Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
187
183 employees · 4 contractors · 64 on an average day Signature HealthCARE of Primacy
Nursing Home, Respite Care & Skilled Nursing · Memphis, TN
CMS overall rating
4/5
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.
4/5
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.
Signature HealthCARE of Primacy
Nursing Home, Respite Care & Skilled Nursing · Memphis, TN
CMS overall rating
4/5
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.
4/5
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.
Signature HealthCARE of Primacy accepts Medicare, Medicaid, and private pay.
Overview of Signature HealthCARE of Primacy
Signature HealthCARE of Primacy is a nursing home in Memphis, TN, offering rehabilitation and clinical services. Through result-driven programs and cutting-edge technologies, the community strives to help older adults recover and improve their quality of life. 24-hour nursing support, physical, occupational, and speech therapies, and wound care are just some of the services provided to meet residents’ needs and preferences. The community also features a care navigation program to ensure families are updated about their loved one’s conditions.
Regular outings, hobby clubs, and a variety of life enrichment programs are conducted to maintain residents’ holistic well-being. Multi-denominational weekly religious services, a beauty salon, and on-site podiatry, dental, and optometry services are also available. The community is also located near St. Francis Hospital-Memphis and other local amenities in Memphis, providing convenient access to medical needs. Providing a wide range of care services, this nursing home is a good choice for senior living in Tennessee.
Quality ratings
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.
Staffing
Data period: Q2 2026 (April 1 – June 30, 2026).
Nursing care per resident per day and state rankings: CMS Provider Information.
Headcount, shifts and contractors: CMS Payroll-Based Journal (PBJ).
Resident count: CMS Long-Term Care Facility Characteristics (data as of Sep 2026).
Total nursing care per resident / day
This nursing home is ranked 45th out of 172 nursing 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 55m
This nursing home is ranked 45th out of 172 nursing 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 55mStandout metric: Physical therapist is +38% above Tennessee average
3 of 6 metrics below Tennessee average
Daily care time per resident, by role
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. All 20 are the facility's own employees; no agency contractors work in this role.
20 staff · 7.1-hour shifts
43m
↑ 17% · TN 37mThis facility: 43m per resident per day, 17% above the Tennessee average of 37m (among Tennessee facilities reporting a recent figure).
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. All 20 are the facility's own employees; no agency contractors work in this role.
20 staff · 7.1-hour shiftsUS average: 41m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 41m
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. All 36 are the facility's own employees; no agency contractors work in this role.
36 staff · 8-hour shifts
1h 14m
↑ 13% · TN 1h 6mThis facility: 1h 14m per resident per day, 13% above the Tennessee average of 1h 6m (among Tennessee facilities reporting a recent figure).
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. All 36 are the facility's own employees; no agency contractors work in this role.
36 staff · 8-hour shiftsUS average: 52m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 52m
Certified nursing assistant
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. All 74 are the facility's own employees; no agency contractors work in this role.
74 staff · 7.7-hour shifts
1h 57m
↓ 9% · TN 2h 9mThis facility: 1h 57m per resident per day, 9% below the Tennessee average of 2h 9m (among Tennessee facilities reporting a recent figure).
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. All 74 are the facility's own employees; no agency contractors work in this role.
74 staff · 7.7-hour shiftsUS average: 2h 21m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 2h 21m
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.
7m
↑ 38% · TN 5mThis facility: 7m per resident per day, 38% above the Tennessee average of 5m (among Tennessee facilities reporting a recent figure).
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.
US average: 4m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 4m
Total nursing, weekends
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.
RN + LPN + aide · Sat–Sun
3h 7m
↓ 7% · TN 3h 21mThis facility: 3h 7m per resident per day, 7% below the Tennessee average of 3h 21m (among Tennessee facilities reporting a recent figure).
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.
RN + LPN + aide · Sat–SunUS average: 3h 26m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 3h 26m
RN, weekends
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.
Sat–Sun
23m
↓ 7% · TN 25mThis facility: 23m per resident per day, 7% below the Tennessee average of 25m (among Tennessee facilities reporting a recent figure).
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.
Sat–SunUS average: 29m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 29m
Headcount
Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
187
183 employees · 4 contractors · 64 on an average day
187 total staff / 97 residents. Residents: CMS Long-Term Care Facility Characteristics (data as of Sep 2026); staff: CMS Payroll-Based Journal (Q2 2026).Residents and staff come from two different CMS releases, so the two counts can be a few months apart.
1.93 : 1
↑ 16% · TN 1.66This facility: 1.93 staff per resident, 16% above the Tennessee average of 1.66 (among Tennessee facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
187 staff ÷ 97 residents
See full Tennessee ranking →
Average hours one staff member works on a day they are on shift, across every role.
7.5 h
↓ 10% · TN 8.3 hThis facility: 7.5 h, 10% below the Tennessee average of 8.3 h (among Tennessee facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
43,562 staff hours this quarter
See full Tennessee ranking →99.7% of staff hours were worked by the facility's own employees
Tennessee average: 93.5% · Contractors this quarter: Occupational Therapy Assistant (3), Medical Director (1)
Why it matters: employees work here week after week and get to know each resident's routines and needs. Agency contractors often rotate between facilities, so a higher employee share usually means more consistent care.
By The Numbers
Community insights.
Bed count
A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.
78
Rank #121 / 181Bed count — State benchmarked This nursing home is ranked 121st out of 181 nursing 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 compare like with like: every nursing home we track in Tennessee that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.
