Best Assisted Living in Tennessee

Overview of Mt. Pleasant Health and Rehabilitation

Mt. Pleasant Health and Rehabilitation is a 72-bed skilled nursing community in Mount Pleasant, Tennessee, providing long-term care, short-term rehabilitation, respite services, medication management, and IV therapy. Operating since 1992, the community accepts Medicare, Medicaid, and private-pay residents. Current occupancy remains below the state average, creating a smaller-scale environment with approximately 60.7% occupancy rate.

CMS assigns the community an overall 3-star rating, reflecting average performance overall, with staffing results that compare favorably to Tennessee benchmarks despite somewhat lower total nursing hours per resident.

Regulatory history presents a generally moderate compliance profile. The most recent standard inspection in March 2025 identified seven deficiencies, all classified at the lowest severity level involving no actual harm. Areas cited included nursing staffing coverage, staff competency oversight, care planning, abuse-reporting procedures, controlled substance storage, and assistance with daily living activities. Families are encouraged to ask follow-up questions regarding staffing consistency and nursing supervision, as several nursing-related citations appeared during the same inspection cycle.

Staffing levels show a mixed picture, with total nursing hours per resident falling modestly below Tennessee averages, particularly in registered nurse and certified nursing assistant coverage. Licensed practical nurse coverage, however, exceeds state averages, and nurse turnover rates are slightly better than average. CMS staffing calculations also remain stronger than state benchmarks after adjusting for resident care complexity.

Clinical quality measures reveal several encouraging trends, especially for long-term residents. Emergency department visits occur far less frequently than the Tennessee average, an indicator often associated with stable care management and reduced disruptions for residents. Rates of falls with major injury, pressure ulcers, unexplained weight loss, and hospitalizations all outperform state averages. Reported depressive symptoms are also notably low, and pneumococcal vaccination rates reach 100% for long-stay residents. One area deserving additional discussion is antipsychotic medication usage, which exceeds the state average and may warrant clarification from the clinical team regarding prescribing practices and behavioral care strategies.

A variety of daily activities and supportive services, including live entertainment, religious programs, outings, crafts, games, housekeeping, laundry services, and an on-site beautician, are provided. Flexible dining options, an active resident council, and a nurse aide training program further contribute to community life.

Mt. Pleasant Health and Rehabilitation appeals to older adults seeking dependable long-term nursing support or rehabilitation services within a quieter small-town Tennessee setting, particularly for families prioritizing strong outcomes in fall prevention, hospitalization reduction, and overall resident stability.

Overview of Millington Healthcare Center

Millington Healthcare Center is an 85-bed nursing home in Millington, Tennessee, offering long-term nursing care, short-term rehabilitation, respite services, and a broad range of specialty clinical programs for older adults with complex medical needs. Medicare, Medicaid, and private-pay residents are accepted. CMS currently assigns the community a 1-star overall rating, indicating a below-average quality of care.

The community maintains an occupancy rate near 78%, which is higher than the state average. Clinical capabilities also extend beyond standard nursing care and include IV therapy, dementia support, dialysis coordination, respiratory and tracheostomy care, PEG tube management, psychiatric services, podiatry, and dental, vision, and audiology support. A Medicaid specialist is also available on staff.

Inspection history reflects significant compliance concerns over the current reporting period. The most serious findings stem from a March 2025 complaint investigation that resulted in a monetary fine and a 76-day payment suspension. An immediate-jeopardy citation related to inadequate pain management for a resident requiring those services was also issued, one of the highest enforcement levels used by CMS. Additional findings from that inspection involved accident prevention, pharmaceutical services, staff competency oversight, medication errors, delayed abuse reporting, and improper handling of residents’ belongings.

Earlier inspections also identified recurring operational and clinical concerns. A 2024 standard survey cited issues involving food storage and incomplete care plan implementation, while 2022 findings included infection-control failures, nutritional concerns, respiratory care deficiencies, and accident-prevention citations. Complaint investigations in 2023 additionally documented gaps involving RN coverage and assistance with activities of daily living. Although many deficiencies were classified at lower severity levels, the repeated nature of nursing and care-management findings may be important for interested families to review carefully.

Staffing levels generally track close to Tennessee averages overall, though performance varies by role. Licensed practical nurse coverage is stronger than the state average, while registered nurse and certified nursing assistant hours remain somewhat below average. Weekend staffing is also lower than statewide benchmarks. One positive operational indicator is that all reported staff members are direct employees rather than agency contractors, which may support greater continuity of care. Nurse turnover, however, remains somewhat higher compared to the Tennessee average.

