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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
Set in the idyllic neighborhood of Chattanooga, Tennessee, Consulate Health Care of Chattanooga is a reliable senior care provider, offering a range of senior services, including skilled nursing, long-term care, and rehabilitation. The community features 127 units of comfortably designed accommodations that provide residents with utmost comfort and convenience. Featuring a team of compassionate and professional care teams, the community ensures residents will receive the care and support they need to get back to their feet.
Residents here enjoy convenient access to the nearby churches, retail stores, health care services, and other local conveniences that allows for a comfortable and fulfilling living experience. The community also offers an array of activities designed to give residents plenty of opportunities for entertainment, recreation, and socialization. With convenient access to an array of services and the support of a reliable team, residents here are sure to maintain their highest functionality.
Overview of The McKendree: Retirement Home & Aged Care in Tennessee
The McKendree: Retirement Home & Aged Care in Hermitage, Tennessee, offers nursing home care, assisted living, memory care, respite care, and skilled nursing. Assisted living includes help with daily tasks such as dressing, bathing, and taking medication, while memory care provides a secured setting with supervision for someone at risk of wandering. Nursing home care and skilled nursing provide licensed nursing care on site around the clock.
Respite care supports a short stay when a family caregiver needs to travel or recover, and short term rehabilitation offers a temporary, recovery focused option. Several care levels are available, so the community may be a good fit for a resident whose needs could change over time or whose usual caregiver needs a temporary break. A salon and spa, rehabilitation services, and pet friendly living are also available.
Assisted living starts at $3,750, while memory care starts at $5,065. The difference reflects the secured setting and supervision required for memory care. The area has a Walk Score of 32 out of 100 and is car dependent, so most errands require a car or a ride, which affects how a resident who no longer drives gets to nearby destinations.
Create meaningful moments in retirement at Regency Senior Living, a blissful community in Ooltewah, TN, offering independent living, assisted living, memory care, skilled nursing rehabilitation, and respite care. Residents receive the highest quality of care tailored to their unique needs from a kind and highly trained team available around the clock. Housekeeping, laundry, and other chores are taken care of, ensuring residents have more time to do the things they love.
Residents are encouraged to live actively and make new friends with a carefully planned calendar of engaging activities and enriching programs. Delicious and healthy meals are also served to satisfy residents’ dietary needs and preferences. With several locations across the country, the community ensures older adults find the place that best matches their needs and preferences.
Blakeford Senior Life is a nonprofit organization based in Nashville that has been dedicated to serving seniors for over 20 years. Tucked in lush and scenic acres, the community focuses on enriching the lives of its residents. They offer various lifestyle options, including independent living, assisted living, and memory care. Their Life Care program offers a long-term care plan to protect the assets of their residents and ensure their peace of mind. Currently, Blakeford Senior Life is expanding with 50 new spacious apartment homes and new facilities. They provide different amenities based on the lifestyle option chosen, but all residents have access to a library, wellness center with a pool, gym, and spa, wireless internet, utilities, programs and excursions, guest privileges, therapy services, transportation, and much more. This home is sure to offer a lot more in the years to come, providing seniors the unimaginable kind of care that they deserve.
Regency Retirement Village of Jackson is a nurturing assisted living and memory care community in Jackson, TN, that offers personal and specialized care for older adults and those with cognitive conditions. Promoting a warm and home-like environment, the community ensures older adults can keep their peace of mind in retirement. Here, residents receive exceptional care to enrich their living experiences, including 24-hour care, chef-prepared meals, and medication administration. The community’s decades of experience reflect its dedication to helping residents live comfortably in retirement, alongside personalized care plans.
Music therapy, social events, and a variety of recreational activities provide residents with plenty of options for spending their days and connecting with friends. With four acres of beautiful spaces, a beauty and barber shop, and secure entry, residents are guaranteed a stress-free retirement. Situated in the lively neighborhood of Jackson, near grocery stores and various dining options, the community ensures residents have easy access to their needs and leisure. This assisted living and memory care community provides all-inclusive services and a continuum of care, making it one of the best options for senior living in Tennessee.
Receive the utmost care and comfort with Ahc VanAyer, a distinct senior living community in Hannings Lane, Martin, TN, offering short-term rehabilitation and long-term care. With over 91 cozy and purposely built accommodations, seniors can rest easy knowing their needs and aspirations are well-cared for. Moreover, the community boasts a care team of specially trained and certified professionals caring for seniors around the clock.
Ahc VanAyer was chosen as one of the Best Nursing Homes for Long-Term Care by U.S. News, proving its top-notch quality in senior care. The community also accepts Medicare and Medicaid to ease seniors’ and their families’ financial constraints, ensuring they have access to their necessities. Live life to the fullest and enjoy the finest care and support surrounded by incredible amenities and a vibrant community.
The American Health Communities (AHC) Cumberland is a skilled nursing and rehabilitation center in Nashville. Quality nursing home aims to change the meaning of recovery for seniors through the exceptional level of care that is delivered by their patient-friendly staff as an approach to offer the best care possible for their residents. Ahc Cumberland strives to have all its residents experience the comprehensive and exemplary care offered. The community boasts its Collaborative Care Plans that offer physicians, nurses, therapists, dietary specialists, and social workers that are directly involved in the holistic care of each resident. Speech, physical, and occupational needs are also provided; as well as outpatient rehabilitation services available.
Somerfield Health Center is a nursing home in Brentwood, TN, offering skilled nursing care with licensed nursing staff on site around the clock. It may be a good fit for someone who needs ongoing clinical support.
The home has 66 beds, with private suites and companion suites available. A private suite gives one resident an individual living space, while a companion suite may suit someone who prefers sharing accommodations with another resident.
Overview of Alexian Village of Tennessee Retirement Community
Alexian Village of Tennessee Retirement Community offers Home Care, Adult Day Care, Nursing Care, Palliative Care, and Respite Care in Signal Mountain, Tennessee. Home Care supports a person in their own residence, while Adult Day Care provides care and supervision during the day before the person returns home. Nursing Care provides ongoing nursing support, and Palliative Care focuses on comfort and symptom management for someone living with a serious illness. Respite Care provides a short term stay, which may suit a family whose usual caregiver needs time to travel or recover.
Housing includes studio, one bedroom, two bedroom, and three bedroom residences. The larger layouts can accommodate people moving together, giving them the option to share a home within the community. Pets are allowed, so a resident can bring a pet with them.
Situated in Tullahoma, TN, Nhc Healthcare Tullahoma provides skilled nursing, home care, and rehabilitation services. Nursing services are supported by 24-hour staffing, ensuring accessibility of care around the clock. For those who prefer to receive care at home, the community also provides home care services.
The community has served residents since 1971 and offers both short-term rehabilitation and long-term care, allowing rehabilitation patients and people needing continuing nursing support to receive care in the same setting.
Housekeeping, laundry, and dining services are provided to support residents’ daily living. A volunteer program is also available, along with activities, providing opportunities for residents’ social and emotional well-being. Additionally, a salon on-site allows residents to receive grooming services without leaving.
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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