Page 12 of Best Nursing Homes in Tennessee

Overview of Spring Meadows Health Care Center

Operated by Spring Meadows Retirement Village, Spring Meadows Health Care Center is a nursing home in Clarksville, Tennessee, offering nursing home care, memory care, and skilled nursing services. Jones serves as the administrator. The community accepts Medicare, Medicaid, and private pay, giving families several options for covering the cost of short-term rehabilitation and long-term nursing care.

The 32-bed community has been serving the Clarksville area for 39 years. It is currently operating at full occupancy, with all 32 beds filled. Residents stay for an average of about 136 days. Many are admitted under Medicare for short-term rehabilitation before returning home.

Residents receive an average of about 3 hours and 13 minutes of direct nursing care each day from registered nurses, licensed practical nurses, and nursing aides. This level of staffing provides regular hands-on support throughout the day. The neighborhood has a Walk Score of 22, which is car-dependent. Families and visitors should expect to drive for most errands and visits.

State health inspections have most often focused on documentation and care planning, infection control, feeding tube care, environmental safety, and the supervision of residents who require additional oversight. Follow-up reviews confirmed that corrective actions in these areas were maintained over time. Families touring Spring Meadows Health Care Center should ask how these practices are monitored in the community’s daily operations.

Overview of Fairpark Health and Rehabilitation

Fairpark Health and Rehabilitation is a 75-bed nursing home in Maryville, Tennessee, offering skilled nursing and rehabilitation services. Managed by Clearview Healthcare Management TN LLC under the ownership of Tn M53 Spe Opco Holdco LLC, which is part of the Simcha Hyman and Naftali Zanziper network, the community has maintained Medicare and Medicaid certification since 1992. Medicare, Medicaid, and private pay are all accepted.

The occupancy rate is 91.5%, which is significantly higher than the Tennessee state average of 73%. This suggests strong demand and limited availability. The average stay lasts 216 days, and the resident population is largely composed of those using private insurance or Medicaid, reflecting a focus on extended residential support alongside temporary recovery stays.

The current two-star CMS rating for the community presents a varied perspective on its operations. Health review scores are about 31.5% lower than the state average, and personnel levels are 59.2% below the Tennessee benchmark. This ranks the community 135th out of 137 nursing homes in the state for adjusted caregiver time, which may be a point of consideration for families. Daily nursing time averages 2 hours and 32 minutes per resident, compared to the state average of 3 hours and 40 minutes, with lower numbers noted for registered nurses, practical nurses, and assistants.

Additionally, staff turnover stands at 59.7%, which is higher than the state average of 48.7%. However, a significant strength is found in clinical quality metrics, where the community performs 34% better than the state average, earning a five-star score in that specific category for the older adults living there.

The regulatory history includes 15 findings over the last three inspections, largely influenced by a significant complaint review in August 2023. That investigation identified two high-priority concerns regarding resident protection and the execution of care plans, resulting in a fine. While the community was previously considered for the federal Special Focus Facility program, current data indicate it is no longer on that list, signaling that improvements were made.

More recent reviews in 2024 and 2025 identified fewer concerns, primarily related to equipment upkeep, food service, and infection management, all of which were categorized as having the potential for harm but resulting in no actual injury to residents. No further financial penalties or payment halts have been recorded since the 2023 incident.

Medical offerings include physical, speech, and occupational therapies, as well as specialized wound management and long-term nursing. Memory support, end-of-life care, and transition planning are also provided. Amenities include a variety of activities, a hair salon, an outdoor patio, therapeutic animal visits, and spiritual services.

Fairpark Health and Rehabilitation is an ideal option for families in the Maryville and Blount County region looking for long-term nursing or memory support with a record of positive clinical results.

Overview of Orchard View Post-Acute and Rehabilitation Center

Orchard View Post-Acute and Rehabilitation Center is an 180-bed skilled nursing community in Kingsport, Tennessee, providing post-acute rehabilitation, long-term nursing care, and specialized medical support for older adults with complex healthcare needs. Operating since 1985, the community accepts Medicare, Medicaid, and private pay. Despite its large licensed capacity, current occupancy remains well below the Tennessee average, with approximately a 35.1% occupancy rate.

Services extend well beyond traditional nursing care and include wound management, IV therapy, respiratory and tracheostomy care, cardiac and stroke recovery, dialysis coordination, bariatric support, psychiatric and behavioral health services, hospice coordination, telemedicine consultations, and memory care programming.

