CCN 445189
Kirby Pines Manor
3535 KIRBY PARKWAY, Memphis, TN 38115 · Shelby County
- Ownership
- Non profit - Corporation
- Certified beds
- 120
- Residents per day
- 16.5
- Health citations
- 2
- Penalties
- 0
- Fines
- 0 · $0
- Map
- Open location. CMS based the coordinates on the ZIP code because the street address did not match.
Provider Information. Data from CMS, updated September 1, 2026. CMS Provider Data Catalog · How we rate · Corrections
CMS has marked this home with the high-performing icon. The September 2026 Technical Users' Guide describes that icon for homes with fewer citations, higher staffing, and other quality indicators, shown in addition to the five-star rating. Selection criteria are in CMS memorandum QSO-26-14-NH.
Staffing hours
Reported hours per resident per day come from the Payroll-Based Journal figures in the Provider Information file. Case-mix and adjusted hours account for how much care CMS expects given the residents’ needs. State and U.S. figures are averages from the same release.
- Measure
- This home
- State
- U.S.
- Nurse aide
- 1.36
- 2.12
- 2.32
- LPN/LVN
- 0.50
- 1.09
- 0.86
- Registered nurse
- 1.81
- 0.60
- 0.69
- Total nurse staff
- 3.67
- 3.80
- 3.86
- Weekend total
- 2.88
- 3.31
- 3.42
- Weekend RN
- 1.00
- 0.39
- 0.48
Adjusted total nurse hours: 3.97. Adjusted RN hours: 1.95. Case-mix total: 3.55. Case-mix index: 1.299.
Total nursing staff turnover: 54.5%. RN turnover: —. Administrators who left: 1.
How to read staffing hours
Payroll-Based Journal figures in Provider Information. Data from CMS, updated September 1, 2026. CMS Provider Data Catalog · How we rate · Corrections
Fines and penalties
CMS reports 0 fines totaling $0, and 0 payment denials.
The Penalties file has no individual penalty rows for this CCN.
Cycle 1 standard survey: June 3, 2025. Health deficiencies counted in cycle 1: 2. Cycle 1 total health score: 12.
Cycle 2 standard survey: April 4, 2024. Cycle 2/3 health deficiencies: 0. Total weighted health survey score: 9.
Penalties file and Provider Information. Data from CMS, updated September 1, 2026. CMS Provider Data Catalog · How we rate · Corrections
Health inspection citations
The Health Deficiencies file lists 2 citations for this home, including 0 at immediate jeopardy and 0 at actual harm. CMS may display some citations here that are not used in the health inspection rating, including citations under dispute.
June 3, 2025
2 citations
| Tag | What CMS cited | Scope and severity | Status |
|---|
| F880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Standard survey · Cycle 1 | E: pattern, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · June 6, 2025 |
| F698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Standard survey · Cycle 1 | D: isolated, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · June 6, 2025 |
Health Deficiencies. Data from CMS, updated September 1, 2026. CMS Provider Data Catalog · How we rate · Corrections