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HIGHLANDS HEALTH AND REHABILITATION CENTER

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HIGHLANDS HEALTH AND REHABILITATION CENTER is a for profit - corporation facility in MEMPHIS, TN with 180 certified beds and a 2-star overall CMS rating. The facility has 24 deficiency records on file. Total penalties: $305K.

3549 NORRISWOOD, MEMPHIS, TN 38111

Phone: 9013257820

Overall Rating

2/5

Health Inspection

2/5

Staffing

2/5

Quality Measures

2/5

Long-Stay Quality

3/5

Facility Information

Provider Number
445165
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
Beds
180
Residents
157
In Hospital
No
County
Shelby
Last Inspection
Aug 11, 2022

Staffing Data

RN Hours
0.42 (nat'l avg: 0.68)
LPN Hours
0.95
CNA Hours
1.88
Total Nursing Hours
3.25 (nat'l avg: 3.89)
PT Hours
0.06
Nursing Turnover
50.0%
RN Turnover
30.8%

What the CMS Record Reveals About HIGHLANDS HEALTH AND REHABILITATION CENTER

HIGHLANDS HEALTH AND REHABILITATION CENTER operates 180 certified beds in MEMPHIS, TN with approximately 157 residents currently in care, and carries a CMS overall rating of 2 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (2★), staffing levels (2★), and quality measures (2★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 24 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 1 penalty totaling $305K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 3.25 total nursing hours per resident day (national average 3.89), with RN coverage at 0.42 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "For profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, HIGHLANDS HEALTH AND REHABILITATION CENTER falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 50.0%, within a range generally associated with stable care teams. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (24 most recent)

D — Isolated - Minimal harm Oct 14, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Dec 17, 2025

D — Isolated - Minimal harm May 5, 2023 Tag: 0842

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jun 27, 2023

D — Isolated - Minimal harm May 5, 2023 Tag: 0729

Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.

Category: Nursing and Physician Services Deficiencies

Corrected: Jun 27, 2023

D — Isolated - Minimal harm May 5, 2023 Tag: 0725

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Category: Nursing and Physician Services Deficiencies

Corrected: Jun 27, 2023

D — Isolated - Minimal harm May 5, 2023 Tag: 0692

Provide enough food/fluids to maintain a resident's health.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 27, 2023

J — Isolated - Jeopardy May 5, 2023 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 27, 2023

E — Pattern - Minimal harm May 5, 2023 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jun 27, 2023

D — Isolated - Minimal harm May 5, 2023 Tag: 0580

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Category: Resident Rights Deficiencies

Corrected: Jun 27, 2023

E — Pattern - Minimal harm Mar 2, 2023 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Mar 28, 2023

D — Isolated - Minimal harm Mar 2, 2023 Tag: 0610

Respond appropriately to all alleged violations.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Mar 28, 2023

D — Isolated - Minimal harm Aug 11, 2022 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Aug 30, 2022

E — Pattern - Minimal harm Aug 11, 2022 Tag: 0760

Ensure that residents are free from significant medication errors.

Category: Pharmacy Service Deficiencies

Corrected: Aug 24, 2022

D — Isolated - Minimal harm Aug 11, 2022 Tag: 0694

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 24, 2022

E — Pattern - Minimal harm Aug 11, 2022 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 24, 2022

D — Isolated - Minimal harm Aug 11, 2022 Tag: 0582

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Category: Resident Rights Deficiencies

Corrected: Aug 24, 2022

D — Isolated - Minimal harm Aug 11, 2022 Tag: 0578

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.

Category: Resident Rights Deficiencies

Corrected: Aug 24, 2022

D — Isolated - Minimal harm Oct 22, 2019 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Dec 5, 2019

D — Isolated - Minimal harm Oct 22, 2019 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Dec 5, 2019

D — Isolated - Minimal harm Oct 22, 2019 Tag: 0580

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Category: Resident Rights Deficiencies

Corrected: Dec 5, 2019

E — Pattern - Minimal harm Dec 6, 2018 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Jan 6, 2019

D — Isolated - Minimal harm Dec 6, 2018 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Jan 6, 2019

D — Isolated - Minimal harm Dec 6, 2018 Tag: 0690

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Category: Quality of Life and Care Deficiencies

Corrected: Jan 6, 2019

D — Isolated - Minimal harm Dec 6, 2018 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jan 6, 2019

D — Isolated - Minimal harm Dec 6, 2018 Tag: 0550

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category: Resident Rights Deficiencies

Corrected: Jan 6, 2019

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 18.2% Yes
Percentage of long-stay residents who lose too much weight Long Stay 14.4% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.6% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 1.4% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 15.9% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 0.6% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 17.6% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 6.9% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 3.9% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 36.6% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 21.7% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 26.0% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 2.5% No
Percentage of long-stay residents with pressure ulcers Long Stay 7.9% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 17.5% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 17.7% Yes

Penalty History 1 penalties totaling $305K

Date Type Amount
May 5, 2023 Fine $305K
May 5, 2023 Payment Denial -
Mar 2, 2023 Fine $3K

Frequently Asked Questions

What is the overall CMS rating for HIGHLANDS HEALTH AND REHABILITATION CENTER?
HIGHLANDS HEALTH AND REHABILITATION CENTER has an overall CMS rating of 2 out of 5 stars. This rating combines health inspection results (2★), staffing levels (2★), and quality measures (2★).
What are the staffing levels at HIGHLANDS HEALTH AND REHABILITATION CENTER?
HIGHLANDS HEALTH AND REHABILITATION CENTER reports 3.25 total nursing hours per resident day (national average: 3.89). RN hours are 0.42 per resident day (national average: 0.68). Nursing staff turnover is 50.0%.
How many beds does HIGHLANDS HEALTH AND REHABILITATION CENTER have?
HIGHLANDS HEALTH AND REHABILITATION CENTER has 180 certified beds with approximately 157 residents. The facility is located at 3549 NORRISWOOD, MEMPHIS, TN 38111.
Does HIGHLANDS HEALTH AND REHABILITATION CENTER have any deficiencies on record?
Yes, HIGHLANDS HEALTH AND REHABILITATION CENTER has 24 deficiencies on record from recent inspections. Of these, 1 are classified as causing actual harm or jeopardy.
Has HIGHLANDS HEALTH AND REHABILITATION CENTER received any fines or penalties?
Yes, HIGHLANDS HEALTH AND REHABILITATION CENTER has received 1 penalties totaling $305K.
Who owns HIGHLANDS HEALTH AND REHABILITATION CENTER?
HIGHLANDS HEALTH AND REHABILITATION CENTER is classified as "For profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was HIGHLANDS HEALTH AND REHABILITATION CENTER last inspected?
The most recent health inspection for HIGHLANDS HEALTH AND REHABILITATION CENTER was on Aug 11, 2022. The facility received a health inspection rating of 2 out of 5 stars.
What quality measures are tracked for HIGHLANDS HEALTH AND REHABILITATION CENTER?
HIGHLANDS HEALTH AND REHABILITATION CENTER is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial