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Majestic Gardens at Memphis Rehabilitation and Skilled Nursing Center
Nursing Home, Memory Care & Skilled Nursing · Memphis, TN
CMS overall rating
1/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Majestic Gardens at Memphis Rehabilitation and Skilled Nursing Center
Nursing Home, Memory Care & Skilled Nursing · Memphis, TN
CMS overall rating
1/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Majestic Gardens at Memphis Rehabilitation and Skilled Nursing Center accepts Medicare, Medicaid, and private pay.
Overview of Majestic Gardens at Memphis Rehabilitation and Skilled Nursing Center
Majestic Gardens at Memphis Rehabilitation and Skilled Nursing is a nursing home in Memphis, TN, that offers skilled nursing and rehabilitation services. Dedicated to older adults’ comfort and safety, the community continuously improves its services to meet their needs. Dietitian-approved meals are served in various dining areas, while pain management and 24-hour MD coverage are among the services provided for residents’ welfare. The community also features a dedicated memory care unit, called the Sunflower Unit, to ensure that residents with memory issues are well-cared for.
Cultural programs and a full recreation calendar are conducted to enrich residents’ stay. Private and semi-private rooms are also available to meet residents’ preferences. Public transportation, restaurants, and shops are also available nearby, providing residents with access to their needs. This nursing home is ideal for senior living in Tennessee, particularly with its wide range of services.
Measured by Centers for Medicare & Medicaid Services (CMS)
Overall ratingThe 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.
Health InspectionBased 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.
StaffingMeasures 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.
Quality MeasuresBased 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.
Staffing hours
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.
Hours per resident per day vs Tennessee averages
Rank#81 / 178Nurse hours — State benchmarkedThis home is ranked 81st out of 178 homes we track in Tennessee for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the Tennessee average, with a ranking across 178 Tennessee facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Tennessee that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Total nursing care
This home is ranked 81st out of 178 homes we track in Tennessee for nurse hours. 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.
3h 33m
At state avg
This facilityState avg 3h 38m
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.
26m
−29% State avg: 37m per day · National avg: 41m per day
LPN / LVNLicensed 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.
58m
−13% State avg: 1h 6m per day · National avg: 52m per day
Nurse AideCertified 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.
2h 9m
Avg State avg: 2h 9m per day · National avg: 2h 21m per day
Weekend Total NursingCombined 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.
3h 10m
−6% State avg: 3h 21m per day · National avg: 3h 26m per day
Physical TherapistHours 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.
1m
−85% State avg: 5m per day · National avg: 4m per day
Weekend RNRegistered 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.
21m
−17% State avg: 25m per day · National avg: 29m per day
5 of 6 metrics below state avg
By The Numbers
Community insights.
Bed count
A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.50Rank#159 / 186Bed count — State benchmarkedThis home is ranked 159th out of 186 homes we track in Tennessee for bed count. Shows this facility's certified or reported bed count compared to other Tennessee facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Tennessee that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Smaller home
· May offer a more intimate, personalized care environment.
Years of operating
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care. This is the number of years in operation under current management.Rank#21 / 162Years in operation — State benchmarkedThis home is ranked 21st out of 162 homes we track in Tennessee for years in operation. Shows how long this facility has been in operation compared to other Tennessee facilities. Longer operating histories may benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Tennessee that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
34years
Walk Score
Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.Rank#1 / 194Walk Score — State benchmarkedThis home is ranked 1st out of 194 homes we track in Tennessee for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Tennessee facilities. Higher scores benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Tennessee that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
80/ 100
Occupancy rate
Occupancy lower than 85% suggests more openings may be available.
36%This home usually has availability
Lower than the Tennessee average: 71.7%
Occupied beds
18/ 50
Avg. Length of Stay
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
125days
BBB Rating
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
BBB ratings provide context about a business’s trust and complaint history. They are not a measure of care quality or regulatory compliance.
Ratings range from A+ (highest) to F (lowest).
