Page 6 of Best Nursing Homes in Tennessee

Why trust this guide? Our editorial team analyzed 199 nursing homes in TN using CMS data, inspection records, complaints, amenities, and facility-level details. How we rank nursing homes in TN
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Last updated
We analyzed These are the facilities in Tennessee our team has analyzed — not a count of every nursing home provider in Tennessee.
199 homes
Other senior care options in Tennessee:
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.
National Average: 3.0/ 5

Compare Nursing Homes around Tennessee

Info below is compiled from CMS reports & the TN Dept. of Health (TDH), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest to lowest based on our ranking methodology.

The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This Table AL (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. HC (Home Care): Professional care delivered in the person's own home, from companionship to skilled nursing. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment. PC (Palliative Care): Comfort-focused care for serious illness at any stage, including alongside curative treatment.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Tennessee average is: 54.1% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
The Waters of Shelbyville
NH
HOS
MC
RC
SNF
Shelbyville
96
Facility 96
TN AVG 88
Rank #169 / 425
78.4%
Facility 78.4%
TN AVG 73.1%
Rank #123 / 268
+7%
2.41
Facility 2.41
TN AVG 3.63
Rank #175 / 179
-36%-33%
$0
Facility $0
TN AVG $90.9k
Rank #1 / 181
16
Facility 16
TN AVG 15.4
Rank #98 / 180
3.2
Facility 3.2
TN AVG 4.4
Rank #54 / 180
275-
39
Facility 39
TN AVG 36
Rank #240 / 520
-
$8.8MFiscal year ending 12/2023
Facility $8.8MFiscal year ending 12/2023
TN AVG $11.1M
Rank #109 / 174
$3.2MFiscal year ending 12/2023
Facility $3.2MFiscal year ending 12/2023
TN AVG $5.9M
Rank #147 / 174
36.5%Fiscal year ending 12/2023
Facility 36.5%Fiscal year ending 12/2023
TN AVG 54.1%
Rank #169 / 174
445171
Westwood Health and Rehabilitation
NH
SNF
Decaturville
90
Facility 90
TN AVG 88
Rank #180 / 425
49.6%
Facility 49.6%
TN AVG 73.1%
Rank #239 / 268
-32%
3.03
Facility 3.03
TN AVG 3.63
Rank #151 / 179
+18%-16%
$9.6k
Facility $9.6k
TN AVG $90.9k
Rank #128 / 181
6
Facility 6
TN AVG 15.4
Rank #25 / 180
2.0
Facility 2.0
TN AVG 4.4
Rank #12 / 180
245-
15
Facility 15
TN AVG 36
Rank #421 / 520
Melinda Wade
$5.5MFiscal year ending 12/2023
Facility $5.5MFiscal year ending 12/2023
TN AVG $11.1M
Rank #157 / 174
$2.7MFiscal year ending 12/2023
Facility $2.7MFiscal year ending 12/2023
TN AVG $5.9M
Rank #159 / 174
50.1%Fiscal year ending 12/2023
Facility 50.1%Fiscal year ending 12/2023
TN AVG 54.1%
Rank #88 / 174
445449
Hillview Health Center
NH
MC
SNF
Elizabethton
76
Facility 76
TN AVG 88
Rank #222 / 425
88.8%
Facility 88.8%
TN AVG 73.1%
Rank #53 / 268
+21%
3.57
Facility 3.57
TN AVG 3.63
Rank #73 / 179
-11%-2%
$0
Facility $0
TN AVG $90.9k
Rank #1 / 181
7
Facility 7
TN AVG 15.4
Rank #32 / 180
3.5
Facility 3.5
TN AVG 4.4
Rank #64 / 180
-68-
68
Facility 68
TN AVG 36
Rank #37 / 520
-
$10.0MFiscal year ending 12/2023
Facility $10.0MFiscal year ending 12/2023
TN AVG $11.1M
Rank #81 / 174
$5.2MFiscal year ending 12/2023
Facility $5.2MFiscal year ending 12/2023
TN AVG $5.9M
Rank #89 / 174
52.6%Fiscal year ending 12/2023
Facility 52.6%Fiscal year ending 12/2023
TN AVG 54.1%
Rank #76 / 174
445464
Standing Stone Care and Rehabilitation Center
NH
HOS
MC
PC
SNF
Monterey (Middle Tennessee)
115
Facility 115
TN AVG 88
Rank #108 / 425
68.6%
Facility 68.6%
TN AVG 73.1%
Rank #170 / 268
-6%
3.11
Facility 3.11
TN AVG 3.63
Rank #138 / 179
-16%-14%
$0
Facility $0
TN AVG $90.9k
Rank #1 / 181
13
Facility 13
TN AVG 15.4
Rank #79 / 180
3.3
Facility 3.3
TN AVG 4.4
Rank #57 / 180
-79A+
52
Facility 52
TN AVG 36
Rank #114 / 520
-
$9.0MFiscal year ending 12/2023
Facility $9.0MFiscal year ending 12/2023
TN AVG $11.1M
Rank #103 / 174
$3.9MFiscal year ending 12/2023
Facility $3.9MFiscal year ending 12/2023
TN AVG $5.9M
Rank #123 / 174
43.5%Fiscal year ending 12/2023
Facility 43.5%Fiscal year ending 12/2023
TN AVG 54.1%
Rank #137 / 174
445363
Dyer Nursing and Rehabilitation Center
NH
AL
MC
SNF
Dyer
120
Facility 120
TN AVG 88
Rank #81 / 425
52.3%
Facility 52.3%
TN AVG 73.1%
Rank #227 / 268
-29%
5.31
Facility 5.31
TN AVG 3.63
Rank #9 / 179
-49%+47%
$0
Facility $0
TN AVG $90.9k
Rank #1 / 181
9
Facility 9
TN AVG 15.4
Rank #51 / 180
3.0
Facility 3.0
TN AVG 4.4
Rank #44 / 180
-63-
38
Facility 38
TN AVG 36
Rank #248 / 520
Dls Financial Consulting, LLC
$7.5MFiscal year ending 03/2024
Facility $7.5MFiscal year ending 03/2024
TN AVG $11.1M
Rank #133 / 174
$4.8MFiscal year ending 03/2024
Facility $4.8MFiscal year ending 03/2024
TN AVG $5.9M
Rank #96 / 174
63.5%Fiscal year ending 03/2024
Facility 63.5%Fiscal year ending 03/2024
TN AVG 54.1%
Rank #25 / 174
445468
Covington Post Acute
NH
SNF
Covington (Country Wood)
40
Facility 40
TN AVG 88
Rank #388 / 425
--
4.12
Facility 4.12
TN AVG 3.63
Rank #32 / 179
+14%+14%
$0
Facility $0
TN AVG $90.9k
Rank #1 / 181
8
Facility 8
TN AVG 15.4
Rank #41 / 180
4.0
Facility 4.0
TN AVG 4.4
Rank #77 / 180
-76-
23
Facility 23
TN AVG 36
Rank #365 / 520
George Munchow
$8.9MFiscal year ending 12/2023
Facility $8.9MFiscal year ending 12/2023
TN AVG $11.1M
Rank #108 / 174
$4.8MFiscal year ending 12/2023
Facility $4.8MFiscal year ending 12/2023
TN AVG $5.9M
Rank #95 / 174
54.7%Fiscal year ending 12/2023
Facility 54.7%Fiscal year ending 12/2023
TN AVG 54.1%
Rank #70 / 174
445330
AdamsPlace
NH
AL
IL
MC
SNF
Murfreesboro (Haynes Haven)
149
Facility 149
TN AVG 88
Rank #39 / 425
67.8%
Facility 67.8%
TN AVG 73.1%
Rank #174 / 268
-7%
3.87
Facility 3.87
TN AVG 3.63
Rank #41 / 179
+33%+7%
$0
Facility $0
TN AVG $90.9k
Rank #1 / 181
3
Facility 3
TN AVG 15.4
Rank #10 / 180
3.0
Facility 3.0
TN AVG 4.4
Rank #44 / 180
-101-
49
Facility 49
TN AVG 36
Rank #149 / 520
John Winfree
$14.1MFiscal year ending 12/2023
Facility $14.1MFiscal year ending 12/2023
TN AVG $11.1M
Rank #39 / 174
$8.3MFiscal year ending 12/2023
Facility $8.3MFiscal year ending 12/2023
TN AVG $5.9M
Rank #29 / 174
58.9%Fiscal year ending 12/2023
Facility 58.9%Fiscal year ending 12/2023
TN AVG 54.1%
Rank #47 / 174
445392
Trevecca Center for Rehabilitation and Healing
NH
RC
SNF
Nashville (South Nashville)
240
Facility 240
TN AVG 88
Rank #2 / 425
--
2.90
Facility 2.90
TN AVG 3.63
Rank #161 / 179
+43%-20%
$9.3k
Facility $9.3k
TN AVG $90.9k
Rank #127 / 181
15
Facility 15
TN AVG 15.4
Rank #91 / 180
5.0
Facility 5.0
TN AVG 4.4
Rank #113 / 180
-45B-
34
Facility 34
TN AVG 36
Rank #279 / 520
Trevecca Ventures Tn LLC
$25.8MFiscal year ending 12/2023
Facility $25.8MFiscal year ending 12/2023
TN AVG $11.1M
Rank #3 / 174
$12.8MFiscal year ending 12/2023
Facility $12.8MFiscal year ending 12/2023
TN AVG $5.9M
Rank #7 / 174
49.6%Fiscal year ending 12/2023
Facility 49.6%Fiscal year ending 12/2023
TN AVG 54.1%
Rank #93 / 174
445112
The Health Center at Richland Place
NH
AL
IL
SNF
Nashville (West Meade)
107
Facility 107
TN AVG 88
Rank #129 / 425
91.3%
Facility 91.3%
TN AVG 73.1%
Rank #42 / 268
+25%
4.46
Facility 4.46
TN AVG 3.63
Rank #19 / 179
+44%+23%
$56.4k
Facility $56.4k
TN AVG $90.9k
Rank #152 / 181
23
Facility 23
TN AVG 15.4
Rank #142 / 180
4.6
Facility 4.6
TN AVG 4.4
Rank #102 / 180
598-
54
Facility 54
TN AVG 36
Rank #99 / 520
John Bailey
$18.7MFiscal year ending 12/2023
Facility $18.7MFiscal year ending 12/2023
TN AVG $11.1M
Rank #15 / 174
$10.3MFiscal year ending 12/2023
Facility $10.3MFiscal year ending 12/2023
TN AVG $5.9M
Rank #17 / 174
55.1%Fiscal year ending 12/2023
Facility 55.1%Fiscal year ending 12/2023
TN AVG 54.1%
Rank #65 / 174
445166
NHC HealthCare, Pulaski
NH
HC
HOS
SNF
Pulaski
102
Facility 102
TN AVG 88
Rank #137 / 425
87.3%
Facility 87.3%
TN AVG 73.1%
Rank #63 / 268
+19%
3.47
Facility 3.47
TN AVG 3.63
Rank #82 / 179
+22%-4%
$0
Facility $0
TN AVG $90.9k
Rank #1 / 181
7
Facility 7
TN AVG 15.4
Rank #32 / 180
3.5
Facility 3.5
TN AVG 4.4
Rank #64 / 180
289-
75
Facility 75
TN AVG 36
Rank #24 / 520
Douglas Wong
$11.2MFiscal year ending 12/2023
Facility $11.2MFiscal year ending 12/2023
TN AVG $11.1M
Rank #62 / 174
$6.7MFiscal year ending 12/2023
Facility $6.7MFiscal year ending 12/2023
TN AVG $5.9M
Rank #49 / 174
59.8%Fiscal year ending 12/2023
Facility 59.8%Fiscal year ending 12/2023
TN AVG 54.1%
Rank #42 / 174
445101

