17 Chain-Owned Nursing Homes in Shelby County, Tennessee
17 of the 25 Medicare-certified nursing homes in Shelby County, Tennessee (68%) are chain-owned, and all are listed below. 0 of the 17 graded homes earn an A and 4 earn a D or F. They average 3.46 nursing hours per resident per day, 0.58 hours below the 4.04 for every home in Shelby County, Tennessee. Signature Healthcare Of Primacy in Memphis grades highest at B (78 out of 100).
How chain-owned homes in Shelby County, Tennessee compare
This group set against every nursing home in Shelby County, Tennessee, from the current CMS release.
Nursing hours per resident per day
3.46
All homes in Shelby County, Tennessee: 4.04
Worse than the local average
Nurse staff turnover
53.3%
All homes in Shelby County, Tennessee: 52.9%
Worse than the local average
Average ElderGrade score
63.6/100
All homes in Shelby County, Tennessee: 67.4/100
Worse than the local average
Grade spread
B
C
D
5 grade B, 8 grade C, 4 grade D,
The best-graded chain-owned home in Shelby County, Tennessee is
Signature Healthcare Of Primacy
in Memphis, TN, grade B, 78/100.
Every chain-owned nursing home in Shelby County, Tennessee
Signature Healthcare of Primacy runs 120 beds under for-profit LLC ownership, and the staffing picture is the weak spot. At 3.81 nurse hours per resident day, it sits just under the national average of 3.86, and weekends drop roughly 17% below its own weekday coverage. Annual turnover of 48.2% also edges past the national 45.8%, so the people caring for residents change often.
What lifts it is the inspection record: a 4-star health inspection rating, seven deficiencies on file, none involving harm or jeopardy, and none abuse-related, with the most recent inspection dated March 2026. Quality measures come in strong at 5 stars. If staffing consistency matters most to you, ask how weekends are covered.
Harborview Post Acute runs 113 certified beds in Memphis under corporate for-profit ownership, and the staffing numbers are the first thing to notice. At 3.78 nurse hours per resident day, it sits just under the national average of 3.86, and weekends drop roughly 15% below its own weekday level, so the thinnest coverage lands when families tend to visit. Annual turnover of 50% runs above the 45.8% national figure, meaning aides and nurses cycle through often. The inspection record is the heavier concern: 23 deficiencies, including one at harm or jeopardy level and two abuse-related, with the last inspection back in April 2022. The quality measure stars look strong, but that's largely self-reported data.
The staffing numbers are the real story here. At 3.39 nurse hours per resident day, Collierville runs about 12 percent below the national average, and weekends dip another 11 percent below its own weekday level, so the thinnest coverage lands when families tend to visit. A 50 percent annual turnover rate, above the 45.8 percent national figure, means the aides and nurses who remain are often the newest ones. Ownership is for-profit, through a limited liability company.
On the record side, there are 27 deficiencies, three of them abuse-related, though none rose to the harm or jeopardy level. The last inspection was February 2022, so that picture is dated. The 4/5 quality measure score reflects reported clinical outcomes, but quality measures and daily staffing are different things, and here they point in opposite directions.
Signature Healthcare of Memphis runs a 140-bed for-profit home where the care record and the staffing numbers tell different stories. Inspectors gave it full marks on health inspections, with seven deficiencies on file and none at the harm or jeopardy level, though one is abuse-related, which is worth asking about directly. The catch is coverage: 3.40 nurse hours per resident day sits about 12% under the national average, and weekends drop roughly 16% below the home's own weekday staffing. Turnover at 44.3% is basically in line with the national figure, so the issue isn't retention so much as how many hands are on deck at a given hour.
