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.
181
163 employees · 18 contractors · 71 on an average day Spring Gate Rehabilitation and Healthcare Center
Nursing Home, Memory Care, Palliative Care, Respite Care & Skilled Nursing · Memphis, TN
ALM Inspection Grade
F
ALM's inspection grade is 58 / 100, an F — 25 points below the Tennessee average for CMS-certified facilities (83/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
ALM's inspection grade is 58 / 100, an F — 25 points below the Tennessee average for CMS-certified facilities (83/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
CMS overall rating
1/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
1/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Spring Gate Rehabilitation and Healthcare Center
Nursing Home, Memory Care, Palliative Care, Respite Care & Skilled Nursing · Memphis, TN
ALM Inspection Grade
F
ALM's inspection grade is 58 / 100, an F — 25 points below the Tennessee average for CMS-certified facilities (83/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
ALM's inspection grade is 58 / 100, an F — 25 points below the Tennessee average for CMS-certified facilities (83/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
CMS overall rating
1/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
1/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Spring Gate Rehabilitation and Healthcare Center accepts Medicaid, Medicare, and private pay.
Overview of Spring Gate Rehabilitation and Healthcare Center
Spring Gate Rehabilitation and Healthcare Center offers nursing home care, memory care, palliative care, respite care, and skilled nursing in Memphis, TN. Nursing home care and skilled nursing include around the clock nursing care. Memory care is provided in a secured setting with supervision for someone at risk of wandering, while palliative care focuses on comfort and symptom management.
The 206 bed community offers respite care for a family whose usual caregiver needs to travel or recover, making it a possible fit for families needing temporary support. Total nurse staffing is 3 hours and 37 minutes per resident per day, representing the daily hands on nursing time assigned to each resident. Kristian Carr-Grisby serves as the administrator, and Memphis Operator runs the community.
A 900 square foot rehabilitation and therapy center allows rehabilitation services to take place on site rather than requiring transport elsewhere. On site salon and spa services make grooming care available at the community, and on site religious services provide access to those services without leaving the center. An on site medical director, podiatrist, and dentist are also available at the community. A Walk Score of 30 places the area in a car dependent setting, where most errands require a car or a ride, so independent errands on foot are generally not practical. Payment options are Medicaid, Medicare, and private pay; Medicare applies to short term skilled care after a hospital stay rather than long term residence, while Medicaid may help cover a long stay when savings do not cover the cost.
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: Q4 2025 (October 1 – December 31, 2025).
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 Jun 2026).
Total nursing care per resident / day
This nursing home is ranked 112th out of 174 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 37m
This nursing home is ranked 112th out of 174 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 37mStandout metric: RN, weekends is +35% above Tennessee average
4 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. 19 total: 18 of the facility's own employees and 1 agency contractor.
19 staff · 8-hour shifts
41m
↑ 10% · TN 37mThis facility: 41m per resident per day, 10% 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. 19 total: 18 of the facility's own employees and 1 agency contractor.
19 staff · 8-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 22 are the facility's own employees; no agency contractors work in this role.
22 staff · 7.4-hour shifts
47m
↓ 28% · TN 1h 6mThis facility: 47m per resident per day, 28% below 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 22 are the facility's own employees; no agency contractors work in this role.
22 staff · 7.4-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 86 are the facility's own employees; no agency contractors work in this role.
86 staff · 7.1-hour shifts
2h 8m
↓ 1% · TN 2h 9mThis facility: 2h 8m per resident per day, 1% 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 86 are the facility's own employees; no agency contractors work in this role.
86 staff · 7.1-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.
3m
↓ 37% · TN 5mThis facility: 3m per resident per day, 37% below 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 6m
↓ 7% · TN 3h 21mThis facility: 3h 6m 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
34m
↑ 35% · TN 25mThis facility: 34m per resident per day, 35% above 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.
181
163 employees · 18 contractors · 71 on an average day
181 total staff / 138 residents. Residents: CMS Long-Term Care Facility Characteristics (data as of Jun 2026); staff: CMS Payroll-Based Journal (Q4 2025).Residents and staff come from two different CMS releases, so the two counts can be a few months apart.