What the rating reflects
Complaint history and resolution
Business practices and transparency
Time in operation
About this community
License Details
Facility TypeAssisted Care Living Facility
IssuanceJanuary 7, 1992
CountyRobertson
License Number00000240
Ownership & Operating Entity
Majestic Gardens at Memphis Rehabilitation and Skilled Nursing Center is legally operated by Majestic Operations, LLC, and administered by Natalie Berkely.
Therapy & Rehabilitation
1 service
Rehabilitation Services
Staffing & Medical
2 services
Doctor on Staff
24-Hour Staffing
Amenities & Lifestyle
Specific ProgramsSecure Memory Care, Patriots Place for veterans
This profile shows two inspection records, and their totals often differ.
Inspection History and the Inspection Scorecard below are state data — the
figures the state publishes and the state inspection reports we hold on file —
covering the entire facility. CMS Health Inspection History covers only this
home's Medicare and Medicaid-certified nursing beds, from federal certification
surveys.
Inspection History
In Tennessee, the Department of Health, Division of Health Care Facilities performs unannounced inspections and investigations to ensure facilities provide high-quality resident care.
Inspection Scorecard
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.
Overall vs. TN average
0 Worse
No metrics in this bucket.
1 Better
Metrics better than Tennessee average:
• Total citations (20% below)
Citations Citations are formal regulatory issues recorded during state inspections.
This Facility
TN Average
vs. TN Avg
Total citations Formal regulatory issues recorded by inspectors across all inspection types.
4
5
This facility has 20% fewer total citations than a typical Tennessee nursing home (4 vs. TN avg 5).↓ 20% better
Federal inspection data published by CMS, covering this home's Medicare and/or
Medicaid-certified skilled-nursing/nursing beds only.
InspectionsSince 2019 · 7 years of data
Includes all CMS health inspection records for this property, which could include management/ownership changes.
Total health inspections5
Tennessee average3.3
Last Health inspection on Sep 2025
Total health citations
37Rank#177 / 179Health citations — State benchmarkedThis home is ranked 177th out of 179 homes we track in Tennessee for health citations. Shows this facility's total health deficiency citations benchmarked to the Tennessee State average, with a ranking across all 179 TN facilities. Lower citation counts earn a better rank.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Tennessee that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Tennessee average14.6
Citations per inspection
7.4Rank#154 / 179Citations per inspection — State benchmarkedThis home is ranked 154th out of 179 homes we track in Tennessee for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Tennessee mean across 179 facilities with citation data. Lower is better.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Tennessee that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Tennessee average4.35
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
16 of 37 citations resulted from standard inspections; 10 of 37 resulted from complaint investigations; and 11 of 37 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 7 years)
Critical health citations
4
344% worse than Tennessee average
Tennessee average: 0.9
Serious health citations
0
100% better than Tennessee average
Tennessee average: 0.5
4 critical citationsTennessee average: 0.9
0 serious citationsTennessee average: 0.5
33 moderate citationsTennessee average: 13.2
0 minor citationsTennessee average: 0.1
Citations history (last 7 years)
Abuse/Neglect moderate citationSep 11, 2025
Corrected
Abuse/Neglect moderate citationSep 11, 2025
Corrected
Infection Control moderate citationSep 11, 2025
Corrected
Pharmacy moderate citationSep 11, 2025
Corrected
Citations history (last 7 years)
Staffing Data
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Total staff275
Employees178
Contractors97
Staff to resident ratio2.05 : 1
17% more staff per resident than Tennessee average
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)
Total fines amount
