Best Assisted Living in Tennessee

Overview of Spring Meadows Health & Rehabilitation

Spring Meadows Health & Rehabilitation is a 121-bed nursing home in Clarksville, Tennessee, that offers skilled nursing, short-term rehabilitation, long-term support, and specialized memory care. Licensed since July 1992 and managing care for 33 years, this community is currently owned by Spring Meadows SNF Operations, LLC, and accommodates those utilizing Medicare. This community also maintains an active membership in the Tennessee Health Care Association and has received recognition from U.S. News & World Report within its Best Nursing Homes rankings, while carrying an overall 2-star quality performance rating from CMS.

Federal data awards the highest possible tier to its long-term resident quality measures, while short-term recovery outcomes are ranked as above average. Long-term residents require hospital transfers at a rate of just 0.76 per 1,000 resident days, which outpaces the Tennessee average of 1.58 by 52%, and emergency department visits trend at 1.07 per 1,000 days, marking a 32% positive variance from the state benchmark. For short-term rehabilitation individuals, the rate of falls resulting in major trauma stands at an exemplary 0.0%, entirely outperforming the state baseline of 0.8%. Furthermore, 56.1% of short-stay residents achieve or surpass their anticipated self-care capabilities at the time of discharge, a 5% improvement over state metrics, while readmission rates mirror the Tennessee norm at 21.6%. These metrics collectively indicate that those finishing their restorative programs experience strong physical recovery.

Conversely, personnel hours consistently track below state medians across nearly every department. Registered nurse contact averages 25 minutes per resident daily, which sits 32% lower than the Tennessee benchmark of 37 minutes, while licensed practical nurse hours at 57 minutes and certified nursing assistant contact at 2 hours and 1 minute fall 12% and 6% below their corresponding state baselines. Additionally, combined weekend nursing care tracks at 3 hours and 12 minutes, running 4% below the state standard, while registered nurse coverage on weekends averages 23 minutes, matching the statewide norm of 24 minutes. Physical therapist contact is documented at 3 minutes per resident daily, a 40% reduction from the Tennessee average of 5 minutes, which stands as a noteworthy detail for families investigating post-acute therapeutic care. The community also supports a daily occupancy of 111.8 residents within its 121 certified beds.

Regulatory records show that the most recent evaluation by the Tennessee Department of Health took place on July 11, 2024. According to ProPublica’s CMS deficiency database, findings from recent review periods involved quality assurance programming, general property administration, dietary procurement, infection control and prevention measures, resident rights protections, and medication error minimization. This spectrum spans daily clinical operations, sanitary practices, and corporate oversight, contributing to a 1-star health inspection sub-rating, the lowest federal tier. However, no financial penalties or payment suspensions are cited.

Spring Meadows Health & Rehabilitation provides a localized Montgomery County choice for older adults whose primary focus is securing an environment with proven success in preventing long-term hospitalizations and short-term accidental falls. However, families are encouraged to discuss the 1-star health inspection sub-rating with the management.

Overview of Signature Healthcare of South Pittsburg Rehab and Wellness Cente

Signature HealthCARE of South Pittsburg Rehab & Wellness Center is a 165-bed nursing home in South Pittsburg, Tennessee, offering nursing, short-term rehabilitation, long-term support, memory care, and temporary respite stays. Licensed since July 1992 and maintaining federal certifications for Medicare and Medicaid since March 1995, this community is owned by LP South Pittsburgh LLC and operates within the broader Signature HealthCARE corporate network. It stands as the only skilled nursing choice located directly inside South Pittsburg.

Annual nursing turnover sits at just 20.4%, which is better than the Tennessee statewide average of 48.7%, representing a massive variance that translates to excellent consistency of care for permanent residents. Regarding overall nursing availability, registered nurse contact averages 44 minutes per resident daily, exceeding the Tennessee state benchmark of 37 minutes by 19% and also outperforming the national median of 41 minutes. Conversely, hours for licensed practical nurses and certified nursing assistants are below state benchmarks at 52 minutes and 1 hour 36 minutes, respectively. Additionally, weekend nursing attention stands at 2 hours and 42 minutes per resident daily, trailing the Tennessee state baseline of 3 hours and 21 minutes by 19%. Currently, the community is operating at a 51.1% occupancy rate, which is below the Tennessee average, suggesting open availability for immediate placement.

