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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 TableNH (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.
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.
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.
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
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.
Life Care Center of Gray, a 133-bed home in Gray, TN, does skilled nursing and nursing home care. Licensed nurses are on the floor at any hour, day or night. Rehabilitation therapy runs in the same building, which suits somebody recovering from an illness or an injury who needs both at once.
The home takes Medicare, Medicaid, and private pay. Ashley Lee is the administrator, and Gray Medical Investors, LLC operates the community. A salon is listed for haircuts and other grooming.
Overview of Camden Healthcare and Rehabilitation Center
Forty-eight residents in a 120-bed building leaves Camden Healthcare and Rehabilitation Center with real room in it. The Camden, Tennessee, nursing home runs skilled nursing with licensed nurses on site at every hour, and a doctor is on staff.
The list of programs is where the range of clinical care can be seen. Wound care therapies are provided, IV medication therapy is offered, post‑operative care is arranged, restorative care is given, nutrition management is included, hospice support is available, and outpatient therapy is part of what is offered. Short‑term rehabilitation is carried out on site, and respite care is arranged for the short stay that is needed when the usual caregiver must travel or recover.
Dental services are staffed here so that oral care can be handled without leaving the building. Grooming is taken care of through a salon and a spa, which means appointments outside the community do not have to be made. Religious services run for residents who want them.
Nursing time works out to 3 hours and 27 minutes per resident daily. Medicaid, Medicare, and private pay are each accepted, Medicare for short-term skilled care after a hospital stay rather than for a permanent room, and Medicaid once savings will not carry a longer one. Mark Walker serves as administrator, and Camden Operator operates the center.
Signature Healthcare of Putnam County is a nursing home in Cookeville, TN offering skilled nursing and respite care. Skilled nursing provides licensed nursing care on site around the clock, while respite care offers a short term stay for a family whose usual caregiver needs to travel or recover. These services make the community a good fit for someone who needs ongoing nursing care or a temporary care arrangement.
The community has 175 beds, placing it among larger communities with more residents, staff and usually more programming. Rehabilitation services and short term rehab support residents recovering during a temporary stay. There is a salon and spa for personal grooming within the community, along with religious services and a full time chaplain for regular spiritual support.
Total nurse staffing is 3 hours 10 minutes per resident per day, which is the daily nurse time allocated to each resident. Medicare, Medicaid and private pay are accepted, giving families several ways to cover eligible care or services. Paula Boone serves as administrator, and LP Cookeville operates the community.
Comfortably age in place in The Waters of Springfield, a remarkable senior living community in Springfield, TN, offering a wide array of excellent care services. Residents here are provided access to memory care, long term care services, hospice services, respite care, and a variety of other healthcare services. Featuring stunning and cozy accommodations, the community guarantees a safe and secure living environment for its residents.
Focused on helping residents maintain an active and fulfilling life, the community provides a wide variety of fun and engaging activities. Several amenities, such as a therapy gym and an elegant dining room are offered to make residents’ living experience more comfortable. Here, residents are guaranteed to age well and live well within an environment that encourages them to stay active and happy.
Tn State Veterans Home is a dedicated nursing home in Murfreesboro, TN, offering long-term care, skilled nursing, and rehabilitation for Veterans. The community continuously promotes a compassionate and welcoming environment, ensuring older adults can keep their peace of mind in retirement. With daily housekeeping, 24-hour RN coverage, and restaurant-style dining, residents can maintain their independence without worries. Alongside a multidisciplinary team, personalized care plans are also provided to help veterans live with dignity in their later years.
Off-site trips, assistance with shopping, and recreational opportunities foster camaraderie and encourage residents to create meaningful memories. Thoughtfully furnished rooms, spacious lounges, and outdoor patio areas are also available, so residents can relax and focus on their wellness. The Tennessee Valley Healthcare system and a variety of restaurants are located in the area, providing quick access to necessities. This nursing home strives to help older adults thrive in retirement, making it one of the best options for senior living in Tennessee.
Laurelwood Health Care Center is a trusted nursing home in Jackson, TN, offering skilled nursing and rehabilitation. Promoting a warm and nurturing environment, the community ensures older adults are well-cared for. Well-balanced meals, therapy services, and 24-hour care are among the exceptional services provided to improve residents’ quality of life. Through personalized care plans, residents also receive the utmost attention and care to recover and return to their routines with ease.
Sensory activities, holiday events, and pet therapy are just some of the life enrichment programs dedicated to helping residents maintain their holistic wellness and have fun. A spacious courtyard and thoughtfully furnished rooms are also available, so residents can rest and move around comfortably. Residents also experience a convenient and laid-back lifestyle, as it is located near bus stops in Jackson’s serene residential area. This nursing home is one of the good options for senior living in Tennessee, especially with its high standards of care.
Overview of Magnolia Creek Nursing and Rehabilitation
Magnolia Creek Nursing and Rehabilitation provides nursing home, memory care, and skilled nursing services in Covington, TN. Skilled nursing provides licensed nursing care on site around the clock, while memory care offers a secured setting with supervision for a resident at risk of wandering. Together, these care types make Magnolia Creek a good fit for a resident whose needs can change over time and who could remain in the same community as those needs develop.
The community has 156 beds, placing it among larger communities with more residents and staff than a smaller home. Rehabilitation services support residents working to regain or maintain function during care. Total nurse staffing is 3 hours and 13 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 cover care. A Walk Score of 68 means the area is somewhat walkable, with some errands possible on foot, so a resident who no longer drives may be able to reach some nearby destinations independently. Deniece Caldwell serves as administrator, and Covington TN Opco operates the community.
Overview of Spring Gate Rehabilitation and Healthcare Center
Spring Gate Rehabilitation and Healthcare Center occupies a single-story building at 3909 Covington Pike in Memphis, Tennessee. The 206-bed facility has been operating for 34 years under various operators and is currently run by Memphis Operator, LLC, with Kristian Carr-Grisby as administrator. Care designations include nursing home, memory care, palliative care, and respite care. The Covington Pike corridor carries a Walk Score of 30, so families and staff will almost always need a car.
Current occupancy is 119 of 206 beds, a 58% fill rate. The average length of stay is 99 days; a figure that reflects both short-term rehabilitation cases and residents with longer-term nursing needs.
Staffing runs at 2 hours and 55 minutes of total nursing care per resident per day, with registered nurses providing 49 minutes of that. A doctor is on staff, and a medical director is on site. The 900 square-foot rehabilitation and therapy center supports physical, occupational, and respiratory therapy. Named clinical programs include wound care therapies, IV medication therapy, dysphagia training, a fall management program, and a patient and family education program.
The on-site services list is notably broad for a facility this size: a dentist, podiatrist, dialysis unit, salon and spa, and religious services are all available without leaving the building. Pet therapy is offered. Dining is described as fine dining with gourmet menus. Residents have access to an outdoor courtyard, manicured gardens, a family and resident lounge, in-room cable, and WiFi. The facility accepts Medicaid, Medicare, and private pay.
State inspections have tended to focus on medication management, infection prevention and control, fall and injury prevention, care planning and documentation, resident rights and protections, staffing and staff credentials, environmental and hazardous-materials safety, and housekeeping and upkeep; a wide range of operational areas.
Spring Gate offers a clinically dense, full-service environment in Memphis including dialysis, dentistry, podiatry, and multiple named rehabilitation programs on one campus, and is suited to older adults with complex or layered care needs whose families want specialty services accessible without arranging outside transport.
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.
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:3.1/ 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:2.5/ 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:3.0/ 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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