$821K Rank#180 / 180Federal fines — State benchmarkedThis home is ranked 180th out of 180 homes we track in Tennessee for federal fines. Shows this facility's cumulative CMS federal fine dollars versus the Tennessee average among facilities with fines, and where it ranks among 180 facilities in the pool. Lower total dollars mean a better rank.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Tennessee that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
851% higher than Tennessee average
Tennessee average: $86K
Number of fines
12
588% more fines than Tennessee average
Tennessee average: 1.7
Payment DenialsSerious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
3
489% more payment denials than Tennessee average
Tennessee average: 0.5
Fines amount comparison
Fines amount comparison
This facility$821K
Tennessee average$86K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
9 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Civil Money PenaltyFines imposed for noncompliance, which can be assessed per day or per instance of violation.May 8, 2024
$276K
Payment DenialSerious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.May 8, 2024
129 days
Civil Money PenaltyFines imposed for noncompliance, which can be assessed per day or per instance of violation.Jan 8, 2024
$5K
Civil Money PenaltyFines imposed for noncompliance, which can be assessed per day or per instance of violation.Dec 11, 2023
$14K
Last updated: Jan 2026
Penalty History
9 TOTAL
Civil Money PenaltyFines imposed for noncompliance, which can be assessed per day or per instance of violation.May 8, 2024
$276K
Payment DenialSerious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.May 8, 2024
129 days
Civil Money PenaltyFines imposed for noncompliance, which can be assessed per day or per instance of violation.Jan 8, 2024
$5K
Civil Money PenaltyFines imposed for noncompliance, which can be assessed per day or per instance of violation.Dec 11, 2023
$14K
Civil Money PenaltyFines imposed for noncompliance, which can be assessed per day or per instance of violation.Nov 20, 2023
$5K
Civil Money PenaltyFines imposed for noncompliance, which can be assessed per day or per instance of violation.Nov 13, 2023
$5K
Civil Money PenaltyFines imposed for noncompliance, which can be assessed per day or per instance of violation.Nov 6, 2023
$5K
Civil Money PenaltyFines imposed for noncompliance, which can be assessed per day or per instance of violation.Oct 30, 2023
$5K
Civil Money PenaltyFines imposed for noncompliance, which can be assessed per day or per instance of violation.Oct 10, 2023
$12K
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events scoreA composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.12.5
19% worse than Tennessee average
Tennessee average: 10.5
Functional decline scoreA composite score based on activities of daily living decline, walking ability decline, and incontinence.22.7
16% worse than Tennessee average
Tennessee average: 19.5
Long-stay resident measures
AverageTennessee avg: 3.7CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Percent of long-stay residents whose need for help with daily activities has increased22.7%
41% worse than Tennessee average
Tennessee average: 16.0%
Walking Ability Worsened Percent of long-stay residents whose ability to move independently worsened29.0%
33% worse than Tennessee average
Tennessee average: 21.7%
Low Risk Residents with Bowel/Bladder Incontinence Percent of low risk long-stay residents who lose control of their bowels or bladder16.5%
21% better than Tennessee average
Tennessee average: 20.7%
Falls with Major Injury Percent of long-stay residents experiencing one or more falls with major injury2.5%
31% better than Tennessee average
Tennessee average: 3.7%
High Risk Residents with Pressure Ulcers Percent of long-stay high risk residents with pressure ulcers3.7%
32% better than Tennessee average
Tennessee average: 5.4%
Urinary Tract Infection Percent of long-stay residents with a urinary tract infection0.7%
68% better than Tennessee average
Tennessee average: 2.1%
Lost Too Much Weight Percent of long-stay residents who lose too much weight4.4%
30% better than Tennessee average
Tennessee average: 6.3%
Depressive Symptoms Percent of long-stay residents who have depressive symptoms0.0%
100% better than Tennessee average
Tennessee average: 11.0%
Antipsychotic Use Percent of long-stay residents who received an antipsychotic medication14.1%
15% better than Tennessee average
Tennessee average: 16.5%
Pneumococcal Vaccine Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine80.3%
11% worse than Tennessee average
