Below average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
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 The Suites At Jordan River during CMS and state inspections, most recent first.
Comprehensive MDS assessments for several residents with complex medical conditions were not completed within required CMS time frames. Delays and omissions were linked to staffing gaps and communication lapses between the MDS Coordinator and DON, resulting in late or missing admission and annual assessments.
Quarterly MDS assessments were not completed within required time frames for multiple residents with complex medical conditions. Staff interviews revealed that the process for notifying the DON of assessments ready for completion was inconsistent, leading to delays in signing and completing the required documentation.
Surveyors found unsanitary kitchen conditions, including scattered cardboard, dirty ice machine filters, wet nesting of pans, and ovens with burned food and carbon buildup. Food items such as cream, butter, breadcrumbs, and chicken were stored open, unlabeled, and undated. A full, lidless garbage can with food debris was in contact with the sink where chicken was thawing. The Culinary Director confirmed these practices did not meet facility policy.
Staff did not follow infection control protocols during meal service and medication administration. A dietary aide and a CNA failed to perform hand hygiene and handled dinnerware in unsanitary ways, including carrying utensils under the arm and distributing items picked up from the floor. Three nurses did not clean or disinfect reusable equipment such as stethoscopes and blood pressure cuffs between uses on residents with complex medical conditions. Supervisory staff confirmed these actions were not in line with facility policy.
Two CNAs failed to use courtesy titles when addressing residents during meal service, instead using pet names such as 'sweetheart' and 'darling' while serving food. Facility policy requires staff to address residents respectfully by their name of choice, and the DON confirmed that pet names should not be used.
A resident with multiple medical conditions and moderate cognitive impairment was found to have an acute subdural hematoma after being sent to the ER, with no observed or explained cause for the injury. The facility did not report this injury of unknown origin as required by its policy, a fact confirmed by the administrator.
Disposable razors were left unattended in the rooms of three cognitively impaired residents, despite facility policy and staff acknowledgment that this should not occur. Additionally, care plans for residents on anticoagulant therapy did not address the associated risks, as required by facility policy. These deficiencies were confirmed through observations, record reviews, and staff interviews.
Failure to Complete Timely MDS Assessments for Multiple Residents
Penalty
Summary
The facility failed to complete comprehensive assessments for multiple residents within the required regulatory time frames, as mandated by the Centers for Medicare & Medicaid Services (CMS) Resident Assessment Instrument (RAI) process. Specifically, for 10 out of 33 sampled residents, admission and annual Minimum Data Set (MDS) assessments were either completed late or not completed at all. The MDS 3.0 RAI Manual requires that admission assessments be completed by the end of day 14 from admission and annual assessments within 14 days after the Assessment Reference Date (ARD). Medical record reviews revealed that several residents with complex medical histories, including conditions such as polyneuropathies, dementia, diabetes, cerebral infarction, and multiple other chronic illnesses, did not have their MDS assessments completed within these required time frames. Interviews with facility staff indicated lapses in communication and staffing as contributing factors. The MDS Coordinator reported that there was a period when the MDS position was vacant, resulting in incomplete assessments that needed to be caught up. The Director of Nursing (DON) confirmed that some assessments were signed as complete only after the required deadlines and attributed the delays to not being made aware of pending assessments. The process for notifying the DON about assessments relied on informal communication methods such as texts or emails, which may have contributed to the oversight.
Failure to Complete Quarterly MDS Assessments Within Regulatory Time Frames
Penalty
Summary
The facility failed to complete quarterly Minimum Data Set (MDS) assessments within the required regulatory time frames for 13 out of 33 sampled residents. According to the MDS 3.0 Resident Assessment Instrument (RAI) Manual, quarterly assessments must be completed at least every 92 days following the previous OBRA assessment, with the MDS completion date (Z0500B) no later than 14 days after the Assessment Reference Date (ARD). Medical record reviews revealed that for multiple residents with various diagnoses—including osteoarthritis, hypertension, dementia, chronic respiratory failure, diabetes, and other chronic conditions—quarterly MDS assessments were completed past the required deadlines, in some cases by several weeks or months. Interviews with facility staff, including the MDS Coordinator and the Director of Nursing (DON), confirmed that the process for notifying the DON of assessments ready for completion involved sending texts or emails. However, the DON acknowledged that some assessments were not signed or completed within the required 14-day period after the ARD, and in several instances, assessments were only signed as complete on the day of the surveyor's review. The DON attributed the delays to not being made aware of the assessments needing completion in a timely manner. The deficiency was identified through a combination of medical record reviews and staff interviews, which consistently showed late completion of quarterly MDS assessments for residents with complex medical needs. The failure to adhere to the specified time frames for MDS completion was confirmed by both the MDS Coordinator and the DON during interviews, with both acknowledging the regulatory requirements and the lapses in timely completion and documentation.
