Graceland Rehabilitation and Nursing Care Center
1250 Farrow Road, Memphis, TN 38116
Graceland Rehabilitation and Nursing Care Center is a nursing home in Memphis, Tennessee. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
At a glance
- CMS overall star rating1 of 5
- Last standard health inspectionMay 13, 2025 (1 year ago)
- Health citations since July 11, 201933 (Tennessee average 14)
- Fines in the past three years2, $342,603 in total
- CMS flagsSpecial Focus Facility candidate
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CMS flags
Special Focus Facility candidate
CMS puts a small number of homes in this program. CMS inspects them more often until they meet the program's exit rules.
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
CMS update of October 28, 2026
Star rating
The CMS staffing star rating changed from 2 of 5 to 1 of 5.
Star rating
The CMS quality measures star rating changed from 1 of 5 to 2 of 5.
CMS update of July 29, 2026
Star rating
The CMS staffing star rating changed from 1 of 5 to 2 of 5.
Star rating
The CMS quality measures star rating changed from 2 of 5 to 1 of 5.
CMS update of February 25, 2026
Star rating
The CMS quality measures star rating changed from 1 of 5 to 2 of 5.
CMS update of November 20, 2025
Star rating
The CMS quality measures star rating changed from 2 of 5 to 1 of 5.
CMS update of June 25, 2025
CMS abuse icon
CMS removed its abuse icon from this home.
Health inspection on May 13, 2025
10 citationsCMS lists this as a standard inspection and a complaint inspection.
Severity J is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.
22 of 303 Tennessee homes (7%) got a citation at the immediate jeopardy level in 2025.
CMS fine of $39,293 on May 13, 2025.
Show the 10 citations
Citation F0689. Severity J: immediate jeopardy, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on June 12, 2025.
CMS has cited this home for F0689 2 times since 2024.
Citation F0812. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on June 12, 2025.
Citation F0880. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on June 12, 2025.
CMS has cited this home for F0880 3 times since 2019.
Citation F0552. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that residents are fully informed and understand their health status, care and treatments.
CMS lists it as corrected on June 12, 2025.
Citation F0578. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on June 12, 2025.
Citation F0605. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
CMS lists it as corrected on June 12, 2025.
Citation F0609. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
CMS lists it as corrected on June 12, 2025.
Citation F0628. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
CMS lists it as corrected on June 12, 2025.
Citation F0684. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS lists it as corrected on June 12, 2025.
CMS has cited this home for F0684 2 times since 2024.
Citation F0761. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on June 12, 2025.
CMS has cited this home for F0761 2 times since 2019.
Fire safety inspection on May 13, 2025
7 citationsCMS lists this as a standard inspection.
Show the 7 citations
Citation K0211. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Keep aisles, corridors, and exits free of obstruction in case of emergency.
CMS lists it as corrected on June 12, 2025.
Citation K0345. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have approved installation, maintenance and testing program for fire alarm systems.
CMS lists it as corrected on June 12, 2025.
Citation K0353. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Inspect, test, and maintain automatic sprinkler systems.
CMS lists it as corrected on June 12, 2025.
CMS has cited this home for K0353 2 times since 2019.
Citation K0363. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Install corridor and hallway doors that block smoke.
CMS lists it as corrected on June 12, 2025.
Citation K0741. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
CMS lists it as corrected on June 12, 2025.
Citation K0918. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have generator or other power source capable of supplying service within 10 seconds.
CMS lists it as corrected on June 12, 2025.
Citation K0920. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure proper usage of power strips and extension cords.
CMS lists it as corrected on June 12, 2025.
CMS has cited this home for K0920 3 times since 2019.
CMS update of April 30, 2025
Star rating
The CMS quality measures star rating changed from 3 of 5 to 2 of 5.
CMS update of February 26, 2025
Star rating
The CMS quality measures star rating changed from 2 of 5 to 3 of 5. CMS changed how it scores this rating for many homes at once.
Fine
CMS changed the fine from May 1, 2024 from $466,630 to $303,310.
Health inspection on January 29, 2025
3 citationsCMS lists this as a complaint inspection.
Show the 3 citations
Citation F0558. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Reasonably accommodate the needs and preferences of each resident.
CMS lists it as corrected on February 21, 2025.
Citation F0656. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS lists it as corrected on February 21, 2025.
CMS has cited this home for F0656 2 times since 2024.
Citation F0686. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
CMS lists it as corrected on February 21, 2025.
CMS has cited this home for F0686 2 times since 2024.
CMS update of December 20, 2024
Special Focus Facility
CMS now lists this home as a Special Focus Facility candidate.
CMS abuse icon
CMS added its abuse icon to this home.
Fine
CMS changed the fine from May 1, 2024 from $389,140 to $466,630.
CMS update of September 26, 2024
Special Focus Facility
CMS no longer lists this home as a Special Focus Facility candidate.
May 31, 2024
Payment stoppedCMS stopped payment for new admissions from May 31, 2024, for 145 days.
Health inspection on May 1, 2024
16 citationsCMS lists this as a complaint inspection.
Severity K is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.
