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Best Nursing Homes in Nashville, TN

Why trust this guide? Our editorial team analyzed 16 nursing homes in Nashville, TN using Centers for Medicare & Medicaid Services (CMS) data, inspection records, complaints, amenities, and facility-level details. How we rank nursing homes in TN
Reviewed by
Last updated
Jun 2026
We analyzed
16 homes
Other senior care options in Nashville:
Avg Overall CMS Rating: 3.0/ 5The average Overall CMS Rating for all CMS-certified nursing homes in Nashville, TN. Ratings combine health inspections, staffing, and quality measures, with inspections weighted most. Individual facilities can vary widely from this average.
National Average: 3.2/ 5
Avg Staffing Rating: 2.4/ 5The average Staffing Rating across all CMS-certified nursing homes in Nashville, TN. Reflects nursing staff hours per resident per day (including RNs), adjusted for residents' care needs. Individual facilities can vary widely from this average.
National Average: 3.4/ 5
Avg Health Insp. Rating: 2.6/ 5The average Health Inspection Rating across all CMS-certified nursing homes in Nashville, TN. Based on each facility's recent inspections and complaint investigations, weighing the number, scope, and severity of deficiencies. Individual facilities can vary widely from this average.
National Average: 3.0/ 5

Compare Nursing Homes around Nashville (Metro Area)

The information below is reported by the Tennessee Department of Health, Division of Health Care Facilities.

