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Why trust this guide?
Our editorial team analyzed 199 nursing homes in TN using CMS data, inspection records, complaints, amenities, and facility-level details. How we rank nursing homes in TN
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.
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 to lowest based on our ranking 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.
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.
Overview of Graceland Rehabilitation and Nursing Center
Situated in Memphis, TN, Graceland Rehabilitation and Nursing Center is a nursing home that offers nursing programs and rehabilitation. Led by a Medical Director, the community is dedicated to enhancing older adults’ quality of life. Physical, occupational, and speech therapies are provided seven days a week, while respiratory therapy is available 24/7. The community also follows a holistic approach to care to create care plans tailored to residents’ needs and preferences.
Social activities, memory-enhancing games, and outings are conducted to promote engagement and prevent loneliness. Spacious common areas and comfortable living spaces are also available, so residents can freely move around. A variety of dining options, shops, and public transportation are available nearby, ensuring accessibility and convenience. This nursing home provides a wide range of care services for older adults seeking short-term and long-term care, making it a good option for senior living in Tennessee.
Overview of Magnolia Creek Nursing and Rehabilitation
Magnolia Creek Nursing and Rehabilitation is a 156-bed nursing home in Covington, Tennessee, offering long-term care, rehabilitation services, and daily nursing support. Operating since 1992, the community accepts Medicare, Medicaid, and private pay, making services accessible across a wide range of financial situations. Occupancy remains below the state average at a 56.4% occupancy rate, suggesting bed availability is often easier to secure than at many comparable communities in the region.
CMS currently assigns the community a 1-star overall rating, reflecting performance that falls below Tennessee benchmarks in several key areas. Inspection records over the past seven years show 29 deficiencies across five inspections, including multiple serious and critical-level citations. The most common findings involved quality of care, resident rights, pharmacy services, abuse and neglect prevention, and environmental concerns. Several deficiencies also stemmed from complaint investigations rather than routine annual surveys. All cited issues have reportedly been corrected, and the most recent inspection was completed in September 2025.
Licensed practical nurse coverage exceeds Tennessee averages and may support stronger day-to-day hands-on care for residents. However, registered nurse coverage, certified nursing assistant hours, and overall weekend staffing levels all fall below state benchmarks. Total nursing hours per resident also trail the Tennessee average. Lower staffing levels do not necessarily determine care quality on their own, but they are an important factor for families to discuss directly with leadership, particularly for residents requiring more intensive medical oversight or assistance with daily living activities.
The community provides 24-hour nursing support along with rehabilitation therapies and licensed CNA care. The average length of stay is approximately 108 days, reflecting a blend of transitional recovery and ongoing care needs. Private-pay residents account for a notable share of new admissions, though the community continues to maintain broad access through Medicare and Medicaid participation. Its location along U.S. 51 South also offers relatively convenient access for families and visitors.
Magnolia Creek Nursing and Rehabilitation is ideal for families seeking a larger skilled nursing community in the Covington area with flexible payment options and ongoing bed availability. Its higher LPN staffing levels and broad admissions structure are meaningful advantages, particularly in markets where choices may be limited. At the same time, the community’s inspection history, staffing shortfalls in several categories, and below-average CMS rating make it important for interested families to review state inspection reports carefully and speak directly with administration about quality-improvement efforts, staffing stability, and resident care oversight.
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 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.
Maplewood Health Care Center is a skilled nursing facility located in Jackson, Tennessee. It offers short-term rehabilitation and long-term care services. The center focuses on providing a loving and encouraging environment for residents to achieve their highest potential in physical, emotional, and social well-being.
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.
Located in Oneida, Tennessee, Oneida Nursing & Rehab Center is a skilled nursing home in rural Scott County. Preferred Health Services of Tennessee operates the center. Kenneth Defoor owns it, while Jessica Shepherd serves as administrator. Families can choose from Medicare, Medicaid, and private pay to cover care costs.
The 117-bed community has been operating for 34 years. Its current occupancy is 44%, so there’s meaningful availability across private suites and semi-private rooms. The surrounding area is car-dependent, with a Walk Score of 15, which means most errands and family visits require driving.