The community performs well in several quality indicators, including lower rates of falls with major injury, reduced depressive symptoms, lower antipsychotic medication use, and better outcomes for mobility decline and incontinence management. At the same time, some measures raise substantial concern. Rates of pressure ulcers among high-risk residents, unexplained weight loss, and long-stay hospitalizations all significantly exceed state averages. Preventive vaccination rates for both long-stay and short-stay residents are especially low compared to Tennessee benchmarks and represent one of the most notable quality gaps.

Millington Healthcare Center appeals to families seeking advanced clinical capabilities close to home. The community’s strongest distinguishing feature is its ability to manage medically complex residents through specialized services not commonly available in many smaller nursing communities.

Overview of Magnolia Creek Nursing and Rehabilitation

Magnolia Creek Nursing and Rehabilitation is a 156-bed nursing home in Covington, Tennessee, offering long-term care, rehabilitation services, and daily nursing support. Operating since 1992, the community accepts Medicare, Medicaid, and private pay, making services accessible across a wide range of financial situations. Occupancy remains below the state average at 56.4% occupancy rate, suggesting bed availability is often easier to secure than at many comparable communities in the region.

CMS currently assigns the community a 1-star overall rating, reflecting performance that falls below Tennessee benchmarks in several key areas. Inspection records over the past seven years show 29 deficiencies across five inspections, including multiple serious and critical-level citations. The most common findings involved quality of care, resident rights, pharmacy services, abuse and neglect prevention, and environmental concerns. Several deficiencies also stemmed from complaint investigations rather than routine annual surveys. All cited issues have reportedly been corrected, and the most recent inspection was completed in September 2025.

Licensed practical nurse coverage exceeds Tennessee averages and may support stronger day-to-day hands-on care for residents. However, registered nurse coverage, certified nursing assistant hours, and overall weekend staffing levels all fall below state benchmarks. Total nursing hours per resident also trail the Tennessee average. Lower staffing levels do not necessarily determine care quality on their own, but they are an important factor for families to discuss directly with leadership, particularly for residents requiring more intensive medical oversight or assistance with daily living activities.

The community provides 24-hour nursing support along with rehabilitation therapies and licensed CNA care. The average length of stay is approximately 108 days, reflecting a blend of transitional recovery and ongoing care needs. Private-pay residents account for a notable share of new admissions, though the community continues to maintain broad access through Medicare and Medicaid participation. Its location along U.S. 51 South also offers relatively convenient access for families and visitors.

Magnolia Creek Nursing and Rehabilitation is ideal for families seeking a larger skilled nursing community in the Covington area with flexible payment options and ongoing bed availability. Its higher LPN staffing levels and broad admissions structure are meaningful advantages, particularly in markets where choices may be limited. At the same time, the community’s inspection history, staffing shortfalls in several categories, and below-average CMS rating make it important for interested families to review state inspection reports carefully and speak directly with administration about quality-improvement efforts, staffing stability, and resident care oversight.

West Tennessee Post Acute is a nursing home in Jackson, Tennessee, specializing in post-hospital care, wound care, physical rehabilitation, and professional nursing. Licensed since July 1, 1992, this community is licensed with 67 beds. Its location also relies heavily on vehicles, making personal transit necessary for family visits.

Oversight is maintained by the Tennessee Department of Health, Division of Health Care Facilities, which completed its latest evaluation on June 20, 2024. While specific deficiency details were not included in the primary data, families can obtain the full breakdown from the administration. However, the community is exceptionally strong in its staffing metrics, which surpass state and national averages across all departments. Registered nurse attention reaches 56 minutes per resident daily, beating the state average by 51%. Licensed practical nurse involvement averages 2 hours and 1 minute, matching an 86% positive variance, while aide hours sit 9% above average. Total weekend nursing care stands at 4 hours and 23 minutes daily, outperforming the state standard by 31%, while weekend registered nurse coverage of 44 minutes daily beats the benchmark by 83%. Most notably, physical therapist contact averages 17 minutes per resident daily, a substantial 240% increase over the state average of 5 minutes.

Clinical success metrics reveal that 55.8% of those successfully transition back home or into the local neighborhood, outperforming the Tennessee standard of 50.6% by 10%. Major injury fall rates also trend 22% better than the state baseline, and self-care independence at discharge aligns with standard expectations. Conversely, hospital readmission frequencies stand at 25.8% and emergency room transfers sit at 13.7%, both running slightly above the state average. Available services focus heavily on intensive physical rehabilitation, expert wound care, and continuous skilled nursing. Its entirely private accommodation setup also serves as a significant structural advantage within the Jackson marketplace.

West Tennessee Post Acute is ideal for older adults recovering from recent hospitalizations, including orthopedic surgeries, strokes, cardiac conditions, or advanced wound care needs. Its outstanding physical therapy access and robust weekly nursing presence make it a practical option for families prioritizing optimal clinical and recovery outcomes.

