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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
The National HealthcCare Corporation, or the Nhc Place at the Trace strives in providing short-term skilled nursing and rehablitative care; they have been awarded twice for its recognition for the ‘Customer Approved Award’ and the ‘Employee Approved Award’ by the Customers for Outstanding Experience. NHC Place at the Meadows strives in working everyday with quality service to its residents, so that residents maintain a level of independence and individuality because they aim to be a community that approaches “caring in a better way day by day”.
Overview of Magnolia Healthcare and Rehabilitation Center
A doctor is on staff at Magnolia Healthcare and Rehabilitation Center in Columbia, TN. The nursing home offers skilled nursing services, with licensed nursing on-site at all times. Whether it’s past midnight or the middle of the afternoon, someone is there to help; at home, there’s sometimes no one available.
Rehabilitation services help residents recovering from illness, surgery, or injury. After a cardiac event, activity gets stepped up under supervision. Short-term rehabilitation and respite care are on the list of services provided, and respite can come down to a house with no heat in it.
There are 181 beds, a mid-sized count balancing personal attention against shared amenities. Medicare, Medicaid, and private pay are all available options, and families often pay privately while a Medicaid application is being processed.
Outings, hobby clubs, annual events, abnd resident art shows fill the calendar. Music therapy and a volunteer program are named explicitly, and there is also a salon on-site. Religious services are provided regularly every week, and they are multi-denominational. Connor McChurch administers the home for Columbia Tn Snf.
In Tullahoma’s Flowertown neighborhood, Life Care Center of Tullahoma runs a nursing home and skilled nursing care. Licensed nursing works on-site at every hour of every day. Insulin, pain control, and an antibiotic due in the wee hours of the morning are all things that run on schedule that the usual day shift doesn’t cover.
Mediocre, Medicaid, and private pay all work here. Private money is what covers the space neither program reaches, which is the part families plan for last.
Rooms here come private or shared. Someone who has slept alone for thirty years wants the first, while someone who would rather hear another person breathing at night wants the second.
Overview of Manchester Center for Rehabilitation and Healing
Owned by Kerry Dickerson, Manchester Center for Rehabilitation and Healing is a single-story skilled nursing community in Manchester, Tennessee. The facility is located on Interstate Drive in a car-dependent area, so most errands and visits require transportation. However, families can still conveniently access the surrounding region. Medicare, Medicaid, and private pay are accepted, giving families several ways to cover short-term post-acute rehabilitation and longer-term nursing care.
Residents stay an average of about 159 days, including those recovering after a hospital stay and needing ongoing skilled nursing care. The facility serves residents recovering from surgery or injury and those requiring longer-term support.
Daily care is provided by a care team. Registered nurses average 31 minutes of care per resident each day. Nurse aides provide 2 hours and 23 minutes of direct support, while licensed practical nurses contribute another 31 minutes. In total, residents receive about 3 hours and 15 minutes of nursing care each day. This staffing level supports rehabilitation goals and everyday personal care needs.
The community offers shared room accommodations and has a single-story layout. With this design, residents and families can wayfound around the building. Families considering Manchester Center should take a tour to learn more about the room setup, daily routines, and how the care team supports rehabilitation and ongoing care.
Overview of Maury Regional Transitional Care Center
Maury Regional Transitional Care Center is an award-winning nursing home in Columbia, TN, offering long-term care, skilled nursing, rehabilitation, and hospice care. Promoting a supportive and welcoming environment, the community ensures older adults can keep their peace of mind in retirement. Residents also experience a worry-free lifestyle, with housekeeping, laundry, therapy, and 24-hour care. Through personalized care plans, residents receive top-notch care tailored to their unique needs and habits.
Social gatherings, activities, and various entertainment options ensure residents can stay active and have fun. A spacious dining room, a beauty and barber shop, and beautiful outdoors are also available, so residents can rest and interact with friends. Residents also experience a stress-free retirement, with its ideal setting in the quiet neighborhood of Columbia. Dedicated to improving older adults’ quality of life in retirement, this nursing home is one of the best options for senior living in Tennessee.
Grandview Post Acute is a nursing home in Cookeville, TN offering skilled nursing, memory care, hospice care, palliative care, and respite care. Skilled nursing provides licensed nursing care around the clock, while memory care gives a resident a secured setting with supervision when wandering is a risk.