1.31 : 1
↓ 22% · TN 1.68This facility: 1.31 staff per resident, 22% below the Tennessee average of 1.68 (among Tennessee facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
181 staff ÷ 138 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.
48,995 staff hours this quarter
See full Tennessee ranking →92.2% of staff hours were worked by the facility's own employees
Tennessee average: 93.5% · Contractors this quarter: Physical Therapy Aide (4), Speech Language Pathologist (3), Occupational Therapy Aide (3), Respiratory Therapy Technician (2), Physical Therapy Assistant (2), Registered Nurse (1), Qualified Social Worker (1), Occupational Therapy Assistant (1), 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 large-scale community that may provide a wide range of amenities, services, and structured programs.
206
Rank #5 / 180Bed count — State benchmarked This nursing home is ranked 5th out of 180 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 large-scale community that may provide a wide range of amenities, services, and structured programs.
206
Rank #5 / 180Bed count — State benchmarked This nursing home is ranked 5th out of 180 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.High-capacity home · May provide extensive amenities, services and programs.
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
Car-dependent. A few nearby services may be reachable on foot, but most trips require transportation.
Rank #120 / 189Walk Score — State benchmarked This nursing home is ranked 120th 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.
Car-dependent. A few nearby services may be reachable on foot, but most trips require transportation.
Rank #120 / 189Walk Score — State benchmarked This nursing home is ranked 120th 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.
30
/ 100
Occupancy rate
Occupancy lower than 85% suggests more openings may be available.
Rank #117 / 134Occupancy rate — State benchmarked This nursing home is ranked 117th out of 134 nursing homes we track in Tennessee for occupancy. Shows this facility's occupancy rate versus the Tennessee average, with its Statewide rank out of 134. 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 #117 / 134Occupancy rate — State benchmarked This nursing home is ranked 117th out of 134 nursing homes we track in Tennessee for occupancy. Shows this facility's occupancy rate versus the Tennessee average, with its Statewide rank out of 134. 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.
56.4%
This home usually has availability
Based on 116.1 residents and 206 beds. Source: CMS Provider Information, average daily residents
Lower than the Tennessee average: 73.9%
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.
91
days
About This Community
Facility TypeNursing Home
IssuanceJanuary 7, 1992
ExpirationJuly 5, 2027
License Number00000241
CMS Certification Number445220
Spring Gate Rehabilitation and Healthcare Center is legally operated by Memphis Operator, LLC, and administered by Kristian Carr-Grisby.
Resident Council
Accept Medicaid
Accept Medicare
Short-Term Rehab
Dysphagia Training
Doctor on Staff
Wound Care Therapies
Fall Management Program
On-Site Dialysis
Medication ManagementSupport with organizing, administering, and monitoring medicines can help prevent missed or incorrect doses.
Palliative CareCare focused on relieving pain, symptoms, and stress while supporting quality of life. It can be provided alongside treatment for a serious illness.
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.