A review of the state regulatory ledger shows that the Tennessee Department of Health conducted 4 evaluations over the tracking period, documenting 14 total deficiencies across three routine annual reviews and a complaint investigation. The latest comprehensive annual inspection on October 16, 2024, uncovered 5 deficiencies related to actual resident harm without immediate jeopardy for failing to prevent abuse. The review also listed concerns regarding the failure to safeguard personal belongings, alongside environmental upkeep, resident assessments, and basic infection control protocols, leading to an active civil monetary penalty.

Every private space features satellite television, property-wide wireless internet, and bedside telephone access. A signature Select Dining program is also offered, along with concierge care, continuous 24-hour pharmacy coordination, and on-site professional services covering podiatry, dental care, and optometry. Additional lifestyle perks include a beauty salon, a transit van, unrestricted round-the-clock visitation, a full-time chaplain delivering multi-denominational weekly services, a specialized multi-sensory environment room, an active volunteer program, and private bereavement spaces. Life enrichment schedules are thoroughly detailed, featuring group excursions, localized hobby clubs, and public neighborhood gatherings.

Signature HealthCARE of South Pittsburg Rehab & Wellness Center represents a highly compatible fit for older adults seeking long-term clinical care within a well-appointed, stable setting defined by low employee turnover and excellent long-stay medical outcomes.

Selmer Post Acute is a 126-bed nursing home in Selmer, Tennessee, offering skilled nursing, long-term care, and rehabilitation. Managed by Selmer SNF Healthcare, LLC, and partnered with the PACS Group in McNairy County since July 1992. Welcoming Medicare beneficiaries, it also offers 24-hour licensed nursing coverage alongside physical, occupational, respiratory, and speech therapies within a dedicated therapy space. Highlighting its exceptional care standards, CMS has awarded the community its top five-star overall rating.

A total of 11 deficiencies were identified across three standard reviews, with no financial penalties or payment freezes issued over the last three years. The most recent routine review from July 23, 2025, identified 3 minor deficiencies, which involved care plan compliance, accidental hazard prevention, and urinary tract infection protocols. An earlier March 2022 review also noted 6 deficiencies, which involved resident autonomy in treatment and transfer notices, daily living support, nutritional oversight, pharmaceutical storage, and meal planning. However, no severe safety threats were found, though families may want to note that the three-year and four-month gap between the 2022 and 2025 reviews lasted longer than the customary 9-to-15-month schedule.

Daily direct nursing care averages 3.78 hours per individual, staying within a close margin to the Tennessee benchmark of 3.9 hours. Licensed Practical Nurse (LPN) availability is a particular asset, tracking 22% higher than the state baseline at 1 hour and 19 minutes daily, while Registered Nurse and Certified Nursing Assistant hours trail slightly behind state trends. Notably, the employee turnover rate is low at 27.5%, staying far below the Tennessee average of 48.7% and indicating reliable workforce stability.

Clinical results represent a major benefit for residents. Long-term individuals experience 57% fewer hospital transfers per 1,000 resident days and 46% fewer emergency room visits than the state average. For short-term rehabilitation guests, the readmission rate back to a hospital stands at 14.3%, outperforming state averages by 36%, while emergency visit frequencies are 63% better than state benchmarks at 4.2%. Major injury-causing falls were non-existent, compared to a state average of 0.8%. Furthermore, the rate of successful discharges back home or into the neighborhood hits 58.7%, exceeding the Tennessee average by 16%, though independent care abilities at discharge trend slightly below the state average.

Selmer Post Acute’s environment is an excellent match for older adults looking for short-term recovery or extended nursing assistance within a tight-knit regional setting, especially for those who value strong hospital prevention records, low staff turnover, and top-tier federal quality scores.

Overview of Savannah Health and Rehabilitation

Savannah Health and Rehabilitation is a 120-bed nursing home in Savannah, Tennessee, offering skilled nursing and rehabilitation services. Serving the rural West Tennessee region since March 1997, under the ownership of Lacefield Healthcare, LLC. Medicare and private-pay are also accepted, providing more access to families with various incomes.

Federal records show the community maintains an above-average 4-star overall CMS rating, reflecting solid marks across regulatory compliance, employee numbers, and clinical quality. In relation to its evaluation history, the community recorded 8 total citations across 3 reviews over a seven-year span. Crucially, zero critical or serious deficiencies were found.

