We arrange tours, appointments, and even moving support so you don’t have to
2
Ranked on Data, Not Dollars
We rank communities on objective measures like inspection records, quality scores, and care data, so you can find trusted options without the guesswork.
3
Personalized Guidance
From lifestyle matching to help with insurance and financial assistance, we make sure the community is the right fit
Explore Open Rooms
1Contact details
2What type of senior care service are you looking for?
3What budget do you have in mind for senior care?
4How soon do you need to find care?
5Additional details
Thank you for your interest!
A member of our team will be in touch by phone or email shortly to help with next steps.
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.
CCRC (Continuing Care Retirement Community):
A campus with multiple care levels so residents can age in place without moving.
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.
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
Ahc Dyersburg provides nursing home and skilled nursing care in Dyersburg, Tennessee. Skilled nursing includes licensed nursing care on site around the clock, making the community suitable for residents who need ongoing clinical support rather than help only with occasional daily tasks. The home has 130 beds.
Total nurse staffing is 3 hours and 19 minutes per resident each day, representing the daily hands on nursing time allocated per resident. Medicare, Medicaid, and private pay are accepted, giving families several listed ways to cover care. Pets are allowed, so a resident may continue living with a pet during their stay.
Kirby Pines is a luxurious life care community in Memphis, TN, offering independent living, assisted living, memory care, and skilled nursing. The community is dedicated to improving older adults’ quality of life through a full continuum of care within a 60-acre setting. Housekeeping, laundry, transportation, and healthy meals are among the services provided to help residents maintain their independence. Through personalized care plans, the community strives to meet residents’ unique needs and preferences.
Games, fitness programs, and social events foster interactions and encourage residents to live actively. The community’s memory care setting can also accommodate up to 30 residents, ensuring their comfort and safety. Along with on-site amenities, like walking trails, an indoor pool, and four specialty dining rooms, local amenities in Memphis are also easily accessible. This life care community has comprehensive care options and upscale amenities, making it a great choice for senior living in Tennessee.
Overview of Smith County Health and Rehabilitation
Carthage Opco operates Smith County Health and Rehabilitation, and Casey Lynn Malone administers it. The home holds just 34 beds in Carthage, Tennessee, with memory care and skilled nursing on the license, in addition to nursing home care. A building this size means a short list of names for anyone to learn, whether resident or staff.
Memory care is supervision for a person who’s at risk of walking out the door unsupervised. Before that step, the caring has usually taken over a spouse’s whole day, with not much time left that belongs to them. Licensed nursing covers a Sunday afternoon and the middle of a Wednesday night alike.
Post-operative Rehab, Inpatient/Outpatient Therapies, IV therapy, and Long- and Short-Term Care are the place’s named programs. Antibiotics running on a drip for six weeks is a nursing job, and not one a family should be expected to be able to handle. Therapy is available to someone staying here and to someone coming in for it without a bed.
Arts and crafts, hands-on cooking, gardening, and church services fill the ordinary week. A nurse practitioner works in-house, which puts an advanced clinician on site rather than on call. Each resident’s day has a share of the nursing time totalling 3 hours and 30 minutes across the day.
All three payment routes are open here. The area scores 45 for walking, and it counts as car-dependent, so most errands will need a ride there and back. Someone who has stopped driving will need help to get around outside.
Overview of Abundant Christian Living Community Assisted Living Center
Abundant Christian Living Community Assisted Living Center in Johnson City, Tennessee, brings together independent living, assisted living, memory care, nursing home services, and skilled nursing. Active since 1965, the location offers assisted living for residents needing assistance with bathing, dressing, or medication management, alongside secured memory care for individuals with cognitive impairments. Independent living provides private apartment setups without daily assistance, while short-term rehabilitation and respite options cater to temporary stays.
A 24-bed capacity creates an intimate setting where staff can focus on individual resident needs under administrator Kelly Bradish. Daily nurse coverage averages three hours per resident across the site. Financial options include Medicare, Medicaid, and private payment methods. Campus life features scheduled entertainment, social gatherings, educational programs, and worship services, with pet-friendly policies in place.
Prospective families can connect with Abundant Christian Living Community Assisted Living Center to check open bed space, discuss specific levels of care, or arrange a walkthrough of the facility.
Overview of Weakley Rehabilitation and Nursing Center
Weakley Rehabilitation and Nursing Center is a skilled nursing and nursing home community in Dresden, TN. Skilled nursing includes licensed nursing care around the clock, while short term rehabilitation supports recovery through physical, occupational and speech therapy offered seven days per week. Long term care and respite stays are also available, so the center can suit a family seeking ongoing nursing support, rehabilitation after an illness or injury, or a temporary stay while a usual caregiver travels or recovers.
The center has 136 beds and provides 3h 14m of total nurse staffing per resident per day, representing the daily hands on nursing time allocated to each resident. On site labs and X rays allow certain diagnostic services to take place at the center, while comprehensive wound care addresses residents who need that specialized support. Resident focused care planning uses a multidisciplinary approach.
