Page 28 of Best Assisted Living in Tennessee

Nashville Senior Care is an assisted living home located in Nashville, Tennessee. It offers a full range of services including 24/7 care, nutrition assistance, and resident transportation. The facility is designed to create a safe and secure living environment for seniors.

Overview of The Waterford in Hermitage

The Waterford in Hermitage is a senior living community located in Hermitage, TN. It offers a range of services including Independent Living, Assisted Living, Memory Care, and Respite Care. The community is designed to support active seniors who wish to live fulfilling lives while receiving the care they need.

Wellington Manor Jackson is an assisted living community in Jackson, Tennessee, providing assistance with daily living activities. Licensed for 88 residents, the community strives to maintain residents’ independence.

The community has recorded two enforcement actions, and the most recent inspection report was completed in March 2025. Regulatory actions are a routine part of the oversight process for licensed assisted living communities and do not automatically indicate ongoing concerns. Reviewing full inspection documentation can provide families with a broader context about compliance history, operational improvements, and corrective measures when applicable.

Compared with other assisted living communities across Tennessee, the community falls within the upper-middle range for size. Its setting is considered more suburban or rural in character, reflected by a lower walkability score and limited pedestrian access to nearby shopping or services. For residents and families who primarily rely on personal transportation, this may not present a challenge, though those seeking a highly walkable environment are encouraged to take into consideration its moderately car-dependent setting.

Support services are designed for older adults who need help with activities such as bathing, dressing, medication assistance, mobility support, and personal care without requiring the higher level of medical supervision typically associated with skilled nursing care. As a mid-to-larger-sized assisted living community, broader staffing coverage, social programming opportunities, and a wider range of shared amenities and services are provided.

Wellington Manor Jackson is a suitable option for older adults seeking day-to-day personal care assistance within a licensed Tennessee assisted living setting with established state oversight and on-site leadership.

Overview of The Pearl of Fairview

The Pearl of Fairview is a family-operated senior living community in Fairview, Tennessee, offering assisted living, memory care, and respite care. Owned by The Pearl at Fairview, LLC, the community has been operating since 2023.

State oversight is provided by the Tennessee Department of Health, Division of Health Care Facilities, with the most recent inspection completed in January 2025. As with many assisted living communities in Tennessee, families interested in reviewing detailed inspection findings or compliance records may request additional documentation directly from the state licensing agency.

The community emphasizes a relationship-centered environment supported by 24-hour staffing that includes licensed nurses and certified nursing assistants. One of the community’s defining features is its use of Montessori-based programming, an engagement model designed to encourage independence, purposeful activity, and meaningful social interaction. This approach can be especially valuable for residents living with memory loss or cognitive decline, as it emphasizes familiar routines, structured participation, and individualized strengths.

A variety of recreational activities, assisted living suites, common amenities, and both shared and private dining areas are also available on-site. Additional conveniences include restaurant-style dining, an in-house beauty salon, housekeeping, laundry services, and wireless internet access.

Located in Fairview, the community offers somewhat better walkability than many suburban Tennessee senior living communities, with select errands and nearby services within walking distance. Its location near the Nashville area also appeals to families wanting proximity to larger healthcare systems and urban resources while still maintaining a quieter residential atmosphere.

As a newly constructed community, The Pearl of Fairview is ideal for older adults seeking assisted living or memory care in a smaller, family-oriented community with modern accommodations and highly structured engagement programs, especially with its Montessori-inspired approach and broad amenity offerings.

The Sapphire at Music City is a 115-bed senior living community in Nashville, TN, offering assisted living, memory care, and respite care. Licensed by the Tennessee Department of Health since 2018 and operated by Pearl Care LLC, the community provides a purpose-built environment designed around safety, engagement, and individualized support. The community also accepts Medicaid and participates in the Tennessee Health Care Association.

Care services are structured around a whole-person approach, with services including medication management, chef-prepared meals, 24-hour staffing, and household services. A variety of apartment layouts, including both private and companion accommodations, are also available, along with shared amenities. Transportation services are available for scheduled local appointments and outings.

The community’s pricing structure is considered relatively competitive for the Nashville market, particularly given its combination of assisted living, memory care, and respite services. Its location near major medical providers, including TriStar Summit Medical Center, is also beneficial for residents requiring ongoing healthcare access.

The Sapphire at Music City is well-suited for older adults who need consistent daily support in a socially active and relationship-focused environment, particularly families in the Donelson and East Nashville areas seeking assisted living or memory care with flexible respite options, personalized attention, and a strong emphasis on resident engagement.

Overview of The McKendree Post Acute and Rehabilitation

The McKendree Post Acute and Rehabilitation is an 180-bed nursing home in Hermitage, TN, offering a full continuum of support, including assisted living, memory care, short-term rehabilitation, long-term care, and skilled nursing. Licensed in July 1992 under McKendree SNF Operations, LLC, which is affiliated with Hill Valley Healthcare, the community currently holds a 1-star CMS overall performance rating. Medicare, Medicaid, and private insurance payments are also accepted.

