Page 25 of Best Memory Care in Tennessee

Overview of Patriot Health and Rehabilitation Center

Patriot Health and Rehabilitation Center is a nursing home and memory care community in Paris, Tennessee, situated on Volunteer Drive about 2 miles from the city center. The 127-bed facility offers long-term care, skilled nursing, rehabilitation, wound care, and a dedicated memory care program, serving residents across Henry County.

Quality Measures from CMS administrative data present a mixed picture. Long-stay hospitalizations are 0.79 per 1,000 resident days, half of the Tennessee average. Short-stay rehospitalization is 18.0%, roughly 19% lower than the state average. Against those figures, falls with major injury are reported at 1.9%, compared to a Tennessee average of 0.8%, and short-stay emergency department visits are 31% above the state rate.

Staffing shows a similar split: LPN staffing averages 12% above the Tennessee average at 1 hour and 14 minutes per resident per day, while registered nurse staffing averages 29 minutes per day, 22% below the state figure.

Patriot is not listed as a CMS-certified Medicare or Medicaid provider. Private-pay residents have access to private rooms in a single-story building. Amenities include a community garden, courtyard, and library, along with scheduled social programming and pet visits. The facility also offers art workshops and structured recreational activities, rounding out a lifestyle-oriented program alongside clinical services.

The community’s rehabilitation capacity and wound care services, combined with its memory care program, fit residents whose needs span post-acute recovery and longer-term cognitive support in a smaller Tennessee market.

Overview of Quality Center for Rehabilitation & Healing

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.

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.

Avenir Memory Care at Knoxville is a specialized memory care community in Farragut, Tennessee, that focuses on caring for older adults living with Alzheimer’s disease, dementia, and other forms of cognitive impairment. Operated by Anthem Knoxville Management, LLC since 2013, the community is part of the Anthem Memory Care network. With a 62-bed capacity, the community has specially trained nurses available around the clock.

The Pathways of Purpose program emphasizes meaningful daily experiences, focusing on retained abilities, familiar routines, and purposeful activities rather than limitations associated with memory loss. Additionally, secure private accommodations are offered, along with three daily meals, housekeeping, laundry, physician visits, rehabilitation therapies, and diagnostic coordination. Short-term respite stays are also available for families needing temporary care support or transitional placement.

Located near the center of Farragut, the community provides convenient access to retail services, healthcare resources, and the broader Knoxville area. Tennova Hospital West is also a short drive away, offering proximity to regional medical care providers and specialists.

The community has completed its most recent inspection in April 2023, under the oversight of the Tennessee Department of Health, Division of Health Care Facilities, which conducts unannounced inspections and investigations.

Providing a specialized dementia-focused design, neighborhood-based care model, and secure residential setting, Avenir Memory Care at Knoxville is well-suited for families seeking a dedicated memory care environment rather than a mixed assisted living campus within the Farragut and Knoxville area.

Overview of Signature Healthcare of Erin

Houston County houses Signature Healthcare of Erin, a 164-bed private nursing home overseen by administrator Teresa Wall and owner Andrea Baston. Operating since 1992, the rural facility provides a mix of clinical care, rehabilitation therapies, and short-term respite stays. The resident population is supported by a payer structure of 47% private-pay, 28% Medicaid, and 26% Medicare admissions, resulting in an average stay of 115 days. The building sits in an area with a Walk Score of 34 and runs a 57% occupancy rate alongside an annual net loss of $782.3 thousand on $13.6 million in revenue.

State enforcement files reveal prominent safety and structural hurdles, including $211,000 in cumulative federal fines across four inspections since 2019. While the total count of 11 citations sits below the state baseline, the records detail four critical violations and one serious infraction, culminating in an April 2024 inspection that flagged severe issues with pharmacy services and abuse protocols.

Daily care times average 3 hours and 30 minutes per resident, but registered nurse coverage drops to 16 minutes on weekdays and 8 minutes on weekends, contributing to a 1.12:1 staff-to-resident ratio. Clinical tracking logs show widespread difficulties across both short- and long-term populations; permanent residents experienced elevated rates of serious fall injuries, walking difficulties, and daily activity decline, while short-stay rehabilitation metrics show high hospital readmission rates and a 42% deficit in standard vaccinations.

Prospective residents evaluating regional long-term placements should carefully weigh these public health records during their selection process. Because the official regulatory history documents multiple critical enforcement citations, elevated financial fines, low registered nurse presence, and poor clinical safety outcomes, verifying modern corrective actions with the administration is an essential step.

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.