78
Rank #121 / 181Bed count — State benchmarked This nursing home is ranked 121st out of 181 nursing 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 compare like with like: every nursing home we track in Tennessee that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.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 #20 / 156Years in operation — State benchmarked This nursing home is ranked 20th out of 156 nursing 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 compare like with like: every nursing home we track in Tennessee that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
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 #20 / 156Years in operation — State benchmarked This nursing home is ranked 20th out of 156 nursing 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 compare like with like: every nursing home we track in Tennessee that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
34
years
Walk Score
Somewhat walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
Rank #51 / 189Walk Score — State benchmarked This nursing home is ranked 51st out of 189 nursing 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 compare like with like: every nursing home we track in Tennessee that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Somewhat walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
Rank #51 / 189Walk Score — State benchmarked This nursing home is ranked 51st out of 189 nursing 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 compare like with like: every nursing home we track in Tennessee that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
53
/ 100
Occupancy rate
Occupancy lower than 85% suggests more openings may be available.
Rank #97 / 130Occupancy rate — State benchmarked This nursing home is ranked 97th out of 130 nursing homes we track in Tennessee for occupancy. Shows this facility's occupancy rate versus the Tennessee average, with its Statewide rank out of 130. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Tennessee that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Occupancy lower than 85% suggests more openings may be available.
Rank #97 / 130Occupancy rate — State benchmarked This nursing home is ranked 97th out of 130 nursing homes we track in Tennessee for occupancy. Shows this facility's occupancy rate versus the Tennessee average, with its Statewide rank out of 130. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Tennessee that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
65.4%
This home usually has availability
Based on 51 residents and 78 beds. Source: state licensing agency resident count
Lower than the Tennessee average: 74.2%
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.
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.
47
days
About This Community
Facility TypeNursing Home
IssuanceJanuary 7, 1992
ExpirationMay 30, 2027
CountyHawkins
License Number00000239
CMS Certification Number445140
ExceleratedCARE — Signature HealthCAREA branded program developed by this community's operator or its partners - a named approach to programming or care, rather than an independent external certification.
eSwallow™A branded program developed by this community's operator or its partners - a named approach to programming or care, rather than an independent external certification.
NuStep® & OmniCycle® EquipmentA branded program developed by this community's operator or its partners - a named approach to programming or care, rather than an independent external certification.
Signature HealthCARE of Primacy is legally operated by LP Memphis V, LLC, and administered by Felix Strickland.
Resident Council
Short-Term Rehabilitation
Dysphagia Training
Pulmonary Rehabilitation
Cardiac RehabilitationA supervised program that helps people regain strength and endurance after heart problems or procedures, often including exercise and risk-factor education.
Outpatient Therapy
Diathermy
Orthopedic Recovery Program
Coordination or Balance Program
Physical Therapy
Occupational Therapy
Speech Therapy
Wound Care (Complex Post-Surgical Wounds, Wound Vacs)
Fall Management Program
Orthopedic Post-Op Care (CPM Available)
Wound Vac Therapy
Ultrasound
On-Site Podiatry
Dentistry
Optometry Services
Medication ManagementSupport with organizing, administering, and monitoring medicines can help prevent missed or incorrect doses.
Bariatric Patient Care Up To 400 Pounds
Respite CareRespite care provides families and unpaid caregivers with short-term relief from caregiving duties. Care can range from a few hours to a few weeks.
Home Transition Services
Care Navigation
Pets not allowed
Wi-Fi
Computers
Nustep® & Omincycle® Equipment
Volunteer Program
Activities
Recreational Therapy
Touring HoursMonday-Friday: 9:00 AM - 9:00 PM, Saturday & Sunday: 10:00 AM - 6:30 PM
Multi-Denominational Services
Religious AffiliationYes
Room Types
Private Room
Suite
Two inspection records, one home. Tennessee inspects it under state rules; CMS inspects its nursing-home beds under federal rules.
Inspection History and the Inspection Scorecard below are the state record. CMS Health Inspection History, further down, is the federal record. Each counts its own visits and findings over its own dates, so the totals are not meant to match, and nothing is counted twice.
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.
Since 2024 · 2 years of data
These figures come from state-published data and the state inspection reports we hold on file. The period covered can vary depending on document availability.
Includes all inspection records for this property, which could include management/ownership changes. 2 citations 1 inspection
Includes all inspection records for this property, which could include management/ownership changes. 2 citations 1 inspection
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.
Since 2024 vs. Tennessee state average
Overall vs. TN average
1 Worse
Metrics worse than Tennessee average:
• Citations per inspection (67% above) 1 At Avg Metrics at Tennessee average:
• Total citations (at TN avg) 0 Better No metrics in this bucket.
• Citations per inspection (67% above) 1 At Avg Metrics at Tennessee average:
• Total citations (at TN avg) 0 Better No metrics in this bucket.
Citations
| This Facility | TN Average | vs. TN Avg |
|---|---|---|---|
|
Total citations
Formal regulatory issues recorded by inspectors across all inspection types.
| 2 | 2.0 | This facility has total citations in line with the Tennessee average (2 vs. TN avg 2).— At avg |
|
Citations per inspection
Average citations per inspection.
| 2.0 | 1.2 | This facility has 67% more citations per inspection than a typical Tennessee nursing home (2 vs. TN avg 1.2).↑ 67% worse |
Inspections
| This Facility | TN Average | vs. TN Avg |
|---|---|---|---|
|
Total inspections
Combined count of all inspections conducted at this facility.
| 1 | 2.0 | This facility has had 50% fewer total inspections than the Tennessee average (1 vs. TN avg 2). More inspections can mean more regulatory scrutiny rather than worse care.↓ 50% fewer |
Residents information
Stay stats
Average length of stay
726 days
Total residents
86
Total admissions (2024)
36
Total discharges (2024)
39
Discharges
- To Private Residence or Home 5
- To Nursing Home 6
Demographics
GENDER
- Female Residents 70.9%
- Male Residents 29.1%
AGE DISTRIBUTION
- 60-64 3.5%
- 65-69 1.2%
- 70-74 9.3%
- 75-79 18.6%
- 80-84 15.1%
- 85-89 22.1%
- 90 or more 30.2%
ETHNICITY
CMS Health Inspection History
Federal inspection data published by CMS, covering this home's Medicare and/or Medicaid-certified skilled-nursing/nursing beds only.
