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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.
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.
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
Millington Healthcare Center operates an 85-bed nursing facility in Millington, Tennessee, offering skilled nursing, respite care, and rehabilitation services. Short-term rehabilitation includes specialized clinical therapies like IV care, pain management, outpatient dialysis, and tracheostomy care. Temporary respite stays provide short-term relief to family caregivers.
Daily nurse staffing across the center averages 3 hours and 26 minutes per resident. Millington OpCo operates the location under the leadership of administrator Felicia Nicks Speaks. Available funding choices include Medicare for qualifying short-term rehabilitation, Medicaid for long-term care assistance, and private pay options.
Interested families can contact Millington Healthcare Center to speak with staff, schedule a visit, or review specific admission requirements and payment choices.
Overview of Waynesboro Post Acute and Rehabilitation
Waynesboro Post Acute and Rehabilitation provides nursing home care, memory care, and skilled nursing in Waynesboro, Tennessee. Nursing home care and skilled nursing provide ongoing nursing support, and 24 hour staffing means nursing coverage is available around the clock.
Memory care is provided in a secured setting with supervision for a resident at risk of wandering. Short term rehabilitation supports recovery after an illness or procedure, while orthopedic rehabilitation and post surgical care focus on recovery involving movement or surgery. Pulmonary care addresses respiratory needs, and bariatric and oncology care serve residents with weight related or cancer related clinical needs.
Respite care offers a short stay when a family’s usual caregiver needs to travel or recover. The community has 66 beds, with total nurse staffing of 2 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. Medicare can cover short term skilled care after a hospital stay rather than long term residence, while Medicaid can help when savings may not cover a long stay. Private pay allows a family to fund care directly.
Miles Bergin serves as administrator, and Waynesboro SNF Operations operates the community. The community may be a good fit for someone needing ongoing nursing care, supervised memory care, or short term rehabilitation after surgery.
A Walk Score of 50 places the area in the somewhat walkable band, meaning some errands can be done on foot. A resident who no longer drives may be able to complete some errands independently.
Overview of Foothills Transitional Care and Rehabilitation
Foothills Transitional Care and Rehabilitation functions as a 185-bed nursing facility in Maryville, Tennessee. Services center on skilled nursing care alongside short-term rehabilitation, allowing individuals to complete physical therapy treatments on site following a hospital stay. Long-term residential options are also supported within the building.
Daily nurse staffing averages 2 hours and 51 minutes per resident across the campus. Managed by administrator Charles Dietrich and operator Smoky Mountain Healthcare, the facility processes multiple payment types, including Medicare for short-term recovery, Medicaid, and direct private pay.
Interested residents and their representatives can call Foothills Transitional Care and Rehabilitation to check room availability, tour the grounds, or ask about specific rehabilitation services.
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.
Life Care Center of Hixson provides nursing home and skilled nursing care in Hixson, TN. Skilled nursing provides licensed nursing care on site around the clock, while short-term rehabilitation supports a resident during a temporary recovery, making the community potentially suitable for someone who needs both.
The facility has 108 beds. Medicare, Medicaid, and private pay are accepted, giving families those payment paths for covering care. Total nurse staffing is 3h 52m per resident/day, representing the daily nurse time assigned per resident.
Johnny Cerino serves as the administrator, and North River Valley Operations operates the community. A beauty salon and barber shop allow residents to receive grooming services within the community, while transportation is available for travel beyond the facility.
An Alzheimer’s & Dementia Care program is available for residents living with those conditions. The community re-entry program supports residents preparing to return to community living, and religious services are also available.
At Beverly Park Place Health and Rehab in Knoxville, Tennessee, their top-notch skilled nursing rehabilitation services and memory care come with a unique emphasis on providing emotional and social support to their residents. They offer a wide range of rehabilitation services, including physical, occupational, and speech therapy, as well as outpatient rehabilitation. Additionally, they provide specialized care, such as bariatric care, wound care, IV therapy, and respiratory care.
Residents at Beverly Park Place Health and Rehab can enjoy the convenience of laboratory services, beauty and barber services, and a registered dietitian who ensures that every meal is well-balanced and delicious. To keep residents engaged and entertained, the facility offers a variety of activities that foster interaction and healing as well, such as spending time in the beautiful outdoor areas, attending special lectures, and interacting with volunteer groups.