Rank badges are statewide: each community is ranked against every TN community we track that reports that metric, not just the 199 on this page.

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Nursing Home Explorer
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Overview of The Waters of Shelbyville

The Waters of Shelbyville is a trusted nursing home in Shelbyville, TN, offering a wide range of care options, including long-term care, memory care, hospice care, respite care, skilled nursing, and rehabilitation. Featuring newly-renovated amenities and spacious, private rooms in a clean and home-like setting, the community strives to keep older adults comfortable and safe. Nutritional services, pain management, and 24-hour care are among the excellent services dedicated to residents’ welfare. The community also provides individualized care plans tailored to residents’ needs and habits.

Light physical activities, social events, and various recreational programs provide residents with more opportunities to explore new interests and gain meaningful experiences. Cozy communal areas and state-of-the-art rehabilitation equipment are also available for residents’ relaxation and wellness. Shops, churches, and other local amenities also surround the area, providing residents with easy access to their necessities and leisure. This nursing home ensures older adults can thrive in retirement, making it a great choice for senior living in Tennessee.

Contact The Waters of Shelbyville

Overview of Westwood Health and Rehabilitation

Owned by Black Wolf Healthcare, LLC, Westwood Health and Rehabilitation is a 90-bed skilled nursing home in Decaturville, Tennessee, in the heart of Decatur County. The facility has been operating for 34 years. Melinda M. Wade serves as administrator. Families can choose from Medicare, Medicaid, and private pay to cover both short-term rehabilitation and longer-term nursing care.

The community clinically focuses on both post-acute recovery and long-term stays. On-site programs include 24-hour skilled nursing care, respiratory care, wound care, hospice and palliative care, and psychological services. There are also therapy and short-term rehabilitation for residents recovering from a hospital stay or surgery. A dedicated memory care unit supports residents living with cognitive decline. Respite stays are also available for families who need short-term relief.

Total nurse staffing averages 3 hours and 18 minutes per resident each day, combining registered nurse, licensed nurse, and nurse aide support. Registered nurses contribute 49 minutes of that daily total. Residents stay an average of about 165 days. The home has an occupancy rate of 51%, so beds are generally available for families who need to move quickly.

State inspections by the Tennessee Department of Health’s Division of Health Care Facilities in recent years have focused on resident care and safety oversight, infection control practices, and nutrition-related standards. Families touring Westwood should ask staff how those areas are being monitored and addressed.

Westwood is in a car-dependent part of Decaturville, with a Walk Score of 15. Most errands and visits require driving. Residents have access to spacious semi-private rooms, climate-controlled comfort throughout the building, and on-site barber and beauty services for daily personal care.

Contact Westwood Health and Rehabilitation

Overview of Hillview Health Center

Operating for 33 years, Hillview Health Center is a 76-bed nursing facility with about 90 percent occupancy rate in Elizabethton, Tennessee. Owned by Ocoee Hillview Health Center, it’s located at 1666 Hillview Drive in a moderately walkable area where some errands can be finished on foot.

Medicare, Medicaid, and private pay are accepted, providing numerous pathways for coverage. Averaging a stay length of 82 days, the home serves short-term rehabilitation and longer-term nursing care residents. It emphasizes rehabilitation services and offers a home health program. Daily nursing care averages 3 hours 40 minutes per resident, with support from registered nurses, licensed practical nurses, and certified nursing aides working together on direct care and assistance.

Hillview Health Center offers a grounded choice with a good bed count that supports more personalized attention, noteworthy for families considering a nursing facility in the area. The 33-year tenure here reflects stability and established care routines.

Contact Hillview Health Center

Overview of Standing Stone Care and Rehabilitation Center

Standing Stone Care and Rehabilitation Center is a 115-bed SNF operated by LP Monterey LLC in Monterey, Tennessee. Situated on West Crawford Avenue, it sits in a moderately walkable neighborhood where some daily errands are easily reachable. Serving the community for 48 years, the facility maintains a 71 percent occupancy rate, reflecting steady services demand. It takes Medicare, Medicaid, and private pay, giving families numerous ways to cover short-term acute care and those rare cases needing longer-term placement.