Total health inspections
2
↓ 39% · TN 3.3This facility: 2, 39% below the Tennessee average of 3.3 (among Tennessee facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Total health citations
7
Rank #19 / 175Health citations — State benchmarked This nursing home is ranked 19th out of 175 nursing 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 175 TN facilities. Lower citation counts earn a better rank. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Tennessee that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↓ 51% · TN 14.4This facility: 7, 51% below the Tennessee average of 14.4 (among Tennessee facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citations per inspection
3.5
Rank #50 / 175Citations per inspection — State benchmarked This nursing home is ranked 50th out of 175 nursing homes we track in Tennessee for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Tennessee mean across 175 facilities with citation data. Lower is better. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Tennessee that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↓ 19% · TN 4.33This facility: 3.5, 19% below the Tennessee average of 4.33 (among Tennessee facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citation severity
100% corrected
7 of 7 citations corrected
Critical
J–L
0
↓ 100% · TN 0.8This facility: 0, 100% below the Tennessee average of 0.8 (among Tennessee facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Immediate jeopardy
Serious
G–I
0
↓ 100% · TN 0.4This facility: 0, 100% below the Tennessee average of 0.4 (among Tennessee facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Actual harm
Moderate
D–F
7
↓ 47% · TN 13.1This facility: 7, 47% below the Tennessee average of 13.1 (among Tennessee facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, more than minimal risk
Minor
A–C
0
↓ 100% · TN 0.1This facility: 0, 100% below the Tennessee average of 0.1 (among Tennessee facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, minimal riskLatest inspection: Mar 03, 2026 · 3 citations, all corrected
Most cited category: Resident Assessment & Care Planning, 3 of 7 citations · 3 categories in total
Citations history
Most recent first
Mar 03, 2026
3 citations
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Dec 01, 2021
4 citations
Care Planning moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Top deficiency categories
Share of 7 citations
Resident Assessment & Care Planning
3 deficiencies (43%)
Quality of Life & Care
3 deficiencies (43%)
Pharmacy Services
1 deficiency (14%)
How citations are counted
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 7 citations resulted from standard inspections.
Includes all CMS health inspection records for this property, which could include management/ownership changes.
Source
Data sourced from CMS Health Deficiencies reports, which cover the Medicare and/or Medicaid-certified skilled-nursing and nursing beds and no other part of the community. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Enforcement
Penalties and fines
Penalties and fines
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 Oct 2026
No penalties in the past 3 years
No civil money penalties or payment denials on record since Oct 2023.
Total fines
$0
TN avg $61KTennessee average: $61,386. Average among the 102 Tennessee facilities with a penalty on record.US avg $66KUS average: $66,281, among the 6,725 US facilities with a penalty on record.
Number of fines
0
TN avg 1.4Tennessee average: 1.4. Average among the 102 Tennessee facilities with a penalty on record.US avg 1.88US average: 1.88, among the 6,725 US facilities with a penalty on record.
Payment denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
TN avg 0.25Tennessee average: 0.25. Average among the 102 Tennessee facilities with a penalty on record.US avg 0.35US average: 0.35, among the 6,725 US facilities with a penalty on record.
Health Outcomes
Quality of care over time
How residents at this home fare on health outcomes and preventive care, compared with the Tennessee average.
CMS star rating for the care of long-stay residents, who live at the home for 100 days or more. It is built from the long-stay quality measures below. 5 stars is the best.
5
/ 5
Significantly above average
↑ 37% · TN 3.7This facility: 5.0, 37% above the TN average of 3.7 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
CMS star rating for the care of short-stay residents, mostly people recovering after a hospital stay for under 100 days. It is built from the short-stay quality measures below. 5 stars is the best.
3
/ 5
Average
↓ 12% · TN 3.4This facility: 3.0, 12% below the TN average of 3.4 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of five long-stay measures: pressure ulcers, falls with major injury, unplanned weight loss, worsening ability to walk, and needing more help with daily activities. Each is the % of residents affected, so lower is better.
6.7
Score · lower is better
↓ 22% · TN 8.6This facility: 6.7, 22% below the TN average of 8.6 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of three long-stay measures: needing more help with daily activities, worsening ability to walk, and loss of bowel or bladder control. Each is the % of residents affected, so lower is better.
13.0
Score · lower is better
↓ 19% · TN 16.0This facility: 13.0, 19% below the TN average of 16.0 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.13 long-stay measures: 8 better, 3 worse, 2 near TN average
8 short-stay measures: 2 better, 3 worse, 3 compared with US only
Long-stay residents
People who live at the home · 13 measures
Daily care & independence
Needed more help with daily activities
Percent of long-stay residents whose need for help with daily activities has increased
7.3%
↓ 46% · TN 13.5This facility: 7.3, 46% below the TN average of 13.5 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose need for help with daily activities has increased
7.3%
↓ 46% · TN 13.5This facility: 7.3, 46% below the TN average of 13.5 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Walking ability worsened
Percent of long-stay residents whose ability to move independently worsened
15.1%
↓ 2% · TN 15.4This facility: 15.1, 2% below the TN average of 15.4 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose ability to move independently worsened
15.1%
↓ 2% · TN 15.4This facility: 15.1, 2% below the TN average of 15.4 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Bowel or bladder incontinence (low-risk residents)
Percent of low risk long-stay residents who lose control of their bowels or bladder
16.6%
↓ 13% · TN 19.0This facility: 16.6, 13% below the TN average of 19.0 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of low risk long-stay residents who lose control of their bowels or bladder
16.6%
↓ 13% · TN 19.0This facility: 16.6, 13% below the TN average of 19.0 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Safety & clinical stability
Urinary tract infection
Percent of long-stay residents with a urinary tract infection
1.4%
↓ 19% · TN 1.7This facility: 1.4, 19% below the TN average of 1.7 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents with a urinary tract infection
1.4%
↓ 19% · TN 1.7This facility: 1.4, 19% below the TN average of 1.7 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Falls with major injury
Percent of long-stay residents experiencing one or more falls with major injury
0.9%
↓ 72% · TN 3.3This facility: 0.9, 72% below the TN average of 3.3 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents experiencing one or more falls with major injury
0.9%
↓ 72% · TN 3.3This facility: 0.9, 72% below the TN average of 3.3 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Pressure ulcers (high-risk residents)
Percent of long-stay high risk residents with pressure ulcers
6.7%
↑ 38% · TN 4.8This facility: 6.7, 38% above the TN average of 4.8 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay high risk residents with pressure ulcers
6.7%
↑ 38% · TN 4.8This facility: 6.7, 38% above the TN average of 4.8 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Physical & mental health
Lost too much weight
Percent of long-stay residents who lose too much weight
3.4%
↓ 44% · TN 6.0This facility: 3.4, 44% below the TN average of 6.0 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who lose too much weight
3.4%
↓ 44% · TN 6.0This facility: 3.4, 44% below the TN average of 6.0 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Depressive symptoms
Percent of long-stay residents who have depressive symptoms
2.7%
↓ 82% · TN 14.9This facility: 2.7, 82% below the TN average of 14.9 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who have depressive symptoms
2.7%
↓ 82% · TN 14.9This facility: 2.7, 82% below the TN average of 14.9 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Antipsychotic use
Percent of long-stay residents who received an antipsychotic medication
7.3%
↓ 57% · TN 17.0This facility: 7.3, 57% below the TN average of 17.0 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who received an antipsychotic medication
7.3%
↓ 57% · TN 17.0This facility: 7.3, 57% below the TN average of 17.0 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
62.5%
↓ 30% · TN 89.5This facility: 62.5, 30% below the TN average of 89.5 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
62.5%
↓ 30% · TN 89.5This facility: 62.5, 30% below the TN average of 89.5 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
92.3%
↓ 2% · TN 93.8This facility: 92.3, 2% below the TN average of 93.8 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
92.3%
↓ 2% · TN 93.8This facility: 92.3, 2% below the TN average of 93.8 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Hospital & emergency visits
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
2.64
↑ 67% · TN 1.58This facility: 2.64, 67% above the TN average of 1.58 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Number of hospitalizations per 1,000 long-stay resident days.
2.64
↑ 67% · TN 1.58This facility: 2.64, 67% above the TN average of 1.58 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
ER visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.84
↓ 46% · TN 1.57This facility: 0.84, 46% below the TN average of 1.57 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.84
↓ 46% · TN 1.57This facility: 0.84, 46% below the TN average of 1.57 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Short-stay residents
Rehab and recovery after a hospital stay · 8 measures
Daily care & independence
Able to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
44.8%
↓ 17% · US 53.7This facility: 44.8, 17% below the US average of 53.7 (among US facilities reporting a recent figure).
Percentage of residents at or above expected ability to care for themselves at discharge.
44.8%
↓ 17% · US 53.7This facility: 44.8, 17% below the US average of 53.7 (among US facilities reporting a recent figure).
Returned home or to the community
Rate of successful return to home or community from a skilled nursing facility.
55.0%
↑ 9% · US 50.6This facility: 55.0, 9% above the US average of 50.6 (among US facilities reporting a recent figure).
Rate of successful return to home or community from a skilled nursing facility.
55.0%
↑ 9% · US 50.6This facility: 55.0, 9% above the US average of 50.6 (among US facilities reporting a recent figure).Safety & clinical stability
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
0.8%
↑ 3% · US 0.8This facility: 0.8, 3% above the US average of 0.8 (among US facilities reporting a recent figure).
Percentage of SNF residents who experience falls with major injury during their stay.
0.8%
↑ 3% · US 0.8This facility: 0.8, 3% above the US average of 0.8 (among US facilities reporting a recent figure).Physical & mental health
New antipsychotic medication
Percent of short-stay residents who newly received an antipsychotic medication
1.5%
↓ 10% · TN 1.7This facility: 1.5, 10% below the TN average of 1.7 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents who newly received an antipsychotic medication
1.5%
↓ 10% · TN 1.7This facility: 1.5, 10% below the TN average of 1.7 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
45.7%
↓ 42% · TN 79.4This facility: 45.7, 42% below the TN average of 79.4 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
45.7%
↓ 42% · TN 79.4This facility: 45.7, 42% below the TN average of 79.4 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
60.0%
↓ 24% · TN 79.2This facility: 60.0, 24% below the TN average of 79.2 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
60.0%
↓ 24% · TN 79.2This facility: 60.0, 24% below the TN average of 79.2 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Hospital & emergency visits
Re-hospitalized after admission
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
24.1%
↑ 9% · TN 22.2This facility: 24.1, 9% above the TN average of 22.2 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
24.1%
↑ 9% · TN 22.2This facility: 24.1, 9% above the TN average of 22.2 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
ER visits
Percentage of short-stay residents who had an outpatient emergency department visit.
7.4%
↓ 34% · TN 11.2This facility: 7.4, 34% below the TN average of 11.2 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percentage of short-stay residents who had an outpatient emergency department visit.
7.4%
↓ 34% · TN 11.2This facility: 7.4, 34% below the TN average of 11.2 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Arrows show whether a figure is above or below the average. Green is better for residents, red is worse, and yellow means within 5% of the average. Grey compares with the US average only, because CMS publishes no state figure. The line on each bar marks the average.
Quality measures are calculated by CMS from Minimum Data Set (MDS) resident assessments and Medicare claims.
Money and staffing.
