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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.
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.
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.
$8.7M*Fiscal year ending 12/2022These 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 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
46.7%*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
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
Oakwood Community Living Center is a tightly-knit elder care home that provides healthcare services. The center boasts a modest, warm, and welcoming atmosphere for its residents. The home-like atmosphere creates a comfortable and well-managed resident-focused nursing and rehabilitation services environment.
Oakwood Community Living provides comprehensive inpatient therapy with full support and care delivered by medical professionals. They have licensed practitioner nurses, certified nurses, therapists, pharmacists, and an activity director on-site. Essential amenities include housekeeping, laundry, medication management, nutritional meals served daily, and transportation services available.
Center on Aging and Health provides nursing home, hospice care, memory care, palliative care, respite care, and skilled nursing in Erwin, TN. Nursing home care supports residents who need ongoing nursing oversight in a residential setting, while skilled nursing provides licensed nursing care on site around the clock.
Memory care provides a secured setting with supervision for someone at risk of wandering. Hospice care supports end of life needs, and palliative care focuses on comfort and symptom relief. Respite care offers a short stay for a family whose usual caregiver needs to travel or recover, so the range of services can accommodate changing care needs or caregiving arrangements over time.
Rehabilitation services are available for residents working to regain function after illness or injury. Total nurse staffing is 3 hours and 54 minutes per resident per day, representing the daily hands on nurse time per resident. Staffing is available 24 hours a day, and a doctor is on staff.
The community has 120 beds and opened in 2001. Medicare, Medicaid, and private pay are accepted, giving families those payment routes for care. A Walk Score of 45 out of 100 describes a car dependent setting, so a resident generally needs a car or a ride for most errands.
Center on Aging & Health operates the community, which is administered by Christopher (Alex) Gaddy.
Nhc HealthCare, Tullahoma is a nursing home in Tullahoma, TN that provides skilled nursing care. Licensed nursing care is available around the clock, with short term rehabilitation, long term care, and therapy services available during a stay. The combination can suit a resident who needs nursing support during recovery or ongoing care. The home has 99 beds.
Total nurse staffing is 3 hours and 38 minutes per resident each day, representing the daily nurse time assigned per resident. Rehabilitation services give residents access to therapy as part of their stay. Medicare, Medicaid, and private pay are accepted, and A. Penn Moore serves as administrator. Residents also have access to a salon or spa, while dietitian and chef approved meals are tailored to meet nutritional needs.
Overview of Westmoreland Health and Rehabilitation Center
Westmoreland Health and Rehabilitation Center provides nursing home, hospice, palliative, respite, and skilled nursing care in Westmoreland, TN. Skilled nursing and nursing care include licensed nursing care on site around the clock, while hospice care addresses end of life needs and palliative care focuses on comfort and symptom management. Respite care offers a short stay, which can suit a family whose usual caregiver needs time to recover or travel.
The center has 100 beds, and its 86% occupancy rate indicates that occupancy was below full capacity when measured. Total nurse staffing is 3h 5m per resident per day, representing the daily hands-on nurse staffing time counted for each resident. Medicare, Medicaid, and private pay are accepted, giving families public program and out of pocket payment routes.
Lakyn Harper serves as the administrator, and LP Westmoreland operates the center. The combination of nursing, hospice, palliative, and respite services may be a good fit for someone whose care needs include ongoing nursing support, comfort focused care, or a temporary stay.
Overview of Tennessee State Veterans‘ Home – Clarksville
Tennessee State Veteran’s Home prides itself on its excellent resident-centered approach to senior recovery. Specializing in long-term nursing care and short-term rehabilitation, the nursing home offers a warm and welcoming atmosphere where residents are guaranteed to be treated with honor, dignity, and respect in a family-like environment.
The nursing home for veterans provides comprehensive results-driven programs that specifically cater to the varying needs of its residents. TSVH offers 24-hour skilled nursing therapies, rehabilitative services, licensed nurses, social services, housekeeping, and linen services. Amenities include restaurant-style dining areas, an on-site hair salon, wheelchair-accessible apartment features, spacious indoor common areas, and outdoor common areas.
