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Why trust this guide?
Our editorial team analyzed 203 nursing homes in TN using CMS data, inspection records, complaints, amenities, and facility-level details. How we rank nursing homes in TN
Info below is compiled from CMS reports & the TN Dept. of Health (TDH), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest-ranked to lowest-ranked based on our methodology.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This TableAL (Assisted Living):
Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing.
NH (Nursing Home):
24/7 skilled nursing care for residents with complex, ongoing medical needs.
SNF (Skilled Nursing Facility):
Round-the-clock nursing care, often for recovery after surgery, injury, or illness.
MC (Memory Care):
Secured, specialized care for people living with Alzheimer's or dementia.
RC (Respite Care):
Short-term temporary care that gives family caregivers a break.
IL (Independent Living):
Community living with dining, activities, and transportation for active seniors who need little personal care.
HC (Home Care):
Professional care delivered in the person's own home, from companionship to skilled nursing.
HOS (Hospice Care):
Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
PC (Palliative Care):
Comfort-focused care for serious illness at any stage, including alongside curative treatment.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. This is a proprietary Assisted Living Magazine grade. It is not a government rating. A dash means we have no inspection data for that facility.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Tennessee average is: 54.1% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
$8.4M*Fiscal year ending 01/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
$3.5M*Fiscal year ending 01/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
41.4%*Fiscal year ending 01/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Rank badges are statewide and care-type specific: each nursing home is ranked against every other TN nursing home we track that reports that metric, not just the 203 on this page. See how we rank facilities
Buchanan Place is a nursing home in New Tazewell, TN, offering skilled nursing, memory care, and respite care. Nursing home and skilled nursing services provide long term care and licensed nursing care on site around the clock. Memory care offers a secured setting with supervision for someone at risk of wandering.
Respite care provides a short stay for a family caregiver who needs to travel or recover. Rehabilitation services and short term rehab are available for residents focused on recovery before returning home or moving to another setting. With nursing, memory care, and respite services in one community, Buchanan Place may be a good fit for a resident whose care needs may grow over time.
The community has 134 beds. Total nurse staffing is 3 hours and 29 minutes per resident per day, representing the daily nursing staff time allocated to each resident. Payment options are Medicaid, Medicare, and private pay; Medicare can cover short term skilled care after a hospital stay, while Medicaid may help with a long stay when savings do not cover it.
A Walk Score of 43 places the area in a car dependent setting, so most errands require a car or a ride. Pete Prins serves as administrator, and Claiborne Care Center operates Buchanan Place.
Harborview Post Acute provides nursing home, hospice care, memory care, respite care, and skilled nursing in Memphis, TN. Nursing home and skilled nursing care include licensed nursing care on site around the clock, while hospice supports residents receiving end of life care. Memory care is provided in a secured setting with supervision for someone at risk of wandering, and respite care offers a short stay when a usual caregiver needs time away.
The range of services may suit a resident whose needs change over time, from short term rehabilitation or respite to ongoing nursing or memory support. The 103 bed home offers private rooms, so each resident has an individual room. Rehabilitation services include short term rehabilitation for residents who need recovery focused care for a limited period.
Total nurse staffing is 3 hours and 23 minutes per resident each day, representing the daily hands on nursing time allocated per resident. Medicare, Medicaid, and private pay are accepted: Medicare may apply to short term skilled care after a hospital stay, Medicaid may help when savings do not cover a long stay, and private pay means the family pays directly. A Walk Score of 47 places the area in a car dependent setting, so most errands require a car or a ride; Craig Bullick serves as administrator, and Juniper Cove Holdings operates the community.
The Village at Germantown offers independent living, assisted living, memory care, and skilled nursing in Germantown, TN. Independent living provides private living with community services and no daily care, while assisted living includes help with daily tasks such as bathing, dressing, and medication. Memory care is provided in a secured setting with supervision, and skilled nursing includes licensed nursing care on site around the clock, so a resident’s care can continue within the community as needs grow. The range may suit someone who wants independent living now or may need assisted living, memory care, or skilled nursing over time.
The 60 bed community is administered by Julie Elizabeth Repking. Total nurse staffing is 6 hours and 50 minutes per resident per day, representing the daily hands on nursing time assigned to each resident. Medicare and private pay are accepted. Medicare can cover short term skilled care after a hospital stay, while private pay means the family pays directly.