Signature HealthCARE of Primacy’s finances from its CMS cost report for the fiscal year ending December 2024, compared with 169 Tennessee nursing homes that filed a recent report. Includes all financial data for this property, which could include management/ownership changes.
FY Dec 2024
Is it financially stable?
Losing money on care, and more than last year
−11.5% operating margin
−6.2 pts vs prior year
An operating loss in 7 of the last 8 reported years. Other income ($0.0M) trims the net loss to −$1.4M. Watch for cost-cutting that reaches staffing.
Does it invest in staff?
Spends less on payroll than most Tennessee homes
47.9% payroll share of revenue
TN average 53.2%Rank #106 / 169Payroll % of net patient revenue — State benchmarked This nursing home is ranked 106th out of 169 nursing homes we track in Tennessee for payroll % of net patient revenue. 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 compare like with like: every nursing home we track in Tennessee that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Payroll rose $0.4M while revenue fell $0.8M. A low share can mean leaner staffing; check hours per resident in the staffing section.
FY 2024 scorecard
Each row shows the FY 2024 figure, the change since the prior report, the trend, and how it compares with Tennessee homes.
Revenue & profit
Losing money on care
| Metric | FY 2024 | vs prior year | Trend 2017 → 2024Trend | TN median | Compared with TN homesRank in TN | In short |
|---|---|---|---|---|---|---|
| Net patient revenue What the home earns from resident care, after discounts and bad debt. | $12.2M | −$0.8M | Trend 20172024 | TN median $10.6M | Rank in TN Rank #62 / 169Net patient revenue — State benchmarked This nursing home is ranked 62nd out of 169 nursing homes we track in Tennessee for net patient revenue. 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 compare like with like: every nursing home we track in Tennessee that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 64% of homes | Above TN median Higher net patient revenue than 64% of TN homes that filed a recent report. Revenue mostly follows how big a home is. |
| Operating expenses Everything it costs to run the home: staff, supplies, rent, admin. | $13.6M | −$0.1M | Trend 20172024 | TN median $11.4M | Rank in TN Rank #55 / 169Operating expenses — State benchmarked This nursing home is ranked 55th out of 169 nursing homes we track in Tennessee for operating expenses. Shows everything it cost to run the home — staff, supplies, rent, admin — compared with other Tennessee homes reporting a recent fiscal year. Expenses in dollars mostly follow how big a home is, so this compares size, not efficiency; read it next to operating margin. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Tennessee that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 68% of homes | Exceeds revenue Operating expenses are higher than net patient revenue, so resident care runs at a loss. |
| Net patient income Revenue minus operating expenses. Negative means care loses money. | −$1.4M | −$0.7M | Trend 20172024 | TN median −$0.2M | Rank in TN Rank #129 / 169Net patient income — State benchmarked This nursing home is ranked 129th out of 169 nursing homes we track in Tennessee for net patient income. Shows net patient revenue minus operating expenses, compared with other Tennessee homes reporting a recent fiscal year. Homes that lost money on care are in the pool too, so a rank in the bottom half usually means a loss. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Tennessee that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 24% of homes | Loss, widening Resident care lost money this year, more than in the prior report. |
| Operating margin Net patient income as a share of revenue. The clearest health signal. | −11.5% | −6.2 pts | Trend 20172024 | TN median −2.8% | Rank in TN Rank #123 / 169Operating margin — State benchmarked This nursing home is ranked 123rd out of 169 nursing homes we track in Tennessee for operating margin. Shows net patient income as a share of net patient revenue, compared with other Tennessee homes reporting a recent fiscal year. Unlike the dollar figures it does not follow size, so it is the fairest comparison of financial health between a small home and a large one. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Tennessee that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 27% of homes | Loss A negative margin means resident care costs more than it earns. |
| Other income Money not from resident care: investments, grants, services. | $0.0M | — | Trend — | TN median $0.3M | Rank in TN Rank #158 / 166Other income — State benchmarked This nursing home is ranked 158th out of 166 nursing homes we track in Tennessee for other income. Shows income from outside resident care — investments, grants, rentals, services — compared with other Tennessee homes reporting a recent fiscal year. It is not part of net patient revenue; a high rank here can offset a loss on care. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Tennessee that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 5% of homes | Offsets part of the loss Income from outside resident care covers part of the loss on care. |
| Net income The bottom line after other income. | −$1.4M | −$1.2M | Trend — | TN median $0.3M | Rank in TN Rank #156 / 169Net income — State benchmarked This nursing home is ranked 156th out of 169 nursing homes we track in Tennessee for net income. Shows the bottom line after other income, compared with other Tennessee homes reporting a recent fiscal year. Homes with a net loss are in the pool too, so a rank in the bottom half usually means a loss. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Tennessee that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 8% of homes | Loss The bottom line is below zero even after other income. |
Staffing spend
Spends less of revenue on staff than most Tennessee homes
| Metric | FY 2024 | vs prior year | Trend 2017 → 2024Trend | TN median | Compared with TN homesRank in TN | In short |
|---|---|---|---|---|---|---|
| Payroll costs Salaries and wage-related benefits, not counting contract labor. | $5.8M | +$0.4M | Trend 20172024 | TN median $5.2M | Rank in TN Rank #73 / 169Payroll costs — State benchmarked This nursing home is ranked 73rd out of 169 nursing homes we track in Tennessee for payroll costs. 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 compare like with like: every nursing home we track in Tennessee that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 57% of homes | Above TN median Higher payroll than 57% of TN homes. Payroll in dollars mostly follows how big a home is, so this compares size, not staffing levels. |
| Payroll share of revenue Payroll divided by revenue. Higher usually means more staff per resident. | 47.9% | +6.3 pts | Trend 20172024 | TN median 50.4% | Rank in TN Rank #106 / 169Payroll % of net patient revenue — State benchmarked This nursing home is ranked 106th out of 169 nursing homes we track in Tennessee for payroll % of net patient revenue. 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 compare like with like: every nursing home we track in Tennessee that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 38% of homes | 5.3 pts under TN average The TN average is 53.2% of revenue. Within 3 points of it reads as near the average. |
Charts, 2017–2024 2 charts · TN benchmark drawn as a dashed line
Revenue, expenses and income
What the home earned from resident care (net patient revenue), what it cost to run (operating expenses) and the difference between the two (net patient income), for each fiscal year it filed a CMS cost report.
