Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

Collierville Nursing And Rehabilitation, Llc

COLLIERVILLE, TN · 114 certified beds · Last Life Safety survey June 10, 2026

CMS Certification Number 445495 · first certified July 2009

Ownership

Operated by SIMCHA HYMAN & NAFTALI ZANZIPER · For profit - Limited Liability company

Ownership changed October 13, 2018 (change of ownership)from POPLAR OAKS REHABILITATION AND HEALTHCARE CENTER, LLC

Citations on file

Rolling three-year window

Life Safety surveys

In the same window

Tags cited more than once

Across separate surveys

Inspection & testing records

Of the citations on file

Position within TN

19 citations — more than 88% of the 303 certified nursing homes in TN. Compared within TN rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Improvingfewer citations at the latest survey than at its earlier surveys in the window.

The latest survey found 3 citations; the earlier surveys in the window averaged 8. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens September 2027 — about 11 months from now. This facility’s last Life Safety survey was June 2026. Facilities in TN are typically surveyed 15–44 months after the last one (median 33), measured over 279 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Emergency preparedness

4 of the 19 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

5 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 19 Life Safety citations above. The Physical Environment Index

F-0880 Provide and implement an infection prevention and control program.
F-0584 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.

How that compares

Citations on file over three years

Compared with the median facility in TN, and nationally. Surveyors differ markedly between states, so the TN figure is the meaningful one.

Citations on file over three years, compared
Measure	Citations
This facility	19
Median facility in TN	8
Median facility nationally	11

Survey history

Citations at each Life Safety survey

Citations at each Life Safety survey
Survey date	Citations
December 11, 2019	13
February 25, 2022	3
June 10, 2026	3

Most-cited tags

Most-cited tags at this facility

Most-cited tags at this facility
Tag	What the surveyor checks	Times cited	Last cited
E-0001	Establish an Emergency Preparedness Program (EP).	2	2022-02-25
K-0351	Install an approved automatic sprinkler system.	1	2019-12-11
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	1	2019-12-11
K-0741	Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.	1	2019-12-11
K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	1	2019-12-11
K-0353	Inspect, test, and maintain automatic sprinkler systems.	1	2019-12-11
K-0324	Provide properly protected cooking facilities.	1	2026-06-10
K-0781	Have restrictions on the use of portable space heaters.	1	2026-06-10

What the citations cover

Citations by CMS category

Smoke Deficiencies 5
Emergency Preparedness Deficiencies 4
Miscellaneous Deficiencies 4
Gas, Vacuum, and Electrical Systems Deficiencies 3
Other 3

Citations by CMS category
Category	Citations
Smoke Deficiencies	5
Emergency Preparedness Deficiencies	4
Miscellaneous Deficiencies	4
Gas, Vacuum, and Electrical Systems Deficiencies	3
Egress Deficiencies	2
Services Deficiencies	1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

June 10, 2026 — 3 citations

Citations issued on June 10, 2026
Tag	What the surveyor checks	Status
K-0223	Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.	Deficient, Provider has date of correction (July 1, 2026)
K-0324	Provide properly protected cooking facilities.	Deficient, Provider has date of correction (July 1, 2026)
K-0781	Have restrictions on the use of portable space heaters.	Deficient, Provider has date of correction (July 1, 2026)

February 25, 2022 — 3 citations

Citations issued on February 25, 2022
Tag	What the surveyor checks	Status
E-0001	Establish an Emergency Preparedness Program (EP).	Deficient, Provider has date of correction (April 27, 2022)
E-0004	Develop and maintain an Emergency Preparedness Program (EP).	Deficient, Provider has date of correction (April 27, 2022)
E-0006	Conduct risk assessment and an All-Hazards approach.	Deficient, Provider has date of correction (April 27, 2022)

December 11, 2019 — 13 citations

Citations issued on December 11, 2019
Tag	What the surveyor checks	Status
E-0001	Establish an Emergency Preparedness Program (EP).	Deficient, Provider has date of correction (January 25, 2020)
K-0222	Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.	Deficient, Provider has date of correction (January 25, 2020)
K-0351	Install an approved automatic sprinkler system.	Deficient, Provider has date of correction (January 25, 2020)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (January 25, 2020)
K-0355	Properly select, install, inspect, or maintain portable fire extinguishes.	Deficient, Provider has date of correction (January 25, 2020)
K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	Deficient, Provider has date of correction (January 25, 2020)
K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.	Deficient, Provider has date of correction (January 25, 2020)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (January 25, 2020)
K-0741	Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.	Deficient, Provider has date of correction (January 25, 2020)
K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	Deficient, Provider has date of correction (January 25, 2020)
K-0914	Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.	Deficient, Provider has date of correction (January 25, 2020)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (January 25, 2020)
K-0920	Ensure proper usage of power strips and extension cords.	Deficient, Provider has date of correction (January 25, 2020)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.