Best Nursing Homes in Tennessee

Overview of Tri State Health and Rehabilitation Center

Tri-State Health and Rehabilitation Center in Harrogate, TN, is a nursing home that offers long-term care, short-term rehabilitation, memory support, expert nursing, and respite stays. Serving the region since July 1992, this long-standing provider is owned by Raven Lake Healthcare Inc., with Magen Ann Smith acting as administrator under the larger Ensign Services network umbrella. Admitting individuals who rely on Medicare, Medicaid, or private funds, the community currently holds a 1-star quality score from CMS. An active monthly calendar, religious services, a signature “Stay Active” wellness framework, and 24-hour care via on-staff doctors, credentialed nurses, and certified aides are also provided.

A primary differentiator for this neighborhood is its exceptional allocation of registered nurse hours. The data indicate that registered nurses spend an average of 45 minutes of direct attention on each resident daily, beating the Tennessee state norm of 37 minutes by 22% and comfortably passing the national benchmark of 41 minutes. This robust staffing metric leads all other personnel data categories. Certified nursing assistants, licensed practical nurses, and registered nurses all completed their 91-day cycles with unbroken 100% shift coverage. The local workforce additionally includes respiratory therapists, dental practitioners, speech therapists, and nurse practitioners. Total adjusted nursing attention equals 3 hours and 16 minutes per resident every day, though licensed practical nurse and nursing assistant hours track slightly under state medians. Crucially for families prioritizing rehabilitation, physical therapist availability averages 3 minutes per resident daily, a 40% reduction when measured against the state average of 5 minutes.

Regulatory records from the Tennessee Department of Health document 4 total evaluations throughout a seven-year period, resulting in 12 health deficiencies. Significantly, 8 of these 12 citations grew out of specific complaint investigations rather than routine annual reviews, a pattern pointing toward a heavily complaint-driven oversight dynamic. Of the 12 deficiencies, 5 reached a critical tier of severity, with zero serious, 7 moderate, and 0 minor marks. The most recent state overview from September 26, 2024, uncovered 3 critical administrative citations and 1 moderate citation regarding abuse or neglect, all of which are now officially marked as resolved. Broadly sorted, quality of life issues and administrative oversight combined for half the total findings with 3 citations each, while infection control and abuse themes contributed 1 apiece. Third-party channels show 4 verified complaints alongside a single civil monetary penalty in recent cycles.

Since it represents the only skilled nursing choice in Harrogate, the community draws heavily from a short-stay demographic. Private insurance accounts for 64% of arrivals, typically involving stays lasting one to two months, while Medicare admissions for post-acute rehabilitation comprise 26% of the base, holding a similar one-to-two-month duration. Total occupancy hovers around 75.3%, trailing the statewide average.

For those seeking localized medical care along the tri-state borders of Tennessee, Kentucky, and Virginia, Tri-State Health and Rehabilitation Center offers families a localized care choice with an entirely permanent, employee-only nursing staff and strong registered nurse availability for older adults.

Overview of Oneida Nursing & Rehab Center

Serving residents in Scott County, Oneida Nursing & Rehab Center provides long-term care, short-term rehabilitation, memory care, and comfort care in Oneida, Tennessee. The 117-bed facility is privately owned and operated by Preferred Health Services of Tennessee and holds The Joint Commission’s Gold Seal of Approval for Nursing Care Center Accreditation, an independent certification focused on clinical and operational standards.

The facility carries a 1-star overall CMS rating, driven by below-average sub-scores in Health Inspection and Quality Measures. Since 2018, the facility has received eight citations across two health inspections, well below Tennessee’s average of 15.4. A $52,000 civil money penalty was issued following the September 2023 inspection.

Nurse staffing averages 4 hours and 7 minutes per resident per day, ranking the center 26th out of 172 Tennessee skilled nursing facilities and roughly 12% above the state average, which is meaningful for residents who depend on consistent daily assistance. The facility’s occupancy rate is 44%, reflecting broad availability across room types.
Amenities include private suites, salon services, and outdoor spaces; programs include Community Integration Trips and a dedicated Comfort Care track. The center accepts Medicare, Medicaid, and private pay.

Oneida Nursing & Rehab Center is best suited for residents seeking long-term skilled nursing or post-acute rehabilitation in rural Scott County, with dedicated capacity for memory care and comfort care.

