Highlands Health and Rehabilitation Center
3549 Norriswood, Memphis, TN 38111
Highlands Health and Rehabilitation 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 rating2 of 5
- Last standard health inspectionJuly 29, 2026 (3 months ago)
- Health citations since October 22, 201913 (Tennessee average 14)
- Fines in the past three years1, $14,901 in total
- CMS flagsNone listed by CMS
Get an email when CMS publishes something new about this home
One email per CMS update, only when something changed: a new citation, a fine, a star rating change, a new owner. Early access follows one home per address.
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CMS flags
CMS does not list this home as a Special Focus Facility or a candidate. CMS does not show an abuse icon for it. CMS lists no change of ownership in the past 12 months.
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 quality measures star rating changed from 3 of 5 to 4 of 5.
Fine
CMS changed the fine from February 10, 2026 from $22,925 to $14,901.
Health inspection on July 29, 2026
2 citationsCMS lists this as a standard inspection.
Show the 2 citations
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 17, 2026.
CMS has cited this home for F0761 2 times since 2019.
Citation F0880. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on August 17, 2026.
CMS has cited this home for F0880 4 times since 2019.
Fire safety inspection on July 29, 2026
1 citationCMS lists this as a standard inspection.
Show the 1 citation
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 August 28, 2026.
CMS has cited this home for K0353 3 times since 2019.
CMS update of April 29, 2026
Star rating
The CMS quality measures star rating changed from 2 of 5 to 3 of 5.
CMS update of February 25, 2026
Star rating
The CMS quality measures star rating changed from 3 of 5 to 2 of 5.
Health inspection on February 10, 2026
1 citationCMS lists this as 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.
12 of 303 Tennessee homes (4%) got a citation at the immediate jeopardy level in 2026.
CMS fine of $14,901 on February 10, 2026.
Show the 1 citation
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 has cited this home for F0689 2 times since 2022.
CMS update of November 20, 2025
Star rating
The CMS overall star rating changed from 1 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS staffing star rating changed from 1 of 5 to 2 of 5.
Health inspection on October 14, 2025
1 citationCMS lists this as a complaint inspection.
Show the 1 citation
Citation F0880. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on December 17, 2025.
CMS update of July 30, 2025
Star rating
The CMS quality measures star rating changed from 4 of 5 to 3 of 5.
CMS update of April 30, 2025
Star rating
The CMS quality measures star rating changed from 3 of 5 to 4 of 5.
CMS update of February 26, 2025
Star rating
The CMS quality measures star rating changed from 4 of 5 to 3 of 5. CMS changed how it scores this rating for many homes at once.
CMS update of June 26, 2024
Star rating
The CMS health inspection star rating changed from 1 of 5 to 2 of 5.
CMS update of April 25, 2024
Star rating
The CMS quality measures star rating changed from 3 of 5 to 4 of 5.
CMS update of March 28, 2024
Ownership
CMS lists this home under a new chain.
Fine
CMS changed the fine from March 2, 2023 from $5,000 to $3,250.
Fine
CMS changed the fine from May 5, 2023 from $292,422 to $305,320.
CMS update of February 29, 2024
Star rating
The CMS health inspection star rating changed from 2 of 5 to 1 of 5.
Ownership
CMS lists this home under a new chain.
CMS update of January 31, 2024
Health citation
CMS removed citation F0684 from the health inspection on May 5, 2023.
Health citation
CMS removed citation F0835 from the health inspection on May 5, 2023.
Health inspection on August 11, 2022
6 citationsCMS lists this as a standard inspection.
Show the 6 citations
Citation F0689. Severity E: potential for more than minimal harm, pattern.
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 August 24, 2022.
Citation F0760. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure that residents are free from significant medication errors.
CMS lists it as corrected on August 24, 2022.
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 August 24, 2022.
Citation F0582. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
CMS lists it as corrected on August 24, 2022.
Citation F0694. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
CMS lists it as corrected on August 24, 2022.