Therapy and rehabilitation are available on site, so residents can receive rehabilitation services without arranging outside transportation. Three on site restaurants, including the Monarch Fine Dining Room, Café Bistro, and Polo Lounge & Grille, provide dining choices within the community. A fitness center, heated saltwater pool, gardens, courtyards, walking paths, putting green, and outdoor firepits support exercise and time outdoors, while scheduled transportation serves medical appointments, shopping, and educational and cultural events.
Respite care is available, including 10 free days each year in the Healthcare Center. Families therefore have a short term care option when a usual caregiver needs time away. A Walk Score of 63 means the area is somewhat walkable, with some errands possible on foot for a resident who wants limited access to nearby destinations without driving.
Nhc HealthCare, Knoxville provides nursing home, home care, hospice care, nursing care, and skilled nursing services in Knoxville, Tennessee. Nursing home and nursing care provide a residential setting for ongoing nursing needs, while skilled nursing provides licensed nursing care on site around the clock. Home care supports people in their own residences, and hospice care focuses on comfort for people nearing the end of life.
The community is in North Knoxville and has 115 beds. Total nurse staffing is 3 hours and 55 minutes per resident each day, representing the daily hands on nursing time allocated to each resident. Medicare, Medicaid, and private pay are accepted. Thomas Bradley Shuford serves as the administrator.
Rehabilitation services and short term rehabilitation give a resident access to therapy during recovery, while respite care provides a short stay when a usual caregiver needs to travel or recover. An on site beauty and barber shop lets residents receive grooming services without leaving the community. Dietitian and chef approved meals are tailored to meet residents’ nutritional needs, and the range of services may suit someone who needs around the clock nursing or a short term rehabilitation stay.
Overview of Franklin Wellness and Rehabilitation Center
Situated just off West Main Street in Franklin, Tennessee, the Franklin Wellness & Rehabilitation Center is a dedicated skilled nursing facility, unwavering in its commitment to delivering exceptional care. Focused on fostering a loving, welcoming, and encouraging environment, their mission revolves around enabling residents to thrive physically, emotionally, and socially.
Accredited by the Joint Commission, Franklin Wellness & Rehabilitation Center seamlessly caters to short-term rehabilitation needs and long-term care services. Their unwavering dedication to excellence makes them a trusted choice for those seeking top-tier nursing care in the heart of Williamson County. With an emphasis on continuous quality improvement, the center aspires to be the premier nursing care provider in Williamson County. Residents at Franklin Wellness & Rehabilitation Center can engage in enriching activities, and the center’s patient-centered care programs are designed to prioritize individual well-being. Accommodations include private suites and semi-private rooms, complemented by amenities like satellite TV service and WiFi.
Overview of Huntsville Post-Acute Rehabilitation Center
Huntsville Post-Acute Rehabilitation Center provides nursing home, hospice care, memory care, palliative care, respite care and skilled nursing in Huntsville, TN. Nursing home and skilled nursing services offer ongoing support with licensed nursing care on site around the clock. Memory care includes supervision in a secured setting for someone at risk of wandering.
Hospice care focuses on comfort near the end of life, while palliative care supports symptom management during serious illness. Respite care provides a short term stay when a usual caregiver needs to travel or recover. The range of services can suit a resident whose needs may change over time, as well as a family seeking short term support or specialized care.
The community has 96 beds. Allison McKenney serves as administrator, and Huntsville TN OPCO operates the facility. Total nurse staffing is 3 hours and 26 minutes per resident per day, representing the daily hands on nursing time allocated to each resident. Medicare, Medicaid and private pay are accepted, giving families several listed ways to pay for care.
Rehabilitation services support recovery without arranging care at another location. The facility also provides memory care support, IV therapy and wound care, bariatric care, diabetic care and monitoring, postsurgical care and pain management, along with cardiac, stroke and orthopedic rehabilitation. Chef prepared meals, therapeutic diets and dietitian consultations address differing dietary needs, while in room dining allows a resident to eat in their room.
Outdoor courtyards and landscaped gardens provide places to spend time outside. An on site beauty salon and barber offer personal grooming services within the community.
Fairpark Health and Rehabilitation is a nursing home in Maryville, TN, offering hospice care and skilled nursing. Nursing home care provides an ongoing residential setting, while skilled nursing means licensed nursing care is available on site around the clock.
Hospice care supports residents who need end of life care. The community may be a good fit for someone requiring continued nursing support or hospice services in a residential setting.
