Graceland Rehabilitation and Nursing Care Center
1250 Farrow Road · Memphis, TN · 38116 · 9013327290
240 certified beds For profit - Limited Liability company
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $39,293 in fines in the last 24 months.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Special Focus Facility candidate
CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.22 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.38 | 0.55–0.75 |
| Weekend hours / resident-day | 2.96 | ≈ weekday level |
| Nursing turnover / year | 56% | median 45% |
| Fines (3-yr window) | 2 · $342,603 |
Inspection citations (33 in the current record)
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Immediate jeopardy · J May 13, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 12, 2025 · Quality of Life and Care
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Potential for harm · D May 13, 2025
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected June 12, 2025 · Resident Rights
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Potential for harm · D May 13, 2025
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.
Corrected June 12, 2025 · Resident Rights
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Potential for harm · D May 13, 2025
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected June 12, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 13, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected June 12, 2025 · Quality of Life and Care
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Potential for harm · D May 13, 2025
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.
Corrected June 12, 2025 · Pharmacy Service
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Potential for harm · E May 13, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected June 12, 2025 · Nutrition and Dietary
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Potential for harm · E May 13, 2025
Provide and implement an infection prevention and control program.
Corrected June 12, 2025 · Infection Control
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Potential for harm · D May 13, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected June 12, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 13, 2025 · found via complaint
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected June 12, 2025 · Resident Rights
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Potential for harm · D January 29, 2025 · found via complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected February 21, 2025 · Resident Rights
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Potential for harm · D January 29, 2025 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected February 21, 2025 · Resident Assessment and Care Planning
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Potential for harm · D January 29, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected February 21, 2025 · Quality of Life and Care
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Immediate jeopardy · J May 1, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected May 28, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · J May 1, 2024 · found via complaint
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected May 28, 2024 · Quality of Life and Care
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Immediate jeopardy · K May 1, 2024 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected May 28, 2024 · Nursing and Physician Services
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Immediate jeopardy · K May 1, 2024 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected May 28, 2024 · Pharmacy Service
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Immediate jeopardy · K May 1, 2024 · found via complaint
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected May 28, 2024 · Administration
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Immediate jeopardy · K May 1, 2024 · found via complaint
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected May 28, 2024 · Administration
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Immediate jeopardy · K May 1, 2024 · found via complaint
Provide and implement an infection prevention and control program.
Corrected August 14, 2024 · Infection Control
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Actual harm · G May 1, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected October 23, 2024 · Quality of Life and Care
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Actual harm · G May 1, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 2, 2024 · Quality of Life and Care
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Potential for harm · D May 1, 2024 · found via complaint
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected May 28, 2024 · Resident Rights
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Potential for harm · D May 1, 2024 · found via complaint
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.
Corrected October 23, 2024 · Resident Rights
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Potential for harm · D May 1, 2024 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected October 23, 2024 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| May 13, 2025 | Fine | $39,293 |
| May 1, 2024 | Fine | $303,310 |
| May 1, 2024 | Payment Denial | 145 days |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 445331 · certified since July 1, 1994. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.