Memphis Convalescent Center

Penalties

• Dec 17, 2023 — Fine ($19,754)

Inspection findings

1. Nov 19, 2025 Health · 4 findings
   • Not serious Scope/severity D

     F0641 Resident Assessment and Care Planning Deficiencies

     Ensure each resident receives an accurate assessment.

     Corrected Nov 26, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0727 Nursing and Physician Services Deficiencies

     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 Nov 26, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0755 Pharmacy Service Deficiencies

     Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

     Corrected Nov 26, 2025 · CMS health inspection

   • Not serious Scope/severity E

     F0812 Nutrition and Dietary Deficiencies

     Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

     Corrected Nov 26, 2025 · CMS health inspection

2. Aug 6, 2024 Health · 4 findings
   • Not serious Scope/severity E

     F0641 Resident Assessment and Care Planning Deficiencies

     Ensure each resident receives an accurate assessment.

     Corrected Aug 7, 2024 · CMS health inspection

   • Not serious Scope/severity E

     F0679 Quality of Life and Care Deficiencies

     Provide activities to meet all resident's needs.

     Corrected Aug 7, 2024 · CMS health inspection

   • Not serious Scope/severity F

     F0812 Nutrition and Dietary Deficiencies

     Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

     Corrected Aug 7, 2024 · CMS health inspection

   • Not serious Scope/severity F

     K0341 Smoke Deficiencies

     Install a fire alarm system that can be heard throughout the facility.

     Corrected Sep 13, 2024 · CMS fire safety

3. May 22, 2024 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0623 Resident Rights Deficiencies

     Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

     Corrected May 23, 2024 · CMS health inspection

4. Dec 17, 2023 Health · 6 findings
   • Not serious Scope/severity E Complaint

     F0565 Resident Rights Deficiencies

     Honor the resident's right to organize and participate in resident/family groups in the facility.

     Corrected Dec 18, 2023 · CMS health inspection

   • Serious Scope/severity K Complaint

     F0600 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

     Corrected Dec 18, 2023 · CMS health inspection

   • Serious Scope/severity K Complaint

     F0607 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Develop and implement policies and procedures to prevent abuse, neglect, and theft.

     Corrected Dec 18, 2023 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

     Corrected Dec 18, 2023 · CMS health inspection

   • Serious Scope/severity J Complaint

     F0610 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Respond appropriately to all alleged violations.

     Corrected Dec 18, 2023 · CMS health inspection

   • Not serious Scope/severity F Complaint

     F0812 Nutrition and Dietary Deficiencies

     Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

     Corrected Dec 18, 2023 · CMS health inspection

5. Oct 17, 2023 Health · 1 finding
   • Not serious Scope/severity E Complaint

     F0791 Quality of Life and Care Deficiencies

     Provide or obtain dental services for each resident.

     Corrected Oct 19, 2023 · CMS health inspection

6. Jul 18, 2023 Health · 6 findings
   • Not serious Scope/severity D

     F0655 Resident Assessment and Care Planning Deficiencies

     Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

     Corrected Jul 25, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0657 Resident Assessment and Care Planning Deficiencies

     Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

     Corrected Jul 25, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0695 Quality of Life and Care Deficiencies

     Provide safe and appropriate respiratory care for a resident when needed.

     Corrected Jul 25, 2023 · CMS health inspection

   • Not serious Scope/severity F

     F0812 Nutrition and Dietary Deficiencies

     Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

     Corrected Jul 31, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Jul 25, 2023 · CMS health inspection

   • Not serious Scope/severity F

     K0341 Smoke Deficiencies

     Install a fire alarm system that can be heard throughout the facility.

     Corrected Sep 4, 2023 · CMS fire safety

Owners and managers (as published by CMS)

• BLAKE, GARY — operational/managerial control, NOT APPLICABLE, since 04/01/2024
• BLAKE, GARY — adp of the snf, NOT APPLICABLE, since 04/01/2024
• BLAKE, MALISA — operational/managerial control, NOT APPLICABLE, since 04/01/2024
• DARTER, THOMAS — adp of the snf, NOT APPLICABLE, since 04/14/2025
• DRIVER, JAMES — managing control - governing body, NOT APPLICABLE, since 04/01/2024
• FAVOR, DEBRA — managing control - governing body, NOT APPLICABLE, since 04/01/2024
• GARRISON, REAGAN — managing control - governing body, NOT APPLICABLE, since 04/01/2024
• HEAD, HOWARD — managing control - governing body, NOT APPLICABLE, since 04/01/2024
• HOLCOMB, HOLLY — managing control - governing body, NOT APPLICABLE, since 04/01/2024
• HOLCOMB, HOLLY — corporate officer, NOT APPLICABLE, since 04/01/2024
• HUGGINS, LINDA — corporate director, NOT APPLICABLE, since 04/01/2024
• INMAN, JOHN — managing control - governing body, NOT APPLICABLE, since 04/01/2024
• JOHNSON, LARRY — managing control - governing body, NOT APPLICABLE, since 04/01/2024
• PARKER, PEGGY — adp of the snf, NOT APPLICABLE, since 04/14/2025
• PIERCE, BRIAN — managing control - governing body, NOT APPLICABLE, since 04/01/2025
• STRATTON, EMILEE — corporate officer, NOT APPLICABLE, since 01/01/2025
• STRATTON, EMILEE — managing control - governing body, NOT APPLICABLE, since 01/01/2025
• WILLIG, ZACHARY — corporate director, NOT APPLICABLE, since 01/01/2025
• CHILDRESS COUNTY HOSPITAL DISTRICT — 5% or greater direct ownership interest, 100%, since 04/01/2024
• MEMPHIS I ENTERPRISES, LLC — adp of the snf, NOT APPLICABLE, since 04/14/2025
• MEMPHIS I ENTERPRISES, LLC — operational/managerial control, NOT APPLICABLE, since 04/01/2024