Nursing homeActiveSpecial Focus Facility candidate · what this means

Graceland Rehabilitation And Nursing Care Center

1250 Farrow Road, Memphis, TN 381169013327290240 certified beds · 168 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
5
since 2019
Deficiencies
33
02310
Penalties · 3 yrs
$342,603
2 fines · 1 action
Last survey
2025-05-13
Standard
CMS overall
1 / 5
stars as published by CMS
CMS overall 1/5
Health 1
Staffing 2
Quality 1
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
2025-05-13Standard091CMS-2567 (Care Compare)
2025-01-29Complaint030CMS-2567 (Care Compare)
2024-05-01Complaint079CMS-2567 (Care Compare)
2021-06-17Standard000CMS-2567 (Care Compare)
2019-07-11Standard040CMS-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.

2025-05-13Standard survey · 10 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 2025-06-12Record 445331-20250513-F689
F552Ensure that residents are fully informed and understand their health status, care and treatments.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-06-12Record 445331-20250513-F552
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 2025-06-12Record 445331-20250513-F578
F605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-06-12Record 445331-20250513-F605
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 2025-06-12Record 445331-20250513-F609
F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-06-12Record 445331-20250513-F628
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 2025-06-12Record 445331-20250513-F684
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 2025-06-12Record 445331-20250513-F761
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 2025-06-12Record 445331-20250513-F812
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 2025-06-12Record 445331-20250513-F880
2025-01-29Complaint survey · 3 deficienciesOfficial report
F558Reasonably accommodate the needs and preferences of each resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-21Record 445331-20250129-F558
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 2025-02-21Record 445331-20250129-F656
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 2025-02-21Record 445331-20250129-F686
2024-05-01Complaint survey · 16 deficienciesOfficial report
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity JHarm
Abuse & neglect
Isolated; immediate jeopardy to resident health or safety.Corrected 2024-05-28Record 445331-20240501-F600
F678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.Scope/severity JHarm
Care planning
Isolated; immediate jeopardy to resident health or safety.Corrected 2024-05-28Record 445331-20240501-F678
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2024-10-23Record 445331-20240501-F684
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 2024-10-02Record 445331-20240501-F689
F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.Scope/severity KHarm
Staffing
Pattern; immediate jeopardy to resident health or safety.Corrected 2024-05-28Record 445331-20240501-F725
F760Ensure that residents are free from significant medication errors.Scope/severity KHarm
Medication
Pattern; immediate jeopardy to resident health or safety.Corrected 2024-05-28Record 445331-20240501-F760
F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.Scope/severity KHarm
Records
Pattern; immediate jeopardy to resident health or safety.Corrected 2024-05-28Record 445331-20240501-F835
F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.Scope/severity KHarm
Records
Pattern; immediate jeopardy to resident health or safety.Corrected 2024-05-28Record 445331-20240501-F867
F880Provide and implement an infection prevention and control program.Scope/severity KHarm
Infection control
Pattern; immediate jeopardy to resident health or safety.Corrected 2024-08-14Record 445331-20240501-F880
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 2024-05-28Record 445331-20240501-F554
F622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-23Record 445331-20240501-F622
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 2024-10-23Record 445331-20240501-F656
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 2024-08-14Record 445331-20240501-F686
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 2024-05-28Record 445331-20240501-F693
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity FStandard
Medication
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-05-28Record 445331-20240501-F755
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 2024-10-02Record 445331-20240501-F842
2019-07-11Standard survey · 4 deficienciesOfficial report
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 2019-07-25Record 445331-20190711-F550
F688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-08-09Record 445331-20190711-F688
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 2019-08-09Record 445331-20190711-F761
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 2019-08-09Record 445331-20190711-F880

Penalties & enforcement

DateActionAmountSource
2025-05-13Civil money penalty$39,293CMS · Penalties
2024-05-01Civil money penalty$303,310CMS · Penalties
2024-05-01Denial of payment for new admissions
Payment denial for 145 days, from 2024-05-31
CMS · Penalties

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.33
Facility
Tennessee
National
Tennessee 0.60 · National 0.69
Total nurse hours per resident day3.47
Facility
Tennessee
National
Tennessee 3.80 · National 3.86
Weekend total nurse hours3.10
Facility
Tennessee
National
Tennessee 3.31 · National 3.42
Total nursing staff turnover52%
Facility
Tennessee
National
Tennessee 49% · National 46%
Registered nurse turnover20%
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
10.8%5.0%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
0.3%3.4%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
11.4%16.8%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
1.5%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
8.3%14.0%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
1.7%6.1%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
20.5%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
Lichtschein, Raphael
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE

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
Parkway Health And Rehabilitation Center
Memphis
3.4 mi2026-03-170163
Diversicare Of Southaven
Southaven
4.7 mi2026-04-2303410
Desoto Healthcare Center
Southaven
5.2 mi2025-09-181102
Delta Blues Health & Rehabilitation
Memphis
4.8 mi2025-10-02001
Landmark Of Desoto
Horn Lake
6.4 mi2026-03-190162
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