Inspection > 2 years ago

Overview

Address
955 GERMANTOWN PKWY, CORDOVA, TN 38018
Phone
9017541393
Certified beds
240
Avg daily residents
164 (68% of beds filled)
Ownership
For-profit LLC
Provider type
Medicare and Medicaid
Medicare/Medicaid since
1989-03-01
Setting
Urban
2 /5
CMS Overall Rating

CMS 5-Star Ratings

CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.

Overall Rating
Composite of Health Inspection, Staffing, and Quality Measures.
2/5
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
2/5
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
2/5
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
2/5
Quality Measures breakdown
Long-Stay Quality Measures 4/5
Short-Stay Quality Measures 1/5

Staffing & Workforce

Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.

Role Reported Case-mix expected Adjusted Federal floor
Total nurse
All nursing staff combined: RN + LPN + Aide
3.55 3.82 3.59 ≥ 3.48
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
0.32 0.67 0.33 ≥ 0.55 Below floor
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
1.13 0.85 1.14
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
2.10 2.30 2.13
Licensed (RN + LPN)
Combined licensed nurse coverage.
1.45
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
0.08

Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.

Weekend staffing

Total nurse (weekend)
3.25
hrs / resident / day
RN (weekend)
0.26
hrs / resident / day
Total nurse (adjusted, weekend)
3.29
hrs / resident / day

Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.

Staff turnover

Total nursing staff turnover
54.6%
annual
RN turnover
52.4%
annual
Administrators departed
0
last 12 months

Resident acuity

Nursing Case-Mix Index
1.35
higher acuity than avg
Case-Mix Index Ratio
0.98
facility / state ratio

Health Inspections

CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.

Cycle Date Total defs. Standard Complaint Deficiency score Revisits Total score
Cycle 1 (most recent) 2022-06-23 7 7 0 52 1 52
Cycle 2/3 (prior) 2019-10-09 0 0 0 0 0 0
Total weighted health score
39.0
lower is better

Deficiencies (10)

Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).

10 D/E/F Actual harm — potential for minor
Tag Description Scope/Severity Survey date Corrected
0578 Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. D 2022-06-23 2022-07-15
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. E 2022-06-23 2022-07-15
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. D 2022-06-23 2022-07-15
0693 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. E 2022-06-23 2022-07-15
0695 Provide safe and appropriate respiratory care for a resident when needed. E 2022-06-23 2022-07-15
0756 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. D 2022-06-23 2022-07-15
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F 2022-06-23 2022-07-15
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2018-11-08 2018-11-28
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. E 2018-11-08 2018-11-28
0880 Provide and implement an infection prevention and control program. D 2018-11-08 2018-11-28

Financial Health (FY 2023)

Payer mix (share of resident days)

Medicare 10.7% Medicaid 65.2% Other 24.1%

Operating performance

Operating Margin
12.8%
Total Margin
18.6%
Occupancy Rate
71.7%
Cost per Resident Day
$40

Revenue & costs

Net Patient Revenue
$20.5M
Total Costs
$2.5M
Net Income
$4.1M

Balance sheet

Total Assets
$12.9M
Total Liabilities
$1.4M
Fund Balance
$11.5M
Current Ratio
7.71

Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.

Ownership & Corporate Structure

Chain: AHAVA HEALTHCARE

Chain ID
17
Facilities in chain
15
Legal business name
CORDOVA OPERATING GROUP LLC
Chain-average star ratings (for peer context)
Overall
2.5
Health
2.6
Staffing
1.9
QM
3.1

Owner / manager organizations (3)

Organization Role Association
CORDOVA HOLDCO LLC 5% OR GREATER DIRECT OWNERSHIP INTEREST since 06/01/2019
BDV INV HOLDCO, LLC 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 11/26/2024
ECM HOLDINGS LLC 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 06/01/2019

Owner / manager individuals (6)

Name Role Association
LABIN, SHIYA 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 06/01/2019
NEUMAN, BENJAMIN 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 06/01/2019
NIEDERMAN, ANSHEL 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 06/01/2019
DUBERT, DONNI OPERATIONAL/MANAGERIAL CONTROL since 06/01/2019
NASH, DANA OPERATIONAL/MANAGERIAL CONTROL since 06/01/2019
NIEDERMAN, ANSHEL CORPORATE OFFICER since 06/01/2019

Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.

Facility Features

CCRC
No
Hospital-based
No
Resident / family council
Resident
Sprinkler systems
Data Not Available
Abuse citation flag
No
Methodology & sources

Full methodology →

All Data

Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.