USD, millions
Net patient revenue Operating expenses Net patient income
Where revenue goes
Both lines are a share of net patient revenue. Payroll share is what goes to salaries and wage-related benefits; operating margin is what is left after every operating cost (below 0%, resident care lost money). The dashed line is the Tennessee payroll average.
% of net patient revenue
Payroll share Operating margin TN payroll average
Year-by-year data, 2017–2024 every reported year · latest first, scroll sideways
| Metric | 2017 | 2018 | 2019 | 2020 | 2021 | 2022 | 2023 | 2024 |
|---|---|---|---|---|---|---|---|---|
| Net patient revenue | $9.7M | $10.2M | $11.5M | $10.6M | $10.6M | $11.3M | $13.0M | $12.2M |
| Operating expenses | $10.6M | $10.2M | $11.3M | $11.1M | $11.7M | $13.0M | $13.7M | $13.6M |
| Net patient income | −$0.8M | −$0.0M | $0.2M | −$0.5M | −$1.1M | −$1.7M | −$0.7M | −$1.4M |
| Operating margin | −8.6% | −0.4% | 2.0% | −4.8% | −10.2% | −15.0% | −5.4% | −11.5% |
| Net income | −$0.8M | $1.0M | $0.2M | $0.6M | −$0.6M | −$1.4M | −$0.2M | −$1.4M |
| Payroll costs | $3.6M | $4.2M | $5.1M | $4.5M | $4.2M | $5.2M | $5.4M | $5.8M |
| Payroll share of revenue | 36.9% | 41.7% | 44.4% | 41.9% | 39.4% | 45.8% | 41.6% | 47.9% |
| Beds | 120 | 120 | 120 | 120 | 120 | 120 | 120 | 120 |
| Gross revenue | $14.6M | $15.3M | $16.9M | $15.3M | $15.5M | $16.2M | $17.7M | $16.2M |
| Salaries | $3.2M | $3.8M | $4.3M | $3.9M | $3.7M | $4.5M | $4.9M | $5.2M |
| Wage-related costs | $0.4M | $0.4M | $0.8M | $0.5M | $0.5M | $0.6M | $0.5M | $0.6M |
| Contract labor | — | $0.0M | — | $0.0M | $0.5M | $0.3M | $0.3M | $0.0M |
| Other operating costs | $7.0M | $6.0M | $6.2M | $6.7M | $7.5M | $7.8M | $8.3M | $7.7M |
| Net patient revenue per day | $436 | $373 | $336 | $356 | $347 | $356 | $378 | $382 |
| Cost per day | $473 | $375 | $330 | $373 | $382 | $409 | $399 | $426 |
| Average length of stay | 27.3 days | 36.8 days | 42.3 days | 49.0 days | 48.2 days | 49.6 days | 46.0 days | 47.0 days |
Showing 2024–2022 · scroll sideways for 5 earlier years
Earlier and partial years are in the download. Download CSV
Who this home usually serves
Residents split by who pays for their care: Medicare, Medicaid, or private pay and other sources.
Over a year: CMS SNF Cost Report, FY2024
Snapshot: CMS Long-Term Care Facility Characteristics (quarterly), Sep 2026
Arriving
652 admissions · FY2024
Residents admitted during the year.
Medicare
176 · 27%
Medicaid
37 · 6%
Private pay & other
439 · 67%
Resident snapshot
97 residents · Sep 2026
Residents counted on the date of the latest CMS report, which updates quarterly.
Medicare
47 · 48%
Medicaid
37 · 38%
Private pay & other
13 · 13%
Leaving
678 discharges · FY2024
Residents discharged during the year.
Medicare
149 · 22%
Medicaid
70 · 10%
Private pay & other
459 · 68%
Primarily short stays
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
Places of interest near Signature HealthCARE of Primacy
6025 Primacy Pkwy, Memphis, TN 38119 — 2.38 miles to nearest hospital (Baptist Memorial Hospital-Memphis)
Calculate Travel Distance to Signature HealthCARE of Primacy
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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.
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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.
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Care Types in This Table
AL (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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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: 53.2% 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.
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CMS Certification Number: the unique federal identifier for this skilled nursing provider.