Patient & Family Education
Pets not allowed
Beauty Salon
Spa
Wi-Fi
Garden
Courtyard
Activities
Pet Therapy
Building TypeSingle-story
CMS Health Inspection History
ALM Inspection Grade
58 / 100
Calculated from CMS inspection data for this community's nursing-home beds
How it compares
25 points below the Tennessee average for CMS-certified facilities (83/100)
Category breakdown
Citations
Concern
144 severity-weighted points (37 citations) · 4× higher than the typical CMS-certified TN facility (median: 41)
Enforcement
Concern
$128,974 in fines · 3 enforcement actions
Persistence
Concern
50 days to fix issues · slower than the typical CMS-certified TN facility (median: 29)
Total health inspections
4
↑ 21% · TN 3.3This facility: 4, 21% above 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
37
Rank #172 / 175Health citations — State benchmarked This nursing home is ranked 172nd 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.↑ 155% · TN 14.5This facility: 37, 155% above the Tennessee average of 14.5 (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
9.25
Rank #171 / 175Citations per inspection — State benchmarked This nursing home is ranked 171st 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.↑ 115% · TN 4.31This facility: 9.25, 115% above the Tennessee average of 4.31 (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
37 of 37 citations corrected
Critical
J–L
1
↑ 25% · TN 0.8This facility: 1, 25% above 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
2
↑ 300% · TN 0.5This facility: 2, 300% above the Tennessee average of 0.5 (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
34
↑ 160% · TN 13.1This facility: 34, 160% above 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: Apr 30, 2025 · 4 citations, all corrected
Most cited category: Quality of Life & Care, 12 of 37 citations · 9 categories in total
Citations history
Most recent first
Apr 30, 2025
4 citations
Quality of Care moderate citation
Corrected
Corrected
Quality of Care critical citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Oct 16, 2024
24 citations
Abuse/Neglect moderate citation
Corrected
Corrected
Abuse/Neglect moderate citation
Corrected
Corrected
Administration moderate citation
Corrected
Corrected
Infection Control moderate citation
Corrected
Corrected
Nursing Services moderate citation
Corrected
Corrected
Nursing Services moderate citation
Corrected
Corrected
Nutrition moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care serious citation
Corrected
Corrected
Quality of Care serious citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Sep 24, 2021
5 citations
Infection Control moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Oct 03, 2019
4 citations
Nutrition moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Top deficiency categories
Share of 37 citations
Quality of Life & Care
12 deficiencies (32%)
Resident Rights
7 deficiencies (19%)
Resident Assessment & Care Planning
7 deficiencies (19%)
Infection Control
2 deficiencies (5%)
Nutrition & Dietary
2 deficiencies (5%)
Abuse, Neglect & Exploitation
2 deficiencies (5%)
Nursing & Physician Services
2 deficiencies (5%)
Pharmacy Services
2 deficiencies (5%)
Administration
1 deficiency (3%)
How citations are counted
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
19 of 37 citations resulted from standard inspections; 5 of 37 resulted from complaint investigations; and 13 of 37 came from combined inspections (standard and complaint).
Includes all CMS health inspection records for this property, which could include management/ownership changes.
Source
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.
Show Inspection Reports
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 Aug 2026
3 penalties in the past 3 years
Latest: Apr 30, 2025 · $50,749 civil money penalty
Apr 30, 2025 · $50,749 civil money penalty
Oct 16, 2024 · $78,225 civil money penalty
Oct 16, 2024 · 50-day payment denial
Total fines
$128,974
↑ 87% · TN $69KThis facility: $128,974, 87% above the Tennessee average of $68,994. Average among the 107 Tennessee facilities with a penalty on record.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US avg $67KUS average: $67,417, among the 6,775 US facilities with a penalty on record.Rank #163 / 175Federal fines — State benchmarked This nursing home is ranked 163rd out of 175 nursing homes we track in Tennessee for federal fines. Shows this facility's cumulative CMS federal fine dollars versus the Tennessee average among facilities with fines, and where it ranks among 175 facilities in the pool. Lower total dollars mean 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.
Number of fines
2
↑ 31% · TN 1.52This facility: 2, 31% above the Tennessee average of 1.52. Average among the 107 Tennessee facilities with a penalty on record.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US avg 1.96US average: 1.96, among the 6,775 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.
1
50 days
↑ 234% · TN 0.3This facility: 1, 234% above the Tennessee average of 0.3. Average among the 107 Tennessee facilities with a penalty on record.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US avg 0.36US average: 0.36, among the 6,775 US facilities with a penalty on record.
Penalty history · past 3 years
Apr 30, 2025
Civil money penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$50,749
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$50,749
Oct 16, 2024
Civil money penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$78,225
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$78,225
Oct 16, 2024
Payment denial
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
New admissions not paid
50 days
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
New admissions not paid
50 daysFine amount comparison
This facility
$128,974
Tennessee average
$68,994
US average
$67,417
Totals count every penalty on record; the history lists the past 3 years. Tennessee and US averages are among facilities with a penalty on record.