Established 33 years ago, Haywood Post Acute is a skilled nursing home in Brownsville, Tennessee, operated by owner Ann Scurlock-Moore. The facility’s location on Dupree Street is a moderately walkable with a Walk Score of 67, making the surrounding neighborhood reasonably accessible for visiting families. The 115-bed community has a current occupancy rate of about 68%, which is a more balanced census than many larger facilities.
The home is designed as a short-term rehabilitation setting, with particular strength in complex recovery. Sub-acute care, complex wound care, behavioral health, and diabetes management are some of its specialized programs. It’s a great choice for residents recovering from surgery, managing difficult medical conditions, or transitioning from hospital care.
Residents stay an average of 212 days, including shorter post-acute stays and longer-term placements. Daily staffing includes 3 hours 22 minutes of total nursing care per resident, supported by registered nurses, nurse aides, and licensed practical nurses working around the clock.
Besides rehabilitation, Haywood Post Acute offers respite care and hospice services so residents can go through different phases of care. The facility also provides dedicated programming in Alzheimer’s and dementia care for residents with cognitive decline. Medicare, Medicaid, and private pay are accepted, giving families multiple ways to cover care.
The location’s moderate walkability and established presence in the Brownsville community make it a stable option for families seeking skilled nursing and rehabilitation services in the area.
Overview of Patriot Health and Rehabilitation Center
Patriot Health and Rehabilitation Center is a nursing home in Paris, TN offering skilled nursing, memory care, hospice care, palliative care, and respite care. Nursing home care provides long-term residential support, while skilled nursing gives residents licensed nursing care on site around the clock.
Memory care offers a secured setting with supervision for someone at risk of wandering. Hospice care supports residents receiving end-of-life care, palliative care focuses on comfort alongside treatment, and respite care provides a short stay when a usual caregiver needs to travel or recover.
The range of care may suit someone who needs supervised memory care or a family seeking short-term support for a resident. Patriot Health and Rehabilitation Center has 127 beds, with total nurse staffing of 3 hours and 47 minutes per resident per day, representing the daily hands-on nursing time assigned to each resident.
Medicare, Medicaid, and private pay are accepted. Rehabilitation services support residents who need short-term recovery care without arranging rehabilitation elsewhere.
Scheduled transportation helps residents attend planned trips beyond the community, and a salon provides on-site access to grooming services. Wendy Oliver serves as the administrator, and Riverbend Health and Rehabilitation Cent operates the community.
A Walk Score of 63 places the area in the somewhat walkable category. Some errands can be done on foot, and a resident who no longer drives may be able to manage select outings independently.
Nhc HealthCare, Pulaski provides nursing home, skilled nursing, home care, and hospice care in Pulaski, TN. Nursing home and skilled nursing services include licensed nursing care on site around the clock, while home care supports care in a person’s residence and hospice care focuses on comfort for someone with a life limiting illness.
Short term rehabilitation and therapy services give residents clinical support during recovery. The community has 102 beds, with total nurse staffing of 3 hours and 28 minutes per resident each day, representing the daily nursing staff time assigned to each resident.
Douglas Wong serves as the administrator. Medicare, Medicaid, and private pay are accepted, so families can use any of those listed payment methods toward care.
An on site beauty and barber shop lets residents receive grooming services without arranging transportation, while dietitian and chef approved meals are tailored to nutritional needs. NHC HomeCare and Caris Hospice are named programs for the community’s home care and hospice services, and the combination of short term rehabilitation and skilled nursing may be a good fit for someone who needs clinical support while recovering.
Overview of Countryside Post-Acute and Rehabilitation Center
Countryside Post-Acute and Rehabilitation Center provides nursing home, hospice care, memory care, respite care and skilled nursing in Lawrenceburg, TN. Skilled nursing provides licensed nursing care on site around the clock, while memory care offers a secured setting with supervision for someone at risk of wandering.
Hospice care supports residents receiving end-of-life care. Respite care provides a short stay when a usual caregiver needs temporary coverage. Rehabilitation services include short-term rehabilitation for residents needing a time-limited period of recovery care, while long-term stays serve residents who need ongoing residence.
The community may be a good fit for someone seeking short-term rehabilitation, long-term nursing home care or a short respite stay. With 162 beds, the home is a larger community with more residents and staff and usually more programming.
Medicare, Medicaid and private pay are accepted, giving families multiple ways to cover eligible care. Total nurse staffing is 3 hours 27 minutes per resident per day, representing the daily nursing time allocated per resident.