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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Trezevant | NH AL IL MC SNF | Memphis (Waynoka) | 31
Facility
31
TN AVG
105
Rank
#172 / 181 |
41.6%
Facility
41.6%
TN AVG
74.2%
Rank
#127 / 130 | -44% | 6.53
Facility
6.53
TN AVG
3.67
Rank
#2 / 172 | +60% | +78% | $0
Facility
$0
TN AVG
$61.4k
Rank
#1 / 175 | 3
Facility
3
TN AVG
14.4
Rank
#4 / 175 | 1.5
Facility
1.5
TN AVG
4.3
Rank
#3 / 175 | - | 13 | A+ |
29
Facility
29
TN AVG
38
Rank
#121 / 189 | Paul Martin | $11.7MFiscal year ending 07/2025
Facility
$11.7MFiscal year ending 07/2025
TN AVG
$12.0M
Rank
#69 / 169 | $17.2MFiscal year ending 07/2025
Facility
$17.2MFiscal year ending 07/2025
TN AVG
$6.3M
Rank
#2 / 169 | 146.6%Fiscal year ending 07/2025
Facility
146.6%Fiscal year ending 07/2025
TN AVG
53.2%
Rank
#3 / 169 | 445133 | ||||
| Signature HealthCARE of Primacy | NH RC SNF | Memphis (White Station) | 78
Facility
78
TN AVG
105
Rank
#121 / 181 |
65.4%
Facility
65.4%
TN AVG
74.2%
Rank
#97 / 130 | -12% | 3.91
Facility
3.91
TN AVG
3.67
Rank
#45 / 172 | +24% | +7% | $0
Facility
$0
TN AVG
$61.4k
Rank
#1 / 175 | 7
Facility
7
TN AVG
14.4
Rank
#19 / 175 | 3.5
Facility
3.5
TN AVG
4.3
Rank
#50 / 175 | - | 51 | - |
53
Facility
53
TN AVG
38
Rank
#51 / 189 | LP Memphis V, LLC | $12.2MFiscal year ending 12/2024
Facility
$12.2MFiscal year ending 12/2024
TN AVG
$12.0M
Rank
#62 / 169 | $5.8MFiscal year ending 12/2024
Facility
$5.8MFiscal year ending 12/2024
TN AVG
$6.3M
Rank
#73 / 169 | 47.9%Fiscal year ending 12/2024
Facility
47.9%Fiscal year ending 12/2024
TN AVG
53.2%
Rank
#106 / 169 | 445140 | ||||
| Kirby Pines | NH AL CCRC IL MC SNF | Memphis | 120
Facility
120
TN AVG
105
Rank
#57 / 181 |
22.5%
Facility
22.5%
TN AVG
74.2%
Rank
#130 / 130 | -70% | 2.54
Facility
2.54
TN AVG
3.67
Rank
#168 / 172 | +66% | -31% | $0
Facility
$0
TN AVG
$61.4k
Rank
#1 / 175 | 2
Facility
2
TN AVG
14.4
Rank
#2 / 175 | 2.0
Facility
2.0
TN AVG
4.3
Rank
#9 / 175 | - | 27 | - |
31
Facility
31
TN AVG
38
Rank
#117 / 189 | Psalms, Inc | $26.1MFiscal year ending 12/2024
Facility
$26.1MFiscal year ending 12/2024
TN AVG
$12.0M
Rank
#4 / 169 | $9.4MFiscal year ending 12/2024
Facility
$9.4MFiscal year ending 12/2024
TN AVG
$6.3M
Rank
#28 / 169 | 36%Fiscal year ending 12/2024
Facility
36%Fiscal year ending 12/2024
TN AVG
53.2%
Rank
#168 / 169 | 445189 | ||||
| Harborview Post Acute | NH HOS MC RC SNF | Memphis | 103
Facility
103
TN AVG
105
Rank
#90 / 181 | - | - | 3.32
Facility
3.32
TN AVG
3.67
Rank
#109 / 172 | -65% | -10% | $0
Facility
$0
TN AVG
$61.4k
Rank
#1 / 175 | 20
Facility
20
TN AVG
14.4
Rank
#134 / 175 | 5.0
Facility
5.0
TN AVG
4.3
Rank
#114 / 175 | 1 | 94 | - |
47
Facility
47
TN AVG
38
Rank
#65 / 189 | Juniper Cove Holdings, LLC | $10.9MFiscal year ending 12/2024
Facility
$10.9MFiscal year ending 12/2024
TN AVG
$12.0M
Rank
#78 / 169 | $5.4MFiscal year ending 12/2024
Facility
$5.4MFiscal year ending 12/2024
TN AVG
$6.3M
Rank
#83 / 169 | 49.6%Fiscal year ending 12/2024
Facility
49.6%Fiscal year ending 12/2024
TN AVG
53.2%
Rank
#93 / 169 | 445428 | ||||
| The Parkway Health and Rehabilitation Center | NH HOS RC SNF | Memphis (South Memphis) | 120
Facility
120
TN AVG
105
Rank
#57 / 181 |
92.9%
Facility
92.9%
TN AVG
74.2%
Rank
#9 / 130 | +25% | 3.80
Facility
3.80
TN AVG
3.67
Rank
#52 / 172 | -14% | +4% | $67.6k
Facility
$67.6k
TN AVG
$61.4k
Rank
#154 / 175 | 19
Facility
19
TN AVG
14.4
Rank
#127 / 175 | 4.8
Facility
4.8
TN AVG
4.3
Rank
#109 / 175 | 3 | 112 | - |
47
Facility
47
TN AVG
38
Rank
#65 / 189 | South Parkway Associates, LP | $13.6MFiscal year ending 06/2025
Facility
$13.6MFiscal year ending 06/2025
TN AVG
$12.0M
Rank
#51 / 169 | $6.9MFiscal year ending 06/2025
Facility
$6.9MFiscal year ending 06/2025
TN AVG
$6.3M
Rank
#57 / 169 | 50.9%Fiscal year ending 06/2025
Facility
50.9%Fiscal year ending 06/2025
TN AVG
53.2%
Rank
#79 / 169 | 445387 |
Rank badges are statewide and care-type specific: each nursing home is ranked against every other TN nursing home we track that reports that metric, not just the 5 on this page. See how we rank facilities
Financial assistance
Get financial aid guidance Programs that may help with care and living costs in Tennessee
Signature HealthCARE of Primacy is in Memphis, Tennessee. These programs may support different care settings or living expenses. A listing does not confirm this community participates; our concierge team can help confirm.
CHOICES Program
TN Medicaid CHOICES
- Income limit
- Must receive SSI or meet Medicaid Long-Term Services and Supports financial eligibility.
Eligibility
- General
- CHOICES home/community groups serve adults age 65 or older and adults age 21 or older with physical disabilities; financial and medical eligibility required; Group 2 requires nursing-home level of care; Group 3 serves qualifying people at risk.
- TN specifics
- Benefits depend on CHOICES group and an authorized assessment.