A civil money penalty is a fine for noncompliance, per day or per instance. A payment denial stops Medicare/Medicaid payments for new residents until issues are fixed.
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.
2
/ 5
Below average
↓ 41% · TN 3.4This facility: 2.0, 41% 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.
6.8
Score · lower is better
↓ 26% · TN 9.1This facility: 6.8, 26% below the TN average of 9.1 (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.
7.8
Score · lower is better
↓ 54% · TN 17.1This facility: 7.8, 54% below the TN average of 17.1 (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: 9 better, 3 worse, 1 near TN average
8 short-stay measures: 1 better, 3 worse, 1 near TN average, 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
6.1%
↓ 57% · TN 14.0This facility: 6.1, 57% below the TN average of 14.0 (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 whose need for help with daily activities has increased
6.1%
↓ 57% · TN 14.0This facility: 6.1, 57% below the TN average of 14.0 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Walking ability worsened
Percent of long-stay residents whose ability to move independently worsened
4.1%
↓ 76% · TN 17.2This facility: 4.1, 76% below the TN average of 17.2 (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 long-stay residents whose ability to move independently worsened
4.1%
↓ 76% · TN 17.2This facility: 4.1, 76% below the TN average of 17.2 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Bowel or bladder incontinence (low-risk residents)
Percent of low risk long-stay residents who lose control of their bowels or bladder
13.3%
↓ 33% · TN 20.0This facility: 13.3, 33% below the TN average of 20.0 (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
13.3%
↓ 33% · TN 20.0This facility: 13.3, 33% below the TN average of 20.0 (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
0.5%
↓ 73% · TN 1.8This facility: 0.5, 73% below the TN average of 1.8 (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 with a urinary tract infection
0.5%
↓ 73% · TN 1.8This facility: 0.5, 73% below the TN average of 1.8 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Falls with major injury
Percent of long-stay residents experiencing one or more falls with major injury
1.2%
↓ 65% · TN 3.4This facility: 1.2, 65% 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.
Percent of long-stay residents experiencing one or more falls with major injury
1.2%
↓ 65% · TN 3.4This facility: 1.2, 65% 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.
Pressure ulcers (high-risk residents)
Percent of long-stay high risk residents with pressure ulcers
16.5%
↑ 230% · TN 5.0This facility: 16.5, 230% above the TN average of 5.0 (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 high risk residents with pressure ulcers
16.5%
↑ 230% · TN 5.0This facility: 16.5, 230% above the TN average of 5.0 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Physical & mental health
Lost too much weight
Percent of long-stay residents who lose too much weight
6.0%
↓ 1% · TN 6.1This facility: 6.0, 1% below the TN average of 6.1 (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
6.0%
↓ 1% · TN 6.1This facility: 6.0, 1% below the TN average of 6.1 (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
0.0%
↓ 100% · TN 13.8This facility: 0.0, 100% below the TN average of 13.8 (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 who have depressive symptoms
0.0%
↓ 100% · TN 13.8This facility: 0.0, 100% below the TN average of 13.8 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Antipsychotic use
Percent of long-stay residents who received an antipsychotic medication
11.2%
↓ 33% · TN 16.8This facility: 11.2, 33% below the TN average of 16.8 (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 who received an antipsychotic medication
11.2%
↓ 33% · TN 16.8This facility: 11.2, 33% below the TN average of 16.8 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
61.1%
↓ 32% · TN 89.4This facility: 61.1, 32% below the TN average of 89.4 (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 assessed and appropriately given the pneumococcal vaccine
61.1%
↓ 32% · TN 89.4This facility: 61.1, 32% below the TN average of 89.4 (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 long-stay residents assessed and appropriately given the seasonal influenza vaccine
89.6%
↓ 5% · TN 94.5This facility: 89.6, 5% below the TN average of 94.5 (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 seasonal influenza vaccine
89.6%
↓ 5% · TN 94.5This facility: 89.6, 5% below the TN average of 94.5 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Hospital & emergency visits
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
1.02
↓ 35% · TN 1.58This facility: 1.02, 35% below 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.