Overview of Sugar Creek Retirement Center

Sugar Creek Retirement Center is an assisted living community in Brownsville, Tennessee, providing residential care and personal support. Operating since 2008 under the ownership of Brownsville Senior Living, this 37-bed community has more than 17 years of experience serving residents throughout Haywood County.

The community emphasizes individualized support plans tailored to each resident’s preferences and routines rather than relying on a uniform approach to care. With a smaller licensed capacity, it is capable of providing a more personal atmosphere and closer day-to-day interaction with staff while still benefiting from social opportunities and shared activities. A variety of recreational and wellness programs, three daily meals prepared onsite, with accommodations available for specialized dietary needs, including diabetic meal planning, are also provided. Staff members also assist with medication management, personal care support, and coordination with outside healthcare providers and specialists.

Located in western Tennessee, the community benefits from convenient access to nearby healthcare resources, including Haywood Park Community Hospital, located roughly two miles away, along with pharmacies and medical offices within walking distance. Its moderately walkable location also allows residents and visiting families easier access to everyday services and appointments, which can be especially beneficial for individuals managing ongoing medical needs.

Sugar Creek Retirement Center is ideal for older adults seeking personalized support in a smaller, residential setting.

Hardin Home Nursing Home is a nursing home in Savannah, Tennessee, offering long-term care and rehabilitation services. Owned by J. Park and Son, Inc., the community has served the Hardin County region since 1973, representing more than 50 years of steady service. With 39 licensed beds, it is a privately owned setting that accepts Medicaid for those needing financial assistance. The community also holds Tennessee Health Care Association accreditation and maintains a valid state license through April 2026.

Significantly, the community has achieved a 5-star overall score from the Centers for Medicare and Medicaid Services, which is the top honor available in the federal nursing home comparison system. The 5-star federal rating serves as a vital quality benchmark, showing excellent results in health reviews, employee levels, and clinical outcomes. The latest state evaluation on file took place in November 2021.

With its smaller scale, staffing efforts are focused on a small group, which generally encourages more customized attention for older adults. This community provides 24-hour coverage from licensed nurses and certified assistants. Its membership in the Tennessee Health Care Association also demonstrates a dedication to professional excellence in the local long-term care sector.

This community delivers professional nursing alongside recovery therapy, constant licensed oversight, and dedicated memory support programs for Alzheimer’s. Social and hobby-based events are offered to residents to promote mental stimulation and emotional health. With a history of more than five decades of operation, the private and local ownership implies stable neighborhood ties and low staff turnover, which many families find comforting when choosing long-term care for older adults. A walkability score of 60 also indicates that some local errands are possible on foot, while other services are a short drive away.

Hardin Home Nursing Home is best suited for older adults in the Savannah area who require professional nursing or memory assistance in a small, person-centered setting will find a strong fit here. The 5-star federal status and over half a century of experience in the region establish it as one of the most reputable and established nursing options nearby. The limited number of beds also helps create a calm, neighborly environment that can be more beneficial for residents than larger communities.

Overview of Weakley Rehabilitation and Nursing Center

Weakley Rehabilitation and Nursing Center is a nursing home in Dresden, Tennessee, offering nursing services, rehabilitation, and respite care. Operating since July 1, 1992, this community is licensed with 136 beds, making it one of the larger clinical settings in the region. This grander scale also allows for a diverse assortment of shared comforts, specialized clinical pathways, and structured therapeutic schedules.

Oversight is maintained by the Tennessee Department of Health, Division of Health Care Facilities, which completed its latest review on June 28, 2024. On clinical success measures, outcomes diverge based on length of stay. For permanent residents, the data is exceptionally robust, with hospital transfers trending at 0.78 per 1,000 resident days, which beats the Tennessee baseline of 1.58 by 44%, while emergency room visits run 36% below the state average. These metrics signal strong management of complex chronic conditions.

For short-stay rehabilitation guests, re-hospitalization frequencies are at 11.7%, and emergency room transfers at 6.5% also dramatically outpace state benchmarks by 47% and 42%, respectively. However, scores regarding major-injury falls, self-care independence at discharge, and successful neighborhood integration trail state medians and warrant close evaluation. Personnel records show that licensed practical nurse hours are 18% above the state average at 1 hour and 17 minutes daily, while weekend registered nurse coverage beats the baseline by 8%. Total nursing hours and standard registered nurse contact remain close to the state average, though physical therapist hours trail the state average.

Confirmed treatments include physical, occupational, and speech therapy provided daily, weekends included. Short-term rehabilitation, respite stays, advanced wound care, on-site laboratory and X-ray diagnostics, local physician rounds, an internal psychologist, and dedicated pain management are also available. Additionally, it operates as a veteran-contracted setting to accommodate eligible service members. Social comforts feature gourmet dining, an on-site beauty salon, updated lounges, outdoor courtyards, weekly group excursions, religious services, and regular entertainment.