Citation F0880. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on August 30, 2022.
Fire safety inspection on August 11, 2022
4 citationsCMS lists this as a standard inspection.
Show the 4 citations
Citation K0351. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Install an approved automatic sprinkler system.
CMS lists it as corrected on September 19, 2022.
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 September 19, 2022.
Citation K0761. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
CMS lists it as corrected on August 31, 2022.
CMS has cited this home for K0761 2 times since 2019.
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 August 8, 2022.
CMS has cited this home for K0920 2 times since 2019.
Health inspection on October 22, 2019
3 citationsCMS lists this as a standard inspection.
Show the 3 citations
Citation F0580. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
CMS lists it as corrected on December 5, 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 December 5, 2019.
Citation F0880. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on December 5, 2019.
Fire safety inspection on October 22, 2019
13 citationsCMS lists this as a standard inspection.
Show the 13 citations
Citation E0001. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Establish an Emergency Preparedness Program (EP).
CMS lists it as corrected on November 15, 2019.
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 December 24, 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 December 24, 2019.
Citation K0343. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
CMS lists it as corrected on November 13, 2019.
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 November 15, 2019.
Citation K0355. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Properly select, install, inspect, or maintain portable fire extinguishes.
CMS lists it as corrected on November 15, 2019.
Citation K0372. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
CMS lists it as corrected on December 24, 2019.
Citation K0521. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
CMS lists it as corrected on December 24, 2019.
Citation K0541. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Install properly constructed and protected linen or trash chutes.
CMS lists it as corrected on November 15, 2019.
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 December 24, 2019.
Citation K0761. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
CMS lists it as corrected on November 15, 2019.
Citation K0912. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have power receptacles that are properly grounded.
CMS lists it as corrected on November 15, 2019.
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 November 15, 2019.
CMS star ratings
- 2 of 5CMS overall star rating
- 2 of 5CMS health inspection star rating
- 2 of 5CMS staffing star rating
- 4 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (901) 325-7820
- Last standard health inspection
- July 29, 2026 (3 months ago)
- Certified beds
- 180
- Residents per day, on average
- 154.5
- Ownership type
- For profit - Limited Liability company
- Legal business name
- The Bay at Highlands Health and Rehabilitation Center LLC
- Chain
- Champion Care
- Takes part in
- Medicare and Medicaid
Fewer health citations than the Tennessee average (13 vs 14).
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- THE BAY AT HIGHLANDS HOLDCO LLC5% or greater direct ownership interest · 100% · since 06/01/2022
- BL CAPITAL GROUP HOLDINGS LLC5% or greater indirect ownership interest · 10% · since 06/01/2022
- LEGACY SNF OPCO HOLDINGS LLC5% or greater indirect ownership interest · 13% · since 06/01/2022
- LEGACY SNF OPCO HOLDINGS TRUST5% or greater indirect ownership interest · 13% · since 06/01/2022
- TN2 OPCO HOLDINGS LLC5% or greater indirect ownership interest · 25% · since 06/01/2022
Show 3 more
- CHAMPION CARE LLCOperational/managerial control · not applicable · since 06/01/2022
- RUVEL, MENACHEMOperational/managerial control · not applicable · since 06/01/2022
- WEINBERG, YISROELOperational/managerial control · not applicable · since 06/01/2022
Questions
When was Highlands Health and Rehabilitation Center last inspected?
CMS lists July 29, 2026 as the date of its most recent standard health inspection.
How many citations (violations) does Highlands Health and Rehabilitation Center have?
CMS lists 13 health citations since October 22, 2019. CMS also calls these deficiencies.
Has Highlands Health and Rehabilitation Center been fined?
CMS lists 1 fine in the past three years, $14,901 in total.
What is the CMS star rating of Highlands Health and Rehabilitation Center?
Its CMS overall star rating is 2 of 5.
Is Highlands Health and Rehabilitation Center a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.
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