Cordova Wellness runs 240 beds under for-profit LLC ownership, and its nurse staffing sits at 3.61 hours per resident day, about 6% under the national average of 3.86, with weekends running roughly 15% thinner than weekdays. That pattern matters more than the raw number, since care doesn't pause on Saturdays. Turnover lands at 44.2%, slightly better than the 45.8% national figure, which is a small point in its favor. The 12 deficiencies on record include nothing flagged at harm or jeopardy level and nothing abuse-related, and the last inspection was recent, in April 2026. Quality and staffing both rate 2 out of 5 from CMS, so the decent inspection record is carrying more weight here than day-to-day care measures.
Applingwood Post Acute runs 78 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.65 hours per resident day, roughly 5% under the national average of 3.86. Weekends thin out further, landing about 17% below the home's own weekday coverage, and annual turnover hits 51.8% against a national 45.8%. The inspection record shows 10 deficiencies, one serious enough to reach harm or jeopardy level, plus a single $63,999 fine; the last survey was August 2025. CMS gives it 2 of 5 stars on health inspections but 4 of 5 on quality measures, so the clinical metrics look better than the survey history and the staffing pattern behind them.
Quince Nursing runs 3.44 nurse hours per resident day, about 11% under the national figure, and staffing thins further on weekends, dropping roughly 16% below its own weekday level. Annual turnover sits at 56.7% against a national 45.8%, so aides and nurses are cycling through steadily. The inspection record carries 19 deficiencies, five at harm or jeopardy level and three tied to abuse, along with a $71,822 fine; the last survey was March 2026. Ownership is for-profit, through a limited liability company. Its quality measure stars look strong on paper, but those come from resident assessments, not from how the place is actually staffed or surveyed, and the staffing and inspection scores sit at the bottom.
Delta Blues Health & Rehabilitation runs 180 certified beds in Memphis under for-profit LLC ownership, and its nurse staffing sits at 2.92 hours per resident day, roughly a quarter below the national average of 3.86. Weekends drop about 11% under the home's own weekday levels, and annual turnover hits 55.8% against a national 45.8%, so the people available to residents change often. The current record shows 8 deficiencies, one serious enough to involve harm or jeopardy, plus a single $8,281 fine. What's striking is the split: the home scores 5/5 on quality measures but 1/5 on staffing and 2/5 on health inspections, with the last inspection dated October 2025. Strong clinical numbers can coexist with thin coverage, ask how it feels on a Sunday.
Highlands Health And Rehabilitation Center runs 180 beds in Memphis under corporate for-profit ownership, and its nurse staffing sits at 3.22 hours per resident day, roughly 17% under the national average of 3.86. Weekends run about 12% thinner than weekdays, and annual turnover is 53.6% against a national 45.8%. That combination shows up in the federal stars: 2 out of 5 for staffing and 2 for health inspections, with 16 deficiencies on the current record, one serious enough to reach harm or jeopardy level. No abuse citations, and quality measures score a middling 3. The last inspection was August 2022, so the record you're reading is more than a year old.
Millington Healthcare Center runs 85 certified beds as a for-profit partnership, and its nurse staffing sits at 3.30 hours per resident day, roughly 15% under the national average of 3.86. Weekends are thinner still, about 18% below what the home staffs on weekdays, and turnover runs at 50% against a national 45.8%. The inspection record carries 21 deficiencies, three of them at the harm or jeopardy level and two tied to abuse, with two fines totaling $226,623. The most recent inspection was March 2024, so that record is fairly current. The quality measure score of 4 out of 5 is the bright spot here; staffing and health inspection scores sit lower.
Parkway Health and Rehabilitation Center runs about 3.14 nurse hours per resident day, roughly 19% under the national average of 3.86, and weekends drop another 16% below its own weekday coverage. That thin staffing shows up in the CMS staffing rating of 2 out of 5, even though the quality measure score sits at 4. The inspection record is the bigger concern: 19 deficiencies, three at harm or jeopardy level and four tied to abuse, plus a $67,587 fine. Turnover at 38.9% is actually better than the 45.8% national figure, and the last inspection was recent, so the record reflects current conditions rather than old problems.
