01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2022-08-11 | 8 | 2022-08-11 | 4 |
| Cycle 2 | 2019-10-22 | 3 | 2019-10-22 | 13 |
| Cycle 3 | 2018-12-06 | 5 | 2018-12-06 | 2 |
CMS CCN 4451652026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Highlands Health And Rehabilitation Center
3549 Norriswood · Memphis, TN 38111 · Shelby County
Certified beds180CMS provider file
Recent citation rows35current CMS citation release
Penalty rows1current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
35 rows in the current release
1 rows carry G–L scope/severity codes; 1 carry J–L. 6 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-02-10 · HEALTHF0689Severity J · isolated immediate jeopardy
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Past Non-Compliance · complaint2025-10-14 · HEALTHF0880Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2025-12-17 · complaint2022-08-11 · HEALTHF0578Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Correction field: Deficient, Provider has date of correction · 2022-08-242022-08-11 · HEALTHF0582Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Correction field: Deficient, Provider has date of correction · 2022-08-242022-08-11 · HEALTHF0689Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2022-08-242022-08-11 · HEALTHF0694Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Correction field: Deficient, Provider has date of correction · 2022-08-242022-08-11 · HEALTHF0760Severity E · pattern; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Correction field: Deficient, Provider has date of correction · 2022-08-242022-08-11 · HEALTHF0880Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2022-08-302022-08-11 · FIREK0351Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Install an approved automatic sprinkler system.
Correction field: Deficient, Provider has date of correction · 2022-09-192022-08-11 · FIREK0353Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2022-09-192022-08-11 · FIREK0761Severity D · isolated; potential for more than minimal harm
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Correction field: Deficient, Provider has date of correction · 2022-08-312022-08-11 · FIREK0920Severity D · isolated; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Correction field: Deficient, Provider has date of correction · 2022-08-082019-10-22 · FIREE0001Severity D · isolated; potential for more than minimal harm
Emergency Preparedness Deficiencies
Establish an Emergency Preparedness Program (EP).
Correction field: Deficient, Provider has date of correction · 2019-11-152019-10-22 · FIREE0015Severity D · isolated; potential for more than minimal harm
Emergency Preparedness Deficiencies
Address subsistence needs for staff and patients.
Correction field: Deficient, Provider has date of correction · 2019-12-242019-10-22 · FIREE0026Severity D · isolated; potential for more than minimal harm
Emergency Preparedness Deficiencies
Establish roles under a Waiver declared by secretary.
Correction field: Deficient, Provider has date of correction · 2019-12-242019-10-22 · HEALTHF0580Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Correction field: Deficient, Provider has date of correction · 2019-12-052019-10-22 · HEALTHF0761Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Correction field: Deficient, Provider has date of correction · 2019-12-052019-10-22 · HEALTHF0880Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2019-12-052019-10-22 · FIREK0343Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
Correction field: Deficient, Provider has date of correction · 2019-11-132019-10-22 · FIREK0353Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2019-11-152019-10-22 · FIREK0355Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Correction field: Deficient, Provider has date of correction · 2019-11-152019-10-22 · FIREK0372Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Correction field: Deficient, Provider has date of correction · 2019-12-242019-10-22 · FIREK0521Severity D · isolated; potential for more than minimal harm
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Correction field: Deficient, Provider has date of correction · 2019-12-242019-10-22 · FIREK0541Severity D · isolated; potential for more than minimal harm
Services Deficiencies
Install properly constructed and protected linen or trash chutes.
Correction field: Deficient, Provider has date of correction · 2019-11-1503 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2026-02-10 | Fine | $22,925 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- THE BAY AT HIGHLANDS HOLDCO LLCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 06/01/2022
- BL CAPITAL GROUP HOLDINGS LLCOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST10% · since 06/01/2022
- LEGACY SNF OPCO HOLDINGS LLCOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST13% · since 06/01/2022
- LEGACY SNF OPCO HOLDINGS TRUSTOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST13% · since 06/01/2022
- TN2 OPCO HOLDINGS LLCOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST25% · since 06/01/2022
- PAUL, CHARLOTTEIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 06/20/2022
- RUVEL, MENACHEMIndividual · CORPORATE OFFICERNOT APPLICABLE · since 06/01/2022
- WEINBERG, YISROELIndividual · CORPORATE OFFICERNOT APPLICABLE · since 06/01/2022
- CHAMPION CARE LLCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 06/01/2022
- RUVEL, MENACHEMIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 06/01/2022
- WEINBERG, YISROELIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 06/01/2022
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours3.22per resident day
RN hours0.48per resident day
Weekend nurse hours2.83per resident day
Staff turnover53.6%CMS reported field
06 / LOCAL RECORDS
Open the Memphis ledger →Other published facilities nearby
Allen Morgan Health And Rehabilitation Center31 beds · CMS overall 5/511 citation rowsDelta Blues Health & Rehabilitation180 beds · CMS overall 2/539 citation rowsGraceland Rehabilitation And Nursing Care Center240 beds · CMS overall 1/547 citation rowsHarborview Post Acute113 beds · CMS overall 3/526 citation rowsKirby Pines Manor120 beds · CMS overall 5/59 citation rowsMajestic Gardens At Memphis Rehab & Snc169 beds · CMS overall 1/573 citation rowsMidtown Center For Health And Rehabilitation180 beds · CMS overall 2/537 citation rowsParkway Health And Rehabilitation Center120 beds · CMS overall 3/534 citation rows