1.02
↓ 35% · TN 1.58This facility: 1.02, 35% below 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.
0.53
↓ 66% · TN 1.57This facility: 0.53, 66% 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.
0.53
↓ 66% · TN 1.57This facility: 0.53, 66% 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.
27.0%
↓ 50% · US 53.7This facility: 27.0, 50% 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.
27.0%
↓ 50% · US 53.7This facility: 27.0, 50% 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.
41.4%
↓ 18% · US 50.6This facility: 41.4, 18% below 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.
41.4%
↓ 18% · US 50.6This facility: 41.4, 18% below 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.
0.0%
↓ 100% · US 0.8This facility: 0.0, 100% below 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.
0.0%
↓ 100% · US 0.8This facility: 0.0, 100% below 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
1.8%
↑ 6% · TN 1.7This facility: 1.8, 6% above 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
1.8%
↑ 6% · TN 1.7This facility: 1.8, 6% above 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
18.0%
↓ 77% · TN 79.3This facility: 18.0, 77% below the TN average of 79.3 (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 short-stay residents assessed and appropriately given the pneumococcal vaccine
18.0%
↓ 77% · TN 79.3This facility: 18.0, 77% below the TN average of 79.3 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
31.9%
↓ 60% · TN 79.8This facility: 31.9, 60% below the TN average of 79.8 (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 short-stay residents assessed and appropriately given the seasonal influenza vaccine
31.9%
↓ 60% · TN 79.8This facility: 31.9, 60% below the TN average of 79.8 (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
Re-hospitalized after admission
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
22.0%
↓ 1% · TN 22.2This facility: 22.0, 1% below 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.
22.0%
↓ 1% · TN 22.2This facility: 22.0, 1% below 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.
7.6%
↓ 32% · TN 11.2This facility: 7.6, 32% 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.
7.6%
↓ 32% · TN 11.2This facility: 7.6, 32% 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.
Spring Gate Rehabilitation and Healthcare Center’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, but less than last year
−7.7% operating margin
+14.2 pts vs prior year
An operating loss in 8 of the last 8 reported years. Other income ($0.9M) trims the net loss to −$0.4M. Watch for cost-cutting that reaches staffing.
Does it invest in staff?
Payroll in line with Tennessee homes
51.7% payroll share of revenue
TN average 53.2%Rank #74 / 169Payroll % of net patient revenue — State benchmarked This nursing home is ranked 74th 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 $0.7M while revenue rose $3.1M. Check hours per resident in the staffing section to confirm it reaches the floor.
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. | $17.9M | +$3.1M | Trend 20172024 | TN median $10.6M | Rank in TN Rank #26 / 169Net patient revenue — State benchmarked This nursing home is ranked 26th 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 85% of homes | Above TN median Higher net patient revenue than 85% 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. | $19.2M | +$1.2M | Trend 20172024 | TN median — | Rank in TN Not ranked | 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 | +$1.9M | Trend 20172024 | TN median — | Rank in TN Not ranked | Loss, narrowing Resident care lost money this year, less than in the prior report. |
| Operating margin Net patient income as a share of revenue. The clearest health signal. | −7.7% | +14.2 pts | Trend 20172024 | TN median — | Rank in TN Not ranked | Loss A negative margin means resident care costs more than it earns. |