Therapeutic rehabilitation stands out as a verified highlight of the community, with daily physical therapist contact averaging 7 minutes per resident, marking a 40% increase over the Tennessee state average of 5 minutes, which delivers a substantial advantage to individuals recovering from acute medical events. Weekend registered nurse coverage reaches 30 minutes per resident each day, outperforming the state average of 24 minutes and ensuring comprehensive clinical monitoring throughout Saturdays and Sundays. Staffing documentation from the second quarter of 2025 also confirms the presence of a nurse practitioner, clinical nurse specialists, respiratory therapy technicians, speech-language pathologists, and mental health professionals. Overall nursing care averages 3 hours and 3 minutes per resident daily, falling short of the Tennessee average of approximately 3 hours and 40 minutes, while individual hours for registered nurses, licensed practical nurses, and nursing assistants track between 4% and 11% below state benchmarks.

Throughout an eight-year review period, the Tennessee Department of Health executed 4 separate inspections, compiling a total of 47 health citations, representing the largest volume of deficiencies among evaluated local options. 7 of which were deemed critical, 1 was categorized as serious, 38 were labeled moderate, and 1 was judged minor. Specifically, quality of life and clinical care accounted for 11 citations, resident rights made up 8 deficiencies, and issues surrounding abuse, neglect, or exploitation generated 6 citations. Additionally, the most recent formal evaluation on October 3, 2023, yielded critical as well as multiple moderate citations related to abuse and neglect, all of which were documented as resolved.

CMS has designated this community as a Special Focus Facility Candidate, a status reserved for properties possessing a recorded pattern of significant care issues that have not yet entered the official Special Focus Facility program. Independent data indicate the community was subject to active federal monitoring for at least one month between August 2024 and July 2025. However, no monetary fines or payment suspensions were noted in the state records. In September 2025, the management submitted a Certificate of Need request to add 30 dually certified skilled nursing beds, pointing to operational enhancements introduced by the current ownership and a rising regional need for post-acute care.

With an expansive 42-acre campus near Long Hunter State Park and Stones River Bend Park, the community provides structured wellness options and lifestyle events delivered daily through the local EngageLife program.

The McKendree Post Acute and Rehabilitation is a practical option for older adults seeking a broad spectrum of medical and lifestyle support.

Overview of Emory Mills Senior Living

Emory Mills Senior Living, located at 1503 East Emory Road in Knoxville, Tennessee, is a family-owned assisted living and memory care community with capacity for up to 107 residents. Operatively managed by Emory Properties, LLC, and directed by administrator Paul Sorey, the community features chef-prepared meals, daily housekeeping, laundry assistance, structured fitness classes, and specialized therapy rooms for physical, occupational, and speech therapy.

Dementia and memory care services are designed around the Hearthstone Institute’s “I’m Still Here” philosophy, focusing on retaining cognitive abilities and highlighting personal histories. The organization also coordinates flexible, non-residential assistance through an integrated program called Emory Care at Home.

The local Knoxville neighborhood is car-dependent, meaning visiting families and residents rely on vehicles for standard medical appointments, local travel, and everyday errands.

Families and prospective representatives exploring local care solutions in Knox County can reach the administrative office to check on current room openings.

Overview of Regency Retirement Village of Jackson

Regency Retirement Village of Jackson is a senior living community in Jackson, Tennessee, offering assisted living, memory care, and respite care services. With nearly 30 years of operating history, the community has established a longstanding presence in the local senior living market with a 74-bed capacity.

The community offers three primary care options, including assisted living services, such as medication management, grooming, dressing, mobility assistance, housekeeping, and meal support. Additionally, the memory care program is tailored for individuals living with Alzheimer’s disease and other forms of dementia, emphasizing safety, familiarity, structured engagement, and compassionate support. Respite care is also available for short-term stays, offering temporary accommodations and care services for older adults recovering from hospitalization, illness, or other medical events.

Care planning is centered on individual preferences, routines, and goals rather than standardized approaches, while staff members work closely with residents and families to create support plans that reflect each resident’s personal needs and desired level of assistance. This resident-focused philosophy helps create a more personalized living experience and supports ongoing quality of life.

With a broad range of services and a long-standing presence in the Jackson area, Regency Retirement Village of Jackson appeals to older adults and families seeking an established community with experience in assisted living, memory care, and short-term supportive stays.

Autumn Care West Knoxville is an assisted living community in Knoxville, Tennessee, that offers personal care and memory care for older adults throughout Knox County and the greater West Knoxville area. The community has operated since 2013 as part of the locally owned Autumn Care family of senior living communities, a Knoxville-based organization with multiple locations throughout the region. With a 56-bed capacity, the community has studio, deluxe studio, one-bedroom, and two-bedroom layouts.

24-hour caregiving support, medication management, housekeeping, laundry services, and routine maintenance assistance are offered, along with a specialized memory care program and therapies. The community also collaborates with Mission Mobile Medical Care to provide on-site primary care, behavioral healthcare, wound care, and podiatry services. Physical, occupational, and speech therapy are also available onsite, while smaller pets are allowed within resident apartments.

Shared spaces, restaurant-style dining, and recreational spaces are provided, along with regular activities and excursions to destinations throughout the Knoxville area and the nearby Smoky Mountains region. The community’s location in the Farragut corridor also provides convenient access to healthcare and everyday services.

The community has undergone a recent inspection in March 2023, under the Tennessee Department of Health, Division of Health Care Facilities, which conducts unannounced inspections and compliance reviews. However, no detailed findings, enforcement actions, fines, or substantiated complaints were identified in the reviewed materials.

With extensive amenities, onsite healthcare partnerships, and a strong emphasis on lifestyle engagement, Autumn Care West Knoxville appeals to older adults seeking a locally owned community that combines independent living, assisted living, and memory care within the West Knoxville and Farragut area.