Sara Wallace serves as administrator, and Countryside TN Rehab operates the community. A Walk Score of 62 makes the area somewhat walkable, with some errands possible on foot, so a resident who no longer drives may be able to handle limited errands independently.
Overview of Life Care Center of Old Hickory Village
Life Care Center of Old Hickory Village is a nursing home in Old Hickory, TN that provides skilled nursing care. Skilled nursing provides licensed nursing care on site around the clock, so the community may be a good fit for someone who needs ongoing nursing oversight during recovery or a longer-term stay.
The community opened in 2012 and has 124 beds. Total nurse staffing is 3h 30m per resident/day, representing the nursing time allocated to each resident across a day.
Inpatient and outpatient rehabilitation services allow therapy to be part of a stay or provided through outpatient care, while post-surgical care and IV therapy address specific clinical needs. A salon and spa support on-site grooming, and landscaped grounds and courtyards provide outdoor areas for residents to use. Dining includes a fine dining program with a certified dietitian, connecting meal service with professional dietary oversight.
Medicare, Medicaid, and private pay are accepted; Medicare can cover short-term skilled care after a hospital stay rather than long-term residence, while Medicaid may matter when savings do not cover a long stay. Vasile “Vasya” Malenchii serves as administrator, and Nashville Medical Investors operates the community.
Every nursing home above is evaluated across five weighted categories using CMS data including Care Compare, Payroll-Based Journal, and Medicare Cost Reports. Rank badges compare each home against other nursing homes in the same state — never against assisted living, memory care, or independent living communities.
How we're paid:If we help you find a home and you move in, that home may pay us a referral fee. This never affects where they rank or what you pay. Learn more
Avg Overall CMS Rating:2.8/ 5The average Overall CMS Rating for all CMS-certified nursing homes in Tennessee. Ratings combine health inspections, staffing, and quality measures, with inspections weighted most. Individual facilities can vary widely from this average.
National Average:3.2/ 5
Avg Staffing Rating:2.4/ 5The average Staffing Rating across all CMS-certified nursing homes in Tennessee. Reflects nursing staff hours per resident per day (including RNs), adjusted for residents' care needs. Individual facilities can vary widely from this average.
National Average:3.4/ 5
Avg Health Insp. Rating:2.8/ 5The average Health Inspection Rating across all CMS-certified nursing homes in Tennessee. Based on each facility's recent inspections and complaint investigations, weighing the number, scope, and severity of deficiencies. Individual facilities can vary widely from this average.
Frequently Asked Questions about Nursing Homes in Tennessee
What's the difference between assisted living and a nursing home in Tennessee?
Assisted living in Tennessee is a residential model focused on housing, hospitality, and help with daily activities. Nursing homes (skilled nursing facilities) provide 24/7 medical care from licensed nurses for residents with significant health needs, and are regulated more strictly under both state and federal CMS rules.
Does Tennessee Medicaid cover nursing home care?
Yes — Tennessee Medicaid covers nursing home care for residents who meet income, asset, and medical-need eligibility requirements. Most CMS-certified nursing homes accept Medicaid as a primary payer once long-term-care eligibility is established.
What is nursing home care?
Nursing homes (also called skilled nursing facilities) provide 24/7 medical care from licensed nurses, rehabilitation services, and long-term custodial care for residents with significant health or functional needs.
How many nursing homes are listed on this page?
This page features 203 nursing homes in Tennessee. Use the filters and comparison tools above to compare ratings, amenities, and pricing.
How do I choose the right nursing home in Tennessee?
Start by matching the level of care offered to the resident's current and anticipated needs, then compare licensing status, staff-to-resident ratios, recent inspection results, and pricing. Tour at least two or three communities in Tennessee, talk to current residents and families, and confirm what is included in the base rate versus billed as add-on services.
What should I look for when visiting nursing homes in Tennessee?
Pay attention to staff interactions with residents, cleanliness and odor, food quality at meal times, the activity calendar, and how questions about pricing and care plans are answered. Ask to see the most recent state inspection report, the move-out / level-of-care-change policy, and a sample monthly bill that lists every fee.
If you move into a community through us, that community may pay us a referral fee. This never changes your cost or which options we recommend. Learn more
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