Shelby Oaks Post Acute
5070 Sanderlin Avenue · Memphis, TN · 38117 · 9016825677
77 certified beds For profit - Limited Liability company Chain: Links Healthcare Group
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Federal penalties on record: $79,356 in fines in the last 24 months.
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
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
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.
$79,356 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
62% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
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: 2 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.65 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.65 | 0.55–0.75 |
| Weekend hours / resident-day | 3.12 | ≈ weekday level |
| Nursing turnover / year | 62% | median 45% |
| Fines (3-yr window) | 2 · $83,589 |
Inspection citations (22 in the current record)
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Potential for harm · D January 8, 2026
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected March 24, 2026 · Resident Rights
-
Potential for harm · D January 8, 2026
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.
Corrected March 24, 2026 · Quality of Life and Care
-
Potential for harm · D January 8, 2026
Provide and implement an infection prevention and control program.
Corrected March 24, 2026 · Infection Control
-
Immediate jeopardy · J September 30, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected October 22, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D September 30, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected October 22, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Actual harm · G November 17, 2022
Provide enough food/fluids to maintain a resident's health.
Corrected February 22, 2023 · Quality of Life and Care
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Potential for harm · D November 17, 2022
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected March 10, 2023 · Resident Rights
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Potential for harm · D November 17, 2022
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected February 22, 2023 · Resident Rights
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Potential for harm · D November 17, 2022
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Corrected February 22, 2023 · Resident Rights
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Potential for harm · D November 17, 2022
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected February 22, 2023 · Resident Assessment and Care Planning
-
Potential for harm · D November 17, 2022
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected February 22, 2023 · Nursing and Physician Services
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Potential for harm · D November 17, 2022
Post nurse staffing information every day.
Corrected March 10, 2023 · Nursing and Physician Services
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Potential for harm · E November 17, 2022
Ensure medication error rates are not 5 percent or greater.
Corrected February 22, 2023 · Pharmacy Service
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Potential for harm · D November 17, 2022
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 March 10, 2023 · Pharmacy Service
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Potential for harm · E November 17, 2022
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 10, 2023 · Nutrition and Dietary
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Potential for harm · D November 17, 2022
Provide and implement an infection prevention and control program.
Corrected February 22, 2023 · Infection Control
-
Potential for harm · D July 8, 2021
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.
Corrected July 30, 2021 · Quality of Life and Care
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Potential for harm · D July 8, 2021
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected July 30, 2021 · Pharmacy Service
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Potential for harm · D July 8, 2021
Ensure that residents are free from significant medication errors.
Corrected July 30, 2021 · Pharmacy Service
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Potential for harm · D July 8, 2021
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 July 30, 2021 · Pharmacy Service
-
Potential for harm · D July 8, 2021
Provide and implement an infection prevention and control program.
Corrected July 30, 2021 · Infection Control
-
Potential for harm · D July 8, 2021
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected July 30, 2021 · Environmental
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| September 30, 2025 | Fine | $79,356 |
| July 17, 2023 | Fine | $4,233 |
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 445426 · certified since July 18, 2001. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.