What it provides
- Long-term services and supports in an authorized home/community setting or nursing facility; care-plan services vary by group and need.
VA Aid and Attendance (A&A) and Housebound Benefits
Tennessee VA Aid and Attendance/Housebound
- Who it is for
- Veterans or survivors with VA pension eligibility and an Aid and Attendance or Housebound medical need
- Income limit
- Countable income must be below the applicable Maximum Annual Pension Rate (MAPR); the rate depends on dependents and benefit category; Qualifying unreimbursed medical expenses may reduce countable income.
- Asset limit
- VA pension net-worth limit is $163,699 from December 1 2025 through November 30 2026; net worth includes countable assets and annual income under VA rules.
Eligibility
- General
- Additional pension benefits for qualifying Veterans or survivors who satisfy VA pension eligibility and the medical requirements for Aid and Attendance or Housebound status; being an older veteran or spouse alone does not qualify.
- TN specifics
- This is a federal VA benefit rather than a state-specific grant; Aid and Attendance and Housebound benefits cannot be received together.
What it provides
- Increased monthly VA pension based on the applicable MAPR less countable income.
Tennessee Options for Community Living
TN Options
- Income limit
- No income eligibility requirement; an income-based sliding fee scale applies.
Eligibility
- General
- Tennessee resident age 18 or older with qualifying physical or cognitive disability and assessed ADL/IADL limitations; the state page excludes intellectual disability from OPTIONS.
- TN specifics
- State-funded OPTIONS is administered through local Area Agencies on Aging and Disability; services depend on availability and need.
What it provides
- Homemaker personal care and home-delivered meals; other local services vary.
Family Caregiver Support Program (FCSP)
Tennessee Family Caregiver Support Program
- Who it is for
- Family or informal caregivers of an adult 60+ or of someone of any age with dementia
- Income limit
- Federal program prioritizes greatest economic and social need.
Eligibility
- General
- Caregivers of adults age 60 or older or adults with Alzheimer disease or related disorder; qualifying grandparent or relative caregivers age 55 or older caring for a minor child are also included.
- TN specifics
- Administered through Area Agencies on Aging and Disability; service availability varies by area.
What it provides
- Counseling support groups caregiver training respite personal care homemaker services and adult day care subject to local availability.
Medicare Savings Program (MSP)
Tennessee Medicare Savings Program
- Who it is for
- Medicare beneficiaries with limited income who need help with premiums or cost sharing
Eligibility
- General
- Medicare beneficiary meeting Tennessee rules for the applicable Medicare Savings Program.
- TN specifics
- QMB provides Medicare premium and cost-sharing assistance; SLMB and QI provide Part B premium assistance.
What it provides
- Assistance is tier-specific; QMB may pay Medicare premiums deductibles and coinsurance while SLMB and QI pay Part B premiums.
Low-Income Home Energy Assistance Program (LIHEAP)
Tennessee LIHEAP
- Who it is for
- Income-eligible households responsible for home heating or energy costs
- Income limit
- 60% of state median income by household size under the applicable program-year matrix.
Eligibility
- General
- Low-income Tennessee household that meets program and local documentation requirements.
- TN specifics
- THDA publishes separate 2026 and 2027 income matrices and policy manuals; benefits depend on available local funding.
What it provides
- Home-energy and crisis assistance based on the applicable program-year matrix.
Tennessee Aging Nutrition Program
Tennessee Aging Nutrition Program
- Income limit
- OAA-funded nutrition services are not means-tested; meals may be provided at no cost and voluntary donations are welcomed.
- Asset limit
- OAA nutrition eligibility has no asset test; home-delivered service need and local assessment still apply.
Eligibility
- General
- Congregate meals serve adults age 60 or older and their spouses; home-delivered meals require a local AAAD intake assessment of need.
- TN specifics
- State describes more than 150 congregate locations and home-delivered services in all 95 counties; meal days and availability vary by provider.
What it provides
- Congregate or qualifying home-delivered meals plus socialization nutrition education and counseling.
Property Tax Relief Program
Tennessee Property Tax Relief Program
- Income limit
- 2026 relief · For elderly and disabled homeowner categories maximum combined 2025 income is $38,470 from applicant spouse co-owner and resident remainder; veteran categories have separate rules.
Eligibility
- General
- Qualifying low-income elderly or disabled homeowners and eligible disabled veteran homeowners or surviving spouses; this property-tax relief is not a renter rebate.
- TN specifics
- Apply after receiving the 2026 property-tax bill; application and payment deadline is 35 days after the delinquency date. Relief is reimbursement rather than an exemption.
What it provides
- Reimbursement varies with property assessment local tax rate and appraisal ratio.
Know before you visit
Frequently Asked Questions about Signature HealthCARE of Primacy
Quick answers from public records and the community's own listing.01 What neighborhood is Signature HealthCARE of Primacy in?
Signature HealthCARE of Primacy is in the White Station neighborhood of Memphis.
02 Who is the owner of Signature HealthCARE of Primacy?
Signature HealthCARE of Primacy is legally operated by LP Memphis V, LLC, and administered by Felix Strickland.
03 Is Signature HealthCARE of Primacy in a walkable area?
Signature HealthCARE of Primacy has a walk score of 53. Somewhat walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
04 What is the license number of Signature HealthCARE of Primacy?
According to TN state health department records, Signature HealthCARE of Primacy's license number is 00000239.
05 When does Signature HealthCARE of Primacy's license expire?
According to TN state health department records, Signature HealthCARE of Primacy's license expires on May 30, 2027.
06 What is the occupancy rate at Signature HealthCARE of Primacy?
Signature HealthCARE of Primacy's occupancy is 65.4%.
07 How long has Signature HealthCARE of Primacy been in business?
Signature HealthCARE of Primacy has been operating for approximately 34 years, based on available licensing and registration records.
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