Tennessee average: 89.9%
Influenza Vaccine Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine89.6%
5% worse than Tennessee average
Tennessee average: 94.5%
Hospitalizations per 1,000 days Number of hospitalizations per 1,000 long-stay resident days.2.17
37% worse than Tennessee average
Tennessee average: 1.58
ED visits per 1,000 days Number of outpatient emergency department visits per 1,000 long-stay resident days.2.22
41% worse than Tennessee average
Tennessee average: 1.57
Short-stay resident measures
Significantly below averageTennessee avg: 3.4CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal VaccinePercent of short-stay residents assessed and appropriately given the pneumococcal vaccine29.3%
63% worse than Tennessee average
Tennessee average: 79.7%
Antipsychotic medication increasePercent of short-stay residents who newly received an antipsychotic medication0.7%
62% better than Tennessee average
Tennessee average: 1.7%
Influenza VaccinePercent of short-stay residents assessed and appropriately given the seasonal influenza vaccine33.3%
58% worse than Tennessee average
Tennessee average: 79.8%
Re-hospitalized after SNF stayPercentage of short-stay residents who were re-hospitalized after their nursing home admission.27.2%
23% worse than Tennessee average
Tennessee average: 22.2%
Emergency department visitsPercentage of short-stay residents who had an outpatient emergency department visit.11.2%
In line with Tennessee average
Tennessee average: 11.2%
Falls with major injuryPercentage of SNF residents who experience falls with major injury during their stay.6.6%
756% worse than Tennessee average
Tennessee average: 0.8%
Ability to care for self at dischargePercentage of residents at or above expected ability to care for themselves at discharge.38.9%
28% worse than Tennessee average
Tennessee average: 53.7%
Successful return to home or communityRate of successful return to home or community from a skilled nursing facility.41.7%
17% worse than Tennessee average
Tennessee average: 50.6%
Breakdown by payment type
Medicare
19% of new residents, usually for short-term rehab.
Typical stay1 - 2 months
Private pay
63% of new residents, often for short stays.
Typical stay1 - 2 months
Medicaid
18% of new residents, often for long-term daily care.
Typical stay1 - 2 years
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics
(Data as of Jan 2026)
Total residents134
Medicare
20
14.9% of residents
Medicaid
93
69.4% of residents
Private pay or other
21
15.7% of residents
Financial Trends
Historical financial and operational data for Majestic Gardens at Memphis Rehabilitation and Skilled Nursing Center from 2011–2023, based on CMS SNF Cost Reports.
Includes all financial data for this property, which could include management/ownership changes.
Key figures below are for fiscal year ending in 12/2023.
Net Patient Income-$1.3M↑ ~$1.1M vs 2022
Payroll Costs$7.3M↑ ~$1.2M vs 2022
Operating Margin-9.1%↑ 10.4pp vs 2022
Financial Performance
Net patient revenueOperating expensesNet patient income
Payroll & Labor Costs
SalariesStaff salaries from the home's own payroll records.Wage CostsWage-related costs — benefits such as payroll taxes, health insurance and retirement. Together with salaries, these make up payroll.Contract LaborPay for temporary or agency staff. Counted under other operating costs, not payroll.
Payer Mix (percentage)
MedicareMedicaidPrivate Pay/Other
Metric
2011
2012
2013
2014
2015
2016
2018
2019
2020
2021
2022
2023
Occupancy %
77.2%
82.8%
86.9%
84.1%
79.0%
65.2%
83.7%
86.4%
82.9%
85.7%
68.7%
80.1%
Beds
169
169
169
169
169
169
169
169
169
169
169
169
Net Income
-$1,133,861
-$122,913
$311,729
$421,851
-$785,084
-$1,341,748
$2,218,769
$423,913
$2,612,770
$1,838,178
-$1,757,552
-$231,989
Gross Revenue
$9,861,149
$10,995,927
$11,905,028
$12,391,637
$13,062,379
$10,147,996
$14,810,974
$15,799,699
$15,109,834
$16,466,648
$13,575,233
$15,998,911
Operating Expenses
$10,649,681
$10,436,614
$10,257,315
$10,513,663
$11,715,432
$9,919,900
$11,004,488
$14,214,183
$15,579,129
$17,366,437
$14,740,679
$16,153,239
Net Patient Income
-$1,116,416
-$69,224
$235,600
$314,285
-$989,179
-$1,156,620
$1,884,194
$386,206
-$452,723
-$1,617,855
-$2,400,425
-$1,345,673
Net Patient Revenue
$9,533,265
$10,367,390
$10,492,915
$10,827,948
$10,726,253
$8,763,280
$12,888,682
$14,600,389
$15,126,406
$15,748,582
$12,340,254
$14,807,566
Payroll Costs