Failure to Maintain Sanitary Kitchen Environment and Proper Food Storage
Penalty
Summary
The facility failed to maintain a safe and sanitary environment in the kitchen, as evidenced by multiple observations of unsanitary conditions and improper food storage practices. Surveyors observed large pieces of cardboard and boxes scattered on the kitchen floor outside the dry storage room on several occasions. The ice machine filter was found with loose, dry tan fuzz hanging out of the vent over the ice door. Clean cooking pans and baking sheets were stored with water droplets between them, indicating wet nesting. Both the top and bottom convection ovens contained dried, burned food particles and splattered food on the inside doors, as well as burnt black carbon buildup on the bottom and sides. The refrigerator contained open, unlabeled, and undated food items such as heavy whipping cream and butter, and the dry storage room had an open, unlabeled, and undated bag of breadcrumbs. Additionally, a pack of frozen chicken breasts was found in an unlabeled, undated plastic bag in the freezer. A full garbage can without a lid was observed with trash, food debris, and soiled wrappings touching the kitchen sink and workstation, while frozen chicken was being thawed in the sink with cold water running over it. The facility's policies required all food to be properly labeled, dated, and stored in a sanitary manner, and for all kitchen areas and equipment to be kept clean and maintained. During interviews, the Culinary Director confirmed that these practices were not acceptable and did not align with facility policy. No information about residents' medical history or condition was provided in relation to this deficiency.
Failure to Maintain Infection Control During Meal Service and Medication Administration
Penalty
Summary
Staff failed to adhere to infection prevention and control practices as outlined in facility policies. Specifically, two staff members, a dietary aide and a CNA, did not perform proper hand hygiene or handle dinnerware appropriately during meal service. The dietary aide was observed carrying food and utensils under her arm and delivering drinking glasses in an unsanitary manner, while the CNA did not wash her hands after contact with residents' environments and before accessing clean linen. Additionally, the dietary aide picked up coffee creamers from the floor and distributed them to residents. Both the Director of Nursing and the Culinary Director acknowledged that these actions were not in line with sanitary practices. Further deficiencies were observed during medication administration by nursing staff. Three nurses, including an RN and two LPNs, failed to clean and disinfect reusable medical equipment such as stethoscopes, blood pressure cuffs, and pulse oximeters between resident uses. These lapses were confirmed during interviews with the staff involved, who acknowledged that the equipment should have been sanitized after each use. The Director of Nursing also confirmed that reusable equipment must be cleaned and disinfected before and after use and between patients. The residents involved had significant medical conditions, including enterostomy malfunction, malnutrition, cerebral infarction, hypertension, heart failure, pulmonary emboli, major depressive disorder, and glaucoma. The failure to follow infection control protocols occurred during routine care activities such as meal service and medication administration, directly involving residents with complex health needs.
Failure to Use Courtesy Titles When Addressing Residents During Dining
Penalty
Summary
Staff failed to maintain or enhance residents' dignity and respect during dining by not using courtesy titles when addressing residents. Facility policy requires staff to speak respectfully to residents at all times, including addressing them by their name of choice and not using labels. However, observations revealed that two CNAs addressed residents with pet names such as 'sweetheart,' 'my darling,' 'honey,' and 'darling' while serving meals in both the dining room and residents' rooms. These actions were observed multiple times during meal service, with one CNA repeatedly using pet names for several residents as she delivered their food and interacted with them. During an interview, the DON confirmed that residents should be addressed with courtesy titles and not with pet names, indicating that the observed behavior was inconsistent with facility policy.
Failure to Report Injury of Unknown Origin
Penalty
Summary
The facility failed to report an injury of unknown origin for a resident who was admitted with multiple diagnoses, including anemia, atrial fibrillation, gastroesophageal reflux disease, and malnutrition. The resident was moderately cognitively impaired, required assistance with activities of daily living, and was taking anticoagulants. According to the facility's policy, any injury of unknown source should be reported and investigated in accordance with abuse policies and procedures. However, when the resident was sent to the emergency room at the family's request, hospital documentation revealed a diagnosis of acute subdural hematoma, with no clear explanation or observed cause for the injury. The facility became aware of the subdural hematoma after the resident was evaluated at the hospital, but did not report the injury as one of unknown origin as required by their policy. The administrator confirmed during an interview that the injury should have been reported. The deficiency centers on the facility's failure to follow its own procedures for reporting and investigating unexplained injuries, specifically in the case of this resident's subdural hematoma.
Failure to Prevent Accident Hazards and Inadequate Care Planning for Anticoagulant Therapy
Penalty
Summary
The facility failed to provide an environment free from accident hazards and did not ensure adequate supervision to prevent accidents for three of four sampled residents. Disposable razors were repeatedly observed left out and unattended on bathroom vanities in the rooms of residents with cognitive impairments and functional limitations. Staff, including LPNs and the DON, confirmed that razors should not be left out and unattended in resident rooms, as per facility policy. These observations occurred multiple times for each resident, indicating a pattern of inaction regarding the safe storage of potentially hazardous items. Additionally, the facility did not include anticoagulation therapy in the care plans for residents who were prescribed anticoagulant medications, despite facility policy requiring care plans to address high-risk medications and interventions to minimize adverse consequences. The affected residents had diagnoses such as dementia, atrial fibrillation, and anxiety, and required assistance with activities of daily living. The lack of care planning for anticoagulant therapy was confirmed by the DON during interviews.
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Illustrative
What surveyors actually found near you
We read the 177 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
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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) |
|---|---|---|---|---|
| Collierville Nursing And Rehabilitation, Llc | 0 mi | ★★★★★ | 2 | 0 |
| The Village At Germantown | 6.7 mi | ★★★★★ | 11 | 1 |
| Cordova Wellness And Rehabilitation Center | 7.3 mi | ★★★★★ | 6 | 0 |
| Memphis Jewish Home | 7.3 mi | ★★★★★ | 3 | 0 |
| Applingwood Post Acute | 7.3 mi | ★★★★★ | 9 | 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.