| Other income Money not from resident care: investments, grants, services. | $0.9M | — | Trend — | TN median — | Rank in TN Not ranked | 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. | −$0.4M | +$1.8M | Trend — | TN median — | Rank in TN Not ranked | Loss The bottom line is below zero even after other income. |
Staffing spend
Staff spending in line with 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. | $9.2M | +$0.7M | Trend 20172024 | TN median $5.2M | Rank in TN Rank #29 / 169Payroll costs — State benchmarked This nursing home is ranked 29th 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 83% of homes | Above TN median Higher payroll than 83% 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. | 51.7% | −6.2 pts | Trend 20172024 | TN median 50.4% | Rank in TN Rank #74 / 169Payroll % of net patient revenue — State benchmarked This nursing home is ranked 74th 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 57% of homes | Near 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 | $17.1M | $18.7M | $19.3M | $17.9M | $12.4M | $12.1M | $14.8M | $17.9M |
| Operating expenses | $18.2M | $19.2M | $21.6M | $18.6M | $15.4M | $16.8M | $18.0M | $19.2M |
| Net patient income | −$1.1M | −$0.6M | −$2.3M | −$0.7M | −$3.0M | −$4.7M | −$3.2M | −$1.4M |
| Operating margin | −6.5% | −3.0% | −11.7% | −4.0% | −24.1% | −39.0% | −21.9% | −7.7% |
| Net income | −$0.1M | −$0.0M | −$2.3M | $0.0M | −$1.0M | −$4.4M | −$2.2M | −$0.4M |
| Payroll costs | $7.8M | $8.3M | $8.6M | $8.2M | $6.7M | $7.5M | $8.6M | $9.2M |
| Payroll share of revenue | 45.6% | 44.5% | 44.3% | 46.1% | 53.7% | 62.2% | 57.9% | 51.7% |
| Beds | 233 | 233 | 233 | 233 | 206 | 206 | 206 | 206 |
| Gross revenue | $17.3M | $22.3M | $25.2M | $23.9M | $17.7M | $17.2M | $21.4M | $25.6M |
| Salaries | $6.8M | $7.2M | $7.5M | $7.2M | $5.8M | $6.6M | $7.5M | $8.1M |
| Wage-related costs | $1.0M | $1.1M | $1.1M | $1.0M | $0.8M | $0.9M | $1.0M | $1.1M |
| Contract labor | — | $1.0M | $0.9M | $0.9M | $0.9M | $1.1M | $1.2M | $0.8M |
| Other operating costs | $10.4M | $10.9M | $13.0M | $10.4M | $8.7M | $9.3M | $9.5M | $10.0M |
| Net patient revenue per day | $290 | $293 | $299 | $292 | $289 | $311 | $342 | $363 |
| Cost per day | $308 | $302 | $334 | $304 | $359 | $432 | $417 | $390 |
| Average length of stay | 63.7 days | 129.6 days | 118.5 days | 61.9 days | 57.0 days | 42.3 days | 98.6 days | 91.4 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), Jun 2026
Arriving
554 admissions · FY2024
Residents admitted during the year.
Medicare
87 · 16%
Medicaid
316 · 57%
Private pay & other
151 · 27%
Resident snapshot
138 residents · Jun 2026
Residents counted on the date of the latest CMS report, which updates quarterly.
Medicare
9 · 7%
Medicaid
95 · 69%
Private pay & other
34 · 25%
Leaving
539 discharges · FY2024
Residents discharged during the year.
Medicare
82 · 15%
Medicaid
316 · 59%
Private pay & other
141 · 26%
Mostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
Over 15 years of experience
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.
Places of interest near Spring Gate Rehabilitation and Healthcare Center
3909 Covington Pike, Memphis, TN 38135 — 0.15 miles to nearest hospital (Methodist North Hospital)
Calculate Travel Distance to Spring Gate Rehabilitation and Healthcare Center
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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.
PC (Palliative Care):
Comfort-focused care for serious illness at any stage, including alongside curative 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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A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. This is a proprietary Assisted Living Magazine grade. It is not a government rating. A dash means we have no inspection data for that facility.