$5,676,923
$5,336,656
$5,089,941
$5,104,242
$5,168,997
$5,179,031
$5,556,517
$6,462,766
$7,333,552
$6,711,068
$6,174,689
$7,335,929
Operating Margin %
-11.7%
-0.7%
2.3%
2.9%
-9.2%
-13.2%
14.6%
2.7%
-3.0%
-10.3%
-19.5%
-9.1%
Medicare %
8.6%
14.8%
8.9%
9.8%
8.8%
6.2%
10.2%
12.8%
13.9%
7.1%
9.5%
5.5%
Medicaid %
80.4%
76.3%
84.2%
85.1%
85.5%
84.9%
74.1%
73.1%
71.3%
77.7%
72.3%
75.8%
Private %
11.0%
8.9%
6.9%
5.1%
5.7%
8.9%
15.7%
14.1%
14.8%
15.1%
18.3%
18.7%
Net Patient Revenue/Day
$200
$202
$196
$209
$220
$217
$250
$274
$295
$298
$291
$300
Cost/Day
$224
$204
$191
$203
$240
$246
$213
$267
$304
$329
$348
$327
Avg Length of Stay
228.8 days
122.5 days
192.4 days
132.2 days
149.7 days
139.6 days
121.4 days
106.6 days
128.5 days
122.9 days
77.9 days
125.0 days
Finances and operations
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
For-profit
Operated by a single business entity.
Net patient revenueNet patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$14.8M
Net patient incomeNet patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$1.3M
For-profit Operated by a single business entity.
Net patient revenueNet patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$14.8M Rank#34 / 173Net patient revenue — State benchmarkedThis home is ranked 34th out of 173 homes we track in Tennessee. Shows this facility's net patient revenue compared to the Tennessee average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Tennessee that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Net patient incomeNet patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$1.3M
Other incomeMoney the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$1.1M
Payroll costsStaff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.Rank#41 / 173Payroll costs — State benchmarkedThis home is ranked 41st out of 173 homes we track in Tennessee. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Tennessee average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Tennessee that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
$7.3M
49.5% of net patient revenue
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.Rank#95 / 173Payroll % of net patient revenue — State benchmarkedThis home is ranked 95th out of 173 homes we track in Tennessee. Shows payroll as a percentage of net patient revenue versus the Tennessee average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Tennessee that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Other operating costsEverything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$8.8M
Total costsThe home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$16.2M
Certification details
License Number:445150
Date business started:6/16/2017
Rural vs. Urban:Urban
County:Shelby
Type of Control:For-profit — Operated by a single business entity.
Source: Centers for Medicare & Medicaid Services (CMS) and State data
How we calculate these figures
We use the home's most recent CMS SNF Cost Report — the annual financial statement every Medicare- and Medicaid-certified nursing home is required to file — to show how it earns and spends on resident care.
This includes
Net patient revenue — what the home collects for resident care after contractual allowances, bad debt and discounts.
Payroll — staff salaries plus wage-related benefits. Contract and agency labor is counted separately, under other operating costs.
Net patient income — what's left after the home's total operating expenses.
How we calculate net patient income and payroll %
Net patient income is net patient revenue minus the home's total operating expenses. Payroll % is payroll divided by net patient revenue — the share of each revenue dollar that goes to staff pay.
Net patient revenue vs. other income
Net patient revenue is money earned from resident care only. Anything the home earns outside of care — investments, grants, rentals and other non-operating sources — is reported separately as other income. Other income is not part of net patient revenue, and it is not included in net patient income.
What does this home offer?
No pets allowed
Building Type: Two-story
Who this home usually serves
TYPE OF STAY
Primarily short stays
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
Most new residents arrive under private pay (63% of admissions), and a typical private pay stay runs around 1 - 2 months.
Admissions
384 total
Coverage residents most often arrive under.
