F

HIGHLANDS HEALTH AND REHABILITATION CENTER

3549 NORRISWOOD, MEMPHIS, TN 38111
Score: 25 / 100

Highlands Health And Rehabilitation Center has received an F grade based on CMS data, with a score of 25/100 — placing it among the lowest-rated nursing facilities in Tennessee. Families considering this Memphis facility should carefully review its inspection history and quality metrics.

Staffing levels are a potential concern at Highlands Health And Rehabilitation Center, with 3.25 total nursing hours per resident per day — below the national average of 3.8 hours. Lower staffing can impact care quality and staff responsiveness.

Recent CMS inspections identified 24 deficiencies at Highlands Health And Rehabilitation Center, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: provide and implement an infection prevention and control program..

Score Breakdown

Overall CMS Rating 16 / 40 pts
2 ★ CMS rating
Health Inspections 10 / 25 pts
2 ★ inspection rating
Staffing 8 / 20 pts
2 ★ staffing rating
Quality Measures 6 / 15 pts
2 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.25 3.8 Below Average
Registered Nurses (RN) 0.42 0.7 Below Average
Licensed Practical Nurses (LPN) 0.95 0.7 Above Average
Certified Nursing Assistants (CNA) 1.88 2.4 Below Average
Weekend Total Nursing 2.92 3.8 Below Average
Weekend RN Hours 0.33 0.7 Below Average

🔍 Inspection & Deficiency History

24
Total Deficiencies
Oct 13, 2025
Most Recent Inspection
🟠 23 Moderate 🔴 1 Serious
View recent deficiencies (5 shown)
  • Tag 0880 Severity D
    Provide and implement an infection prevention and control program.
    Oct 13, 2025 · Infection Control Deficiencies
  • Tag 0689 Severity J
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    May 4, 2023 · Quality of Life and Care Deficiencies
  • Tag 0656 Severity E
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    May 4, 2023 · Resident Assessment and Care Planning Deficiencies
  • Tag 0580 Severity D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    May 4, 2023 · Resident Rights Deficiencies
  • Tag 0692 Severity D
    Provide enough food/fluids to maintain a resident's health.
    May 4, 2023 · Quality of Life and Care Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 7.9% 4.5% Worse
Falls with major injury 0.6% 3.0% Better
On antipsychotic medication 17.7% 14.5% Worse
Urinary tract infections 1.4% 2.5% Better
ADL decline (daily activities) 18.2% 14.0% Worse
Excessive weight loss 14.4% 7.5% Worse
New/worsened incontinence 17.5% 45.0% Better

⚠️ Penalties & Fines

1 penalty recorded by CMS

Total fines: $305,320

How This Grade Was Calculated

This facility's grade of F is based on a score of 25 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 2★ → 16 pts (max 40)
  • Health Inspection Rating: 2★ → 10 pts (max 25)
  • Staffing Rating: 2★ → 8 pts (max 20)
  • Quality Measures Rating: 2★ → 6 pts (max 15)
  • Penalty deductions: -5 pts
  • Fine deductions: -10 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Corporation
Certified Beds
180
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Aug 10, 2022
Deficiencies (Cycle 1)
7