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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
#171 / 180 | ? |
41.6%
Facility
41.6%
TN AVG
73.9%
Rank
#128 / 134 | -44% | 6.53
Facility
6.53
TN AVG
3.70
Rank
#4 / 174 | +66% | +76% | $0
Facility
$0
TN AVG
$69.0k
Rank
#1 / 175 | 3
Facility
3
TN AVG
14.5
Rank
#5 / 175 | 1.5
Facility
1.5
TN AVG
4.3
Rank
#4 / 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 / 180 | ? |
65.4%
Facility
65.4%
TN AVG
73.9%
Rank
#92 / 134 | -11% | 3.91
Facility
3.91
TN AVG
3.70
Rank
#63 / 174 | +31% | +6% | $0
Facility
$0
TN AVG
$69.0k
Rank
#1 / 175 | 7
Facility
7
TN AVG
14.5
Rank
#22 / 175 | 3.5
Facility
3.5
TN AVG
4.3
Rank
#54 / 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 / 180 | ? | 22.5% | -70% | 2.54
Facility
2.54
TN AVG
3.70
Rank
#33 / 174 | +87% | -32% | $0
Facility
$0
TN AVG
$69.0k
Rank
#1 / 175 | 2
Facility
2
TN AVG
14.5
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 / 180 | B+ | - | - | 3.32
Facility
3.32
TN AVG
3.70
Rank
#97 / 174 | -14% | -10% | $0
Facility
$0
TN AVG
$69.0k
Rank
#1 / 175 | 20
Facility
20
TN AVG
14.5
Rank
#132 / 175 | 5.0
Facility
5.0
TN AVG
4.3
Rank
#116 / 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 | ||||
| Spring Gate Rehabilitation and Healthcare Center | NH MC PC RC SNF | Memphis (Sunset Trace) | 206
Facility
206
TN AVG
105
Rank
#5 / 180 | F |
56.4%
Facility
56.4%
TN AVG
73.9%
Rank
#117 / 134 | -24% | 3.61
Facility
3.61
TN AVG
3.70
Rank
#112 / 174 | +19% | -3% | $129.0k
Facility
$129.0k
TN AVG
$69.0k
Rank
#163 / 175 | 37
Facility
37
TN AVG
14.5
Rank
#172 / 175 | 9.3
Facility
9.3
TN AVG
4.3
Rank
#171 / 175 | 3 | 116 | - |
30
Facility
30
TN AVG
38
Rank
#120 / 189 | Memphis Operator, LLC | $17.9MFiscal year ending 12/2024
Facility
$17.9MFiscal year ending 12/2024
TN AVG
$12.0M
Rank
#26 / 169 | $9.2MFiscal year ending 12/2024
Facility
$9.2MFiscal year ending 12/2024
TN AVG
$6.3M
Rank
#29 / 169 | 51.7%Fiscal year ending 12/2024
Facility
51.7%Fiscal year ending 12/2024
TN AVG
53.2%
Rank
#74 / 169 | 445220 |
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 for
Nursing Home in Tennessee
Spring Gate Rehabilitation and Healthcare Center is located in Memphis, Tennessee.
Here are the financial assistance programs available to residents in Tennessee.
Frequently Asked Questions about Spring Gate Rehabilitation and Healthcare Center
What neighborhood is Spring Gate Rehabilitation and Healthcare Center in?
Spring Gate Rehabilitation and Healthcare Center is in the Sunset Trace neighborhood of Memphis.
Who is the owner of Spring Gate Rehabilitation and Healthcare Center?
Spring Gate Rehabilitation and Healthcare Center is legally operated by Memphis Operator, LLC, and administered by Kristian Carr-Grisby.
Is Spring Gate Rehabilitation and Healthcare Center in a walkable area?
Spring Gate Rehabilitation and Healthcare Center has a walk score of 30. Car-dependent. A few nearby services may be reachable on foot, but most trips require transportation.
What is the license number of Spring Gate Rehabilitation and Healthcare Center?
According to TN state health department records, Spring Gate Rehabilitation and Healthcare Center's license number is 00000241.
When does Spring Gate Rehabilitation and Healthcare Center's license expire?
According to TN state health department records, Spring Gate Rehabilitation and Healthcare Center's license expires on July 5, 2027.
What is the occupancy rate at Spring Gate Rehabilitation and Healthcare Center?
Spring Gate Rehabilitation and Healthcare Center's occupancy is 56.4%.
How long has Spring Gate Rehabilitation and Healthcare Center been in business?
Spring Gate Rehabilitation and Healthcare Center has been operating for approximately 34 years, based on available licensing and registration records.
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