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The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Set amidst the blissful neighborhood of Memphis, TN Graceland Rehabilitation and Nursing Center is a respected senior care provider offering comprehensive rehabilitation and nursing care services. The community features a team of highly-skilled and knowledgeable nurses led by a well-respected medical director, giving residents peace of mind knowing that they are in great and capable hands. The team carefully curates individualized care plans for each resident, which may include speech, physical, and occupational therapy, or 24/7 respiratory therapy.
The community closely works with their team, residents, and families to ensure that their wishes and needs are aligned with the services provided by the team for a successful outcome. Utilizing a holistic approach to care, the community also offers an array of activities to nurture its residents’ social and recreational needs for a whole-person enrichment. Here, residents have access to all the support and care they need to thrive and recover successfully.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 168th out of 172 homes in Tennessee. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 28m per day | ▼ 24% State avg: 37m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 59m per day | ▼ 11% State avg: 1h 6m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 1h 49m per day | ▼ 16% State avg: 2h 9m per day · National avg: 2h 21m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 2h 47m per day | ▼ 17% State avg: 3h 21m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 4m per day | ▼ 20% State avg: 5m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 16m per day | ▼ 36% State avg: 25m per day · National avg: 29m per day |
Lower than the Tennessee average: 71.6%Graceland Rehabilitation and Nursing Center is legally operated by Graceland Nursing Operator, LLC, and administrated by Machelle Ann Calaway.
Key information about the people who lead and staff this community.
In Tennessee, the Department of Health, Division of Health Care Facilities performs unannounced inspections and investigations to ensure facilities provide high-quality resident care.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Tennessee state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Citations
| This Facility | TN Average | vs. TN Avg |
|---|---|---|---|
|
Total citations
Formal regulatory issues recorded by inspectors across all inspection types.
| 32 | 4 | This facility has 700% more total citations than a typical Tennessee nursing home (32 vs. TN avg 4).↑ 700% worse |
|
Citations per year
Average citations per year since 2019.
| 4.6 | 0.6 | This facility has 667% more citations per year than a typical Tennessee nursing home (4.6 vs. TN avg 0.6).↑ 667% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on May 13, 2025, cited the facility for multiple deficiencies including issues with psychotropic medication consent and use, failure to report abuse investigations timely, inadequate accident prevention resulting in an Immediate Jeopardy for a resident fall, improper medication storage, unsanitary food handling, and infection control lapses. Earlier inspections showed a pattern of concerns related to resident safety, medication management, staffing, and infection control, with a prior Immediate Jeopardy finding in May 2024 involving medication errors, staffing shortages, and accident prevention failures. Complaint investigations substantiated issues with accident supervision and failure to notify representatives of discharge intent. Enforcement actions such as fines or license suspensions were not listed in the available reports. The inspection history indicates ongoing challenges with safety and regulatory compliance, with no clear improvement trend.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsTennessee average 3.5
Last Health inspection on May 2025
Tennessee average 15.4
Tennessee average 4.39
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
11 of 43 citations resulted from standard inspections; 29 of 43 resulted from complaint investigations; and 3 of 43 came from combined inspections (standard and complaint).
1445% worse than Tennessee averageTennessee average: 1.1
400% worse than Tennessee averageTennessee average: 0.6
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
7% better than Tennessee average
7% worse than Tennessee average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hoursThis role is partially covered by contractors.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hoursThis role is partially covered by contractors.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hoursThis role is partially covered by contractors.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
3,837 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 98 | 16 | 114 | 29,199 | 92 | 100% | 7.6 |
| Licensed Practical Nurse | 37 | 40 | 77 | 15,118 | 92 | 100% | 8.5 |
| Qualified Activities Professional | 37 | 0 | 37 | 9,256 | 92 | 100% | 8.6 |
| Clinical Nurse Specialist | 8 | 0 | 8 | 3,494 | 90 | 98% | 7.7 |
| Speech Language Pathologist | 10 | 0 | 10 | 2,440 | 91 | 99% | 6.7 |
| Physical Therapy Aide | 8 | 0 | 8 | 2,156 | 92 | 100% | 5.8 |
| Registered Nurse | 11 | 1 | 12 | 2,150 | 92 | 100% | 8.2 |
| Respiratory Therapy Technician | 6 | 0 | 6 | 980 | 76 | 83% | 5.6 |
| RN Director of Nursing | 2 | 0 | 2 | 888 | 61 | 66% | 8.1 |
| Feeding Assistant | 0 | 2 | 2 | 768 | 87 | 95% | 8 |
| Physical Therapy Assistant | 3 | 0 | 3 | 615 | 72 | 78% | 5.3 |
| Qualified Social Worker | 3 | 0 | 3 | 577 | 86 | 93% | 4.4 |
| Administrator | 1 | 0 | 1 | 480 | 60 | 65% | 8 |
| Dietitian | 1 | 0 | 1 | 464 | 58 | 63% | 8 |
| Other Dietary Services Staff | 1 | 0 | 1 | 463 | 61 | 66% | 7.6 |
| Dental Services Staff | 1 | 0 | 1 | 457 | 58 | 63% | 7.9 |
| Mental Health Service Worker | 1 | 0 | 1 | 440 | 55 | 60% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 424 | 53 | 58% | 8 |
| Other Physician | 0 | 5 | 5 | 137 | 30 | 33% | 4.3 |
| Diagnostic X-ray Services Staff | 0 | 2 | 2 | 90 | 25 | 27% | 3.6 |
| Medical Director | 0 | 1 | 1 | 28 | 14 | 15% | 2 |
Includes penalties issued in 2024-2025
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
297% higher than Tennessee averageTennessee average: $86K
15% more fines than Tennessee averageTennessee average: 1.7
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
96% more payment denials than Tennessee averageTennessee average: 0.5
Penalties are imposed by CMS for violations of federal nursing home regulations.
