Total health inspections
4
Tennessee average 3.5
Last Health inspection on Apr 2025
Mostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
Spring Gate Rehabilitation and Healthcare Center
Nursing Home
Spring Gate Rehabilitation and Healthcare Center
Nursing Home
Overview of Spring Gate Rehabilitation and Healthcare Center
Nestled in the peaceful setting of Covington Pike, Memphis, TN, Spring Gate Rehabilitation and Healthcare Center is a reliable senior living community offering long-term and short-term care, skilled care, memory care, palliative care, and respite care. Seniors receive the utmost care and assistance from a team of qualified and highly trained professionals available round-the-clock. The community also features occupational, physical, and respiratory therapy to enhance seniors’ quality of life.
With its dedication to improving residents’ welfare, the community utilizes a holistic approach focusing on their minds, bodies, and emotions. Featuring extensive amenities and onsite services, residents are encouraged to maintain an active and well-engaged lifestyle. Spring Gate Rehabilitation and Healthcare Center goes above and beyond to provide a haven for seniors to retain their independence.
Over 15 years
Kristian Carr is a Licensed Nursing Home Administrator with over 15 years of experience leading senior care and healthcare organizations. She is known for strengthening operations, enhancing resident experiences, and guiding teams with a people-first, service-driven approach.
Quality ratings
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Nursing care per resident
Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
Staffing hours breakdown
Hours of care per resident per day, broken down by staff type. Data from CMS Medicare.
Registered Nurse (RN)
Registered nurse hours per resident per day.
Registered nurse hours per resident per day.
LPN / LVN
Licensed Practical Nurse / Licensed Vocational Nurse hours per resident per day.
Licensed Practical Nurse / Licensed Vocational Nurse hours per resident per day.
Nurse Aide
Nurse aide hours per resident per day.
Nurse aide hours per resident per day.
Total Nursing (Weekend)
Total number of nurse staff hours per resident per day on weekends.
Total number of nurse staff hours per resident per day on weekends.
Physical Therapist
Physical therapist staff hours per resident per day.
Physical therapist staff hours per resident per day.
RN (Weekend)
Registered nurse hours per resident per day on weekends.
Registered nurse hours per resident per day on weekends.
Capacity and availability
High-capacity home
May provide extensive amenities, services and programs.
Total beds
206
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
57.6%
Residents per day (avg)
150
Occupancy rate
57.6%
Residents per day (avg)
150
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Long-term daily care
Ongoing support needs
Breakdown by payment type
Medicare
30% of new residents, usually for short-term rehab.
Typical stay
23 days
Private pay
26% of new residents, often for short stays.
Typical stay
2 - 3 months
Medicaid
44% of new residents, often for long-term daily care.
Typical stay
5 - 6 months
Finances and operations
Proprietary home
Corporation
Home revenue
$22.5M
Operating loss
-$2.2M
Proprietary home
Corporation
Home revenue
$22,475,681.00
Operating loss
$-2,194,221.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$7.5M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$17.1M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$24.7M
206-bed community
A large-scale community that may provide a wide range of amenities, services, and structured programs.
34 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
Walk Score: 30 / 100
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
About this community
License Status
LicensedFacility Type
Nursing Home
License Date
January 7, 1992
License Expiration
July 5, 2026
Additional licensing details
License number:
00000241
CMS Certification Number:
445220
Ownership & operating entity
Spring Gate Rehabilitation and Healthcare Center is legally operated by Memphis Operator, LLC, and administrated by Kristian Carr-Grisby.
Care Services
Accepts Medicaid
Accepts Medicare
Doctor on Staff
Nursing Services
Rehabilitation Services
Respite Care
Skilled Nursing
Licensed Nurses/CNAs
24-Hour Staffing
Short-Term Rehab
Amenities & Lifestyle
Programs & Activities
Specific Programs
24-hour Skilled Nursing Care, Short & Long Term Care, Physical Therapy, Respite Care, Palliative Care Services, Dysphagia Training, Patient & Family Education Program, Occupational Therapy, Wound Care Therapies, IV Medication Therapy, Fall Management Program, Respiratory Therapy, On-Site Dialysis
Religious Services
Yes
Operating Hours
Mo, Tu, We, Th, Fr, Sa, Su -
Pricing & Financial Information
What does this home offer?
Building Type: Single-story
Types of Care at Spring Gate Rehabilitation and Healthcare Center
Memory Care
Access & Eligibility
Ways to qualify for care at this community, including accepted programs and payment options.
