Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record
Delta Blues Health & Rehabilitation
MEMPHIS, TN · 180 certified beds · Last Life Safety survey October 2, 2025
CMS Certification Number 445485 · first certified May 2007
Ownership
Operated by LYON HEALTHCARE · For profit - Limited Liability company
No change of ownership on CMS record since January 1, 2016, when the records begin.
Position within TN
31 citations — more than 98% 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
The latest survey found 6 citations; the earlier surveys in the window averaged 12.5. With 3 surveys on file this is a direction of travel, not a conclusion.
When is the next survey likely?
The window opens December 2026 — about 3 months from now. This facility’s last Life Safety survey was October 2025. 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
Get an email about Delta Blues Health & Rehabilitation
One email when it happens. No account; stop it any time with one click.
3 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.
Emergency preparedness
14 of the 31 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)
2 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 31 Life Safety citations above. The Physical Environment Index
- F-0880 Provide and implement an infection prevention and control program.
How that compares
Compared with the median facility in TN, and nationally. Surveyors differ markedly between states, so the TN figure is the meaningful one.
| Measure | Citations |
|---|---|
| This facility | 31 |
| Median facility in TN | 8 |
| Median facility nationally | 11 |
Survey history
| Survey date | Citations |
|---|---|
| January 14, 2020 | 25 |
| January 13, 2022 | 0 |
| October 2, 2025 | 6 |
Most-cited tags
| Tag | What the surveyor checks | Times cited | Last cited |
|---|---|---|---|
| K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. | 2 | 2025-10-02 |
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | 2 | 2025-10-02 |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | 2 | 2025-10-02 |
| K-0920 | Ensure proper usage of power strips and extension cords. | 2 | 2025-10-02 |
| E-0036 | Establish emergency prep training and testing. | 1 | 2020-01-14 |
| K-0343 | Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | 1 | 2020-01-14 |
| K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | 1 | 2020-01-14 |
| K-0912 | Have power receptacles that are properly grounded. | 1 | 2020-01-14 |
What the citations cover
- Emergency Preparedness Deficiencies 14
- Smoke Deficiencies 6
- Gas, Vacuum, and Electrical Systems Deficiencies 6
- Miscellaneous Deficiencies 3
- Other 2
| Category | Citations |
|---|---|
| Emergency Preparedness Deficiencies | 14 |
| Smoke Deficiencies | 6 |
| Gas, Vacuum, and Electrical Systems Deficiencies | 6 |
| Miscellaneous Deficiencies | 3 |
| Services Deficiencies | 1 |
| Egress Deficiencies | 1 |
Every citation on file
As published by CMS, newest survey first. Descriptions are CMS’s own wording.
October 2, 2025 — 6 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0291 | Install emergency lighting that can last at least 1 1/2 hours. | Deficient, Provider has date of correction (November 21, 2025) |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | Deficient, Provider has date of correction (November 21, 2025) |
| K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Deficient, Provider has date of correction (November 21, 2025) |
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | Deficient, Provider has date of correction (November 21, 2025) |
| K-0920 | Ensure proper usage of power strips and extension cords. | Deficient, Provider has date of correction (November 21, 2025) |
| K-0929 | Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Deficient, Provider has date of correction (November 21, 2025) |
January 14, 2020 — 25 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0004 | Develop and maintain an Emergency Preparedness Program (EP). | Deficient, Provider has date of correction (February 14, 2020) |
| E-0006 | Conduct risk assessment and an All-Hazards approach. | Deficient, Provider has date of correction (February 14, 2020) |
| E-0009 | Include a process for Emergency Preparedness collaboration. | Deficient, Provider has date of correction (February 14, 2020) |
| E-0015 | Address subsistence needs for staff and patients. | Deficient, Provider has date of correction (February 14, 2020) |
| E-0022 | Establish policies and procedures for sheltering. | Deficient, Provider has date of correction (February 14, 2020) |
| E-0024 | Establish policies and procedures for volunteers. | Deficient, Provider has date of correction (April 8, 2020) |
| E-0025 | Create arrangements with other facilities to receive patients. | Deficient, Provider has date of correction (February 14, 2020) |
| E-0026 | Establish roles under a Waiver declared by secretary. | Deficient, Provider has date of correction (April 8, 2020) |
| E-0031 | Provide emergency officials' contact information. | Deficient, Provider has date of correction (February 14, 2020) |
| E-0034 | Provide a means of sharing information on occupancy/needs. | Deficient, Provider has date of correction (April 8, 2020) |
| E-0035 | Provide family notifications of emergency plan. | Deficient, Provider has date of correction (February 14, 2020) |
| E-0036 | Establish emergency prep training and testing. | Deficient, Provider has date of correction (February 14, 2020) |
| E-0037 | Establish staff and initial training requirements. | Deficient, Provider has date of correction (February 14, 2020) |
| E-0039 | Conduct testing and exercise requirements. | Deficient, Provider has date of correction (February 14, 2020) |
| K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Deficient, Provider has date of correction (April 15, 2020) |
| K-0343 | Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Deficient, Provider has date of correction (January 30, 2020) |
| K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. | Deficient, Provider has date of correction (January 29, 2020) |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | Deficient, Provider has date of correction (February 25, 2020) |
| K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. | Deficient, Provider has date of correction (January 30, 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 30, 2020) |
| K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Deficient, Provider has date of correction (January 30, 2020) |
| K-0781 | Have restrictions on the use of portable space heaters. | Deficient, Provider has date of correction (January 30, 2020) |
| K-0912 | Have power receptacles that are properly grounded. | Deficient, Provider has date of correction (January 30, 2020) |
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | Deficient, Provider has date of correction (January 30, 2020) |
| K-0920 | Ensure proper usage of power strips and extension cords. | Deficient, Provider has date of correction (April 15, 2020) |
Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.