8 facilities compared · CMS & TN Dept. of Health data

Trevecca Center for Rehabilitation and Healing
NH
RC
Nashville (South Nashville)
240
Facility 240
TN AVG 88
Rank #2 / 426
--
2.96
Facility 2.96
TN AVG 3.63
Rank #160 / 192
+43%-18%
$9.3k
Facility $9.3k
TN AVG $90.9k
Rank #142 / 198
15
Facility 15
TN AVG 15.4
Rank #96 / 196
5.0
Facility 5.0
TN AVG 4.4
Rank #122 / 196
-45B-
34
Facility 34
TN AVG 34
Rank #279 / 553
Trevecca Ventures Tn LLC
$25.8M
Facility $25.8M
TN AVG $11.5M
Rank #18 / 196
$12.8M
Facility $12.8M
TN AVG $4.6M
Rank #5 / 196
49.6%
Facility 49.6%
TN AVG 41%
Rank #7 / 196
445112
Bethany Center for Rehabilitation and Healing
NH
PC
RC
Nashville (Townhomes Of Shadow Glen)
180
Facility 180
TN AVG 88
Rank #16 / 426
92.2%
Facility 92.2%
TN AVG 73%
Rank #43 / 319
+26%
2.82
Facility 2.82
TN AVG 3.63
Rank #183 / 192
-56%-22%
$0
Facility $0
TN AVG $90.9k
Rank #1 / 198
12
Facility 12
TN AVG 15.4
Rank #76 / 196
3.0
Facility 3.0
TN AVG 4.4
Rank #48 / 196
2171-
69
Facility 69
TN AVG 34
Rank #34 / 553
Bethany Ventures Tn LLC
$22.8M
Facility $22.8M
TN AVG $11.5M
Rank #31 / 196
$11.6M
Facility $11.6M
TN AVG $4.6M
Rank #13 / 196
50.9%
Facility 50.9%
TN AVG 41%
Rank #16 / 196
445159
Nashville Center for Rehabilitation Center and Healing
NH
HC
MC
PC
RC
Nashville (Edgehill)
142
Facility 142
TN AVG 88
Rank #46 / 426
95.6%
Facility 95.6%
TN AVG 73%
Rank #26 / 319
+31%
3.19
Facility 3.19
TN AVG 3.63
Rank #133 / 192
+49%-12%
$0
Facility $0
TN AVG $90.9k
Rank #1 / 198
30
Facility 30
TN AVG 15.4
Rank #180 / 196
10.0
Facility 10.0
TN AVG 4.4
Rank #195 / 196
-136-
79
Facility 79
TN AVG 34
Rank #10 / 553
Nashville Ventures Tn LLC
$17.8M
Facility $17.8M
TN AVG $11.5M
Rank #23 / 196
$7.4M
Facility $7.4M
TN AVG $4.6M
Rank #33 / 196
41.3%
Facility 41.3%
TN AVG 41%
Rank #100 / 196
445512
Richland Place Healthcare Center
NH
AL
HC
IL
Nashville
30
Facility 30
TN AVG 88
Rank #411 / 426
87.8%
Facility 87.8%
TN AVG 73%
Rank #78 / 319
+20%
2.92
Facility 2.92
TN AVG 3.63
Rank #169 / 192
-52%-19%
$64.0k
Facility $64.0k
TN AVG $90.9k
Rank #173 / 198
10
Facility 10
TN AVG 15.4
Rank #61 / 196
5.0
Facility 5.0
TN AVG 4.4
Rank #122 / 196
163-
19
Facility 19
TN AVG 34
Rank #386 / 553
Stacey Wallace
$8.5M
Facility $8.5M
TN AVG $11.5M
Rank #103 / 196
$4.0M
Facility $4.0M
TN AVG $4.6M
Rank #142 / 196
47.3%
Facility 47.3%
TN AVG 41%
Rank #180 / 196
445411
West Meade Place LLP
NH
NC
Nashville (West Meade)
120
Facility 120
TN AVG 88
Rank #81 / 426
77.0%
Facility 77.0%
TN AVG 73%
Rank #157 / 319
+5%
2.93
Facility 2.93
TN AVG 3.63
Rank #169 / 192
+57%-19%
$0
Facility $0
TN AVG $90.9k
Rank #1 / 198
16
Facility 16
TN AVG 15.4
Rank #103 / 196
5.3
Facility 5.3
TN AVG 4.4
Rank #140 / 196
-100A+
54
Facility 54
TN AVG 34
Rank #99 / 553
Barbara Friedbauer
$16.1M
Facility $16.1M
TN AVG $11.5M
Rank #28 / 196
$10.3M
Facility $10.3M
TN AVG $4.6M
Rank #21 / 196
64.2%
Facility 64.2%
TN AVG 41%
Rank #46 / 196
445203
NHC Place at the Trace
NH
AL
MC
Nashville
99
Facility 99
TN AVG 88
Rank #150 / 426
82.8%
Facility 82.8%
TN AVG 73%
Rank #118 / 319
+13%
3.97
Facility 3.97
TN AVG 3.63
Rank #35 / 192
+90%+9%
$0
Facility $0
TN AVG $90.9k
Rank #1 / 198
14
Facility 14
TN AVG 15.4
Rank #90 / 196
4.7
Facility 4.7
TN AVG 4.4
Rank #112 / 196
-85-
16
Facility 16
TN AVG 34
Rank #410 / 553
-
$12.3M
Facility $12.3M
TN AVG $11.5M
Rank #78 / 196
$7.6M
Facility $7.6M
TN AVG $4.6M
Rank #54 / 196
62%
Facility 62%
TN AVG 41%
Rank #34 / 196
445525
The Health Center at Richland Place
NH
AL
IL
Nashville (West Meade)
107
Facility 107
TN AVG 88
Rank #129 / 426
93.7%
Facility 93.7%
TN AVG 73%
Rank #37 / 319
+28%
4.18
Facility 4.18
TN AVG 3.63
Rank #25 / 192
+44%+15%
$56.4k
Facility $56.4k
TN AVG $90.9k
Rank #168 / 198
23
Facility 23
TN AVG 15.4
Rank #153 / 196
4.6
Facility 4.6
TN AVG 4.4
Rank #108 / 196
594-
54
Facility 54
TN AVG 34
Rank #99 / 553
John Bailey
$18.7M
Facility $18.7M
TN AVG $11.5M
Rank #15 / 196
$10.3M
Facility $10.3M
TN AVG $4.6M
Rank #24 / 196
55.1%
Facility 55.1%
TN AVG 41%
Rank #103 / 196
445166
AHC of Nashville-
NH
Nashville (Midtown)
49
Facility 49
TN AVG 88
Rank #352 / 426
100.0%
Facility 100.0%
TN AVG 73%
Rank #1 / 319
+37%-----50%-
$125.5k
Facility $125.5k
TN AVG $90.9k
Rank #183 / 198
-----
78
Facility 78
TN AVG 34
Rank #15 / 553
-
$6.8M
Facility $6.8M
TN AVG $11.5M
Rank #141 / 196
$4.3M
Facility $4.3M
TN AVG $4.6M
Rank #124 / 196
63.5%
Facility 63.5%
TN AVG 41%
Rank #110 / 196
445538
Overview of Nhc Place at the Trace

The National HealthcCare Corporation, or the Nhc Place at the Trace strives in providing short-term skilled nursing and rehablitative care; they have been awarded twice for its recognition for the ‘Customer Approved Award’ and the ‘Employee Approved Award’ by the Customers for Outstanding Experience. NHC Place at the Meadows strives in working everyday with quality service to its residents, so that residents maintain a level of independence and individuality because they aim to be a community that approaches “caring in a better way day by day”. 