Hospice and palliative care center on comfort and symptom management. Respite care provides a short stay for a family whose usual caregiver needs to travel or recover. The community may be a good fit for a family seeking a short stay while a usual caregiver travels or recovers.
Grandview Post Acute serves both long term and short term stays, with rehabilitation and a Short Term Rehab program for residents working through a temporary recovery period. Rehabilitation services are available in an expansive rehab gym, allowing therapy to take place at the community rather than requiring travel elsewhere. The home has 120 beds.
Payment options are Medicare, Medicaid, and private pay. Medicare can cover short term skilled care after a hospital stay rather than long term residence, Medicaid provides a payment route when savings do not cover a long stay, and private pay uses the resident’s or family’s funds.
With a Walk Score of 79, the area is very walkable and most errands can be done on foot, so a resident who no longer drives can still get out independently. Uriah Bowman serves as administrator, and Cookeville SNF Healthcare operates Grandview Post Acute.
Opened in 1992, Diversicare of Copper Basin provides assisted living, memory care, skilled nursing, rehabilitation services, and hospice care in Copperhill, TN. With 24-hour staffing, residents receive care around the clock. The community also supports those with life-limiting conditions through hospice care.
With several care levels, the community can accommodate residents’ growing needs since transitions can happen without leaving. The home has 50 beds, making it a smaller community where staff and residents can get to know each other. It is operated by DAC of Copperhill, with Brent Fair as the administrator.
Short-stay rehabilitation and rehabilitation services let residents receive therapy on-site. Medicare, Medicaid, and private pay are also accepted. This allows Medicare to cover short-term skilled care after a hospital stay and Medicaid to help when savings may not cover a long stay. The Walk Score is 46 out of 100, placing the area in a car-dependent setting where most errands require a car.
Stone River Post Acute offers nursing home care, skilled nursing, hospice care, memory care, palliative care, and respite care in Murfreesboro, TN. Nursing home and skilled nursing services provide ongoing residential support with licensed nursing care on site. Memory care offers a secured setting with supervision for someone living with dementia.
Hospice and palliative care focus on comfort for residents with serious or terminal illness. Respite care provides a short stay when a usual caregiver needs temporary relief. The facility has 68 beds and offers Short-Term Rehab and rehabilitation services, giving residents a defined setting for recovery-focused care without a permanent placement.
The range of care options may be a good fit for a resident whose needs change over time or for a family seeking a short-term respite stay. Medicare, Medicaid, and private pay are accepted, giving families several ways to cover care costs. Natalie Dickson serves as administrator, and Murfreesboro SNF Healthcare operates Stone River Post Acute.
Cedar Creek Post Acute operates a 106-bed nursing facility in Mount Juliet, Tennessee, offering skilled nursing, memory care, hospice, palliative care, respite stays, and short-term rehabilitation. Secured quarters cater to residents with cognitive impairment who need extra wandering protection, while short-stay respite options allow primary family caregivers to take time off.
Amenities feature a rehabilitation gym alongside courtyards and open gathering spaces. Total nurse staffing, operator details, and specific staffing ratios shape daily care under administrator Ty Wahlin and operator Mount Juliet SNF Healthcare. Holding a 49 walk score, the surrounding neighborhood usually necessitates vehicle transportation for off-site appointments.
Prospective residents and their families can reach out to Cedar Creek Post Acute to discuss admissions, schedule a facility walkthrough, or review funding options.
Applingwood Post Acute is a nursing home and skilled nursing community in Cordova, TN. Its 24 hour skilled nursing services provide licensed nursing care on site around the clock, so residents have nursing support available at any time. Rehabilitation includes physical, occupational, and speech therapy for residents working on movement, daily activities, or communication. The community has 78 beds.
Medicare, Medicaid, and private pay are accepted. Medicare can be used for short term skilled care after a hospital stay, Medicaid may help when savings do not cover a longer stay, and private pay allows families to pay directly. A salon is available for personal grooming without leaving the community. Applingwood Post Acute is administered by Stacey Marie Wallace and operated by Doheny Beach Holdings. The community may be a good fit for a resident who needs skilled nursing alongside physical, occupational, or speech therapy.
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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