Staffing data from the second quarter of 2025 also reveals an entirely permanent workforce of 115 direct employees, showing zero reliance on temporary contract staff. Certified Nursing Assistant (CNA) coverage stands out at 2 hours and 21 minutes per resident daily, outperforming the Tennessee state baseline by 9%. Additionally, weekend nursing averages 3 hours and 26 minutes, matching national trends, while weekend Registered Nurse coverage tracks 4% above the state average. Conversely, daily Registered Nurse and Licensed Practical Nurse hours trend slightly below state averages, and physical therapy availability is lower than typical regional benchmarks. At present, occupancy rests at 84.9%, with an average stay of 180 days, suggesting a well-established long-term care presence alongside temporary recovery guests.

Confirmed offerings include 24-hour professional medical oversight, dedicated rehabilitation, on-site therapy, and an engaging programming model designed to keep residents involved. The entirely permanent employee roster also serves as a key advantage for everyday care consistency, allowing familiar faces to build meaningful relationships with those they support.

Savannah Health and Rehabilitation stands out as a strong choice for older adults in the local region who are searching for a dependable, highly rated nursing environment with a stable workforce and a stable safety record.

Rosewood Manor operates at 1400 Rosewood Drive in Columbia, Tennessee, serving 68 residents in a highly walkable downtown location (Walk Score 77, ranked 16th among state nursing homes). The facility provides nursing and assisted living care with 24-hour staffing comprised of licensed nurses and CNAs supporting residents across intermediate and complex care levels. On-site rehabilitation, recreation programming, and spiritual and cultural services create a structured environment for long-term residents.

Daily operations integrate social support through nutrition services, counseling, and volunteer programs. Housekeeping and linen service handle facility maintenance, freeing clinical staff for resident care. The community earned a Progress Award from Health Excellence Canada, reflecting operational quality standards. This mix of clinical depth, wellness programming, and community integration distinguishes the facility within its regional market.

Regulatory oversight provides limited longitudinal visibility. The most recent available inspection report dates to September 30, 2009, predating current operations by more than 15 years and offering only historical baseline context rather than current compliance standing. Families seeking current regulatory detail should contact the Tennessee Department of Health directly to verify current licensing status and recent inspection findings. State records will clarify the facility’s active standing and any recent inspection activity.

The downtown location benefits residents with family connections in the Columbia area and those valuing neighborhood walkability and proximity to local services.

Rosewood Manor fits residents and families seeking nursing-level care within a community-engaged, spiritually grounded setting with established volunteer relationships and cultural programming.

Rocky Top Care Center is a nursing home in Rocky Top, Tennessee, that offers memory care, long-term support, complex medical treatment, respite options, and hospice care. Serving Anderson County, the community has been licensed since July 1992 with 117 beds. Everyday management is overseen by Core LTC Services LLC, under the ownership of Jetty Operations Holdings LLC, which took control of the property in May 2024.

The community operates at a 75% occupancy rate, which is slightly above the Tennessee state average of 71.6%. While it accepts Medicare, Medicaid, and private financing, the current occupant base is predominantly composed of Medicaid beneficiaries, which is 83.3%.

Federal records show significant regulatory challenges, resulting in a 1-star overall CMS rating. Additionally, 37 total deficiencies were cited across four separate inspections, and it is currently designated as a Special Focus Facility Candidate, indicating a recurring history of major quality issues that place it under close government scrutiny.

The most severe evaluation took place on August 22, 2024, uncovering 15 deficiencies. Notably, four of these citations reached the highest tier of severity on the federal scale, representing immediate jeopardy to the health and safety of multiple residents. These critical findings involved failures in resource management, administrative governance, quality assurance frameworks, and infection control protocols. This review also flagged issues regarding food storage safety, direct caregiver staffing, resident dignity, and medication organization.

Direct nursing care totals 3.49 hours per resident daily, falling below the Tennessee benchmark of 3.9 hours. Registered Nurse (RN) availability is a relative highlight, with daily hours 30% above the state average at 48 minutes, and weekend coverage tracking 54% above the state standard. Conversely, Certified Nursing Assistant (CNA) hours are a point of concern, running 27% below the state average at 1 hour and 34 minutes per day. Staff turnover stands at 44.4%, which is slightly more favorable than the Tennessee statewide average of 48.7%.

On a positive note, hospital readmission frequencies are 30% better than the state average. Antipsychotic drug utilization is also elevated at 21.3%. For temporary rehabilitation guests, metrics show zero major fall injuries, though seasonal vaccination rates remain well below state benchmarks.

Rocky Top Care Center primarily caters to those requiring long-term Medicaid assistance and localized clinical care. Given the severe regulatory findings from late 2024, families evaluating this option are strongly encouraged to request updated documentation regarding corrective actions implemented under the new management and to conduct an in-person visit before finalizing any care arrangements.

