, was found to have a swollen left arm with nonpitting edema on April 5, 2024. Despite this observation, the Licensed Practical Nurse (LPN) did not immediately notify the medical doctor or practitioner, delaying the necessary medical intervention. The medical practitioner was only informed of the resident's condition on April 8, 2024, three days after the initial observation. An x-ray conducted on April 9, 2024, revealed a comminuted humeral fracture of unknown origin. The facility's policy required immediate documentation and notification of such incidents, but this was not adhered to, leading to a delay in addressing the resident's injury. Interviews with staff revealed inconsistencies in the handling of the incident. The Director of Nursing (DON) confirmed that there was no documentation of staff interviews or monitoring of the resident after the injury was discovered. The lack of timely action and investigation into the cause of the fracture highlights the facility's failure to provide necessary services to prevent harm to the resident.
Failure to Investigate Injury of Unknown Origin
Penalty
Summary
The facility failed to thoroughly investigate an injury of unknown origin for a resident who was severely cognitively impaired and bedridden. The resident sustained a comminuted humeral fracture, which was not immediately addressed or investigated by the staff. The facility's policy on abuse prevention and incident reporting required immediate investigation and documentation of injuries of unknown origin, but these procedures were not adequately followed. The resident was admitted with multiple diagnoses, including chronic respiratory failure, tracheostomy, and functional quadriplegia, and was unable to participate in cognitive assessments. Swelling in the resident's left arm was first documented by an LPN, but the practitioner was not notified for immediate action, and an investigation was not promptly initiated. The facility's investigation was limited to interviews with three staff members and did not include staff who cared for the resident prior to the discovery of the swelling. The resident was eventually sent to the hospital, where the fracture was confirmed. The facility did not provide documentation of interviews with all relevant staff or a thorough investigation into the cause of the injury. The Director of Nursing acknowledged the lack of a comprehensive investigation and the absence of 72-hour post-incident monitoring, which should have been conducted. The facility's failure to investigate the injury thoroughly resulted in actual harm to the resident.
Inadequate Supervision and Monitoring in LTC Facility
Penalty
Summary
The facility failed to ensure a safe environment and adequate supervision for several residents, leading to multiple incidents of harm and risk. Resident #44 experienced a fall on 5/27/2024, which was not properly documented or monitored. The fall resulted in a fractured rib, which went unnoticed until the resident complained of pain on 5/31/2024. The Nurse Practitioner was not informed of the fall or the fracture until 6/3/2024, leading to a delay in treatment and the resident being sent to the emergency room. The facility's failure to monitor and document the incident resulted in actual harm to the resident. Resident #85 also experienced inadequate monitoring following falls on 4/20/2024 and 7/26/2024. The resident was not assessed or monitored for injuries for 72 hours following the falls, and there was no documentation of the resident's transfer to the hospital or monitoring upon return. This lack of supervision and documentation posed a risk to the resident's safety and well-being. Additionally, Resident #102, who was identified as an elopement risk, managed to exit the facility through a malfunctioning door on 5/11/2024. The door's magnetic lock had malfunctioned due to a power surge, and there was no documented monitoring of the door to ensure it was functioning properly. The facility failed to implement measures to prevent further elopement risks, leaving the resident vulnerable to potential harm.
Failure to Timely Replace Resident's Missing Property
Penalty
Summary
The facility failed to ensure the timely replacement of a resident's missing property, specifically an art pad, after it was reported missing. The facility's policy on investigating incidents of theft or misappropriation of resident property requires prompt and thorough investigation and response to such complaints. However, in this case, the Social Worker acknowledged being informed of the missing art pad during a care plan meeting in July 2024 and promised to replace it. Despite this, the art pad had not been replaced by the week of August 12, 2024, indicating a failure to adhere to the facility's policy and the Social Worker's commitment. Resident #38, who has intact cognition as indicated by a Brief Interview for Mental Status score of 15, reported the missing art pad to the Social Worker. The Social Worker admitted to being aware of the missing item and stated that she intended to replace it but had not done so due to personal preferences and workload. The Administrator confirmed that the process for handling such incidents involves logging the complaint and investigating, with an expectation of replacing the item within 48 to 72 hours. The delay in replacing the art pad was acknowledged by the Administrator as not being timely.
Inaccurate MDS Coding for Hospice Services
Penalty
Summary
The facility failed to ensure accurate completion of assessments reflecting a resident's status related to Hospice services. Resident #61, who was admitted with multiple diagnoses including Epilepsy, Persistent Vegetative State, and Respiratory Failure, was under Hospice care as indicated in the care plan and physician's orders. However, the quarterly Minimum Data Set (MDS) assessments dated 4/12/2024 and 7/12/2024 did not code the resident as receiving Hospice services. This discrepancy was confirmed during an interview with the MDS Coordinator, who acknowledged the incorrect coding.
Failure to Adhere to Weight Monitoring Policy
Penalty
Summary
The facility failed to adhere to its Weight Assessment and Intervention Policy for a resident with significant medical conditions, including psychosis, dementia, and diabetes. The policy required residents to be weighed on admission and weekly for four weeks thereafter, with any significant weight changes to be confirmed and reported to the dietitian. However, the facility did not obtain weekly weights for the resident during the specified periods, resulting in unmonitored weight loss. The resident experienced a severe weight loss of 6.6% over approximately two weeks, which was not addressed in a timely manner as per the facility's policy. Further, the facility did not weigh the resident within 24 hours of readmission, as confirmed by the Director of Nursing (DON). The resident was readmitted multiple times, and the facility failed to document weights consistently, missing several weekly weigh-ins. This lack of adherence to the policy was confirmed during an interview with the DON, who acknowledged the failure to weigh the resident as required upon readmission and during the subsequent weeks.