The home has 75 beds and accepts Medicare, Medicaid, and private pay, giving families payment paths for covered services or residential care. Total nurse staffing is 2h 43m per resident per day, representing the daily nursing time allocated to each resident. Rehabilitation services include physical therapy, so residents can receive therapy at the community rather than arranging transportation elsewhere. Advanced wound care addresses specialized wound needs, while discharge planning helps coordinate care and services when a resident leaves the facility. An on site hair salon provides access to hair services within the community. Amanda Overholt serves as the administrator, and Maryville Fairpark Opco operates the community.
The King’s Daughters and Sons Home provides nursing home care, hospice care, and skilled nursing in Bartlett, TN. Skilled nursing offers licensed nursing care for residents who need ongoing clinical support, while hospice services support residents receiving care at the end of life. Long term skilled nursing and short term rehabilitation are also available, so the home may suit someone who needs ongoing nursing care as well as someone recovering temporarily before returning home or moving to another setting.
The community opened in 1908 and has 108 beds. Private rooms provide single occupancy, giving each resident a room of their own. Rehabilitation services support short term recovery within the care options available at the home.
Medicare can cover eligible short term skilled care after a hospital stay. Medicaid may help eligible residents whose savings do not cover a longer stay, while private pay allows a family to pay directly. Total nurse staffing is 5 hours and 18 minutes per resident per day, representing the daily nursing care time assigned to each resident. Nicole B. Wiles serves as the administrator.
Overview of Orchard View Post-Acute and Rehabilitation Center
Orchard View Postacute and Rehabilitation Center offers nursing home and skilled nursing care, along with memory care, hospice care, palliative care, and respite care in Kingsport, Tennessee. Nursing home and skilled nursing services support postacute rehabilitation and long term care, while memory care provides supervised support in a secured setting. Hospice and palliative care focus on comfort and care coordination.
Respite care provides a short stay when a family caregiver needs time away or time to recover. The range of services can suit a resident whose needs change from rehabilitation to longer term nursing or memory support. There are 180 beds, so this is a larger community with more residents, staff, and usually programming.
Total nurse staffing is 3 hours and 20 minutes per resident per day, representing the daily hands on nursing time available for each resident. Medicare, Medicaid, and private pay are accepted, allowing families to use public coverage where eligible or pay directly. Onsite rehabilitation means residents can receive therapy without arranging transportation elsewhere.
Chef prepared meals, therapeutic diets, and in room dining options support different dietary and dining needs, while an onsite beauty salon provides salon services within the community. Recreational therapy programs and outdoor courtyards offer activities and outdoor space without requiring residents to leave the center. Rachel Hicks serves as administrator, and Brookhaven TN OPCO operates the center.
The center provides 24 hour skilled nursing care, including IV therapy and wound care, cardiac, stroke, and orthopedic recovery support, diabetic care, pain management, and hospice and palliative care coordination.
Legacy Health and Rehab is a nursing home in Manchester, TN, offering long-term care and rehabilitation. The community also promotes a warm and nurturing environment, ensuring older adults can ease their worries in retirement. With 24-hour care, nutritious meals, and therapy services, residents also receive the utmost attention and care to live comfortably. Personalized care plans are also provided to help residents recover and return to their routines.
Light exercises, social events, and various recreational activities allow residents to continue learning and make friends. Cozy gathering areas and spacious rooms also ensure residents can rest and focus on recovery. Residents also experience a stress-free retirement, as it is conveniently located near restaurants and shops in Manchester. Providing compassionate services, this nursing home is a good option for senior living in Tennessee.
Every nursing home above is evaluated across five weighted categories using CMS data including Care Compare, Payroll-Based Journal, and Medicare Cost Reports. Rank badges compare each home against other nursing homes in the same state — never against assisted living, memory care, or independent living communities.
How we're paid:If we help you find a home and you move in, that home may pay us a referral fee. This never affects where they rank or what you pay. Learn more
Avg Overall CMS Rating:2.8/ 5The average Overall CMS Rating for all CMS-certified nursing homes in Tennessee. 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 Tennessee. 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:2.8/ 5The average Health Inspection Rating across all CMS-certified nursing homes in Tennessee. 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.
Frequently Asked Questions about Nursing Homes in Tennessee
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 203 nursing homes in Tennessee. Use the filters and comparison tools above to compare ratings, amenities, and pricing.
How do I choose the right nursing home in Tennessee?
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 Tennessee, 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 Tennessee?
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.
If you move into a community through us, that community may pay us a referral fee. This never changes your cost or which options we recommend. Learn more
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