Contact NHC Place at the Trace

Overview of Life Care Center of Hickory Woods

Thirty-nine days is the average stay at Life Care Center of Hickory Woods, which tells you most of what you need to know about the population it primarily serves. This is a post-acute setting: a 56-bed skilled nursing and rehabilitation facility in the Hickory Woods Estates neighborhood of Antioch, Tennessee, built for people moving through recovery rather than putting down permanent roots. Fifty-five years in operation at the same address on Murfreesboro Pike.

Currently, 45 of those 56 beds are occupied. Total nursing time runs 4 hours and 1 minute per resident per day, distributed across registered nurses at 45 minutes, LPNs at 1 hour and 15 minutes, and nurse aides at 2 hours and 16 minutes. Staffing runs 24 hours a day. A certified dietitian is on staff, and rehabilitation services are available on-site.

Beyond clinical care, the facility offers more than the basics: a fine dining program, a beauty salon and barber shop, landscaped grounds and courtyards, a library, transportation services, and complimentary wireless internet. A full-time, certified activity director runs a daily schedule, and family and resident councils meet regularly. Pet visitors are welcome. Room options include private and semiprivate configurations, each with a private bathroom.

Payment is accepted through Medicare, Medicaid, and private pay, which gives families some flexibility on the financial side. The community re-entry program supports residents who are working toward discharge back to home or another community setting. Alex Butaud is the executive director; Jamie Hercules serves as administrator. The facility is operated by Highland Park Medical Investors, LLC.

For families navigating a post-acute placement in the Nashville area, this is a facility where the facts and the setup align: short average stays, 24-hour nursing coverage, on-site rehab, and a payment mix that accommodates most coverage pathways.

Contact Life Care Center of Hickory Woods

Overview of Trevecca Center for Rehabilitation and Healing

Trevecca Center for Rehabilitation and Healing is a community that proudly elevates the recovery experience of its residents. A premier nursing home that has been awarded a list of accolades, some of which are from the U.S. News and World Report ranking them as the Best Nursing Home; they have exceeded expectations for its short-term care. Trevecca Center is a tightly-knit community where residents are able to relax and renew themselves.
A member of the CareRite healthcare, Trevecca Center offers an array of recovery services that help a fast healing journey– orthopedic rehabilitation, short-term and long-term rehabilitation, amputee care, and wound care. Other luxurious services include its chef-prepared meals in a restaurant-style dining service. 

Contact Trevecca Center for Rehabilitation and Healing

Overview of Bethany Center for Rehabilitation and Healing

Bethany Center for Rehabilitation and Healing is a community that proudly elevates the recovery experience of its residents. A premier nursing home that has been awarded a list of accolades, some of which are from the U.S. News and World Report ranking them as the Best Nursing Home; they have exceeded expectations for its short-term care. Bethany Center is a tightly-knit community where residents are able to relax and renew themselves.
A member of the CareRite healthcare, Bethany Center offers an array of recovery services that help a fast healing journey– orthopedic rehabilitation, short-term and long-term rehabilitation, amputee care, and wound care. Other luxurious services include its chef-prepared meals in a restaurant-style dining service. 

Contact Bethany Center for Rehabilitation and Healing

Overview of Blakeford at Green Hills

Blakeford Senior Life is a nonprofit organization based in Nashville that has been dedicated to serving seniors for over 20 years. Tucked in lush and scenic acres, the community focuses on enriching the lives of its residents. They offer various lifestyle options, including independent living, assisted living, and memory care. Their Life Care program offers a long-term care plan to protect the assets of their residents and ensure their peace of mind.
Currently, Blakeford Senior Life is expanding with 50 new spacious apartment homes and new facilities. They provide different amenities based on the lifestyle option chosen, but all residents have access to a library, wellness center with a pool, gym, and spa, wireless internet, utilities, programs and excursions, guest privileges, therapy services, transportation, and much more. This home is sure to offer a lot more in the years to come, providing seniors the unimaginable kind of care that they deserve.