The clinical focus centers on short-term rehabilitation, making it a grounded choice for patients convalescing from surgery, injury, or acute hospitalization who need intensive therapy and nursing support before returning home. Clinical services and care navigation programs help residents map their recovery and ensure coordinated treatment. The facility employs 24-hour staffing across its nursing team, with nursing care averaging roughly 2 hours 56 minutes per resident day. This consistent presence supports medical monitoring and attentive assistance with daily living. The average stay length runs about 69 days, indicating the typical trajectory for short-term rehabilitation residents progressing toward discharge. Occupants can access rehabilitation services on-site alongside basic medical oversight. Daily life includes amenities and programming tailored to a rehab environment. Residents benefit from satellite television, concierge services to help navigate appointments and arrangements, an on-site chapel for spiritual needs, and community involvement opportunities. The center organizes elder vacations and provides transportation to community events, helping residents stay socially connected during their stay. Standing Stone Care and Rehabilitation Center is organized into small neighborhoods, creating a more intimate setting within a larger community.

The facility’s rehabilitation focus, consistent staffing, and array of clinical programs make it well-suited to supporting a measured recovery before returning home, noteworthy for families considering the community for short-term post-acute care.

Contact Standing Stone Care and Rehabilitation Center

Overview of Dyer Nursing and Rehabilitation Center

Dyer Nursing and Rehabilitation Center is a 120-bed nursing home in Dyer, Tennessee, offering professional nursing, therapy services, memory assistance, and assisted living options. Owned by DLS Financial Consulting, LLC, the community has provided care since 1996 and holds a 3-star CMS rating, distinguished by exceptionally high scores in caregiver presence. This community also accepts Medicare, Medicaid, and private funds.

The 3-star CMS rating for the community reflects a unique combination of factors, with total adjusted nursing time of 5 hours and 30 minutes for each resident daily, which is 50% higher than the Tennessee mean. This puts the community in the top 4% of the state for personnel levels. Performance in health reviews is also commendable, scoring 37% better than the state norm with only nine total findings over the three latest checks. No serious or critical deficiencies have been noted in the last five years, providing a strong safety record for older adults.

While clinical quality metrics are lower than the state mean, weekend staffing remains consistent at 15% above the Tennessee average. With an occupancy rate of 55.7%, there is availability for those seeking immediate placement.

A wide array of medical and residential programs is offered, including constant professional nursing, respiratory aid, restorative treatments, and psychological support. Behavioral management is also available, alongside physical, occupational, and speech therapies and a dedicated Memory Support Program. A variety of shared spaces and private areas are provided, along with cleaning services, laundry, wellness programs, and spiritual gatherings. Located in a rural part of Dyer County, the community mostly helps residents from the local neighborhood and the nearby region.

Dyer Nursing and Rehabilitation Center is great for older adults and their families in the Dyer County region who value high caregiver ratios and steady medical supervision. With its top-tier state ranking for personnel, residents receive significantly more direct nursing attention daily than is typical at most Tennessee locations. The variety of support levels, ranging from temporary recovery to permanent nursing and memory care, also offers flexibility for different health journeys. While the community excels in staffing and safety, families may want to discuss specific clinical quality targets with the administration.

Contact Dyer Nursing and Rehabilitation Center

Covington Post Acute

765 Bert Johnston Ave, Covington, TN 38019
Overview of Covington Post Acute

Covington Care Post Acute is an exceptional nursing home in Covington, TN, that offers skilled nursing, long-term care, and rehabilitation. With its dedication to older adults’ wellness, the community promotes a nurturing environment for their comfort. Wound care, activities, and social services are also offered to meet residents’ variety of needs. The community prioritizes residents’ well-being, providing genuine care and compassionate services.

Activities are curated weekly, ensuring residents have more opportunities to interact with their peers. A salon, spacious courtyards, and communal spaces for gatherings are also provided for residents and visitors’ lounge. Covington Aquatic Center and Tipton County Museum are located nearby, ensuring easy access to leisure and other necessities. As one of the trusted choices for nursing care in Tennessee, this senior living community is an ideal option for those with complex healthcare needs.

Contact Covington Post Acute

AdamsPlace

1927 Memorial Blvd, Murfreesboro, TN 37129
Overview of AdamsPlace

Tucked in Murfreesboro, Tennessee, AdamsPlace is a premier destination for seniors seeking gracious living. Offering a range of services, including residential living, memory care, assisted living, health center, and rehab care, AdamsPlace boasts a spacious campus with numerous apartments tailored for residential living. Here, seniors find an ideal environment to enjoy their independence, fostering socialization and a strong sense of community.