33 of 303 Tennessee homes (11%) got a citation at the immediate jeopardy level in 2024.
CMS fine of $303,310 on May 1, 2024.
Show the 16 citations
Citation F0725. Severity K: immediate jeopardy, pattern.
The rule CMS cited:
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
CMS lists it as corrected on May 28, 2024.
Citation F0760. Severity K: immediate jeopardy, pattern.
The rule CMS cited:
Ensure that residents are free from significant medication errors.
CMS lists it as corrected on May 28, 2024.
Citation F0835. Severity K: immediate jeopardy, pattern.
The rule CMS cited:
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
CMS lists it as corrected on May 28, 2024.
Citation F0867. Severity K: immediate jeopardy, pattern.
The rule CMS cited:
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
CMS lists it as corrected on May 28, 2024.
Citation F0880. Severity K: immediate jeopardy, pattern.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on August 14, 2024.
Citation F0600. Severity J: immediate jeopardy, isolated.
The rule CMS cited:
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
CMS lists it as corrected on May 28, 2024.
Citation F0678. Severity J: immediate jeopardy, isolated.
The rule CMS cited:
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
CMS lists it as corrected on May 28, 2024.
Citation F0684. Severity G: actual harm, isolated.
The rule CMS cited:
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS lists it as corrected on October 23, 2024.
Citation F0689. Severity G: actual harm, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on October 2, 2024.
Citation F0755. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
CMS lists it as corrected on May 28, 2024.
Citation F0693. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
CMS lists it as corrected on May 28, 2024.
Citation F0554. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Allow residents to self-administer drugs if determined clinically appropriate.
CMS lists it as corrected on May 28, 2024.
Citation F0622. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
CMS lists it as corrected on October 23, 2024.
Citation F0656. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS lists it as corrected on October 23, 2024.
Citation F0686. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
CMS lists it as corrected on August 14, 2024.
Citation F0842. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
CMS lists it as corrected on October 2, 2024.
CMS update of April 25, 2024
Star rating
The CMS quality measures star rating changed from 3 of 5 to 2 of 5.
CMS update of January 31, 2024
Star rating
The CMS quality measures star rating changed from 4 of 5 to 3 of 5.
CMS abuse icon
CMS removed its abuse icon from this home.
Fire safety inspection on June 17, 2021
2 citationsCMS lists this as a standard inspection.
Show the 2 citations
Citation K0321. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
CMS lists it as corrected on July 14, 2021.
Citation K0920. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure proper usage of power strips and extension cords.
CMS lists it as corrected on July 14, 2021.
Health inspection on July 11, 2019
4 citationsCMS lists this as a standard inspection.
Show the 4 citations
Citation F0880. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on August 9, 2019.
Citation F0550. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
CMS lists it as corrected on July 25, 2019.
Citation F0688. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
CMS lists it as corrected on August 9, 2019.
Citation F0761. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on August 9, 2019.
Fire safety inspection on July 11, 2019
5 citationsCMS lists this as a standard inspection.
Show the 5 citations
Citation E0015. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Address subsistence needs for staff and patients.
CMS lists it as corrected on August 2, 2019.
Citation E0022. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Establish policies and procedures for sheltering.
CMS lists it as corrected on August 23, 2019.
Citation E0026. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Establish roles under a Waiver declared by secretary.
CMS lists it as corrected on August 23, 2019.
Citation K0920. Severity C: potential for minimal harm, widespread.
The rule CMS cited:
Ensure proper usage of power strips and extension cords.
CMS lists it as corrected on July 28, 2019.
Citation K0353. Severity B: potential for minimal harm, pattern.
The rule CMS cited:
Inspect, test, and maintain automatic sprinkler systems.
CMS lists it as corrected on August 6, 2019.
CMS star ratings
- 1 of 5CMS overall star rating
- 1 of 5CMS health inspection star rating
- 1 of 5CMS staffing star rating
- 2 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (901) 332-7290
- Last standard health inspection
- May 13, 2025 (1 year ago)
- Certified beds
- 240
- Residents per day, on average
- 167.2
- Ownership type
- For profit - Limited Liability company
- Legal business name
- Graceland Nursing Operator LLC
- Chain
- Not listed by CMS
- Takes part in
- Medicare and Medicaid
More health citations than the Tennessee average (33 vs 14).
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- LICHTSCHEIN, RAPHAELOperational/managerial control · not applicable · since 07/01/2017
Questions
When was Graceland Rehabilitation and Nursing Care Center last inspected?
CMS lists May 13, 2025 as the date of its most recent standard health inspection.
How many citations (violations) does Graceland Rehabilitation and Nursing Care Center have?
CMS lists 33 health citations since July 11, 2019. CMS also calls these deficiencies.
Has Graceland Rehabilitation and Nursing Care Center been fined?
CMS lists 2 fines in the past three years, $342,603 in total.
What is the CMS star rating of Graceland Rehabilitation and Nursing Care Center?
Its CMS overall star rating is 1 of 5.
Is Graceland Rehabilitation and Nursing Care Center a Special Focus Facility?
Yes. CMS lists it as a Special Focus Facility candidate.
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