Contact Blakeford at Green Hills

Overview of Nashville Center for Rehabilitation Center and Healing

Nashville Center for Rehabilitation and Healing is a community that proudly elevates the recovery experience of its residents. A premier nursing home that has been awarded a list of accolades, some of which are from the U.S. News and World Report ranking them as the Best Nursing Home; they have exceeded expectations for its short-term care. Nashville Center is a tightly-knit community where residents are able to relax and renew themselves.
A member of the CareRite healthcare, Nashville Center offers an array of recovery services that help have a fast healing journey– orthopedic rehabilitation, short-term and long-term rehabilitation, amputee care, and wound care. Other luxurious services include its chef-prepared meals in a restaurant-style dining service. 

Contact Nashville Center for Rehabilitation Center and Healing

Overview of Richland Place Healthcare Center

At 504 Elmington Ave in Nashville, Davidson County, Tennessee, Richland Place Healthcare Center operates a 30-bed skilled nursing facility owned and operated by Richland Place, Inc., under the administration of Hunter Blake Harris. The community houses one-, two-, and three-bedroom apartments ranging from 740 to 3,000 square feet, each with kitchens, patios, and balconies.

The facility provides skilled nursing care, intermediate care, rehabilitation services, and inpatient hospice to Medicare, Medicaid, and private-pay residents.

Services include 24-hour nursing, physical therapy, speech pathology, and activities programming. Amenities encompass a fitness center, swimming pool, library, salon, barber, spa, restaurant-style dining, billiards, and transportation.

The facility’s regulatory and quality profile reveals significant weaknesses alongside selective strengths. The Centers for Medicare & Medicaid Services assigned a 2-star overall rating, placing the facility 34.6% below the Tennessee state average in combined health inspection, staffing, and quality measures.

In August 2025, CMS imposed a $98,000 civil money penalty for regulatory violations.

The facility’s most recent inspection documented deficiencies in quality of life and care (the dominant category at 60% of all findings), infection control, pharmacy services, and environmental compliance; each violation was noted as corrected.

RN hours per resident daily reach 57 minutes, running 54% above the Tennessee average, and physical therapy services at 14 minutes per resident daily significantly exceed state norms. Yet total nursing hours per resident; 2 hours 55 minutes daily, which fall 20% below the state average, and payroll represents only 32.2% of facility revenue, a figure substantially below the 50-60% typical for well-run Tennessee nursing homes.

Hospitalizations and emergency department visits rank 62-63% better than state average, and short-stay residents achieve return-to-home rates of 61.9% (22% above state). However, long-stay residents report depressive symptoms at 27.3%, 148% worse than the Tennessee average; and urinary tract infection rates at 5.1%, nearly 2.5 times the state average.

Occupancy runs at 77%, with short average stays averaging 64 days, reflecting a post-acute rehabilitation focus.

Richland Place is structured for short-term Medicare and private-pay rehabilitation residents in the Nashville market, with the recognition that the 2-star CMS rating, August 2025 penalty, and elevated long-stay morbidity measures warrant thorough independent evaluation of care quality prior to extended placement.

Contact Richland Place Healthcare Center

AHC Cumberland

4343 Ashland City Hwy, Nashville, TN 37218
Overview of Ahc Cumberland

The American Health Communities (AHC) Cumberland is a skilled nursing and rehabilitation center in Nashville. Quality nursing home aims to change the meaning of recovery for seniors through the exceptional level of care that is delivered by their patient-friendly staff as an approach to offer the best care possible for their residents. Ahc Cumberland strives to have all its residents experience the comprehensive and exemplary care offered. 
The community boasts its Collaborative Care Plans that offer physicians, nurses, therapists, dietary specialists, and social workers that are directly involved in the holistic care of each resident. Speech, physical, and occupational needs are also provided; as well as outpatient rehabilitation services available.

Contact AHC Cumberland

Grace Manor

1420 Old Hickory Bouvelard, Nashville, TN 37207
Overview of Grace Manor
Grace Manor At Lake Morton offers trusted and affordable memory care services to seniors in Polk County. The community caters to seniors wanting a social lifestyle, comfortable living spaces, and amenities that make life easier. It provides an array of services designed to enhance comfort and foster companionship for a better quality of life.