Overview of Quality Center for Rehabilitation & Healing
Quality Center for Rehabilitation & Healing provides nursing home, skilled nursing, memory care, hospice care, palliative care, and respite care in Lebanon, TN. Nursing and skilled nursing provide licensed nursing care on site around the clock, while memory care offers a secured setting with supervision for someone at risk of wandering. Hospice and palliative care focus on comfort, while respite care provides a short stay when a family’s usual caregiver needs to travel or recover.
The range of care can suit a resident whose needs grow over time or a family seeking temporary support. The center has 280 beds, so there are more residents, staff, and usually programming. Total nurse staffing is 3 hours per resident per day, representing the daily hands-on nursing time available for each resident. Payment options are Medicare, Medicaid, and private pay.
Rehabilitation services include short-term rehabilitation, amputee care, and orthopedic rehabilitation, giving residents with those needs access to time-limited recovery support and specialized orthopedic programming. A Walk Score of 74 means the area is very walkable, with most errands possible on foot, so a resident who no longer drives can still get out independently. Julie Grisham serves as the administrator.
Overview of The McKendree Post Acute and Rehabilitation
The McKendree Post Acute and Rehabilitation offers nursing home, assisted living, memory care, respite care, and skilled nursing in Hermitage, TN. Assisted living includes help with dressing, bathing, and medication while a resident keeps a personal living space. Memory care provides a secured setting with supervision for someone at risk of wandering.
Care needs can change over time. Nursing home and skilled nursing services provide licensed nursing care on site around the clock, while respite care offers a short stay for a family caregiver who needs to travel or recover. The range of care levels may suit a resident whose needs change over time.
The community has 180 beds, so it accommodates more residents, staff, and usually more programming than a smaller home. Its 96% occupancy rate means most beds are filled. Total nurse staffing is 2h 58m per resident per day, representing that amount of daily nursing time for each resident.
Starting prices are $3,750 monthly for assisted living and $5,065 monthly for memory care. The memory care rate reflects the secured setting and staffing ratios required for that level of supervision. Payment options are Medicare, Medicaid, and private pay.
Britney Nash serves as administrator, and McKendree SNF Operations operates the community. A salon and spa provides personal grooming services without requiring residents to leave the community. Rehabilitation services and the Short-Term Rehab program support residents receiving therapy during recovery.
The Programs & Activities Calendar, Wellness Programs & Amenities, and Public Events provide scheduled activities and events. Assisted living, memory care, nursing home, skilled nursing, and respite care may make this a fit for someone who needs support now and may require a different level of care later, or for a family caregiver needing a short-term stay.
Overview of Tri State Health and Rehabilitation Center
Tri State Health and Rehabilitation Center is a nursing home and skilled nursing community in Harrogate, TN, with licensed nursing care available on site around the clock. In-house rehabilitation and therapy are also offered, so it may be a good fit for someone who needs ongoing nursing support and therapy in the same setting. The center has 116 beds, with both private and semi-private rooms.
A private room gives one resident an individual room, while a semi-private room is shared. Total nurse staffing is 3h 3m per resident per day, representing the nursing time assigned to each resident across a day. Medicaid, Medicare, and private pay are accepted: Medicaid can help cover a long stay when personal savings may not be enough, Medicare covers short-term skilled care after a hospital stay rather than long-term residence, and private pay means paying directly for care. Transportation to local churches is available every Sunday, and religious services are offered. Magen Ann Smith is the administrator, and Raven Lake Healthcare operates the center.
Claiborne and Hughes Health Center, a prominent nursing and rehabilitation center in Franklin, offers a diverse range of care options designed to enhance the lives of seniors in the community. Renowned for its high-caliber skilled nursing and rehabilitation facilities, the center is a credible choice for individuals recovering from conditions like strokes, heart attacks, and other ailments requiring specialized care. With cutting-edge technology and a trusted team, this facility stands as a premier destination for those seeking skilled nursing care.
Beyond the standard nursing care, Claiborne and Hughes Health Center provides on-site dialysis, hospice care, dementia care, and long-term care, ensuring a comprehensive approach to residents’ well-being. Far from being dull, life here is filled with opportunities for recreation and entertainment, catering to individuals with varying physical and cognitive abilities. The commitment to dining excellence further contributes to the exceptional experience residents can expect at this skilled nursing home, where activities are tailored to enhance the senior living journey.
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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