Delta Blues Health & Rehabilitation Inspection Report, Violations & Safety Grade (MEMPHIS, Tennessee)

3933 ALLENBROOKE COVE, MEMPHIS, Tennessee 38118

Phone: 9017952444

CMS Overall:2/5

Overview & Bed Count

Certified Beds

180

Avg Residents/Day

154.8

Ownership

For profit - Limited Liability company

Provider Type

Medicare and Medicaid

County

Shelby

Sprinkler Systems

Yes

Special Focus

None

Abuse Icon

CMS Star Ratings

Overall2/5

Health2/5

Staffing1/5

Quality5/5

Nurse Staffing Check

Metric	This Facility	Tennessee Avg	Difference
RN Hours per Resident per Day	0.41	0.60	-0.19
Total Nurse Hours per Resident per Day	3.07	3.82	-0.75
CMS Staffing Rating	1/5	2.5/5	-
Nursing Staff Turnover	60.1%	48.6%	-

Health Citation History

8 health citations on record

Date	Category	Description	Severity
2025-10-02	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	J – Immediate Jeopardy
2022-01-13	Resident Rights Deficiencies	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	E – Moderate Harm Potential
2022-01-13	Quality of Life and Care Deficiencies	Provide care and assistance to perform activities of daily living for any resident who is unable.	E – Moderate Harm Potential
2022-01-13	Pharmacy Service Deficiencies	Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.	E – Moderate Harm Potential
2022-01-13	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	E – Moderate Harm Potential
2022-01-13	Resident Assessment and Care Planning Deficiencies	Ensure each resident receives an accurate assessment.	D – Moderate Harm Potential
2022-01-13	Resident Assessment and Care Planning Deficiencies	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	D – Moderate Harm Potential
2022-01-13	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D – Moderate Harm Potential

Fire Safety Citation History

31 fire safety citations on record

Date	Category	Description	Severity
2025-10-02	Egress Deficiencies	Install emergency lighting that can last at least 1 1/2 hours.	D – Moderate Harm Potential
2025-10-02	Smoke Deficiencies	Inspect, test, and maintain automatic sprinkler systems.	D – Moderate Harm Potential
2025-10-02	Miscellaneous Deficiencies	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	D – Moderate Harm Potential
2025-10-02	Gas, Vacuum, and Electrical Systems Deficiencies	Have generator or other power source capable of supplying service within 10 seconds.	D – Moderate Harm Potential
2025-10-02	Gas, Vacuum, and Electrical Systems Deficiencies	Ensure proper usage of power strips and extension cords.	D – Moderate Harm Potential
2025-10-02	Gas, Vacuum, and Electrical Systems Deficiencies	Ensure precautions for handling oxygen cylinders and equipment are correctly followed.	D – Moderate Harm Potential
2020-01-14	Gas, Vacuum, and Electrical Systems Deficiencies	Ensure proper usage of power strips and extension cords.	E – Moderate Harm Potential
2020-01-14	Emergency Preparedness Deficiencies	Develop and maintain an Emergency Preparedness Program (EP).	D – Moderate Harm Potential
2020-01-14	Emergency Preparedness Deficiencies	Conduct risk assessment and an All-Hazards approach.	D – Moderate Harm Potential
2020-01-14	Emergency Preparedness Deficiencies	Include a process for Emergency Preparedness collaboration.	D – Moderate Harm Potential
2020-01-14	Emergency Preparedness Deficiencies	Address subsistence needs for staff and patients.	D – Moderate Harm Potential
2020-01-14	Emergency Preparedness Deficiencies	Establish policies and procedures for sheltering.	D – Moderate Harm Potential
2020-01-14	Emergency Preparedness Deficiencies	Establish policies and procedures for volunteers.	D – Moderate Harm Potential
2020-01-14	Emergency Preparedness Deficiencies	Create arrangements with other facilities to receive patients.	D – Moderate Harm Potential
2020-01-14	Emergency Preparedness Deficiencies	Establish roles under a Waiver declared by secretary.	D – Moderate Harm Potential
2020-01-14	Emergency Preparedness Deficiencies	Provide emergency officials' contact information.	D – Moderate Harm Potential
2020-01-14	Emergency Preparedness Deficiencies	Provide a means of sharing information on occupancy/needs.	D – Moderate Harm Potential
2020-01-14	Emergency Preparedness Deficiencies	Provide family notifications of emergency plan.	D – Moderate Harm Potential
2020-01-14	Emergency Preparedness Deficiencies	Establish emergency prep training and testing.	D – Moderate Harm Potential
2020-01-14	Emergency Preparedness Deficiencies	Establish staff and initial training requirements.	D – Moderate Harm Potential
2020-01-14	Emergency Preparedness Deficiencies	Conduct testing and exercise requirements.	D – Moderate Harm Potential
2020-01-14	Smoke Deficiencies	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.	D – Moderate Harm Potential
2020-01-14	Smoke Deficiencies	Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.	D – Moderate Harm Potential
2020-01-14	Smoke Deficiencies	Have approved installation, maintenance and testing program for fire alarm systems.	D – Moderate Harm Potential
2020-01-14	Smoke Deficiencies	Inspect, test, and maintain automatic sprinkler systems.	D – Moderate Harm Potential
2020-01-14	Smoke Deficiencies	Properly select, install, inspect, or maintain portable fire extinguishes.	D – Moderate Harm Potential
2020-01-14	Services Deficiencies	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.	D – Moderate Harm Potential
2020-01-14	Miscellaneous Deficiencies	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	D – Moderate Harm Potential
2020-01-14	Miscellaneous Deficiencies	Have restrictions on the use of portable space heaters.	D – Moderate Harm Potential
2020-01-14	Gas, Vacuum, and Electrical Systems Deficiencies	Have power receptacles that are properly grounded.	D – Moderate Harm Potential
2020-01-14	Gas, Vacuum, and Electrical Systems Deficiencies	Have generator or other power source capable of supplying service within 10 seconds.	D – Moderate Harm Potential

Total Penalties & Fines

$8,281

Total Fine Amount (CMS)

Number of Fines

Total Penalties

Date	Type	Fine Amount	Payment Denial
2025-10-02	Fine	$8,281	-

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Need Help Finding Safe Care?

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(Free Family Advisor Call)Download Inspection & Tour Checklist PDF
3-Year Complete Report ($19)

Advisor service is free for families. We may receive referral compensation.