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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.
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
Shelby Oaks Post Acute is a compassionate nursing home in Memphis, TN, that offers skilled nursing and rehabilitation. Promoting a nurturing environment, the community features cozy communal spaces and peaceful outdoors. 24-hour care, wound care, and social services are also offered to ensure residents’ holistic wellness. Through personalized care options, the community strives to meet older adults’ complex healthcare needs.
Musical performances, a variety of games, and field trips are among the lifestyle calendar curated to keep residents active and socially connected. A barber, courtyards, and an activity room are also available, providing residents with places for leisure and wellness. With its ideal location in the lively neighborhood of Memphis, the community ensures residents have easy access to their leisure and necessities. This senior living community is a great choice for retirement in Tennessee, especially with its comprehensive services and extensive amenities.
Overview of Majestic Gardens at Memphis Rehabilitation and Skilled Nursing Center
Majestic Gardens at Memphis Rehabilitation and Skilled Nursing is a nursing home in Memphis, TN, that offers skilled nursing and rehabilitation services. Dedicated to older adults’ comfort and safety, the community continuously improves its services to meet their needs. Dietitian-approved meals are served in various dining areas, while pain management and 24-hour MD coverage are among the services provided for residents’ welfare. The community also features a dedicated memory care unit, called the Sunflower Unit, to ensure that residents with memory issues are well-cared for.
Cultural programs and a full recreation calendar are conducted to enrich residents’ stay. Private and semi-private rooms are also available to meet residents’ preferences. Public transportation, restaurants, and shops are also available nearby, providing residents with access to their needs. This nursing home is ideal for senior living in Tennessee, particularly with its wide range of services.
Owned by Blounts Operator LLC, Greystone Healthcare Center is a nursing home in Blountville, Tennessee, about 30 minutes northeast of Johnson City. The 24-bed facility has been serving the area for 33 years. It focuses on skilled nursing and rehabilitation care for short-term recovery and long-term residents.
Medicare, Medicaid, and private pay are accepted, giving families flexible ways to cover care costs. The home has an occupancy rate of 75%. Residents stay an average of about 115 days, including short-term rehabilitation residents and those needing ongoing skilled nursing care.
Residents receive an average of 3 hours of nursing care each day. Registered nurses provide 39 minutes of that care. Nurses, nurse aides, and licensed practical nurses work around the clock to support residents. The facility offers wound care therapies, ventilator care and weaning, laryngectomy stoma care, hospice services, IV medication therapy, and nutritional management. An on-site medical director oversees clinical care. Dental and podiatry services are also available on site, so residents won’t need to go outside for appointments.
The facility has a 900-square-foot rehabilitation and therapy center equipped with modern therapy equipment. Residents also have access to a salon and spa, religious services, and pet therapy. Meals are served from gourmet menus, and both private and semi-private rooms are available with cable television and private phones. The community also includes a courtyard, outdoor patio, and a family and resident lounge where visitors can spend time with loved ones. WiFi is available throughout the facility, so residents can stay connected.
The area has a Walk Score of 24, which is car-dependent. Most errands and visits require transportation. Families looking for a quieter setting may appreciate the rural location and close-knit community atmosphere. Those considering the facility should take a tour, see the therapy center and clinical areas, and decide whether the services match their loved one’s rehabilitation or long-term care needs.
Shannondale Well Park is an award-winning nursing home in Knoxville, TN, that offers short-term rehabilitation. The community’s nurturing and welcoming environment can accommodate up to 30 older adults, ensuring they are well-cared for during their stay. Physical, occupational, and speech therapy, as well as respite services, are also provided to improve residents’ living experiences. With its faith-based approach, the community works closely with residents to develop care plans tailored to their unique needs and preferences.
Light exercises, social gatherings, and themed events ensure residents can stay active and make friends. State-of-the-art rehabilitation equipment is also available to help residents thrive in their later years. Located in the peaceful residential area of Knoxville, near restaurants, shops, and public transportation, residents have quick access to their necessities. As one of the highly regarded nursing homes in Tennessee, Shannondale Well Park ensures older adults can live to their potential in retirement.
Waverly Hills Post Acute is a nursing home in Waverly, TN, offering hospice care, memory care, palliative care, respite care, and skilled nursing. Nursing home services support both long-term and short-term stays, while skilled nursing provides licensed nursing care around the clock. Memory care provides a secure setting with supervision for someone at risk of wandering. Hospice care focuses on comfort for someone nearing the end of life, and palliative care addresses symptoms and comfort during serious illness.
Respite care provides a short stay when a usual caregiver needs temporary coverage. Short-term rehabilitation, outpatient therapy, an expansive rehab gym, complex wound care, and diabetes care give residents access to several types of clinical and recovery support. The range of services is a good fit for someone who needs short-term rehabilitation, ongoing nursing care, or comfort-focused care as needs change.
The home has 100 beds. Total nurse staffing is 3h 24m per resident/day, representing the amount of nurse staffing time assigned to each resident across an average day. Medicare, Medicaid, and private pay are accepted. Medicare applies to eligible short-term skilled care, Medicaid may help with eligible long-term costs, and private pay uses personal or family funds.
A Walk Score of 50/100 places the area in the somewhat walkable band, where some errands can be done on foot, so a resident may be able to manage some nearby errands without a car. Christopher Spence serves as administrator, and Waverly SNF Healthcare operates the community.