Medicaid Accepted
This facility is certified for eligible Medicaid services.
Medicare Accepted
This facility is certified for eligible Medicare services.
Compare Nursing Homes around Atoka
The information below is reported by the Tennessee Department of Health, Division of Health Care Facilities.
Allenbrooke Nursing & Rehab Center
-8%
-3%
+23%
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IL
Independent Living For self-sufficient seniors seeking community and minimal assistance.
MC
Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.
SNF
Nursing Homes 24/7 care needed
Memphis
180
No
A+
48
ANDERSON, RICHIE
89.6%
$18,434,339.00
$10,237,003.00
55.5%
164.20
3.5298
-
8
1
-8%-3%+23%
Spring Gate Rehabilitation and Healthcare Center
+21%
-20%
-21%
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IL
Independent Living For self-sufficient seniors seeking community and minimal assistance.
MC
Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.
SNF
Nursing Homes 24/7 care needed
Memphis (Sunset Trace)
206
No
-
30
Memphis Operator, LLC
57.6%
$21,433,793.00
$7,522,646.00
35.1%
149.90
2.9165
2
39
3
+21%-20%-21%
Majestic Gardens at Memphis Rehabilitation and Skilled Nursing Center
-22%
-51%
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IL
Independent Living For self-sufficient seniors seeking community and minimal assistance.
MC
Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.
SNF
Nursing Homes 24/7 care needed
Memphis (Midtown)
169
No
A+
80
CNH MEMPHIS HOLDINGS LLC
36.0%
$15,998,911.00
$6,725,915.00
42%
146.00
3.6165
12
41
7
-22%
0%
-51%
Shelby Oaks Post Acute
+8%
SNF
Nursing Homes 24/7 care needed
Memphis (East Memphis)
42
No
A+
64
Eagle Lake Holdings. LLC
78.6%
-
-
-
-
-
-
-
-
-
+8%
Highlands Health and Rehabilitation Center
+19%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
TN 38111 (University)
120
No
-
67
The Bay at Highlands Health and Rehabili
86.7%
-
-
-
-
-
-
-
-
-
+19%
Allenbrooke Nursing & Rehab Center
Type of care:
AL
IL
MC
SNF
Community:
Memphis
Bed Count:
180
Pets Allowed:
No
Operator:
ANDERSON, RICHIE
CCN:
445485
Occupancy:
89.6%
Home Revenue:
$18,434,339.00
Payroll Costs:
$10,237,003.00
Payroll %:
55.5%
Avg Residents/Day:
164.20
Overall Rating:
Adj Nurse Hours:
3.5298
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
8
Severe Citations:
1
RN share vs State Avg:
-8%
-8%
Staffing vs State Avg:
-3%
-3%
Occupancy vs State Avg:
+23%
+23%
Spring Gate Rehabilitation and Healthcare Center
Type of care:
AL
IL
MC
SNF
Community:
Memphis (Sunset Trace)
Bed Count:
206
Pets Allowed:
No
Operator:
Memphis Operator, LLC
CCN:
445220
Occupancy:
57.6%
Home Revenue:
$21,433,793.00
Payroll Costs:
$7,522,646.00
Payroll %:
35.1%
Avg Residents/Day:
149.90
Overall Rating:
Adj Nurse Hours:
2.9165
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
2
Citations:
39
Severe Citations:
3
RN share vs State Avg:
+21%
+21%
Staffing vs State Avg:
-20%
-20%
Occupancy vs State Avg:
-21%
-21%
Majestic Gardens at Memphis Rehabilitation and Skilled Nursing Center
Type of care:
AL
IL
MC
SNF
Community:
Memphis (Midtown)
Bed Count:
169
Pets Allowed:
No
Operator:
CNH MEMPHIS HOLDINGS LLC
CCN:
445150
Occupancy:
36.0%
Home Revenue:
$15,998,911.00
Payroll Costs:
$6,725,915.00
Payroll %:
42%
Avg Residents/Day:
146.00
Overall Rating:
Adj Nurse Hours:
3.6165
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
12
Citations:
41
Severe Citations:
7
RN share vs State Avg:
-22%
-22%
Staffing vs State Avg:
0%
Occupancy vs State Avg:
-51%
-51%
Shelby Oaks Post Acute
Type of care:
SNF
Community:
Memphis (East Memphis)
Bed Count:
42
Pets Allowed:
No
Operator:
Eagle Lake Holdings. LLC
Occupancy:
78.6%
Occupancy vs State Avg:
+8%
+8%
Highlands Health and Rehabilitation Center