Overview of Quality Center for Rehabilitation & Healing, LLC

Quality Center for Rehabilitation & Healing, LLC is a licensed 280-bed nursing home in Lebanon, Tennessee, that focuses on post-surgical orthopedic recovery, amputee care, and short-term rehabilitation. Owned by Quality TN Ventures LLC in Wilson County, this community has served the region since 1992 and is one of the more extensive clinical options in the Nashville area. Medicare, Medicaid, and private pay are also accepted. While it currently holds a 1-star overall rating from CMS due to historical health inspection results, its clinical data reveals exceptionally strong health outcomes for residents.

The community truly excels in its long-term care quality metrics, consistently outpacing Tennessee state benchmarks. High-risk clinical events score 35% better than the state average, matching a 35% advantage in preventing functional decline. Additional data highlights superior care, with high-risk pressure ulcer rates 52% better than state norms, urinary tract infections are 78% lower, and resident depressive symptoms are 94% better. Furthermore, emergency room visits are 67% below the state average, and 56.7% of individuals successfully return home, outperforming the state benchmark by 12%. These figures demonstrate a high standard of daily medical attention that protects the well-being of older adults.

This clinical success is driven by a comprehensive care team of 349 professionals, with a daily workforce including 210 certified nursing assistants, 54 licensed practical nurses, and 21 registered nurses, supported by clinical nurse specialists, therapists, mental health workers, and a registered dietitian. Daily nursing care totals 3 hours and 5 minutes per resident, with assistant and practical nurse hours aligning with state averages. However, registered nurse hours fall 43% below the state average, which warrants review from families with complex medical needs. Notably, the community runs an on-site nurse aide training program to develop its workforce, and an active resident council meets routinely.

Regarding regulatory compliance, a total of 20 citations were recorded across four reviews over an eight-year period, averaging five per visit. These minor citations fell under nursing services, infection control, and resident rights, and all were resolved. No critical violations were issued. Two financial penalties were linked to the 2023 review, which is lower than the state average penalty. Notably, a temporary 54-day suspension on new admissions occurred in 2023 but has expired, with no new penalties reported as of January 2026.

Quality Center for Rehabilitation & Healing provides a reliable choice for families in Wilson County looking for comprehensive long-term care and specialized physical rehabilitation. A strong local demand is also reflected in its 92.1% occupancy rate, offering peace of mind to families who prioritize proven medical outcomes for older adults.

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 Wyndridge Health and Rehabilitation Center

Wyndridge Health and Rehabilitation Center is a nursing home in Crossville, Tennessee, that provides professional nursing, respiratory therapy, outpatient services, memory support, respite care, and a complete therapy program featuring physical, occupational, speech, pulmonary, and expert wound care. Licensed since July 1992, this voluntary nonprofit community stands as one of the larger clinical environments in the state, with 157 licensed beds. Medicare, Medicaid, and private payment are all accepted.

The demographic consists primarily of short-term rehabilitation guests, with Medicare accounting for 63% of admissions with a standard 21-day stay. Private pay comprises 25%, and Medicaid represents 13%, while the overarching average residency spans 177 days due to the long-term clinical population.

Personnel allocation represents the premier recorded feature of this neighborhood, with total adjusted nursing time reaching 4 hours and 3 minutes per resident daily, which surpasses the national median of roughly 3.5 hours. Registered nurse attention outpaces the state average by 14% at 42 minutes daily, while licensed practical nurse involvement beats the state baseline by 6% at 1 hour and 9 minutes. The most remarkable metric is weekend registered nurse presence, which provides 40 minutes of care per resident each day, a substantial 67% higher than the Tennessee benchmark of 24 minutes. This ensures clinical supervision remains strong through Saturdays and Sundays.

State regulatory archives from the Tennessee Department of Health cited 5 evaluations over an eight-year look-back period, totaling 13 health citations for a low overall average of 2.6 per review. 10 findings emerged from annual reviews and 3 from specific complaint-initiated reports. Crucially, zero deficiencies reached a critical or immediate jeopardy classification, while 2 were labeled serious and 11 were marked moderate. Looking at categories, 5 citations involved abuse, neglect, or exploitation protection, while 4 addressed quality of life and care. The most recent survey on June 27, 2023, also cited two moderate abuse or neglect items, which have since been resolved. Additionally, no fiscal penalties have been issued.

Wyndridge Health and Rehabilitation Center is a practical option for older adults and families requiring extensive, 24-hour nursing supervision and varied therapeutic offerings in a rural region, specifically benefiting from its one-mile distance to Cumberland Medical Center.