Residents can use an on site beauty salon for grooming without arranging an outside appointment, and outdoor seating areas provide a place to sit outside. Weekly outings create scheduled opportunities to leave the center, while religious services are available for residents who want that form of support. Dining includes gourmet meals prepared for residents on site.
Medicare, Medicaid and private pay are accepted, giving families several ways to cover eligible care or services. Wendy Oliver serves as administrator, and Weakley Healthcare operates the center.
Westwood Health and Rehabilitation is a nursing home in Decaturville, TN, offering skilled nursing care with licensed nurses on site around the clock. Short term rehabilitation and therapy support residents who need temporary care focused on rehabilitation. Respite care provides a short stay when a usual caregiver needs time to travel or recover.
The community has 90 beds, with private and semi-private rooms. A private room gives one resident a space of their own, while a semi-private room means sharing the living space. Barber and beauty services are available on site, so residents can receive grooming services without arranging travel elsewhere.
Nurse staffing totals 3h 2m per resident per day, representing the daily hands-on nursing time allocated to each resident. Payment options include Medicare, Medicaid, and private pay, allowing families to use applicable public benefits or pay directly for care. Melinda M. Wade serves as administrator, and Black Wolf Healthcare operates the community; Westwood Health and Rehabilitation may be a good fit for someone who needs ongoing nursing care, short term rehabilitation, or a temporary respite stay.
Overview of Princeton Transitional Care & Assisted Living
Princeton Transitional Care & Assisted Living provides nursing home and skilled nursing care, assisted living, and respite care in Johnson City, TN. Nursing home and skilled nursing care include licensed nursing on site around the clock. Assisted living helps with daily tasks such as bathing, dressing, and medication management, while respite care supports short stays when a family’s usual caregiver needs to travel or recover.
Having these care levels in one community may suit a resident whose needs change over time, since moving between care levels does not require leaving the community. The home has 79 beds, with total nurse staffing of 4 hours and 19 minutes per resident each day, representing the daily hands on nursing time allocated to each resident. Medicare and private pay are accepted, allowing families to use Medicare for eligible short term skilled care or pay directly.
Residents can use the therapy gym for outpatient care and rehabilitation services, keeping therapy on site rather than requiring transportation elsewhere. An in house salon supports grooming appointments, the chapel hosts weekly spiritual programs, and secure courtyards provide outdoor walking space. Pets are allowed. Keith Boyce is the administrator, and LP Johnson City operates the community.
Overview of The Bridge Assisted Living at Life Care Center of Sparta
Located in Sparta, Tennessee, The Bridge Assisted Living at Life Care Center of Sparta offers nursing home, assisted living, and skilled nursing care. The community can accommodate those living with Alzheimer’s and other forms of dementia in a supervised environment. 24-hour staffing also allows residents to receive care whenever needed.
Administered by Justin Freeman, the community can accommodate up to 60 older adults. Moreover, residents receive a total of 3 hours and 29 minutes of nursing care per day. Medicare, Medicaid, and private pay are also accepted, giving families these payment methods to use toward care.
Rehabilitation services provide residents with recovery supporton-site. Moreover, housekeeping, laundry, and dining are available to help with residents’ household tasks. Meanwhile, the area has a Walk Score of 44 and is car-dependent, meaning most errands require a car or a ride. The community can also arrange transportation for residents’ off-site appointments.
A salon and barbershop allow residents to receive personal grooming services on-site, while the library provides a space for leisure. Religious services are also available for those who wish to participate.
Hillview Health Center provides nursing home, memory care, and skilled nursing in Elizabethton, TN. Skilled nursing means licensed nursing care is available on site around the clock, while memory care offers supervision for someone living with dementia who may be at risk of wandering. The 76-bed community may be a good fit for a resident who needs ongoing nursing support and dementia care in the same setting.
Rehabilitation services are available, so rehabilitation can be part of a resident’s care. The community’s specific programs include Home Health and Dementia Care. Hillview Health Center has served the area since 1965.
Medicare, Medicaid, and private pay are accepted, giving families several ways to cover care. Total nurse staffing is 3 hours and 34 minutes per resident per day, representing the daily hands-on nursing time assigned per resident. Joshua Lee Cannon serves as administrator, and Ocoee Hillview Health Center operates the community. A Walk Score of 68 places the area in the somewhat walkable range, meaning some errands can be done on foot and a resident who no longer drives may be able to reach certain destinations independently.
White House Health Care provides nursing home and skilled nursing care, hospice care, and respite care in White House, TN. Nursing and skilled nursing services include licensed nursing care on site around the clock, while hospice care supports residents receiving end of life care. Respite care is available for short stays when a usual caregiver needs time away, so the community may suit someone who needs nursing care or a family arranging temporary support.
The facility has 140 beds. Total nurse staffing is 5 hours and 44 minutes per resident each day, representing the recorded amount of nursing staff time allocated to each resident across a day. Medicare, Medicaid, and private pay are accepted, giving families payment options based on eligibility and available funds.
A short term rehab program and rehabilitation services are offered here, allowing residents to receive recovery focused care within the facility during a short term stay. Sandi Sparkman serves as administrator.
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
Need Help?
Let us help you or a loved one find the perfect senior home.
