Above average — CMS composite of the measures below.
The next survey window likely opens around April 2027
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 Signature Healthcare Of Memphis during CMS and state inspections, most recent first.
Unsecured portable oxygen cylinders were observed free standing in two residents' rooms despite facility policy requiring E-tanks to be stored in an approved holding device or storage rack at all times. One resident had moderate cognitive impairment and both residents had orders for oxygen therapy; an LPN and the DON both stated the cylinders should not be left free standing in resident rooms.
A resident with severe cognitive impairment and multiple medical conditions was found with unexplained facial injuries, including scratches and discoloration. The injuries were not present the previous day and could not be explained by the resident or staff. Despite facility policy requiring immediate reporting of injuries of unknown origin to authorities, the incident was not reported as required.
Unsecured Oxygen Cylinders in Resident Rooms
Penalty
Summary
The facility failed to ensure the environment was free from accident hazards when portable compressed oxygen cylinders were left free standing and unsecured in resident rooms. The facility policy titled, Oxygen Storage, dated 1/31/2025, stated that E-tanks are to be stored in an approved oxygen tank holding device or approved storage rack at all times. Despite this policy, surveyors observed unsecured portable oxygen cylinders in two sampled residents' rooms. Resident #7 was admitted with diagnoses including seizures, gastrostomy, dysphagia, and schizophrenia, and his BIMS score of 9 indicated moderate cognitive impairment. He had an order for oxygen therapy at 2 liters by nasal cannula each shift, and his care plan noted that he required oxygen. On 5/11/2026, surveyors observed a portable compressed oxygen cylinder free standing between the headboard and bedside dresser at 9:52 AM, 11:58 AM, and 3:11 PM. Resident #99 was admitted with diagnoses including chronic respiratory failure, pneumonia, anxiety, and schizophrenia, and her BIMS score of 13 indicated she was cognitively intact. She also had an order for oxygen therapy at 2 liters per minute by nasal cannula and a care plan noting oxygen use. Surveyors observed a portable oxygen cylinder free standing and unsecured between the headboard and bedside dresser at 9:56 AM and 2:53 PM. An LPN stated that the cylinders should not be stored unsecured in resident rooms, and the DON stated that portable oxygen cylinders should be stored in a rolling carrier or secured in a carrier on the back of a resident's wheelchair and should not be free standing in resident rooms.
Failure to Report Injury of Unknown Origin
Penalty
Summary
The facility failed to report an injury of unknown origin for one resident as required by its own policy and federal and state law. The policy mandates that all injuries of unknown origin, defined as injuries where the source is not observed or cannot be explained by the resident and are suspicious due to their extent or location, must be immediately reported to the Facility Administrator and appropriate agencies. In this case, a resident with severe cognitive impairment and multiple medical diagnoses, including subdural hematoma and Down's Syndrome, was found with scratch marks on the forehead and purplish discoloration and swelling around the left eye. The resident was unable to explain the cause of the injuries, and staff interviews confirmed that the injuries were not present the previous day. Despite the facility's policy and the nature of the injuries, there was no evidence that the injury of unknown origin was reported to state and local agencies as required. The former DON acknowledged that the injury was initially considered of unknown origin until the investigation concluded. Staff documentation and interviews confirmed the injuries were first observed during morning care, and the resident was non-verbal and unable to communicate about the incident. The Administrator confirmed that such injuries should be reported, but the required reporting did not occur.
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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 Memphis
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Ave Maria Home | 0 mi | ★★★★★ | 0 | 0 |
| Spring Gate Rehab & Healthcare Center | 4.8 mi | ★★★★★ | 0 | 0 |
| Shelby Oaks Post Acute | 5.4 mi | ★★★★★ | 9 | 1 |
| Allen Morgan Health And Rehabilitation Center | 5.6 mi | ★★★★★ | 2 | 0 |
| Highlands Health And Rehabilitation Center | 5.6 mi | ★★★★★ | 2 | 1 |
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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.