Contact Grace Manor

Overview of David Jones Jr. Assisted Living Center

David Jones Jr. Assisted Living Center is an assisted living community in Nashville, Tennessee, that offers personal care and respite care. Operating continuously since July 2004, the community is one of the more established assisted living providers in the region, with 34 licensed beds.

Services include medication management, personal care, meal assistance, and daily routines within a smaller residential setting. In addition to providing daily support services, the community places emphasis on spiritual encouragement, social connection, educational opportunities, and holistic well-being. Respite care is also available, offering temporary stays for older adults recovering from medical events, families exploring long-term placement options, or caregivers in need of short-term support coverage.

Located near downtown Nashville, the community provides convenient access to hospitals, healthcare specialists, and the broader range of services available throughout the city. Its relatively walkable location also places nearby amenities within easier reach for residents and visiting family members.

Like all licensed assisted living communities in Tennessee, the community operates under oversight from the Tennessee Department of Health, Division of Health Care Facilities, which conducts routine inspections and investigations to monitor compliance and resident care standards. The most recent publicly referenced inspection took place in March 2022.

David Jones Jr. Assisted Living Center is well-suited for older adults seeking a smaller, community-oriented environment with a strong emphasis on personal attention, spiritual support, and long-established ties to the North Nashville area.

Contact David Jones Jr. Assisted Living Center

Ranking Methodology

How we rank these nursing homes

Every nursing home above is evaluated across five weighted categories using CMS data including Care Compare, Payroll-Based Journal, and Medicare Cost Reports.

  • CMS data
  • 5 weighted categories
  • Updated quarterly
Full methodology

Weighting overview

  • 35%
    Care Quality
  • 20%
    Staffing
  • 20%
    Regulatory
  • 20%
    Operational
  • 5%
    Environment
01

Care Quality 35%

The largest single share of every ranking. CMS star ratings and quality measures that reflect actual care delivered to residents.

  • Includes
  • Overall Rating
  • Health Inspection
  • QM Rating
  • Long-Stay QM
  • Short-Stay QM
02

Staffing Adequacy 20%

The strongest predictor of resident outcomes. Volume and stability of nursing care, drawn from CMS Payroll-Based Journal.

  • Includes
  • Nurse Hrs/Res/Day
  • RN vs State
  • Total Nurse Staff Hrs vs State
  • RN Turnover
03

Regulatory & Safety Record 20%

Inspection patterns that star ratings can mask. We weight per-inspection rates more heavily than raw counts.

  • Includes
  • Citations
  • Citations/Inspection
  • Severe Citations
  • Fines
  • Accreditations
04

Operational & Financial Stability 20%

Stable operations and sound finances are leading indicators of consistent care over time.

  • Includes
  • Occupancy vs State
  • Avg Length of Stay
  • Revenue
  • Payroll %
  • Years in Operation
  • Admin Tenure
05

Environment & Accessibility 5%

Context that matters to families but doesn't directly measure clinical care. Weighted lower for nursing homes than for assisted or independent living.

  • Includes
  • Walk Score
  • BBB Rating

Nashville Nursing Home Facilities Overview

  • Avg payroll costs: $6,505,242.91 (Tennessee avg: $4,081,691.03)
  • Avg home costs: $9,969,081.91 (Tennessee avg: $6,116,121.84)
  • Avg occupancy: 86.18% (Tennessee avg: 73.12%)
  • Avg bed count: 130 (Tennessee avg: 120)
  • Avg home revenue: $15,818,034.36 (Tennessee avg: $10,605,032.38)