Type of care:
SNF
AL
Community:
TN 38111 (University)
Bed Count:
120
Pets Allowed:
No
Operator:
The Bay at Highlands Health and Rehabili
Occupancy:
86.7%
Occupancy vs State Avg:
+19%
+19%Places of interest near Spring Gate Rehabilitation and Healthcare Center
13.9 miles from city center — 0.15 miles to nearest hospital (Methodist North Hospital)
3909 Covington Pike, Memphis, TN 38135
Calculate Travel Distance to Spring Gate Rehabilitation and Healthcare Center
Add your location
Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
228
Total Staff
204
Employees
24
Contractors
67,012
Total Hours (Quarter)
96
Avg Staff/Day
7.7
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 24 | 9.2 | Yes |
| Licensed Practical Nurse | 30 | 8 | No |
| Certified Nursing Assistant | 100 | 7.3 | No |
Staff by Category
Administration ⓘ
3 staff
7.2hs shift avg
Nursing Staff ⓘ
162 staff
7.7hs shift avg
Physicians & Practitioners ⓘ
13 staff
7hs shift avg
Therapy Services ⓘ
17 staff
6.6hs shift avg
Activities & Recreation ⓘ
25 staff
9.1hs shift avg
Social Services ⓘ
2 staff
6.2hs shift avg
Dietary Services ⓘ
3 staff
7.3hs shift avg
Other Services ⓘ
3 staff
8.2hs shift avg
Contractor Analysis
6.9%
of total hours from contractors
4,612 contractor hours this quarter
Speech Language Pathologist: 3
Respiratory Therapy Technician: 2
Registered Nurse: 4
Physical Therapy Aide: 5
Occupational Therapy Aide: 2
Physical Therapy Assistant: 4
Qualified Social Worker: 2
Medical Director: 1
Occupational Therapy Assistant: 1
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 100 | 0 | 100 | 30,209 | 91 | 100% | 7.3 |
| Licensed Practical Nurse | 30 | 0 | 30 | 10,747 | 91 | 100% | 8 |
| Qualified Activities Professional | 25 | 0 | 25 | 7,502 | 91 | 100% | 9.1 |
| Registered Nurse | 20 | 4 | 24 | 6,216 | 91 | 100% | 9.2 |
| Clinical Nurse Specialist | 12 | 0 | 12 | 2,515 | 81 | 89% | 6.9 |
| RN Director of Nursing | 8 | 0 | 8 | 2,153 | 74 | 81% | 8.1 |
| Physical Therapy Aide | 0 | 5 | 5 | 1,279 | 83 | 91% | 6.6 |
| Dental Services Staff | 2 | 0 | 2 | 1,005 | 72 | 79% | 8.3 |
| Speech Language Pathologist | 0 | 3 | 3 | 947 | 65 | 71% | 7.1 |
| Other Dietary Services Staff | 2 | 0 | 2 | 680 | 73 | 80% | 7.5 |
| Administrator | 2 | 0 | 2 | 656 | 65 | 71% | 8 |
| Occupational Therapy Aide | 0 | 2 | 2 | 613 | 57 | 63% | 7.8 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 509 | 67 | 74% | 7.2 |
| Dietitian | 1 | 0 | 1 | 506 | 71 | 78% | 7.1 |
| Mental Health Service Worker | 1 | 0 | 1 | 456 | 57 | 63% | 8 |
| Physical Therapy Assistant | 0 | 4 | 4 | 435 | 66 | 73% | 5.6 |
| Nurse Practitioner | 1 | 0 | 1 | 248 | 31 | 34% | 8 |
| Qualified Social Worker | 0 | 2 | 2 | 204 | 33 | 36% | 6.2 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 107 | 31 | 34% | 3.5 |
| Medical Director | 0 | 1 | 1 | 26 | 13 | 14% | 2 |
Health Inspection History
Inspections
Total health citations
39
Citations per inspection
9.75
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
20 of 39 citations resulted from standard inspections; 6 of 39 resulted from complaint investigations; and 13 of 39 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
1
1
9% better than Tennessee averageTennessee average: 1.1
Serious Health citations
2
2
233% worse than Tennessee averageTennessee average: 0.6
1 critical citation
2 serious citations
36 moderate citations
0 minor citations
Citations history (last 3 years)
Quality of Care moderate citation
Apr 30, 2025
Corrected
Quality of Care moderate citation
Apr 30, 2025
Corrected
Quality of Care critical citation
Apr 30, 2025
Corrected
Care Planning moderate citation
Apr 30, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. 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.