Download CSV

Show 113 rows
Source Metric Value Raw key
Cost Report Cost per Resident Day ($) $40 metrics.cost_per_resident_day
Cost Report Current Ratio 7.71 metrics.current_ratio
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Medicaid Day Share (%) 65.2% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 10.7% metrics.medicare_day_share
Cost Report Net Income ($) $4,081,623 metrics.net_income
Cost Report Net Patient Revenue ($) $20,540,807 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 71.7% metrics.occupancy_rate
Cost Report Operating Margin (%) 12.8% metrics.operating_margin
Cost Report Total Assets ($) $12,859,060 metrics.total_assets
Cost Report Total Costs ($) $2,520,047 metrics.total_costs
Cost Report Total Fund Balances ($) $11,495,547 metrics.fund_balance
Cost Report Total Liabilities ($) $1,363,513 metrics.total_liabilities
Cost Report Total Margin (%) 18.6% metrics.total_margin
Provider Information Abuse Icon N Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 1.13907 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 2.12629 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 0.32808 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 3.59344 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 3.28814 Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Administrator turnover footnote Administrator turnover footnote
Provider Information Automatic Sprinkler Systems in All Required Areas Data Not Available Automatic Sprinkler Systems in All Required Areas
Provider Information Average Number of Residents per Day 163.9 Average Number of Residents per Day
Provider Information Average Number of Residents per Day Footnote Average Number of Residents per Day Footnote
Provider Information Case-Mix LPN Staffing Hours per Resident per Day 0.84726 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 2.30265 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.66782 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 3.81774 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 3.36493 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating 2.6 Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating 2.5 Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating 3.1 Chain Average QM Rating
Provider Information Chain Average Staffing Rating 1.9 Chain Average Staffing Rating
Provider Information Chain ID 17 Chain ID
Provider Information Chain Name AHAVA HEALTHCARE Chain Name
Provider Information City/Town CORDOVA City/Town
Provider Information CMS Certification Number (CCN) 445218 CMS Certification Number (CCN)
Provider Information Continuing Care Retirement Community N Continuing Care Retirement Community
Provider Information County/Parish Shelby County/Parish
Provider Information Date First Approved to Provide Medicare and Medicaid Services 1989-03-01 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote 22 Geocoding Footnote
Provider Information Health Inspection Rating 2 Health Inspection Rating
Provider Information Health Inspection Rating Footnote Health Inspection Rating Footnote
Provider Information Latitude 35.1383 Latitude
Provider Information Legal Business Name CORDOVA OPERATING GROUP LLC Legal Business Name
Provider Information Location 955 GERMANTOWN PKWY,CORDOVA,TN,38018 Location
Provider Information Long-Stay QM Rating 4 Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote Long-Stay QM Rating Footnote
Provider Information Longitude -89.758 Longitude
Provider Information Most Recent Health Inspection More Than 2 Years Ago Y Most Recent Health Inspection More Than 2 Years Ago
Provider Information Number of administrators who have left the nursing home 0 Number of administrators who have left the nursing home
Provider Information Number of Certified Beds 240 Number of Certified Beds
Provider Information Number of Citations from Infection Control Inspections Number of Citations from Infection Control Inspections
Provider Information Number of Facilities in Chain 15 Number of Facilities in Chain
Provider Information Number of Fines 0 Number of Fines
Provider Information Number of Payment Denials 0 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.35245 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 0.98171 Nursing Case-Mix Index Ratio
Provider Information Overall Rating 2 Overall Rating
Provider Information Overall Rating Footnote Overall Rating Footnote
Provider Information Ownership Type For profit - Limited Liability company Ownership Type
Provider Information Physical Therapist Staffing Footnote Physical Therapist Staffing Footnote
Provider Information Processing Date 2026-03-01 Processing Date
Provider Information Provider Address 955 GERMANTOWN PKWY Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name CORDOVA WELLNESS AND REHABILITATION CENTER Provider Name
Provider Information Provider Resides in Hospital N Provider Resides in Hospital
Provider Information Provider SSA County Code 780 Provider SSA County Code
Provider Information Provider Type Medicare and Medicaid Provider Type
Provider Information QM Rating 2 QM Rating
Provider Information QM Rating Footnote QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 52 Rating Cycle 1 Health Deficiency Score
Provider Information Rating Cycle 1 Health Revisit Score 0 Rating Cycle 1 Health Revisit Score
Provider Information Rating Cycle 1 Number of Complaint Health Deficiencies 0 Rating Cycle 1 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 1 Number of Health Revisits 1 Rating Cycle 1 Number of Health Revisits
Provider Information Rating Cycle 1 Number of Standard Health Deficiencies 7 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2022-06-23 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 52 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 7 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 0 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2019-10-09 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 0 Rating Cycle 2/3 Health Deficiency Score
Provider Information Rating Cycle 2/3 Health Revisit Score 0 Rating Cycle 2/3 Health Revisit Score
Provider Information Rating Cycle 2/3 Number of Complaint Health Deficiencies 0 Rating Cycle 2/3 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 2/3 Number of Health Revisits 0 Rating Cycle 2/3 Number of Health Revisits
Provider Information Rating Cycle 2/3 Total Health Score 0 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 0 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.25935 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 52.4 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 1.45074 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 1.12633 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 2.10251 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.07626 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 0.32441 Reported RN Staffing Hours per Resident per Day
Provider Information Reported Staffing Footnote Reported Staffing Footnote
Provider Information Reported Total Nurse Staffing Hours per Resident per Day 3.55324 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating 1 Short-Stay QM Rating
Provider Information Short-Stay QM Rating Footnote Short-Stay QM Rating Footnote
Provider Information Special Focus Status Special Focus Status
Provider Information Staffing Rating 2 Staffing Rating
Provider Information Staffing Rating Footnote Staffing Rating Footnote
Provider Information State TN State
Provider Information Telephone Number 9017541393 Telephone Number
Provider Information Total Amount of Fines in Dollars 0.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 3.25135 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 0 Total Number of Penalties
Provider Information Total nursing staff turnover 54.6 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 39.000 Total Weighted Health Survey Score
Provider Information Urban Y Urban
Provider Information With a Resident and Family Council Resident With a Resident and Family Council
Provider Information ZIP Code 38018 ZIP Code