Community-level financial and occupancy data

  • TREVECCA CENTER FOR REHAB & HEALING: 90.79% occupancy, 240 beds, $20,832,495.00 home revenue, $10,399,193.00 payroll costs, $16,200,811.00 home costs.
  • NASHVILLE CENTER FOR REHABILITATION: 89.51% occupancy, 119 beds, $21,881,670.00 home revenue, $5,702,995.00 payroll costs, $12,574,831.00 home costs.
  • WEST MEADE PLACE: 76.83% occupancy, 120 beds, $18,581,025.00 home revenue, $7,462,455.00 payroll costs, $9,699,431.00 home costs.
  • CUMBERLAND MANOR NURSING CENTER: 89.76% occupancy, 124 beds, $10,745,773.00 home revenue, $5,091,079.00 payroll costs, $6,429,869.00 home costs.
  • BETHANY CENTER FOR REHAB AND HEALING: 93.83% occupancy, 180 beds, $17,856,583.00 home revenue, $9,119,644.00 payroll costs, $10,962,969.00 home costs.
  • GREEN HILLS CENTER FOR REHAB & HEALI: 84.67% occupancy, 150 beds, $16,625,041.00 home revenue, $4,136,990.00 payroll costs, $10,154,544.00 home costs.
  • LAKESHORE THE MEADOWS: 86.55% occupancy, 122 beds, $11,781,411.00 home revenue, $5,608,644.00 payroll costs, $6,430,943.00 home costs.
  • LAKESHORE HEARTLAND: 78.79% occupancy, 66 beds, $6,294,875.00 home revenue, $2,332,169.00 payroll costs, $4,387,177.00 home costs.
View Chart Data Table
MetricNashvilleTennessee
Avg payroll costs$6,505,242.91$4,081,691.03
Avg home costs$9,969,081.91$6,116,121.84
Avg occupancy86.18%73.12%
Avg bed count130120
Avg home revenue$15,818,034.36$10,605,032.38
CommunityOccupancyBedsHome RevenuePayroll CostsHome CostsMedicareMedicaidPrivate Pay
TREVECCA CENTER FOR REHAB & HEALING90.79%240$20,832,495.00$10,399,193.00$16,200,811.009.83%68.82%21.35%
NASHVILLE CENTER FOR REHABILITATION89.51%119$21,881,670.00$5,702,995.00$12,574,831.0036.23%41.05%22.72%
WEST MEADE PLACE76.83%120$18,581,025.00$7,462,455.00$9,699,431.0011.85%50.44%37.71%
CUMBERLAND MANOR NURSING CENTER89.76%124$10,745,773.00$5,091,079.00$6,429,869.002.56%82.99%14.45%
BETHANY CENTER FOR REHAB AND HEALING93.83%180$17,856,583.00$9,119,644.00$10,962,969.0022.70%50.29%27.01%
GREEN HILLS CENTER FOR REHAB & HEALI84.67%150$16,625,041.00$4,136,990.00$10,154,544.0017.16%55.85%26.99%
LAKESHORE THE MEADOWS86.55%122$11,781,411.00$5,608,644.00$6,430,943.007.50%45.32%47.18%
LAKESHORE HEARTLAND78.79%66$6,294,875.00$2,332,169.00$4,387,177.002.93%66.74%30.33%
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Frequently Asked Questions about Nursing Homes in Nashville, TN

What's the difference between assisted living and a nursing home in Tennessee?

Assisted living in Tennessee is a residential model focused on housing, hospitality, and help with daily activities. Nursing homes (skilled nursing facilities) provide 24/7 medical care from licensed nurses for residents with significant health needs, and are regulated more strictly under both state and federal CMS rules.

Does Tennessee Medicaid cover nursing home care?

Yes — Tennessee Medicaid covers nursing home care for residents who meet income, asset, and medical-need eligibility requirements. Most CMS-certified nursing homes accept Medicaid as a primary payer once long-term-care eligibility is established.

What is nursing home care?

Nursing homes (also called skilled nursing facilities) provide 24/7 medical care from licensed nurses, rehabilitation services, and long-term custodial care for residents with significant health or functional needs.

How many nursing homes are listed on this page?

This page features 16 nursing homes in Nashville, TN. Use the filters and comparison tools above to compare ratings, amenities, and pricing.

How do I choose the right nursing home in Nashville, TN?

Start by matching the level of care offered to the resident's current and anticipated needs, then compare licensing status, staff-to-resident ratios, recent inspection results, and pricing. Tour at least two or three communities in Nashville, TN, talk to current residents and families, and confirm what is included in the base rate versus billed as add-on services.

What should I look for when visiting nursing homes in Nashville, TN?

Pay attention to staff interactions with residents, cleanliness and odor, food quality at meal times, the activity calendar, and how questions about pricing and care plans are answered. Ask to see the most recent state inspection report, the move-out / level-of-care-change policy, and a sample monthly bill that lists every fee.