Medicare19%
Private pay63%
Medicaid18%
Discharges
394 total
Coverage residents most often leave under.
Medicare10%
Private pay60%
Medicaid30%
How we assess these insights
We analyze official CMS data on admissions and discharges to understand the types of residents a nursing home most often serves.
This includes
Medicare, Medicaid, and private-pay admissions and discharges
Number of nights covered by each payment type
Typical length of stay
How we calculate length of stay
We calculate length of stay separately for each payment type (Medicare, Medicaid and private) by dividing total number of nights by total number of admissions.
Places of interest near Majestic Gardens at Memphis Rehabilitation and Skilled Nursing Center
3.2 miles from city center Estimated distance in miles from Memphis's city center to Majestic Gardens at Memphis Rehabilitation and Skilled Nursing Center's address, calculated via Google Maps.
— 1.32 miles to nearest hospital (Methodist University Hospital)
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Info below is compiled from CMS reports & the TN Dept. of Health (TDH), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest-ranked to lowest-ranked based on our methodology.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This TableAL (Assisted Living):
Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing.
NH (Nursing Home):
24/7 skilled nursing care for residents with complex, ongoing medical needs.
SNF (Skilled Nursing Facility):
Round-the-clock nursing care, often for recovery after surgery, injury, or illness.
MC (Memory Care):
Secured, specialized care for people living with Alzheimer's or dementia.
RC (Respite Care):
Short-term temporary care that gives family caregivers a break.
IL (Independent Living):
Community living with dining, activities, and transportation for active seniors who need little personal care.
HOS (Hospice Care):
Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
CCRC (Continuing Care Retirement Community):
A campus with multiple care levels so residents can age in place without moving.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Tennessee average is: 54.1% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
Rank badges are statewide: each nursing home is ranked against every TN nursing home we track that reports that metric, not just the 5 on this page. See how we rank facilities
Financial Assistance for Nursing Home in Tennessee
Majestic Gardens at Memphis Rehabilitation and Skilled Nursing Center is located in Memphis, Tennessee. Here are the financial assistance programs available to residents in Tennessee.
Income Limits (2025)~$45,000/yearhousehold, excludes half of Social Security
Asset LimitsNot assessed; income-focused.
TN
Rebates up to $1,000; serves ~100,000 annually.
Benefits
Tax rebates (~$250-$1,000 based on income; e.g., $1,000 if income < $8,000)
Frequently Asked Questions about Majestic Gardens at Memphis Rehabilitation and Skilled Nursing Center
What neighborhood is Majestic Gardens at Memphis Rehabilitation and Skilled Nursing Center in?
Majestic Gardens at Memphis Rehabilitation and Skilled Nursing Center is in the Midtown neighborhood of Memphis.
Who is the owner of Majestic Gardens at Memphis Rehabilitation and Skilled Nursing Center?
Majestic Gardens at Memphis Rehabilitation and Skilled Nursing Center is legally operated by Majestic Operations, LLC, and administered by Natalie Berkely.
Is Majestic Gardens at Memphis Rehabilitation and Skilled Nursing Center in a walkable area?
Majestic Gardens at Memphis Rehabilitation and Skilled Nursing Center has a walk score of 80. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
What is the license number of Majestic Gardens at Memphis Rehabilitation and Skilled Nursing Center?
According to TN state health department records, Majestic Gardens at Memphis Rehabilitation and Skilled Nursing Center's license number is 00000240.
What is the occupancy rate at Majestic Gardens at Memphis Rehabilitation and Skilled Nursing Center?
Majestic Gardens at Memphis Rehabilitation and Skilled Nursing Center's occupancy is 36%.
How long has Majestic Gardens at Memphis Rehabilitation and Skilled Nursing Center been in business?
Majestic Gardens at Memphis Rehabilitation and Skilled Nursing Center has been operating for approximately 34 years, based on available licensing and registration records.
Are pets allowed at Majestic Gardens at Memphis Rehabilitation and Skilled Nursing Center?
No, Majestic Gardens at Memphis Rehabilitation and Skilled Nursing Center has a no-pet policy.