The on-site community activity areas, well-appointed living spaces, and elegant surroundings contribute to a secure and enriching experience. Residents benefit from fully equipped kitchens, individually controlled heating and cooling, and full outside balconies or patios providing panoramic views of the landscape. AdamsPlace ensures a secure community with covered parking, a library, business center, furnished guest apartments, state-of-the-art fire safety systems, and much more, making it a comprehensive and attractive option for those seeking senior living and independent living services.

Contact AdamsPlace

Overview of Trevecca Center for Rehabilitation and Healing

Trevecca Center for Rehabilitation and Healing is a community that proudly elevates the recovery experience of its residents. A premier nursing home that has been awarded a list of accolades, some of which are from the U.S. News and World Report ranking them as the Best Nursing Home; they have exceeded expectations for its short-term care. Trevecca Center is a tightly-knit community where residents are able to relax and renew themselves.
A member of the CareRite healthcare, Trevecca Center offers an array of recovery services that help a fast healing journey– orthopedic rehabilitation, short-term and long-term rehabilitation, amputee care, and wound care. Other luxurious services include its chef-prepared meals in a restaurant-style dining service. 

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Overview of The Health Center at Richland Place

Operating within a continuing care retirement campus in Nashville’s West Meade neighborhood, The Health Center at Richland Place is a 107-bed nonprofit facility managed by administrator Hunter Blake Harris. The community coordinates independent living, assisted living, short-term rehabilitation, and respite care under a 24-hour staffing model. Payer demographics show that 72% of admissions pay privately, while 28% utilize Medicare, leading to a brief average resident stay of 46 days. The property maintains a high occupancy rate of 94% and stands in a suburban setting with a Walk Score of 54.

Health department summaries reveal serious regulatory and supervision hurdles, noting 23 total citations across five inspections since 2018. This volume tracks significantly above the typical Tennessee facility baseline, resulting in $56,000 in federal fines. Notably, a March 2024 complaint investigation uncovered an immediate jeopardy violation when inadequate supervision led to an unwitnessed fall, resulting in fractures and a resident’s subsequent death, while older logs from 2019 documented actual resident harm from neglected pressure ulcer care.

The latest routine evaluation in August 2025 flagged five moderate deficiencies spanning unsecured oxygen tanks, medication administered without physician orders, breached medical records, and basic hand-hygiene failures. Daily nursing care averages 4 hours and 11 minutes per resident, with an emphasis on physical therapy staffing that ranks well above state levels. Clinical data shows stable results for long-term mobility and low depression rates, though short-stay readmission rates run 27% worse than the state average, and long-stay pneumococcal vaccination rates drop to 49.4%.

Interested individuals assessing local post-acute or long-term options can utilize these multi-year state dossiers to balance the facility’s strong therapy presence against its compliance record. Tracking archives document critical supervision failures, past resident harm, and recurring administrative infractions alongside low long-term vaccination numbers, a detailed review of current corrective steps is a necessary safety measure.

Contact The Health Center at Richland Place

Overview of Nhc HealthCare, Pulaski

Located on East College Street in Pulaski, Tennessee, Nhc HealthCare, Pulaski is a skilled nursing facility offering nursing home, home care, and hospice care partnership services alongside skilled nursing. The facility is operated by NHC Healthcare/Pulaski, LLC and led by administrator Douglas Wong. Medicare, Medicaid, and private pay are accepted, giving families several ways to cover both short-term rehabilitation stays and longer-term nursing care.

The 102-bed community typically runs near 85% occupancy, reflecting steady demand in the Pulaski area. The surrounding neighborhood’s walk score is 75, which is considered very walkable. Many everyday errands can be handled on foot. Its size and location make it a practical option for families who want a full-service nursing home close to daily conveniences.

Care here leans toward short-term, post-acute rehabilitation. Residents stay an average of 99 days before returning home or to the community. Rehabilitation services and short-term rehab programming support that focus. There’s around-the-clock staffing that keeps clinical coverage in place at all hours. Nursing staff provides roughly 3 hours and 22 minutes of hands-on care per resident daily. The facility’s NHC Homecare and Caris Hospice partnerships extend support for residents transitioning home or nearing end of life.