3 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 13, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 1, 2024
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
May 1, 2024Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
11.8
12% worse than Tennessee averageTennessee average: 10.5
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
16.5
16% better than Tennessee averageTennessee average: 19.5
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
13.7%
14% better than Tennessee averageTennessee average: 16.0%
Percent of long-stay residents whose ability to move independently worsened
25.9%
19% worse than Tennessee averageTennessee average: 21.7%
Percent of low risk long-stay residents who lose control of their bowels or bladder
9.8%
53% better than Tennessee averageTennessee average: 20.7%
Percent of long-stay residents experiencing one or more falls with major injury
1.4%
63% better than Tennessee averageTennessee average: 3.7%
Percent of long-stay high risk residents with pressure ulcers
12.9%
138% worse than Tennessee averageTennessee average: 5.4%
Percent of long-stay residents with a urinary tract infection
1.1%
49% better than Tennessee averageTennessee average: 2.1%
Percent of long-stay residents who lose too much weight
4.9%
22% better than Tennessee averageTennessee average: 6.3%
Percent of long-stay residents who have depressive symptoms
7.2%
34% better than Tennessee averageTennessee average: 11.0%
Percent of long-stay residents who received an antipsychotic medication
15.1%
8% better than Tennessee averageTennessee average: 16.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
60.8%
32% worse than Tennessee averageTennessee average: 89.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
91.3%
In line with Tennessee averageTennessee average: 94.5%
Number of hospitalizations per 1,000 long-stay resident days.
2.25
42% worse than Tennessee averageTennessee average: 1.58
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.80
78% worse than Tennessee averageTennessee average: 1.57
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
9.3%
88% worse than Tennessee averageTennessee average: 79.7%
Percent of short-stay residents who newly received an antipsychotic medication
3.0%
74% worse than Tennessee averageTennessee average: 1.7%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
6.3%
92% worse than Tennessee averageTennessee average: 79.8%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
27.2%
23% worse than Tennessee averageTennessee average: 22.2%
Percentage of short-stay residents who had an outpatient emergency department visit.
20.0%
79% worse than Tennessee averageTennessee average: 11.2%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Tennessee averageTennessee average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
51.6%
In line with Tennessee averageTennessee average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
42.8%
15% worse than Tennessee averageTennessee average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
17% of new residents, usually for short-term rehab.
31% of new residents, often for short stays.
52% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
158Residents meet regularly to discuss policies, care quality, and activities
Family members meet regularly to discuss policies, care quality, and activities
Organized group of family members that meets regularly to discuss facility policies, resident care, and activities.
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Graceland Rehabilitation and Nursing Center based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #35 / 176Payroll — State benchmarkedThis home is ranked 35th out of 176 homes in Tennessee. Shows total annual staff payroll benchmarked to the Tennessee average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total Residents: 240
Building Type: Single-story
Most residents stay for extended periods and receive ongoing daily care.
4.1 miles from city center
Estimated distance in miles from Memphis's city center to Graceland Rehabilitation and Nursing Center's address, calculated via Google Maps.
— 4.79 miles to nearest hospital (Baptist Memorial Hospital-DeSoto)
Add your location
Graceland Rehabilitation and Nursing Center is located in Memphis, Tennessee.
Here are the financial assistance programs available to residents in Tennessee.
The information below is reported by the Tennessee Department of Health, Division of Health Care Facilities.
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MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Memphis | 180 | 89.6% | +23% | 3.53 | -15% | -3% | $0 | 8 | 4.0 | 1 | 164 | A+ | 48 | Richie Anderson | $19.5M | $13.3M | 67.9% | 445485 | ||||
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AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Memphis (Keswick - Stornaway) | 188 | 94.6% | +30% | 3.78 | - | -23% | +4% | $110.5k | 20 | 5.0 | 5 | 176 | A+ | 47 | Julie Cottrell | $20.8M | $13.3M | 64.3% | 445197 | |||
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AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
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| Graceland Rehabilitation and Nursing Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Memphis (Whitehaven) | 60 | 263.3% | +261% | 2.63 | -53% | -28% | $735.5k | 43 | 8.6 | 20 | 158 | A+ | 64 | Graceland Nursing Operator, LLC | $23.3M | $9.1M | 39.2% | 445331 |
Graceland Rehabilitation and Nursing Center is in the Whitehaven neighborhood of Memphis.
The legal owner and operator of Graceland Rehabilitation and Nursing Center is Graceland Nursing Operator, LLC.
Graceland Rehabilitation and Nursing Center has a walk score of 64. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
According to TN state health department records, Graceland Rehabilitation and Nursing Center's license number is 00000326.
According to TN state health department records, Graceland Rehabilitation and Nursing Center's license expires on February 5, 2026.
Graceland Rehabilitation and Nursing Center's occupancy is 50%.
Machelle Ann Calaway is the administrator of Graceland Rehabilitation and Nursing Center.
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