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 Life Care Center of Gray

Life Care Center of Gray is a 133-bed skilled nursing and rehabilitation facility administered by Ashley Lee in Gray, Tennessee, owned by Gray Medical Investors, LLC. Situated in Washington County and operating since 1992, the facility accepts Medicare, Medicaid, and private pay.
CMS rates Life Care Center of Gray 1 star, 67 percent below the Tennessee average, driven primarily by a health inspection rating 66 percent below the state benchmark. 4 critical abuse, neglect, and exploitation citations were issued in April 2024, all subsequently corrected, along with a $10,000 civil money penalty. 6 of the facility’s 16 total health citations since 2018 resulted from complaint investigations. The 4 critical citations recorded within eight years are 264 percent above the Tennessee average of 1.1, the most consequential data point in the inspection record. The CMS staffing rating runs 22 percent above the Tennessee average, though CNA hours at 1 hour and 39 minutes per resident per day are 23 percent below the state benchmark, and weekend total nursing at 2 hours and 32 minutes per day is 24 percent below the Tennessee average. Long-stay quality measures are rated above average. Hospitalizations run at 1.40 per 1,000 resident days, 11 percent better than the Tennessee average of 1.58, and ED visits at 1.12 per 1,000 days are 29 percent better than the state figure. Pressure ulcer rates at 3.0 percent are 46 percent below the Tennessee average. Short-stay falls with major injury at 2.6 percent are 242 percent worse than the state average of 0.8 percent, and the community return rate of 35.7 percent is 29 percent below the Tennessee benchmark of 50.6 percent, limiting the facility’s fit for residents aiming for post-acute rehabilitation with discharge home.
Amenities feature an Alzheimer’s and dementia care program, a Community Re-Entry Program, landscaped grounds and courtyards, and a fine dining program.
Life Care Center of Gray may suit families in Washington County seeking long-term skilled nursing care, where the long-stay clinical outcomes are more favorable. The 2024 abuse and neglect findings and the 1-star overall rating warrant discussion with facility leadership before placement. Families should ask specifically about the April 2024 findings, the corrective actions taken, and current oversight practices before deciding.

Overview of Tn State Veterans Home

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.

Overview of Greystone Healthcare Center

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.

Overview of Camden Healthcare and Rehabilitation Center

Operated by Camden Operator, LLC, Camden Healthcare and Rehabilitation Center is a skilled nursing facility at 197 Hospital Drive in Camden, Tennessee. The privately owned community has 120 beds, accepts Medicare and Medicaid, and provides short- and long-term care, rehabilitation services, memory care, and hospice support.

CMS gives the facility a 1-star overall rating. Across the available inspection history, Camden Healthcare averages about 5.7 deficiencies yearly, roughly 30% above Tennessee’s average of 4.4.

The most serious findings in recent years came from two complaint investigations in April 2024 that resulted in Immediate Jeopardy citations. The facility failed to protect several residents from sexual abuse by another resident, failed to promptly report those allegations to the State Survey Agency and Adult Protective Services, and failed to conduct adequate investigations. The May 2025 annual survey later identified deficiencies, including inaccurate fall documentation, inadequate psychotropic medication monitoring, and failure to provide physician-ordered adaptive eating equipment.

Staffing is one of the stronger parts of the facility’s profile. Nurse hours average 3 hours and 48 minutes per resident per day.

The facility maintains 24-hour staffing and an on-site medical director, on-site podiatrist, and on-site dentist. It also operates a 900-square-foot rehabilitation and therapy center that supports post-acute care. Services extend to wound care, IV medication therapy, post-operative care, and outpatient therapy.

The facility’s care mix, such as Medicare and Medicaid acceptance, active rehabilitation programming, and memory care capacity, makes it suitable for residents seeking both short-term post-acute stays and longer-term placement, especially those with complex care needs in the Camden area.

Overview of Signature Healthcare of Erin

Houston County houses Signature Healthcare of Erin, a 164-bed private nursing home overseen by administrator Teresa Wall and owner Andrea Baston. Operating since 1992, the rural facility provides a mix of clinical care, rehabilitation therapies, and short-term respite stays. The resident population is supported by a payer structure of 47% private-pay, 28% Medicaid, and 26% Medicare admissions, resulting in an average stay of 115 days. The building sits in an area with a Walk Score of 34 and runs a 57% occupancy rate alongside an annual net loss of $782.3 thousand on $13.6 million in revenue.

State enforcement files reveal prominent safety and structural hurdles, including $211,000 in cumulative federal fines across four inspections since 2019. While the total count of 11 citations sits below the state baseline, the records detail four critical violations and one serious infraction, culminating in an April 2024 inspection that flagged severe issues with pharmacy services and abuse protocols.

