Below average — CMS composite of the measures below.
A standard survey is most likely before around December 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 The Village At Germantown during CMS and state inspections, most recent first.
An LPN and an RN failed to follow infection control practices during blood glucose monitoring and insulin administration for a resident with severe cognitive impairment and diabetes. The glucometer was cleaned with alcohol pads instead of being disinfected with an EPA-approved wipe per policy and manufacturer guidance, and the RN also failed to perform hand hygiene at multiple points and did not wipe the insulin pen tip before attaching the needle.
Failure to Monitor Psychotropic Medications: The facility did not complete required psychotropic medication monitoring for three residents. One resident with dementia, anxiety, depression, and severe cognitive impairment had orders for Ativan and olanzapine, but there was no AIMS on admission and no documented behavior or side effect monitoring. Two other residents with diagnoses including bipolar disorder, insomnia, dementia, and anxiety had orders for antianxiety, antipsychotic, and antidepressant medications, but the MARs did not show side effect monitoring and the DON stated it should have been done every shift.
Food storage and kitchen sanitation were not maintained under sanitary conditions when surveyors found multiple opened and undated food and beverage items in reach-in coolers and freezers across dining areas, along with an open and undated container of ice cream. In the kitchen, dirty cooking pots, a colander, and other containers were observed on the floor, and the CDM stated that dirty cooking dishes should not have been on the floor.
Unsecured razors were found in the rooms and bathrooms of four residents, including residents with dementia, falls, Parkinson's disease, and other chronic conditions. Surveyors observed open packages of disposable razors and loose razors left on sinks, counters, and in a wash basin. An LPN stated razors should be stored in the storage room and discarded in the sharps container after use, and the DON stated razors should not be left unattended in resident bathrooms.
An LPN left an insulin pen unattended and out of sight in a resident’s room while assisting the resident elsewhere, and another LPN left a resident alone during a nebulizer treatment. Facility policy required medications to remain under direct observation or secured, and the DON confirmed medications should not be left unattended and nurses should stay with residents during breathing treatments.
Failure to Disinfect Glucometer and Perform Hand Hygiene During Blood Glucose Monitoring
Penalty
Summary
The facility failed to maintain infection prevention and control practices during blood glucose monitoring and insulin administration for a resident with dementia, congestive heart disease, diabetes, and chronic pulmonary edema. The resident’s record showed a BIMS score of 2, indicating severe cognitive impairment, and the resident was receiving scheduled blood glucose checks and insulin lispro before meals and at bedtime. During observation, an LPN removed a glucometer from a black carry case, used an alcohol prep pad to clean it, performed the blood glucose test, and later used another alcohol prep pad to clean the glucometer before placing it back in the carry case and returning it to the medication cart without cleaning or disinfecting it with an EPA-approved disinfecting wipe. The observation also showed the LPN washing hands and donning gloves at several points, but the glucometer was not disinfected in accordance with the facility’s glucometer disinfection policy and the manufacturer’s instructions. A second observation showed an RN failing to perform hand hygiene before gathering supplies for a blood glucose check, failing to perform hand hygiene after removing gloves, failing to perform hand hygiene before gathering the resident’s insulin, and failing to perform hand hygiene before putting on gloves. The RN also failed to wipe the tip of the insulin pen with an alcohol pad before attaching the needle, and failed to remove gloves and perform hand hygiene after administering insulin and before exiting the resident’s room. The RN then returned the glucometer to the black carry case without properly cleaning and disinfecting it. The DON and Administrator later stated that the nurses were not using the appropriate cleaning process for the glucometer and identified the issue as a system failure.
Failure to Monitor Psychotropic Medications
Penalty
Summary
The facility failed to ensure residents were free from unnecessary medications by not completing required psychotropic medication monitoring for 3 of 5 residents reviewed. The facility policy for psychotropic medications required AIMS testing on admission, quarterly, with significant change, and with antipsychotic medication changes, along with ongoing evaluation and documentation of the resident’s response, side effects, and behavior monitoring in the medical record. Resident #2 was admitted with diagnoses including metabolic encephalopathy, dementia, hypertension, insomnia, anxiety, and depression, and had a BIMS score of 2 indicating severe cognitive impairment. Physician orders included Ativan for anxiety and olanzapine at bedtime, but the August and September MARs did not show side effect or behavior monitoring for the antianxiety and antipsychotic medications, and the facility could not provide documentation that an AIMS test was completed on admission. Resident #5 had diagnoses including insomnia and bipolar disorder, a BIMS score of 14, and orders for buspirone, Latuda, and citalopram, but the August and September MARs did not contain side effect monitoring and the facility could not provide it. Resident #9 had diagnoses including dementia, hypertension, and anxiety, a BIMS score of 5, and orders for buspirone and Zoloft, but the August and September MARs also lacked side effect monitoring and the facility could not provide it. The DON stated that side effect monitoring should be done every shift and that an AIMS should have been completed for Resident #2 on admission.