CMS currently assigns the community a 1-star overall rating, including a 1-star score for health inspections. The most recent standard inspection in January 2025 identified seven deficiencies ranging from low-level concerns to actual-harm findings. The most serious citation involved failure to protect residents from abuse, neglect, or exploitation. Additional findings also addressed infection control, food storage practices, abuse-reporting procedures, medication and hospice coordination issues, and notification requirements related to Medicare and Medicaid coverage.

Complaint investigations from 2024 also raised notable concerns, which include a significant number of medication errors alongside abuse-prevention deficiencies, resulting in a substantial fine and a lengthy payment suspension. Another complaint investigation later that year again identified failures related to abuse prevention. Although all cited deficiencies have since been marked corrected, the repeated pattern involving resident protection and reporting procedures is an issue that warrants careful review and discussion with the management.

Staffing performance presents both strengths and limitations, with overall nursing hours remaining below Tennessee averages, particularly during weekdays for RN, LPN, and CNA coverage. However, weekend registered nurse staffing performs notably better than state benchmarks, and total weekend nursing coverage exceeds the Tennessee average. The most significant staffing concern is turnover, which remains substantially higher than statewide norms and may affect continuity of care and staff familiarity with residents’ needs.

Quality outcomes are mixed but include several encouraging indicators. Long-stay residents experience lower-than-average rates of falls with major injury, urinary tract infections, pressure ulcers, depressive symptoms, and antipsychotic medication use. Pneumococcal vaccination rates for long-stay residents also exceed the state average. At the same time, unexplained weight loss occurs at a significantly higher rate than Tennessee benchmarks, and declines in walking ability, hospitalizations, and emergency department visits are all elevated. Among short-stay residents, falls with major injury and re-hospitalization rates also exceed state norms.

Amenities include private and semi-private suites, therapeutic dining options, outdoor courtyards, Wi-Fi access, activity spaces, a beauty salon, and organized resident councils.

Orchard View Post-Acute and Rehabilitation Center is ideal for those needing extensive medical or rehabilitative support in the Kingsport area, though families should carefully review inspection history, staffing stability, and corrective action plans related to abuse prevention and resident safety before choosing the community.

Overview of Willow Branch Health and Rehabilitation

Nestled in the picturesque town of McMinnville, TN, Willow Branch Health and Rehabilitation offers compassionate, skilled nursing and rehabilitation in a warm and supportive environment. This community is dedicated to delivering high-quality, personalized care that prioritizes each resident’s well-being, dignity, and quality of life through innovative methods. The elegantly designed private and semi-private rooms are thoughtfully crafted to provide both comfort and convenience, accommodating a variety of needs and preferences.

Residents can enjoy a wide selection of dining options and engaging activities that enrich the mind, body, and spirit. From virtual travel adventures to community outings, Willow Branch Health and Rehabilitation is full of warmth, energy, and excitement. Every moment here is carefully designed to celebrate life, allowing each resident to enjoy a vibrant and fulfilling lifestyle in a place that feels like home.

Overview of Nhc HealthCare, Knoxville

NHC Healthcare in Knoxville is a nursing home on East Emerald Avenue. With 115 beds, it has been serving patients and families for 33 years. Thomas Shuford owns the facility. It accepts Medicare, Medicaid, and private pay, so families have various options to access care for residents.

Residents stay for an average of 71 days in the community due to its strength in short-term rehabilitation. It’s best suited for seniors recovering from surgery, injury, or hospitalization and ready to move toward independent living or a long-term care setting.

The home supports its rehabilitation mission through dedicated therapy and recovery services. Additionally, there is 24-hour staffing, as well as options for respite, hospice, and home care referrals.

Total nurse staffing averages approximately 3 hours and 32 minutes per resident. Nurse aides provide an additional 3 hours and 10 minutes of direct support each day. This level of hands-on support is central to the home’s services.

Residents have access to chef-approved dining tailored to individual nutritional needs, high-speed internet and cable TV in rooms, and a beauty and barber shop on the premises. Additionally, there is a dining room and outdoor relaxation area for residents and visiting family who want to share meals and time together. The facility also hosts daily activities and entertainment programming.

The neighborhood has a Walk Score of 31, which means a few services are within walking distance. However, most trips require driving. This may matter for families planning how often they can visit and which amenities they’ll rely on without a car.

NHC Healthcare Knoxville is best suited for those seeking a stable, service-rich short-term rehabilitation setting with lots of staffing support and thoughtful amenities.

