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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.
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.
$3.3M*Fiscal year ending 07/2021These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
$2.0M*Fiscal year ending 07/2021These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
59.3%*Fiscal year ending 07/2021These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
$4.1M*Fiscal year ending 04/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
$2.4M*Fiscal year ending 04/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
57.8%*Fiscal year ending 04/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
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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
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.
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.
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.
Oneida Nursing & Rehab Center provides skilled nursing and nursing home care in Oneida, Tennessee. Licensed nursing care is available on site around the clock, while long term care supports residents who need an ongoing residential setting rather than a short rehabilitation stay. Rehabilitation services are also available for residents who need therapy as part of their care. For someone who needs ongoing nursing care with rehabilitation in the same setting, this combination may be a good fit.
Medicare, Medicaid, and private pay are accepted, giving families public benefit and direct payment options based on eligibility and coverage. Total nurse staffing is 4 hours and 20 minutes per resident per day, representing the cumulative daily nurse time assigned to each resident. Jessica Shepherd serves as administrator, and Preferred Health Services of Tennessee operates the community.
Residents can choose between semiprivate rooms and private suites, with either a shared room arrangement or a private suite. Salon services support personal grooming, while the courtyard and back porch provide places to spend time outdoors. Individual van transportation is available to and from physician appointments, allowing residents to use a facility arranged ride for those visits. Meals are served in a dining room with open dining hours and an open menu, so residents have flexibility about when they eat and what they select. Weekend activities, pet therapy, and community integration trips add scheduled recreation and opportunities to take part in activities beyond the community. Oneida Nursing & Rehab Center opened in 1997.
Maplewood Health Care Center provides nursing home, hospice care, respite care, and skilled nursing in Jackson, TN. Skilled nursing means licensed nursing care is available on site around the clock, while nursing home care includes both short term rehabilitation and long term care. Hospice care addresses end of life needs, and respite care provides a short stay when a usual caregiver needs to travel or recover.
The range of services may suit a resident whose needs span temporary rehabilitation, ongoing nursing care, or a short term caregiver break. With 55 beds, Maplewood is a smaller community where staff and residents can get to know each other. Private suites provide a private room, while semi private rooms offer a shared living arrangement.
Total nurse staffing is 3h 39m per resident/day, representing the nursing time allocated to each resident across a day. A specialized therapy unit and rehabilitation services support therapy at the community for residents receiving short term rehabilitation. Specialized dementia activities and the Life Enrichment Program provide programming for residents with dementia, along with other daily activities.
The courtyard, aviary and aquarium, and front porch rocking chairs give residents places to spend time outdoors or observe animals. An on site salon supports personal grooming, while an a la carte menu at breakfast, lunch, and dinner gives residents meal selection options. Medicare, Medicaid, and private pay are accepted, and Shawn Hall serves as the administrator; Mhc operates Maplewood Health Care Center.
Ahc of Nashville provides nursing home and skilled nursing care in Nashville, TN. Its services include short-term nursing and inpatient rehabilitation, so patients can receive licensed nursing care and rehabilitation while staying in the community. The home may be a good fit for someone recovering after an illness, injury or hospital stay who needs short-term nursing and rehabilitation in one setting.
Located in Nashville’s Midtown neighborhood, Ahc of Nashville has 49 beds. Its smaller size allows staff and residents to get to know one another. Private suites provide individual accommodations, while restaurant-style dining gives patients the option to share meals with guests in a dedicated dining setting. An on-site beauty salon lets patients receive salon services without arranging an off-site visit.
Medicare and private pay are accepted. Medicare can cover short-term skilled care after a hospital stay, while private pay means the resident or family pays directly. Connor McChurch serves as administrator, and AHC Nashville operates the community.
Thirty-nine days is the average stay at Life Care Center of Hickory Woods, which tells you most of what you need to know about the population it primarily serves. This is a post-acute setting: a 56-bed skilled nursing and rehabilitation facility in the Hickory Woods Estates neighborhood of Antioch, Tennessee, built for people moving through recovery rather than putting down permanent roots. Fifty-five years in operation at the same address on Murfreesboro Pike.
Currently, 45 of those 56 beds are occupied. Total nursing time runs 4 hours and 1 minute per resident per day, distributed across registered nurses at 45 minutes, LPNs at 1 hour and 15 minutes, and nurse aides at 2 hours and 16 minutes. Staffing runs 24 hours a day. A certified dietitian is on staff, and rehabilitation services are available on-site.
Beyond clinical care, the facility offers more than the basics: a fine dining program, a beauty salon and barber shop, landscaped grounds and courtyards, a library, transportation services, and complimentary wireless internet. A full-time, certified activity director runs a daily schedule, and family and resident councils meet regularly. Pet visitors are welcome. Room options include private and semiprivate configurations, each with a private bathroom.
Payment is accepted through Medicare, Medicaid, and private pay, which gives families some flexibility on the financial side. The community re-entry program supports residents who are working toward discharge back to home or another community setting. Alex Butaud is the executive director; Jamie Hercules serves as administrator. The facility is operated by Highland Park Medical Investors, LLC.
For families navigating a post-acute placement in the Nashville area, this is a facility where the facts and the setup align: short average stays, 24-hour nursing coverage, on-site rehab, and a payment mix that accommodates most coverage pathways.
Situated in the lively community of Murfreesboro, Tennessee, Stones River Manor is a comprehensive senior living facility, presenting independent living, assisted living, and assured care services. As a not-for-profit establishment, Stones River Manor streamlines senior living, fostering a supportive and dynamic environment. Their services extend to adult day care and restorative care chairs, along with advanced care tailored for independent living.
With a steadfast reputation built over 40 years, this community has brought happiness to numerous families in the region, offering a vibrant and enjoyable social community. Stones River Manor provides a variety of floor plans and includes weekly housekeeping services, cable television, monthly health assessments, laundry services, and much more, ensuring a reliable and enriching experience for residents seeking independent living options.
The resident this place is built for needs two things braided together: nursing care that does not stop, and therapy aimed at getting some ground back. Life Care Center of Ooltewah in Ooltewah, Tennessee, keeps licensed nursing on site at any hour and runs rehabilitation services alongside it.
One hundred twenty beds sit under the license.
Medicare and private pay are the two routes in, Medicare covering skilled care after a qualifying hospital stay and private funds covering the rest directly. A salon handles grooming inside the building. Ashley Borja serves as administrator, and Ooltewah Medical Investors Limited Partn operates the home.
Selmer Post Acute offers nursing home, hospice care, memory care, palliative care, respite care, and skilled nursing in Selmer, Tennessee. Skilled nursing and nursing home care provide licensed nursing support on site, while memory care offers a secured setting with supervision for someone at risk of wandering. Hospice focuses on comfort at the end of life, and palliative care addresses symptoms associated with serious illness. Respite care provides a short stay when a usual caregiver needs temporary support.
The community has 126 beds. Its range of services may suit a resident who needs nursing care, memory support, end of life care, or a temporary respite stay within one community. Short Term Rehab and rehabilitation services support residents working toward recovery, with a rehab gym providing space for therapy on site.
Courtyards and common areas give residents designated outdoor and shared spaces within the facility. Medicare, Medicaid, and private pay are accepted. Kimberly Thompson serves as administrator, and Selmer SNF Healthcare operates the community.
A Walk Score of 45 places Selmer Post Acute in a car dependent setting, where most errands require a car or a ride. A resident who no longer drives would need transportation for routine errands outside the community.
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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