Spring Gate Rehab & Healthcare Center
3909 Covington Pike · Memphis, TN · 38135 · 9013771011
206 certified beds For profit - Limited Liability company Chain: Prestige Administrative Services
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $128,974 in fines in the last 24 months.
- Inspection results are getting worse cycle over cycle, not better.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
2 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
$128,974 in federal fines in the last 24 months
2 fines — CMS fines are reserved for verified, serious non-compliance.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 4.26 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.82 | 0.55–0.75 |
| Weekend hours / resident-day | 3.69 | ≈ weekday level |
| Nursing turnover / year | 59% | median 45% |
| Fines (3-yr window) | 2 · $128,974 |
Inspection citations (37 in the current record)
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Immediate jeopardy · J April 30, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 22, 2025 · Quality of Life and Care
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Potential for harm · D April 30, 2025 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected May 22, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 30, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected May 22, 2025 · Quality of Life and Care
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Potential for harm · D April 30, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected June 21, 2025 · Resident Assessment and Care Planning
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Actual harm · G October 16, 2024
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected November 14, 2024 · Quality of Life and Care
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Actual harm · G October 16, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 3, 2025 · Quality of Life and Care
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Potential for harm · D October 16, 2024
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected November 14, 2024 · Resident Rights
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Potential for harm · D October 16, 2024
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.
Corrected November 14, 2024 · Resident Rights
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Potential for harm · D October 16, 2024
Ensure each resident receives an accurate assessment.
Corrected January 3, 2025 · Resident Assessment and Care Planning
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Potential for harm · D October 16, 2024
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected November 14, 2024 · Resident Assessment and Care Planning
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Potential for harm · D October 16, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected November 14, 2024 · Resident Assessment and Care Planning
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Potential for harm · D October 16, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected January 3, 2025 · Quality of Life and Care
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Potential for harm · D October 16, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected November 14, 2024 · Quality of Life and Care
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Potential for harm · E October 16, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected November 14, 2024 · Nutrition and Dietary
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Potential for harm · D October 16, 2024
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Corrected November 14, 2024 · Administration
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Potential for harm · D October 16, 2024 · found via complaint
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected January 3, 2025 · Resident Rights
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Potential for harm · D October 16, 2024 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected January 3, 2025 · Resident Rights
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Potential for harm · F October 16, 2024 · found via complaint
Honor 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.
Corrected January 3, 2025 · Resident Rights
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Potential for harm · D October 16, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected November 14, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D October 16, 2024 · found via complaint
Respond appropriately to all alleged violations.
Corrected November 14, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D October 16, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected January 3, 2025 · Quality of Life and Care
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Potential for harm · E October 16, 2024 · found via complaint
Ensure 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.
Corrected January 3, 2025 · Quality of Life and Care
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Potential for harm · E October 16, 2024 · found via complaint
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Corrected January 3, 2025 · Nursing and Physician Services
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Potential for harm · D October 16, 2024 · found via complaint
Post nurse staffing information every day.
Corrected January 3, 2025 · Nursing and Physician Services
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Potential for harm · D October 16, 2024 · found via complaint
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.
Corrected January 3, 2025 · Pharmacy Service
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| April 30, 2025 | Fine | $50,749 |
| October 16, 2024 | Fine | $78,225 |
| October 16, 2024 | Payment Denial | 50 days |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 445220 · certified since May 2, 1989. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.