Nurse staffing at Waters of Memphis runs about 12% under the national average, and weekends get thinner still, roughly 13% below what the home staffs on weekdays. That gap matters, because care doesn't pause on Saturdays. Annual turnover sits near 60%, well above the 46% national figure, so the people at the bedside keep changing. The current record shows 13 deficiencies, four tied to abuse, though none rose to the level of actual harm or jeopardy; the last full inspection was in September 2023, and one fine totaling $5,293 has been levied. Quality measures score well, but staffing and inspections tell the more grounded story about daily conditions here.
Midtown Center runs 180 beds in Memphis under for-profit LLC ownership, and the staffing numbers are where the trouble shows. At 3.54 nurse hours per resident day, it sits roughly 8% under the national average, and weekends dip about 13% below its own weekday levels, so care gets thinnest exactly when families are most likely to visit. Annual turnover of 63.6% is well above the 45.8% national figure, meaning nearly two-thirds of the nursing staff leaves each year. On inspections, the record carries 18 deficiencies, including 2 at harm or jeopardy level and 2 tied to abuse, plus a $188,379 fine.
Spring Gate runs 206 beds in Memphis under for-profit LLC ownership, and its last inspection was in October 2024. The raw staffing number looks fine, 3.95 nurse hours per resident day, just above the national average, but that figure hides two problems: weekend coverage drops about 13% below the home's own weekday level, and annual turnover sits at 67.5% against a national 45.8%, meaning most of the people providing that care are new or on their way out. The inspection record is where it gets serious: 37 deficiencies, three at harm or jeopardy level, two tied to abuse, and $128,974 in fines. Quality measures score well, but a 1-star inspection rating and 2-star staffing tell you where to look first.
Rainbow Rehab And Healthcare runs 115 certified beds in Bartlett under for-profit limited liability ownership. Nurse staffing sits at 3.41 hours per resident day, roughly 12 percent under the national average, and weekends drop about 17 percent below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is 43.7 percent, slightly better than the national 45.8 percent, and the current record shows seven deficiencies with none at harm or jeopardy level and no abuse findings. What stands out is timing: the last inspection was June 30, 2022, meaning the two-year-old findings behind that 2/5 inspection rating may not reflect how the building runs today.
Shelby Oaks Post Acute runs on 3.51 nurse staffing hours per resident day, about 9% under the national average, and weekends drop roughly 17% below what the home staffs during the week. That thin coverage shows up in the numbers: 59.7% annual turnover, against a national average of 45.8%, meaning most of the people caring for residents weren't there a year ago. The inspection record is worse, 22 deficiencies, two at harm or jeopardy level, two tied to abuse, and $83,589 in fines. The last inspection was January 8, 2026, so the record is recent, not stale. This is a for-profit LLC with a one-star health inspection rating and a one-star staffing rating.
Majestic Gardens runs 169 beds under corporate ownership, and the staffing numbers are where the trouble starts. At 3.36 nurse hours per resident day, it sits about 13% under the national average, and weekends drop roughly 11% below its own weekday coverage. Staff turnover hits 68.5%, well above the 45.8% national figure, so caregivers are cycling through constantly.
The inspection record is worse: 37 deficiencies on file, including 4 at the harm or jeopardy level and 5 tied to abuse. CMS has levied 9 fines totaling $810,404 and placed the home in its Special Focus Facility program, a designation reserved for the country's most persistently troubled homes. The most recent inspection was September 11, 2025.
Frequently asked questions
How many chain-owned nursing homes are there in Shelby County, Tennessee?
There are 17 chain-owned Medicare-certified nursing homes in Shelby County, Tennessee, 68% of the 25 nursing homes there.
Are chain-owned nursing homes better staffed?
In Shelby County, Tennessee they average 3.46 total nursing hours per resident per day, against 4.04 for all nursing homes in Shelby County, Tennessee, a difference of -0.58 hours. Staff turnover averages 53.3% against 52.9%.
Which chain-owned nursing home grades best in Shelby County, Tennessee?