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Ownership: For-Profit LLC
Resident Census by Payment Source
138
Total Residents
Medicare
9
(6.5%)
ⓘ
Medicaid
95
(68.8%)
ⓘ
Private Pay/Other
34
(24.6%)
ⓘ
Programs & Services
Residents' Group
ⓘ
Family Engagement
Active councils help families stay involved in care decisions and facility operations.
Active
Resident Council
ⓘ
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 score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
11.7
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
11.7
12% worse than Tennessee averageTennessee average: 10.5
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
16.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
16.6
15% better than Tennessee averageTennessee average: 19.5
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
8.3%
Percent of long-stay residents whose need for help with daily activities has increased
8.3%
48% better than Tennessee averageTennessee average: 16.0%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
25.8%
Percent of long-stay residents whose ability to move independently worsened
25.8%
19% worse than Tennessee averageTennessee average: 21.7%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
15.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
15.6%
25% better than Tennessee averageTennessee average: 20.7%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
0.4%
Percent of long-stay residents experiencing one or more falls with major injury
0.4%
89% better than Tennessee averageTennessee average: 3.7%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
12.7%
Percent of long-stay high risk residents with pressure ulcers
12.7%
133% worse than Tennessee averageTennessee average: 5.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.9%
Percent of long-stay residents with a urinary tract infection
0.9%
59% better than Tennessee averageTennessee average: 2.1%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
11.3%
Percent of long-stay residents who lose too much weight
11.3%
80% worse than Tennessee averageTennessee average: 6.3%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.0%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Tennessee averageTennessee average: 11.0%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
7.2%
Percent of long-stay residents who received an antipsychotic medication
7.2%
57% better than Tennessee averageTennessee average: 16.5%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
60.9%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
60.9%
32% worse than Tennessee averageTennessee average: 89.9%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
89.6%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
89.6%
5% worse than Tennessee averageTennessee average: 94.5%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
1.02
Number of hospitalizations per 1,000 long-stay resident days.
1.02
35% better than Tennessee averageTennessee average: 1.58
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.53
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.53
66% better than Tennessee averageTennessee average: 1.57
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
12.2%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
12.2%
85% worse than Tennessee averageTennessee average: 79.7%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
1.0%
Percent of short-stay residents who newly received an antipsychotic medication
1.0%
41% better than Tennessee averageTennessee average: 1.7%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
31.9%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
31.9%
60% worse than Tennessee averageTennessee average: 79.8%
Re-hospitalized after SNF stay
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
22.0%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
22.0%
In line with Tennessee averageTennessee average: 22.2%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
7.6%
Percentage of short-stay residents who had an outpatient emergency department visit.
7.6%
32% better than Tennessee averageTennessee average: 11.2%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Tennessee averageTennessee average: 0.8%
Ability to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
27.0%
Percentage of residents at or above expected ability to care for themselves at discharge.
27.0%
50% worse than Tennessee averageTennessee average: 53.7%
Successful return to home or community
Rate of successful return to home or community from a skilled nursing facility.
41.4%
Rate of successful return to home or community from a skilled nursing facility.
41.4%
18% worse than Tennessee averageTennessee average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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 Jan 2026)
Total fines amount
$156K
81% higher than Tennessee averageTennessee average: $86K
Number of fines
2
15% more fines than Tennessee averageTennessee average: 1.7
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
2
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
2
293% more payment denials than Tennessee averageTennessee average: 0.5
Fines amount comparison
Fines amount comparison
This facility
$156K
Tennessee average
$86K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Apr 30, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Apr 30, 2025
$78K
Payment Denial
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Apr 30, 2025
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Apr 30, 2025
28 days
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Oct 16, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Oct 16, 2024
$78K
Payment Denial
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Oct 16, 2024
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Oct 16, 2024
50 days
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Spring Gate Rehabilitation and Healthcare Center based on CMS SNF Cost Reports.
Occupancy Rate
57.6%
↑ 5.8pp vs 2022
Net Income
-$2,194,221
↑ ~$2.2M vs 2022
Total Payroll
$9,799,302
↑ ~$1.1M vs 2022
Profit Margin
-10.2%
↑ 15.2pp vs 2022
Loading trend charts...
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