Food Storage and Kitchen Sanitation Deficiency
Penalty
Summary
Food was not stored, handled, prepared, and served under sanitary conditions when multiple opened food and beverage items were found undated in several areas of the facility. During the initial kitchen tour, the Certified Assistant Dining Director confirmed that open food items should be labeled and dated, yet surveyors observed an open and undated box of salted butter chips, an open and undated 12-ounce bottle of water, and an open and undated box of assorted popsicles in the reach-in freezer. In Care Base 1 Rehab dining room, surveyors found an open and undated carton of pineapple juice, thickened water, thickened iced tea, orange juice, grape juice, and cranberry juice cocktail in the reach-in cooler. In Care Base 3 LTC dining room, surveyors found an open and undated carton of cranberry juice cocktail, an open and undated bottle of orange juice, and an open and undated carton of liquid scrambled egg mix in the reach-in cooler. An open and undated 3-gallon container of vanilla bean ice cream was also observed in the ice cream freezer. Surveyors further observed unsanitary kitchen conditions when dirty cooking items were found on the floor. In the kitchen, surveyors observed two large cooking pots with red sauce substance inside the covering, a colander on the floor, and three large containers on the floor. Additional opened and undated dry goods and seasonings were also observed on the floor, including a 5-pound bag of breaded okra, a container of ground cayenne pepper, thyme leaves, ground cloves, and whole tarragon. When asked whether dirty cooking dishes should be on the floor, the Certified Dietary Manager stated, "No, they should not have been on the floor."
Unsecured razors found in resident rooms and bathrooms
Penalty
Summary
The facility failed to ensure the environment was free from accident hazards when unsecured razors were found in the rooms and bathrooms of 4 sampled residents. The facility policy titled, Sharps Disposal, stated contaminated sharps were to be discarded immediately or as soon as feasible into designated, closable, puncture-resistant, leakproof, labeled or color-coded containers. However, observations on 9/8/2025 found an open package of 5 disposable razors on the bathroom sink in Resident #2's room, an open package of 5 disposable razors on Resident #12's bathroom sink, and an open package of 8 disposable razors on Resident #29's bathroom sink. In Resident #42's bathroom, surveyors observed an open package of 4 razors on the counter, 1 razor on the counter, and 1 razor in the wash basin. Resident #2 had diagnoses including dementia, hypertension, falls, anxiety, and depression, and an MDS BIMS score of 2 indicating severe cognitive impairment with assistance needed for ADLs. Resident #12 had diagnoses including Alzheimer's disease, repeated falls, Parkinson's disease, muscle weakness, and assistance with personal care, with a BIMS score of 13 and set-up assistance for personal hygiene. Resident #29 had diagnoses including pulmonary edema, anxiety, kidney disease, pacemaker, and heart failure, with a BIMS score of 15 and set-up assistance for personal hygiene. Resident #42 had diagnoses including anxiety, depression, dementia, hypertension, and kidney failure. During interviews, the LPN stated razors should be stored in the storage room and disposed of in the sharps container once used, and the DON stated razors should not be left unattended in resident bathrooms and should be stored in the storage room or disposed of in the biohazard sharps container after use.
Medications Left Unattended During Administration
Penalty
Summary
The facility failed to ensure medications were properly stored and secured when staff left medications unattended and out of sight during medication administration. Facility policy required medications to be stored in the pharmacy and/or medication rooms and, during a medication pass, to remain under the direct observation of the person administering them or locked in the medication storage area/cart. During observation, an LPN left an insulin pen out of sight and unattended on a barrier in a resident’s room while leaving the room to assist the resident back to the dining room. The DON stated that nurses should not leave medications out of sight and unattended. The facility also failed to ensure a resident receiving a nebulizer treatment was directly observed during the procedure. A resident with diagnoses including atrial fibrillation, dyspnea, and a history of pulmonary embolism had an order for ipratropium-albuterol nebulizer solution four times daily and had a BIMS score of 14, indicating intact cognition. During observation, the resident was in the room receiving the nebulizer treatment with the machine turned on and a mask on, but no nurse was at the bedside. The LPN confirmed she should not have left the resident alone during the treatment, and the DON confirmed the nurse should stay in the room the entire time to monitor tolerance.
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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 Germantown
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Signature Healthcare Of Primacy | 3.2 mi | ★★★★★ | 7 | 0 |
| Quince Nursing And Rehabilitation Center | 3.2 mi | ★★★★★ | 19 | 0 |
| Waters Of Memphis A Rehabilitation & Nursing Ctr | 3.2 mi | ★★★★★ | 1 | 0 |
| Kirby Pines Manor | 4.1 mi | ★★★★★ | 0 | 0 |
| Cordova Wellness And Rehabilitation Center | 4.3 mi | ★★★★★ | 6 | 0 |
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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.