Best Memory Care 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.

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 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.

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.

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.