Collierville Nursing And Rehabilitation, Llc

490 WEST POPLAR AVENUE
COLLIERVILLE, TN, 38017
9018548506
CCN: 445495
1
Overall
2
Health
1
Staffing
2
Quality
ChainSIMCHA HYMAN & NAFTALI ZANZIPER
Special FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
NameRole%
COLLIERVILLE NURSING AND REHABILITATION LLC5% OR GREATER DIRECT OWNERSHIP INTEREST100%
HYMAN, SIMCHA5% OR GREATER INDIRECT OWNERSHIP INTEREST50%
ZANZIPER, NAFTALI5% OR GREATER INDIRECT OWNERSHIP INTEREST50%
VUJANOVIC, MICKCORPORATE OFFICERNOT APPLICABLE
CLEARVIEW HEALTHCARE MANAGEMENT TN LLCOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
VUJANOVIC, MICKOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
SHELTON, GAYLEW-2 MANAGING EMPLOYEENOT APPLICABLE
Health Deficiencies (26)
2025-11-18 · Health
D
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
2022-02-25 · Health
F
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
D
F791 · Quality of Life and Care Deficiencies
Provide or obtain dental services for each resident.
D
F690 · Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
D
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
F677 · Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
F641 · Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
E
F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
D
F584 · Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
2019-12-11 · Health
E
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
E
F761 · 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
F759 · Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
D
F758 · Pharmacy Service Deficiencies
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
D
F756 · Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
D
F693 · Quality of Life and Care Deficiencies
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
D
F690 · Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
D
F679 · Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
D
F677 · Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
E
F657 · Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
D
F584 · Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
D
F582 · Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
D
F569 · Resident Rights Deficiencies
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
2019-02-06 · Health
F
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
F698 · Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
D
F692 · Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
D
F659 · Resident Assessment and Care Planning Deficiencies
Provide care by qualified persons according to each resident's written plan of care.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day
3.24
3.68
RN Hrs/Resident/Day
0.37
0.54
LPN Hrs/Resident/Day
1.23
0.81
CNA Hrs/Resident/Day
1.64
2.33
PT Hrs/Resident/Day
0.07
0.12
Data as of 2026-03-01