01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-09-11 | 7 | 2025-09-11 | 18 |
| Cycle 2 | 2024-05-08 | 12 | 2024-05-08 | 12 |
| Cycle 3 | 2019-07-18 | 18 | 2019-07-18 | 6 |
CMS CCN 4451502026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Majestic Gardens At Memphis Rehab & Snc
131 N Tucker · Memphis, TN 38104 · Shelby County
Certified beds169CMS provider file
Recent citation rows73current CMS citation release
Penalty rows11current 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
73 rows in the current release
4 rows carry G–L scope/severity codes; 4 carry J–L. 20 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2025-09-11 · FIREE0039Severity D · isolated; potential for more than minimal harm
Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
Correction field: Deficient, Provider has date of correction · 2025-10-112025-09-11 · HEALTHF0604Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Correction field: Deficient, Provider has date of correction · 2025-12-192025-09-11 · HEALTHF0609Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Correction field: Deficient, Provider has date of correction · 2025-12-192025-09-11 · HEALTHF0677Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Correction field: Deficient, Provider has date of correction · 2025-12-192025-09-11 · HEALTHF0755Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Correction field: Deficient, Provider has date of correction · 2025-12-192025-09-11 · 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 · 2025-12-192025-09-11 · 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 · 2025-12-192025-09-11 · FIREK0211Severity D · isolated; potential for more than minimal harm
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Correction field: Deficient, Provider has date of correction · 2025-10-112025-09-11 · FIREK0222Severity D · isolated; potential for more than minimal harm
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Correction field: Deficient, Provider has date of correction · 2025-10-112025-09-11 · FIREK0291Severity D · isolated; potential for more than minimal harm
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Correction field: Deficient, Provider has date of correction · 2025-10-112025-09-11 · FIREK0293Severity D · isolated; potential for more than minimal harm
Egress Deficiencies
Have properly located and lighted "Exit" signs.
Correction field: Deficient, Provider has date of correction · 2025-10-112025-09-11 · FIREK0345Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Correction field: Deficient, Provider has date of correction · 2025-10-112025-09-11 · 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 · 2025-10-112025-09-11 · 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 · 2025-10-112025-09-11 · FIREK0363Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Correction field: Deficient, Provider has date of correction · 2025-10-112025-09-11 · FIREK0511Severity D · isolated; potential for more than minimal harm
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Correction field: Deficient, Provider has date of correction · 2025-10-112025-09-11 · 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 · 2025-10-112025-09-11 · FIREK0712Severity D · isolated; potential for more than minimal harm
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Correction field: Deficient, Provider has date of correction · 2025-10-112025-09-11 · FIREK0741Severity D · isolated; potential for more than minimal harm
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Correction field: Deficient, Provider has date of correction · 2025-10-112025-09-11 · 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 · 2025-10-112025-09-11 · FIREK0781Severity D · isolated; potential for more than minimal harm
Miscellaneous Deficiencies
Have restrictions on the use of portable space heaters.
Correction field: Deficient, Provider has date of correction · 2025-10-112025-09-11 · FIREK0918Severity D · isolated; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Correction field: Deficient, Provider has date of correction · 2025-10-112025-09-11 · 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 · 2025-10-112025-09-11 · FIREK0929Severity D · isolated; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
Correction field: Deficient, Provider has date of correction · 2025-10-1103 / 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 |
|---|---|---|---|
| 2024-05-08 | Fine | $285,904 | 0 |
| 2024-05-08 | Payment Denial | $0 | 129 |
| 2024-01-08 | Fine | $4,893 | 0 |
| 2023-12-11 | Fine | $13,635 | 0 |
| 2023-11-20 | Fine | $4,545 | 0 |
| 2023-11-13 | Fine | $4,545 | 0 |
| 2023-11-06 | Fine | $4,545 | 0 |
| 2023-10-30 | Fine | $4,545 | 0 |
| 2023-10-10 | Fine | $11,538 | 0 |
| 2023-08-24 | Fine | $476,254 | 0 |
| 2023-08-24 | Payment Denial | $0 | 129 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- HALPERT, NAOMIIndividual · DIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 01/01/2025
- SCHACHTER FAMILY 2015 TRUSTOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST8% · since 11/27/2018
- YDGK LLCOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST11% · since 11/27/2018
- HALPERT, NAOMIIndividual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST8% · since 01/01/2025
- DAVID M FISTEL TN LLCOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 11/27/2018
- LME FAMILY HOLDINGS LLCOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 01/01/2019
- MAJESTIC OPERATIONS HOLDINGS LLCOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 01/01/2023
- ML FAMILY TREE TRUSTOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 01/01/2025
- FISTEL, DAVIDIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 01/01/2025
- FRIEDMAN, STEVENIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 01/01/2025
- KOHN, BRIANIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 01/01/2025
- SCHACHTER, ARTHURIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 01/01/2025
- NEWPOINT REAL ESTATE CAPITAL LLCOrganization · 5% OR GREATER SECURITY INTERESTNOT APPLICABLE · since 01/01/2025
- BERKLEY, NATALIEIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 03/17/2025
- IWUJI, KELECHIIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 03/01/2024
- DAVID M FISTEL TN LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 11/27/2018
- LME FAMILY HOLDINGS LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 01/01/2019
- MAJESTIC OPERATIONS HOLDINGS LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 01/01/2022
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 hours3.36per resident day
RN hours0.41per resident day
Weekend nurse hours3.00per resident day
Staff turnover68.5%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 rowsHighlands Health And Rehabilitation Center180 beds · CMS overall 2/535 citation rowsHarborview Post Acute113 beds · CMS overall 3/526 citation rowsKirby Pines Manor120 beds · CMS overall 5/59 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