The facility’s inspections have most often centered on pharmacy and medication management practices, along with infection control and nutrition-related processes. Broader questions of resident quality of care draw comparatively less attention. Families touring the community should ask how those areas are handled daily.

Amenities on-site include high-speed wireless internet, cable television in every room, housekeeping and laundry service, and an on-site beauty and barber shop. Residents can join in daily activities and entertainment programming, spend time in the dining room, or relax in the outdoor area. These features a full-service nursing home built around both short-term recovery and ongoing care.

Contact NHC HealthCare, Pulaski

Ranking Methodology

How we rank these nursing homes

Every nursing home above is evaluated across five weighted categories using CMS data including Care Compare, Payroll-Based Journal, and Medicare Cost Reports.

  • CMS data
  • 5 weighted categories
  • Updated quarterly
Full methodology

Weighting overview

  • 35%
    Care Quality
  • 20%
    Staffing
  • 20%
    Regulatory
  • 20%
    Operational
  • 5%
    Environment
01

Care Quality 35%

The largest single share of every ranking. CMS star ratings and quality measures that reflect actual care delivered to residents.

  • Includes
  • Overall Rating
  • Health Inspection
  • QM Rating
  • Long-Stay QM
  • Short-Stay QM
02

Staffing Adequacy 20%

The strongest predictor of resident outcomes. Volume and stability of nursing care, drawn from CMS Payroll-Based Journal.

  • Includes
  • Nurse Hrs/Res/Day
  • RN vs State
  • Total Nurse Staff Hrs vs State
  • RN Turnover
03

Regulatory & Safety Record 20%

Inspection patterns that star ratings can mask. We weight per-inspection rates more heavily than raw counts.

  • Includes
  • Citations
  • Citations/Inspection
  • Severe Citations
  • Fines
  • Accreditations
04

Operational & Financial Stability 20%

Stable operations and sound finances are leading indicators of consistent care over time.

  • Includes
  • Occupancy vs State
  • Avg Length of Stay
  • Revenue
  • Payroll %
  • Years in Operation
  • Admin Tenure
05

Environment & Accessibility 5%

Context that matters to families but doesn't directly measure clinical care. Weighted lower for nursing homes than for assisted or independent living.

  • Includes
  • Walk Score
  • BBB Rating
No paid rankings Facilities cannot pay to influence placement.
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
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Frequently Asked Questions about Nursing Homes in Tennessee

What's the difference between assisted living and a nursing home in Tennessee?

Assisted living in Tennessee is a residential model focused on housing, hospitality, and help with daily activities. Nursing homes (skilled nursing facilities) provide 24/7 medical care from licensed nurses for residents with significant health needs, and are regulated more strictly under both state and federal CMS rules.

Does Tennessee Medicaid cover nursing home care?

Yes — Tennessee Medicaid covers nursing home care for residents who meet income, asset, and medical-need eligibility requirements. Most CMS-certified nursing homes accept Medicaid as a primary payer once long-term-care eligibility is established.

What is nursing home care?

Nursing homes (also called skilled nursing facilities) provide 24/7 medical care from licensed nurses, rehabilitation services, and long-term custodial care for residents with significant health or functional needs.

How many nursing homes are listed on this page?

This page features 199 nursing homes in Tennessee. Use the filters and comparison tools above to compare ratings, amenities, and pricing.

How do I choose the right nursing home in Tennessee?

Start by matching the level of care offered to the resident's current and anticipated needs, then compare licensing status, staff-to-resident ratios, recent inspection results, and pricing. Tour at least two or three communities in Tennessee, talk to current residents and families, and confirm what is included in the base rate versus billed as add-on services.

What should I look for when visiting nursing homes in Tennessee?

Pay attention to staff interactions with residents, cleanliness and odor, food quality at meal times, the activity calendar, and how questions about pricing and care plans are answered. Ask to see the most recent state inspection report, the move-out / level-of-care-change policy, and a sample monthly bill that lists every fee.