Care options include long-term nursing, short-term rehabilitation, memory care, and a dedicated comfort care track. These services support residents recovering from hospital stays and those needing ongoing care. Nurse staffing averages 4 hours and 7 minutes per resident daily, which reflects the hands-on support residents can receive.
The facility holds The Joint Commission’s Gold Seal of Approval for Nursing Care Center Accreditation. This independent recognition covers the center’s clinical and operational standards. Daily life includes structured activities, weekend events, pet therapy, and community integration trips outside the facility. Residents and visiting families also have access to salon services and outdoor spaces.
Together, the accreditation, staffing hours, and care options support both clinical rehabilitation and longer-term comfort care.
Delivering a full continuum of care since 1992, Signature Healthcare of Putnam County coordinates long-term skilled nursing, medical rehabilitation, and short-term respite stays within a 175-bed building. Administrator Paula Boone manages daily operations, which include multi-denominational chaplain programs, a beauty salon, private rooms, and an on-site physician. Payer distribution covers a varied mix, with 56% paying privately, 35% utilizing Medicare, and 9% relying on Medicaid. Residents record an average stay of 77 days, and the property maintains a 75.3% occupancy rate in a highly walkable city-center neighborhood carrying a Walk Score of 79.
State records point to thin staffing configurations, noting that daily nursing attention averages 3 hours and 7 minutes per resident to fall roughly 15% below the Tennessee benchmark. This reduction becomes more pronounced on weekends, when registered nurse coverage averages 13 minutes daily, marking a 46% drop below the state baseline. To balance these low nursing averages, the property’s dedicated physical therapy presence tracks 20% above the state standard, matching its focus on short-term recovery.
Operational data also reveals significant local financial friction, with the home reporting a net loss of $1.4 million in 2023 on total revenues of $19 million. On the clinical side, quality logs show strong preventive performance, including favorable vaccination updates and low rates of serious fall injuries, though resident anti-psychotic medication use runs higher than the state average.
Prospective residents weighing regional post-acute rehabilitation choices can look through these public health summaries to evaluate the facility’s day-to-day patterns. Since the official tracking profiles document solid physical therapy scores and positive long-term wellness indicators alongside below-average nursing hours and notable financial deficits, examining the facility’s clinical oversight and administrative stability is a helpful precaution.
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 Smoky Mountain Healthcare and Rehabilitation Center
Operated by Pigeon Forge, TN Holdco, Smoky Mountain Healthcare and Rehabilitation Center is a nursing home in Pigeon Forge, Tennessee. The 120-bed facility is located on Cole Drive, an area with a Walk Score of 48. Some errands can be done on foot, but most trips require transportation. It has served the Pigeon Forge community for 33 years. Medicare, Medicaid, and private pay are accepted, giving families several ways to cover short-term rehabilitation and longer-term nursing care.
The facility focuses on rehabilitation and post-acute recovery. Residents stay an average of 85 days due to the home’s role in helping people recover after illness, surgery, or a hospital stay. Total nurse staffing averages 2 hours and 53 minutes per resident each day. Registered nurses, nurse aides, and licensed practical nurses make up the staffing team.
Physical, occupational, and speech therapy are available seven days a week to continuously support residents working toward discharge.
Clinical services extend beyond daily nursing care. Laboratories and imaging equipment are available on site, so residents won’t need to leave the facility for diagnostic testing. Comprehensive wound care is provided. The facility also has a staff psychologist and physician rounding services. Residents can access ongoing care with physicians who are familiar with their medical histories. Pain management is also a part of the care program to provide comfort during recovery.
Residents have access to gourmet meals, a beauty salon, updated suites and lounges, and outdoor seating areas. Weekly outings, religious services, social gatherings, and other scheduled activities are offered to provide a less institutional atmosphere with more focus on residents’ well-being. Families considering the facility will find a long-established operation with rehabilitation services, clinical support, and amenities to support comfort and recovery.
Every nursing home above is evaluated across five weighted categories using CMS data including Care Compare, Payroll-Based Journal, and Medicare Cost Reports.
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
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 199 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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