Deficiencies in Enteral Feeding and Medication Administration
Penalty
Summary
The facility failed to provide appropriate care and services for residents with enteral feedings, as evidenced by multiple deficiencies in the administration of medications and maintenance of feeding tubes. For Resident #8, the facility did not adhere to its own policies or physician orders. During a medication administration observation, an LPN crushed and mixed multiple medications together, contrary to the policy that requires each medication to be administered separately to avoid interactions. Additionally, the LPN used a plunger to push the medications and water flushes through the PEG tube, rather than allowing them to flow by gravity, and did not flush the tube with the prescribed 60 cc of water before and after medication administration. Similarly, for Resident #10, the facility failed to follow proper procedures for medication administration through a PEG tube. An LPN did not check the residual of the PEG tube before administering medication, as required. The LPN also used a plunger to administer the medication and water flushes, and did not use the prescribed amount of water for flushing the tube. Furthermore, the LPN did not ensure that the syringe and plunger were properly dried before storage, which is against the facility's policy. For Resident #90, the facility did not ensure that enteral feeding and flush solutions were properly labeled. Observations revealed that the Jevity container and water flush solutions lacked labels indicating the rate of administration and the time they were started. This lack of labeling was confirmed by the DON, who acknowledged that the feeding and flush solutions should be labeled with the resident's name, flow rate, and room number. These deficiencies indicate a failure to comply with established protocols for the safe and effective administration of enteral feedings and medications.
Resident Misses Appointment Due to Lack of Assistance
Penalty
Summary
The facility failed to provide necessary assistance with grooming and dressing for a resident who had a scheduled physician's appointment, resulting in the resident missing the appointment. The facility's policy on resident rights emphasizes the importance of assisting residents in maintaining their self-esteem and ensuring reasonable accommodation of their needs. However, the resident, who was dependent on staff for dressing and bathing due to conditions such as osteomyelitis, peripheral vascular disease, and diabetes, did not receive the required assistance in a timely manner. This lack of assistance led to the resident being unprepared when transportation services arrived, causing her to miss her medical appointment. The resident, who had intact cognition as indicated by a BIMS score of 15, expressed that she missed her appointment because she was not helped in time to get ready and reach the transportation service. Interviews with the resident and staff, including the Director of Nursing and a Certified Nurse Assistant, confirmed that the resident required substantial assistance for dressing and that staff should have provided timely help. The Director of Nursing acknowledged that the resident does not move quickly and should have been assisted to ensure she was ready for her transportation.
Infection Control and Medication Administration Deficiencies
Penalty
Summary
The facility failed to ensure medications were administered in a safe and sanitary manner during Percutaneous Endoscopic Gastrostomy (PEG) administration for two residents. For Resident #8, the Licensed Practical Nurse (LPN) crushed and mixed multiple medications together, contrary to the facility's policy which requires each medication to be administered separately to avoid interaction and clumping. The LPN also failed to use enhanced barrier precautions, which are necessary for residents with indwelling medical devices like PEG tubes. Additionally, the LPN did not follow the prescribed procedure for flushing the PEG tube with the correct amount of water before and after medication administration. For Resident #10, the LPN did not clean the over-the-bed table with the proper disinfectant wipes and failed to use enhanced barrier precautions while administering the PEG tube medications. The LPN also improperly stored the PEG tube syringe after cleaning, leaving visible water particles in the storage bag, which is against the facility's policy that requires the syringe and plunger to be completely dry before storage. The Director of Nursing confirmed these lapses in protocol, emphasizing the importance of using enhanced barrier precautions and proper hand hygiene. The facility also failed to properly store hazardous and infectious waste in two soiled linen rooms. In one room, filled sharp containers were left on the counter instead of being placed in a biohazard box lined with a red biohazard bag. In another room, a biohazard box was overflowing with red bags filled with biohazard waste, which should have been contained and removed to prevent contamination and odor. The Infection Control Preventionist confirmed these deficiencies, highlighting the improper handling and storage of biohazard waste.
Failure to Provide Functioning Call Light System
Penalty
Summary
The facility failed to provide a functioning call light system for a resident, which was identified during a survey. The facility's policy requires that call lights be in working order and any defects be reported immediately. However, observations revealed that the resident's call light was not functioning properly, as the hall light above the door did not activate when the call light was pressed. This issue persisted over several days, despite the maintenance department being informed and checking the system. Interviews with the Maintenance Director and the Administrator highlighted a delay in addressing the malfunction. The Maintenance Director acknowledged the need to replace the board and cords in the room to fix the issue. The Administrator confirmed that the call light system was eventually repaired but stated that the expected timeframe for fixing such issues should be 1-2 hours, not 3-4 days as it occurred in this case.
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 168 citations issued within 25 miles in the last 12 months — including the 6 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 Memphis
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Graceland Rehabilitation And Nursing Care Center | 3.4 mi | ★★★★★ | 0 | 0 |
| Diversicare Of Southaven | 6.1 mi | ★★★★★ | 12 | 1 |
| Regional One Health Subacute Care | 6.9 mi | — | 0 | 0 |
| Landmark Of Desoto | 7 mi | ★★★★★ | 10 | 0 |
| Midtown Center For Health And Rehabilitation | 7.1 mi | ★★★★★ | 11 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Parkway Health And Rehabilitation Center.
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 July 2026) and official state health department websites.