Life Care Center of Gray is a nursing home and skilled nursing community in Gray, TN. Skilled nursing provides licensed nursing care on site around the clock, so residents can receive nursing attention throughout the day and night. Rehabilitation services are also available, allowing residents to receive therapy within the community instead of arranging care elsewhere.
The community has 133 beds. Its Alzheimer’s & Dementia Care program may suit someone living with dementia who needs skilled nursing support, while the Independent & Assisted Living program identifies additional residential care services at the community. Life Care Center of Gray may be a good fit for a resident who needs ongoing nursing care together with rehabilitation services. Medicare, Medicaid and private pay are accepted, giving families several listed ways to cover care.
Total nurse staffing is 3 hours and 52 minutes per resident per day, representing the daily amount of nurse staffing allocated per resident. Ashley Lee serves as administrator, and Gray Medical Investors operates the community. Residents can use the beauty salon and barber shop without arranging those services elsewhere. The community also offers a community re-entry program, with programming focused on helping residents prepare to return to community living.
Overview of Collierville Nursing and Rehabilitation
Opened in 1992, Collierville Nursing and Rehabilitation provides nursing home and skilled nursing care in Collierville, TN. 24-hour staffing is available, ensuring residents can access care as needed. The community also provides recovery support to help improve residents’ functionality.
Administered by Gayle Shelton, the community has 114 beds, with 84.5% occupancy. Moreover, residents receive a total of 3 hours and 18 minutes of nursing care daily. Its Rehab-to-Home Program is also designed for residents transitioning from facility-based care back to their homes, while CPAP and BiPAP care supports residents who use those breathing devices.
An on-site beauty salon provides a place for grooming, and religious services offer opportunities to participate in worship. Medicare, Medicaid, and private pay are also accepted, giving families several listed ways to cover care.
Renaissance Terrace has been part of Knoxville’s senior care landscape for 55 years now, a long run by any standard in this field. The 50-bed nursing home sits on Bearden Pl in a genuinely walkable stretch of the city. A Walk Score of 74 means most errands, a pharmacy trip, a coffee, whatever, don’t require a car at all.
Beyond nursing home care, Renaissance Terrace also covers assisted living, independent living, and memory care, so the building serves a fairly wide range of needs under one roof. It’s a mid-rise with private rooms, which matters if privacy is high on your list. The resident mix here leans toward both ends of the care spectrum: short-term rehab stays after a hospital visit, and long-term residents settling in for the long haul. The average length of stay runs 462 days, well past a year, which tells you long-term care is doing a lot of the work here.
On staffing, nurse aides provide the bulk of hands-on care, clocking in at 2 hours and 7 minutes per resident each day. Add in RN and LPN time, and total nursing care lands around 2 hours and 49 minutes per resident per day. Medicare, Medicaid, and private pay are all accepted, which opens up more than one path for families figuring out how to pay for this.
Pets are welcome here, and residents have access to transportation services and a fitness and recreation program, both useful in a location that’s otherwise easy to get around on foot anyway. Senior Citizens Home Assistance Service runs the building, with Katelyn Bray as administrator and Tim Howell as CEO. Taken together, the decades of operation, the long average stay, and the four-care-type range point to a facility built for residents who need somewhere stable to land, not just pass through.
Overview of Holston Rehabilitation and Care Center
Holston Rehabilitation and Care Center provides skilled nursing, nursing home, and memory care in Kingsport, TN. Skilled nursing offers licensed nursing care on site around the clock, while memory care provides supervision in a secured setting for residents who may be at risk of wandering. Short term rehabilitation and long term care are available, so the community can suit someone who needs therapy after an illness or injury or ongoing nursing support.
The center has 204 beds, placing it among communities with more residents and staff and usually more programming. Total nurse staffing is 3 hours and 13 minutes per resident each day, representing the total daily nursing time allocated to each resident. Medicare, Medicaid, and private pay are accepted, giving families more than one way to cover eligible care costs.
Private rooms give residents a single occupancy living space. A therapy gym supports rehabilitation on site, so residents can participate in therapy without arranging outside transportation, while the interior courtyard provides an outdoor area within the community. The atrium is available for private parties, allowing families to hold gatherings at the center.
Johnathan Blaine Kelly serves as the administrator, and Holston Manor SNF Operations operates the community. Holston Rehabilitation and Care Center may be a good fit for someone whose needs could range from short term rehabilitation to ongoing skilled nursing or memory support.
Avina Milwaukee is a retirement community in Signal Mountain, TN, offering independent living, assisted living, memory care, skilled nursing, and rehabilitation. With a 185-bed capacity, the community maintains a lively, welcoming environment for older adults’ comfort and safety. Along with its multiple levels of care, flexible dining options, housekeeping, laundry, and utilities, except phone, are also provided. To provide personalized care plans, the community strives to understand residents’ unique needs and habits.
Exercises, fun events, and games provide residents with more opportunities to socialize and live actively. For residents’ leisure and wellness, a salon and barbershop, garden areas, and spacious communal areas are provided. The community is also easily accessible, as it is located near Rainbow Lake Wilderness Park, Julia Falls, and other local amenities. As one of the trusted options for senior living in Tennessee, the community ensures older adults can age in place with its comprehensive care options.
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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