Overview of The King’s Daughters and Sons Home

Established in 1992, The King’s Daughters and Sons Home is a 108-bed nonprofit community in Bartlett, Tennessee, managed by administrator Nicole B. Wiles. The facility covers a range of senior care needs, coordinating long-term skilled nursing, hospice support, and short-term rehabilitation. Admissions reflect a diverse payer mix, 66% utilize Medicare, 24% pay privately, and 10% rely on Medicaid, resulting in an average resident stay of 128 days. The suburban campus maintains an 82.5% occupancy rate, which runs notably higher than the Tennessee benchmark, and sits in an area with a Walk Score of 36.

Public health databases reveal solid operational metrics, highlighted by a daily nursing presence averaging 5 hours and 6 minutes per resident to rank eighth statewide. Much of this time is driven by direct nurse aide support, which tracks at 3 hours and 13 minutes daily, roughly 50% above the state average. Long-stay clinical files show very strong outcomes, including low rates of functional decline, stable physical mobility, and a resident depression rate of less than one percent.

Short-stay recovery metrics indicate some friction, as the facility’s rehospitalization rate for temporary rehab residents reaches 33.2%, tracking about 50% worse than the state standard.

Prospective representatives checking into local long-term care or recovery setups can look through these government health summaries to assess the provider’s strengths. Since the official tracking profiles verify exceptional daily direct care hours and steady physical health trends alongside some elevated readmission marks for short-term recovery, the documentation points to an environment highly geared toward permanent residential care. Arranging an in-person tour is a helpful next step to check out the rehabilitation wing, view the common spaces, and ask the administrative team about their specific protocols for lowering short-stay hospital readmissions.

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.

Overview of Millington Healthcare Center

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

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

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

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

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

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

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

Overview of Waynesboro Post Acute and Rehabilitation

Serving the Waynesboro community for 34 years, Waynesboro Post Acute and Rehabilitation is a 66-bed skilled nursing facility in rural Wayne County, Tennessee. Waynesboro SNF Operations, LLC, operates the facility, and Miles Bergin serves as administrator. It accepts Medicare, Medicaid, and private pay for short-term rehabilitation and longer-term nursing care.

Rehabilitation and recovery shape the facility’s clinical focus. It provides 24-hour nursing staffing and specialized orthopedic rehabilitation, post-surgical care, pulmonary care, bariatric care, and oncology care. These services support residents recovering from surgery or hospital stays and those managing complex medical needs. A dedicated memory care program is also available, along with respite care for families needing short-term relief.

Nursing staffing averages close to 3 hours of hands-on care per resident daily. This level shows that direct nursing attention remains central to daily life. State health inspectors have periodically reviewed resident care and safety practices during routine regulatory oversight. These reviews are a normal part of monitoring skilled nursing facilities across Tennessee. Families touring the community may ask how staff manage care plans and safety protocols daily.

The facility operates near full capacity, with an occupancy rate of about 97%. This figure suggests steady demand for beds within Wayne County. Its location has a Walk Score of 50, which is a moderately walkable area. Some errands can be completed on foot, but most trips require a short drive. Visiting family members may consider this when planning their regular visits.

Overview of Foothills Transitional Care and Rehabilitation

Located in Maryville, Tennessee, Foothills Transitional Care and Rehabilitation is a skilled nursing facility owned and operated by Rocky Top Healthcare LLC. The 185-bed community has been providing care for 33 years. It accepts Medicare, Medicaid, and private pay, which allows families to pursue different payment pathways for short-term rehabilitation and longer-term skilled nursing care. Residents stay an average of 96 days, including post-acute patients working toward recovery and residents who remain for ongoing nursing support.

The facility focuses on rehabilitation services. Residents are supported by in-house therapy and 24-hour staffing. Each resident receives approximately 3 hours and 23 minutes of total nursing care daily. These include time from registered nurses, licensed practical nurses, and nursing aides. This staffing level can provide hands-on assistance with activities of daily living and medical oversight throughout the day and night.

Foothills has an occupancy rate of 52%, with 96 residents across its beds. Its location on Jamestown Way in Maryville is car-dependent, and there are limited nearby walkable options. Visitors and residents must rely on personal transportation for most errands and appointments.

The facility operates under the oversight of the Tennessee Department of Health, Division of Health Care Facilities, with records spanning the past four years. Families can request the home’s inspection history and discuss any questions about facility operations during a tour.