Nursing homeActiveSpecial Focus Facility candidate · what this means

Spring Gate Rehab & Healthcare Center

3909 Covington Pike, Memphis, TN 381359013771011206 certified beds · 111 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
4
since 2019
Deficiencies
37
0343
Penalties · 3 yrs
$128,974
2 fines · 1 action
Last survey
2025-04-30
Complaint
CMS overall
1 / 5
stars as published by CMS
CMS overall 1/5
Health 1
Staffing 2
Quality 4
Star ratings as published by CMS · CMS’s caveats

Survey history

Source: CMS · Tennessee Department of Health · data as of 2026-08-01
DateKindDeficienciesOfficial recordArchived PDF
2025-04-30Complaint031CMS-2567 (Care Compare)
2024-10-16Standard0222CMS-2567 (Care Compare)
2021-09-24Standard050CMS-2567 (Care Compare)
2019-10-03Standard040CMS-2567 (Care Compare)

Counts by class: paperwork · standard · harm.

Deficiencies

CMS · Tennessee Department of Health publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.

2025-04-30Complaint survey · 4 deficienciesOfficial report
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity JHarm
Care planningFalls
Isolated; immediate jeopardy to resident health or safety.Corrected 2025-05-22Record 445220-20250430-F689
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-22Record 445220-20250430-F656
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-22Record 445220-20250430-F684
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-06-21Record 445220-20250430-F842
2024-10-16Standard survey · 24 deficienciesOfficial report
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2025-01-03Record 445220-20241016-F689
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2024-11-14Record 445220-20241016-F690
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-01-03Record 445220-20241016-F550
F557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-01-03Record 445220-20241016-F557
F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-11-14Record 445220-20241016-F561
F578Honor 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-11-14Record 445220-20241016-F578
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-01-03Record 445220-20241016-F580
F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.Scope/severity FStandard
Dignity & rights
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-01-03Record 445220-20241016-F584
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-11-14Record 445220-20241016-F609
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-11-14Record 445220-20241016-F610
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-01-03Record 445220-20241016-F641
F645PASARR screening for Mental disorders or Intellectual DisabilitiesScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-11-14Record 445220-20241016-F645
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-11-14Record 445220-20241016-F657
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-01-03Record 445220-20241016-F677
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-01-03Record 445220-20241016-F684
F693Ensure 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.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-01-03Record 445220-20241016-F693
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-11-14Record 445220-20241016-F695
F712Ensure that the resident and his/her doctor meet face-to-face at all required visits.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-01-03Record 445220-20241016-F712
F732Post nurse staffing information every day.Scope/severity DStandard
Staffing
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-01-03Record 445220-20241016-F732
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-01-03Record 445220-20241016-F761
F791Provide or obtain dental services for each resident.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-01-03Record 445220-20241016-F791
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-11-14Record 445220-20241016-F812
F847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.Scope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-11-14Record 445220-20241016-F847
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-01-03Record 445220-20241016-F880
2021-09-24Standard survey · 5 deficienciesOfficial report
F554Allow residents to self-administer drugs if determined clinically appropriate.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2021-11-08Record 445220-20210924-F554
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2021-11-08Record 445220-20210924-F657
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2021-11-08Record 445220-20210924-F684
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2021-11-08Record 445220-20210924-F686
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2021-11-08Record 445220-20210924-F880
2019-10-03Standard survey · 4 deficienciesOfficial report
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-10-30Record 445220-20191003-F656
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-10-30Record 445220-20191003-F689
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-10-30Record 445220-20191003-F761
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2019-10-30Record 445220-20191003-F812

Penalties & enforcement

DateActionAmountSource
2025-04-30Civil money penalty$50,749CMS · Penalties
2024-10-16Civil money penalty$78,225CMS · Penalties
2024-10-16Denial of payment for new admissions
Payment denial for 50 days, from 2024-11-14
CMS · Penalties

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.83
Facility
Tennessee
National
Tennessee 0.60 · National 0.69
Total nurse hours per resident day3.95
Facility
Tennessee
National
Tennessee 3.80 · National 3.86
Weekend total nurse hours3.45
Facility
Tennessee
National
Tennessee 3.31 · National 3.42
Total nursing staff turnover68%
Facility
Tennessee
National
Tennessee 49% · National 46%
Registered nurse turnover79%
Facility
Tennessee
National
Tennessee 43% · National 43%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityTennesseeNational
Percentage of long-stay residents with pressure ulcers
lower is better
16.4%5.0%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
1.2%3.4%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
11.2%16.8%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
0.5%1.8%1.6%
Percentage of long-stay residents who were physically restrained
lower is better
0.0%0.1%0.1%
Percentage of long-stay residents whose need for help with daily activities has increased
lower is better
6.0%14.0%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
6.0%6.1%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
9.8%31.7%19.5%

Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.

Ownership

As reported to CMS (Provider Enrollment)
EntityRoleInterestSinceRegistry
B&Y Healthcare S Corp
Organization
5% OR GREATER DIRECT OWNERSHIP INTEREST50%
Cody Healthcare S Corp
Organization
5% OR GREATER DIRECT OWNERSHIP INTEREST50%
B&Y Trust
Organization
5% OR GREATER INDIRECT OWNERSHIP INTEREST50%
Craig Flashner 2007 Trust
Organization
5% OR GREATER INDIRECT OWNERSHIP INTEREST50%
Flashner, Craig
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Northpoint Regional LLC
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Perlstein, Yitzchok
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Prestige Administrative Services, LLC
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Flashner, Craig
Individual
CORPORATE DIRECTORNOT APPLICABLE
Kirk, Kristine
Individual
W-2 MANAGING EMPLOYEENOT APPLICABLE
Norcross, Robert
Individual
CONTRACTED MANAGING EMPLOYEENOT APPLICABLE
Rogers, Stacey
Individual
CONTRACTED MANAGING EMPLOYEENOT APPLICABLE
Part of a chain
Prestige Administrative Services9 facilities
View chain record

Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.

Cost context

County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Tennessee.

No county cost figures on file for Shelby.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
The Kings Daughters And Sons
Bartlett
3.8 mi2026-03-17081
Rainbow Rehab And Healthcare
Bartlett
3.8 mi2026-06-19030
Signature Healthcare Of Memphis
Memphis
4.8 mi2026-05-13020
Ave Maria Home
Bartlett
4.8 mi2024-03-28001
Millington Healthcare Center
Millington
7.4 mi2025-03-27092
Watch this facility

One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.

Sources & provenance

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01