Above average — CMS composite of the measures below.
The next survey window likely opens around February 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 Primacy during CMS and state inspections, most recent first.
Failure to Provide Timely Pressure Injury Assessment and Treatment The facility failed to ensure residents with pressure injuries received timely skin assessments, wound orders, and ordered wound care. A resident readmitted with a wound vac order had no documented wound care for days, delayed measurements, and missed treatments; other residents had newly identified wounds during skin sweeps or observations without timely orders or accurate staging. The DON and Administrator acknowledged breakdowns in the wound process, and the Medical Director stated wound treatments were expected to be completed as ordered.
A facility failed to keep the resident environment free from accident hazards when an unsecured E-tank was observed sitting on the floor in a shared room without an approved holding device or storage rack. The resident receiving O2 had COPD, acute respiratory failure, and pneumonia, and RN A and the DON both stated the cylinder should not be on the floor.
Unsecured Self-Administration Medications Found at Bedside: A cognitively intact resident with heart failure, atherosclerotic heart disease, HTN, and muscle weakness had self-administration meds assessed for room storage, but Sucralfate oral solution and Moxifloxacin eye drops were repeatedly observed unsecured on the overbed table and nightstand. Facility policy required bedside meds to be kept locked or otherwise secure, yet an LPN left the meds in place and the DON stated the meds would be kept at the resident's bedside or in the bedside drawer.
Failure to Provide Timely Pressure Injury Assessment and Treatment
Penalty
Summary
The facility failed to ensure residents with pressure injuries received treatment and services to promote healing, including timely skin assessments, wound identification, wound orders, and ordered wound care. The report identified deficiencies for 5 of 96 sampled residents: Resident #4, Resident #10, Resident #74, Resident #79, and Resident #90. The facility policy required initial skin checks on admission, follow-up visualization of skin concerns, ongoing observation by licensed nursing staff, and initiation of skin integrity documentation when new impairment was identified. Resident #4 was readmitted with a wound vac order from the hospital, but the facility documented no skin impairment on admission, did not obtain a wound care order until 1/28/2026, and did not document wound care being performed until 2/1/2026. The TAR showed missed wound treatments on multiple ordered dates, and the first wound measurements were not obtained until 2/6/2026. The sacral wound was not added to the care plan until 2/17/2026. The DON acknowledged there was no wound care leader assessment after readmission, that the wound was not measured until 2/6/2026, and that treatments were not signed off on several February dates. Resident #10 had a new skin area identified during a facility skin sweep, but the wound nurse initially could not stage it and there were no wound care orders at the time it was found. Resident #79 had a right elbow skin opening noted in progress notes and later observed during a skin sweep, but the facility could not provide wound care orders when the wound was identified. Resident #74 had a known sacral pressure ulcer and later had additional deep tissue injuries to both plantar 5th MTP areas, the right heel, and the left 5th digit dorsal aspect identified during the survey; the facility could not provide wound care orders when those wounds were identified. Resident #90 had a sacral wound observed during a skin sweep that was measured as a stage 3 pressure ulcer, but it was not listed on the wound report provided on entrance, and later documentation described it differently as a stage 2 sacral wound with a different size and treatment plan. The report also noted the facility’s skin sweep found additional residents with pressure ulcers, and the Administrator stated the wound care nurse had not been meeting expectations and had been suspended and terminated.
Unsecured Oxygen Cylinder Left on Floor in Shared Room
Penalty
Summary
The facility failed to ensure the residents’ environment was free from accident hazards for 2 of 3 residents reviewed for accident hazards. The facility policy titled, Oxygen Storage, dated 1/2025, stated that E-tanks are to be stored in an approved oxygen tank holding device or approved storage rack at all times. Resident #1 was admitted with diagnoses including Acute Respiratory Failure, COPD, and Pneumonia, and the record showed an order for oxygen via nasal cannula at 4 liters per minute. Resident #126 was admitted with diagnoses including Parkinson’s Disease, Dementia, and Hypertension. During observation of the shared room occupied by Resident #1 and Resident #126, an E-tank was seen sitting on the floor in front of Resident #1’s bed, unsecured and uncontained, without a holding device or approved storage rack, approximately 5-6 feet from the room entryway. When asked about the portable oxygen cylinder, RN A stated, “No, not like that.” Later, the DON stated that portable oxygen cylinders cannot be on the floor without a proper tank holding device.
Unsecured Self-Administration Medications Found at Bedside
Penalty
Summary
The facility failed to ensure that medications were properly stored for self-administration when unsecured medications were found in one resident room during the initial tour. Facility policies titled Medication Storage Bedside Medication Storage and Medication Storage of Medication stated that bedside medications must be stored in lockable drawers or cabinets, remain locked when not in use, and be kept secure from access by other residents. However, observations in the room of a resident who was cognitively intact and independent with ADLs showed Sucralfate Oral Solution on the overbed table and Moxifloxacin eye drops unsecured on the nightstand. The resident had diagnoses including heart failure, atherosclerotic heart disease, essential hypertension, and muscle weakness. The medical record showed the resident had been assessed for self-administration of Moxifloxacin eye drops and Sucralfate Oral Suspension, with documentation stating the medications were to be kept in the resident's room in a secure location. Despite this, repeated observations on multiple occasions showed both medications left unsecured in the room. During interview, an LPN acknowledged the resident self-administered some medications but did not remove the medications to a secure location. The DON stated self-administration medications would be stored at the resident's preference at bedside or in the bedside drawer and said the facility did not have lock boxes.
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 165 citations issued within 25 miles in the last 12 months — including the 7 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) |
|---|---|---|---|---|
| Quince Nursing And Rehabilitation Center | 0 mi | ★★★★★ | 19 | 0 |
| Waters Of Memphis A Rehabilitation & Nursing Ctr | 0 mi | ★★★★★ | 1 | 0 |
| Kirby Pines Manor | 2.8 mi | ★★★★★ | 0 | 0 |
| The Village At Germantown | 3.2 mi | ★★★★★ | 11 | 1 |
| Shelby Oaks Post Acute | 3.7 mi | ★★★★★ | 9 | 1 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Signature Healthcare Of Primacy.
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.