Weakley Rehabilitation and Nursing Center is best suited for older adults requiring ongoing long-term supervision and those with chronic illnesses who value steady medical oversight.

Harborview Post Acute is a nursing home in Memphis, Tennessee, offering skilled nursing and short-term rehabilitation. Owned by Juniper Cove Holdings, LLC and led by Craig Bullick, this community has served the region for more than 33 years and maintains a current Tennessee license valid until July 2026. The community mainly assists residents moving from hospital settings who require professional nursing and organized therapy before transitioning back to their homes, serving as a practical choice for those needing post-hospital support in Memphis.

Federal staffing records indicate that Registered Nurse time per resident daily is 38 minutes, which is just above the Tennessee mean of 37 minutes. Licensed Practical Nurse time reaches 1 hour 13 minutes daily, exceeding the state norm by 12% and showing dependable mid-level medical coverage. However, nurse aide time is 1 hour 36 minutes per day, which sits 26% lower than the state average of 2 hours 9 minutes. This is an important detail for older adults since aides provide the majority of hands-on daily assistance.

Total nursing time on weekends is 2 hours 48 minutes, 16% under the state average, which indicates lower staffing levels during those days. In terms of health outcomes, the community excels in fall prevention with zero reported falls resulting in major injury and has a lower emergency room visit rate than the state average. Conversely, the percentage of residents regaining self-care skills by discharge is 24%, which is notably lower than the Tennessee average of 53.7%.

This community provides physical therapy, short-term recovery tracks, and constant oversight from licensed nurses and assistants. Therapy services are a particular highlight, as physical therapist hours are 20% higher than the state average, which is a significant asset for a recovery-centered environment. Individual living spaces are also provided, while its operational style is designed to help residents progress toward gaining independence. Medicare is welcomed for short-term professional nursing stays that follow an eligible hospital visit for older adults. The community also maintains around-the-clock staffing for both temporary recovery and extended nursing needs.

Harborview Post Acute is ideal for older adults healing from medical procedures, illness, or physical trauma who need temporary professional nursing and therapeutic services in Memphis, Tennessee. The availability of individual rooms and the high ratio of therapy staff make it a sensible choice for post-hospital recuperation. However, families should consider the lower nurse aide and weekend staffing figures alongside the positive safety records.

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.

Stones River Manor, Inc. is a faith-based nursing home in Murfreesboro, TN, offering independent living, assisted living, specialized Assured and Advanced Care programs, daily adult care, temporary respite, and short-term rehabilitation. This 30-bed community has operated as a voluntary non-profit dedicated to Christian principles since 1977. Medicare and private pay are also accepted.

The community stands out with a stellar overall CMS composite mark, exceeding the state baseline by 63.4% and cementing its position as one of Tennessee’s premium options. Its personnel investment is remarkably strong, scoring 104.1% past the state average. Additionally, registered nurse hours reach 1 hour daily, which is 62% above average, while LPN and LVN hours sit at 2 hours daily, or 85% above the baseline. Certified nurse aide hours also average at 3 hours and 13 minutes daily, outperforming the average by 50%. Furthermore, total weekend support provides 5 hours and 12 minutes total, and weekend RN presence averages 33 minutes daily, beating state baselines by 55% and 38%, respectively. This unwavering personnel presence throughout Saturdays and Sundays is incredibly uncommon across Tennessee and serves as one of the environment’s most distinct advantages.

Regarding official regulatory oversight, 17 total deficiencies across 5 evaluations have been documented, placing it right around the state norm. Crucially, it has sustained a record completely free of critical or serious violations over the last 7 years. Every single past finding was deemed moderate in severity and has been completely resolved, with the most recent standard review concluding in July 2025. Strong local reputation is further proven by a 91.9% occupancy rate.

Comprehensive services are offered, including short-stay physical rehabilitation, transitional respite care, structured daytime adult programs for older adults living at home, and progressive residential assisted tiers. The blended presence of standalone apartments and higher-tier medical units means older adults can easily age in place as their health requirements progress. Furthermore, the willingness to accept both private financing and Medicare coverage makes navigating financial responsibilities in long-term.

Stones River Manor, Inc. is an ideal choice for families looking for an exceptionally staffed, clinically sound, and mission-oriented setting in Rutherford County. The unparalleled attention from nursing personnel guarantees an optimal match for older adults who require consistent clinical supervision or frequent daily interaction. While a brief 42-day average stay highlights a distinct specialization in short-term Medicare rehabilitation, its multi-level setup seamlessly embraces individuals needing permanent, complex nursing interventions.