D

WATERS OF MEMPHIS A REHABILITATION & NURSING CTR

6500 KIRBY GATE BOULEVARD, MEMPHIS, TN 38119
Score: 40 / 100

Waters Of Memphis A Rehabilitation & Nursing Ctr faces challenges in its CMS ratings, earning a D grade with a score of 40/100. The facility ranks in the 31th percentile among Tennessee nursing homes, suggesting significant room for improvement.

Staffing at Waters Of Memphis A Rehabilitation & Nursing Ctr is near the national average, with 3.69 total nursing hours per resident per day (national average: 3.8 hours).

Recent inspections identified 12 deficiencies at Waters Of Memphis A Rehabilitation & Nursing Ctr. While none were classified as the most serious level, families should review the detailed inspection history below.

Score Breakdown

Overall CMS Rating 16 / 40 pts
2 ★ CMS rating
Health Inspections 10 / 25 pts
2 ★ inspection rating
Staffing 4 / 20 pts
1 ★ staffing rating
Quality Measures 15 / 15 pts
5 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.69 3.8 Average
Registered Nurses (RN) 0.40 0.7 Below Average
Licensed Practical Nurses (LPN) 1.23 0.7 Above Average
Certified Nursing Assistants (CNA) 2.06 2.4 Below Average
Weekend Total Nursing 3.16 3.8 Below Average
Weekend RN Hours 0.25 0.7 Below Average

🔍 Inspection & Deficiency History

12
Total Deficiencies
Jun 26, 2025
Most Recent Inspection
🟠 12 Moderate
View recent deficiencies (5 shown)
  • Tag 0610 Severity D
    Respond appropriately to all alleged violations.
    Jun 26, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
  • Tag 0550 Severity E
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    Sep 13, 2023 · Resident Rights Deficiencies
  • Tag 0812 Severity E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    Sep 13, 2023 · Nutrition and Dietary Deficiencies
  • Tag 0584 Severity D
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for d
    Sep 13, 2023 · Resident Rights Deficiencies
  • Tag 0690 Severity D
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent
    Sep 13, 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 2.8% 4.5% Better
Falls with major injury 2.8% 3.0% Average
On antipsychotic medication 24.0% 14.5% Worse
Urinary tract infections 0.4% 2.5% Better
ADL decline (daily activities) 2.0% 14.0% Better
Excessive weight loss 14.1% 7.5% Worse
New/worsened incontinence 26.4% 45.0% Better

⚠️ Penalties & Fines

1 penalty recorded by CMS

Total fines: $5,293

How This Grade Was Calculated

This facility's grade of D is based on a score of 40 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: 1★ → 4 pts (max 20)
  • Quality Measures Rating: 5★ → 15 pts (max 15)
  • Penalty deductions: -5 pts
  • Fine deductions: -0 pts

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

Facility Details

Ownership
For profit - Individual
Certified Beds
90
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Sep 13, 2023
Deficiencies (Cycle 1)
9