Daily care times average 3 hours and 30 minutes per resident, but registered nurse coverage drops to 16 minutes on weekdays and 8 minutes on weekends, contributing to a 1.12:1 staff-to-resident ratio. Clinical tracking logs show widespread difficulties across both short- and long-term populations; permanent residents experienced elevated rates of serious fall injuries, walking difficulties, and daily activity decline, while short-stay rehabilitation metrics show high hospital readmission rates and a 42% deficit in standard vaccinations.

Prospective residents evaluating regional long-term placements should carefully weigh these public health records during their selection process. Because the official regulatory history documents multiple critical enforcement citations, elevated financial fines, low registered nurse presence, and poor clinical safety outcomes, verifying modern corrective actions with the administration is an essential step.

Overview of The McKendree Post Acute and Rehabilitation

The McKendree Post Acute and Rehabilitation is an 180-bed nursing home in Hermitage, TN, offering a full continuum of support, including assisted living, memory care, short-term rehabilitation, long-term care, and skilled nursing. Licensed in July 1992 under McKendree SNF Operations, LLC, which is affiliated with Hill Valley Healthcare, the community currently holds a 1-star CMS overall performance rating. Medicare, Medicaid, and private insurance payments are also accepted.

Therapeutic rehabilitation stands out as a verified highlight of the community, with daily physical therapist contact averaging 7 minutes per resident, marking a 40% increase over the Tennessee state average of 5 minutes, which delivers a substantial advantage to individuals recovering from acute medical events. Weekend registered nurse coverage reaches 30 minutes per resident each day, outperforming the state average of 24 minutes and ensuring comprehensive clinical monitoring throughout Saturdays and Sundays. Staffing documentation from the second quarter of 2025 also confirms the presence of a nurse practitioner, clinical nurse specialists, respiratory therapy technicians, speech-language pathologists, and mental health professionals. Overall nursing care averages 3 hours and 3 minutes per resident daily, falling short of the Tennessee average of approximately 3 hours and 40 minutes, while individual hours for registered nurses, licensed practical nurses, and nursing assistants track between 4% and 11% below state benchmarks.

Throughout an eight-year review period, the Tennessee Department of Health executed 4 separate inspections, compiling a total of 47 health citations, representing the largest volume of deficiencies among evaluated local options. 7 of which were deemed critical, 1 was categorized as serious, 38 were labeled moderate, and 1 was judged minor. Specifically, quality of life and clinical care accounted for 11 citations, resident rights made up 8 deficiencies, and issues surrounding abuse, neglect, or exploitation generated 6 citations. Additionally, the most recent formal evaluation on October 3, 2023, yielded critical as well as multiple moderate citations related to abuse and neglect, all of which were documented as resolved.

CMS has designated this community as a Special Focus Facility Candidate, a status reserved for properties possessing a recorded pattern of significant care issues that have not yet entered the official Special Focus Facility program. Independent data indicate the community was subject to active federal monitoring for at least one month between August 2024 and July 2025. However, no monetary fines or payment suspensions were noted in the state records. In September 2025, the management submitted a Certificate of Need request to add 30 dually certified skilled nursing beds, pointing to operational enhancements introduced by the current ownership and a rising regional need for post-acute care.

With an expansive 42-acre campus near Long Hunter State Park and Stones River Bend Park, the community provides structured wellness options and lifestyle events delivered daily through the local EngageLife program.

The McKendree Post Acute and Rehabilitation is a practical option for older adults seeking a broad spectrum of medical and lifestyle support.

Waverly Hills Post Acute is a 100-bed skilled nursing and rehabilitation community in Waverly, Tennessee, providing both short-term and long-term care, including skilled nursing, memory care, hospice services, and respite care for residents in Humphreys County. The facility is operated by Tennessee Health Management LLC.

CMS rates the facility at 2 stars overall. Quality Measures score 34% above the Tennessee average — a meaningful signal for residents whose care involves managing chronic conditions, hospital readmissions, or mobility outcomes. Staffing runs the other direction: nurse staffing averages 3 hours and 0 minutes per resident per day, 18% below the Tennessee average of 3 hours and 40 minutes, placing the facility 142nd out of 172 Tennessee SNFs on that measure. The facility’s occupancy rate is well below the state average of 73%, which typically indicates current availability.

The program list is broad for a community this size. Services include short-term rehabilitation, outpatient therapy, complex wound care, palliative care, diabetes care, and Alzheimer’s and dementia care. An expansive rehab gym supports the post-acute side; a dedicated memory care program and a hospice partnership extend the continuum of care for longer-stay residents. The facility accepts Medicare, Medicaid, and private pay.

Waverly Hills Post Acute serves residents seeking short-term post-acute rehabilitation or longer-term skilled nursing care in Humphreys County, particularly those managing complex chronic conditions where quality measure performance is a meaningful input alongside below-average staffing levels.