Best Nursing Homes in Tennessee

Overview of Life Care Center of Old Hickory Village

Life Care Center of Old Hickory Village is a 124-bed skilled nursing and rehabilitation facility in Old Hickory, Davidson County, Tennessee, owned by Nashville Medical Investors, LLC and administered by Vasile Malenchii. Operating since 2007, the facility accepts Medicare, Medicaid, and private pay. It serves primarily short-stay residents, with an average stay of 31 days and 71 percent of admissions on private pay.
CMS health inspection data covering five inspections since 2018 shows 18 total citations, above the Tennessee average of 15.4, with the facility ranked 113th of 176 in the state. Six of those citations resulted from complaint investigations. One serious citation was issued at the October 2025 inspection for a quality of care deficiency and has since been corrected; no critical citations appear in the eight-year record. The health inspection CMS sub-rating trails the Tennessee average by 31.5 percent, the weakest of the four sub-categories. No penalties assessed in the past three years. Staffing and short-stay outcomes are stronger. Physical therapist hours reach 11 minutes per resident per day, 120 percent above Tennessee’s average of 5 minutes, supporting the facility’s post-acute rehabilitation focus. The CMS staffing rating runs 22.4 percent above the state average, and the quality measures rating is 34 percent above. Short-stay residents return home at a 65.6 percent rate, 30 percent better than Tennessee’s benchmark, and 80.6 percent meet or exceed expected self-care ability at discharge.
Services include post-surgical care, wound care, IV therapy, and an Alzheimer’s and dementia care program.
Life Care Center of Old Hickory Village suits Davidson County families requiring post-acute rehabilitation with strong discharge outcomes. Families should review with facility leadership the complaint investigation history and the October 2025 quality of care citation before placement.

Overview of Wyndridge Health and Rehabilitation Center

Wyndridge Health and Rehabilitation Center is a nursing home in Crossville, Tennessee, that provides professional nursing, respiratory therapy, outpatient services, memory support, respite care, and a complete therapy program featuring physical, occupational, speech, pulmonary, and expert wound care. Licensed since July 1992, this voluntary nonprofit community stands as one of the larger clinical environments in the state, with 157 licensed beds. Medicare, Medicaid, and private payment are all accepted.

The demographic consists primarily of short-term rehabilitation guests, with Medicare accounting for 63% of admissions with a standard 21-day stay. Private pay comprises 25%, and Medicaid represents 13%, while the overarching average residency spans 177 days due to the long-term clinical population.

Personnel allocation represents the premier recorded feature of this neighborhood, with total adjusted nursing time reaching 4 hours and 3 minutes per resident daily, which surpasses the national median of roughly 3.5 hours. Registered nurse attention outpaces the state average by 14% at 42 minutes daily, while licensed practical nurse involvement beats the state baseline by 6% at 1 hour and 9 minutes. The most remarkable metric is weekend registered nurse presence, which provides 40 minutes of care per resident each day, a substantial 67% higher than the Tennessee benchmark of 24 minutes. This ensures clinical supervision remains strong through Saturdays and Sundays.

State regulatory archives from the Tennessee Department of Health cited 5 evaluations over an eight-year look-back period, totaling 13 health citations for a low overall average of 2.6 per review. 10 findings emerged from annual reviews and 3 from specific complaint-initiated reports. Crucially, zero deficiencies reached a critical or immediate jeopardy classification, while 2 were labeled serious and 11 were marked moderate. Looking at categories, 5 citations involved abuse, neglect, or exploitation protection, while 4 addressed quality of life and care. The most recent survey on June 27, 2023, also cited two moderate abuse or neglect items, which have since been resolved. Additionally, no fiscal penalties have been issued.

Wyndridge Health and Rehabilitation Center is a practical option for older adults and families requiring extensive, 24-hour nursing supervision and varied therapeutic offerings in a rural region, specifically benefiting from its one-mile distance to Cumberland Medical Center.

Overview of Life Care Center of Blount County

Life Care Center of Blount County is a 120-bed skilled nursing and rehabilitation facility administered by Maria Farmer in Louisville, Tennessee that’s owned by Blount Medical Investors, Inc. Licensed in 2015 serving Blount County, the facility accepts Medicare and private pay. It runs primarily as a short-stay destination, with an average stay of 34 days and occupancy of 83.4 percent, above Tennessee’s 73 percent average.
CMS scores the facility 3 stars, with quality measures 34 percent above Tennessee’s average and a staffing rating 22 percent above the state benchmark. Long-stay quality measures are rated significantly above average: hospitalizations at 0.78 per 1,000 resident days are 51 percent better than Tennessee’s 1.58 average, and ED visits at 0.85 per 1,000 days are 46 percent better than the state figure. Pressure ulcer rates at 1.8 percent are 67 percent below Tennessee’s average. Short-stay self-care at discharge reaches 75.1 percent, 40 percent above the state benchmark, and the community return rate of 56.3 percent is 11 percent better than Tennessee’s 50.6 percent average. Short-stay re-hospitalization at 25.2 percent is 14 percent worse than the state average, worth discussing with facility leadership for residents at higher clinical risk. The health inspection rating runs 31.5 percent below Tennessee’s average. 20 total health citations since 2020 include 1 serious citation and 3 abuse, neglect, and exploitation deficiencies across six years, with 6 of the 20 citations arising from complaint investigations. A $8,000 civil money penalty was assessed in July 2024. RN hours at 49 minutes per resident per day are 32 percent above Tennessee’s 37 minutes average, and weekend RN hours at 39 minutes per day are 63 percent above the state benchmark of 24 minutes. Physical therapist hours at 9 minutes per day are 80 percent above Tennessee’s average, supporting the facility’s rehabilitation focus.
Amenities are an Alzheimer’s and dementia care program, a fine dining program, a Community Re-Entry Program, and landscaped grounds and courtyards.
Life Care Center of Blount County suits Blount County families seeking post-acute rehabilitation with strong long-stay clinical outcomes and above-average therapy staffing. Families should review the abuse and neglect citations, complaint investigation history, and the worse-than-state-average short-stay re-hospitalization for residents at higher clinical risk before finalizing placement.

Countryside Post-Acute and Rehabilitation Center is a 162-bed skilled nursing home handling short-term post-acute rehabilitation and longer-term care in Lawrenceburg, Tennessee. It’s in a somewhat walkable neighborhood with a score of 62, making it reasonably accessible for visiting family and daily errands. Serving the area for 33 years, the home is Countryside TN Holdings LLC-operated.

The facility’s 162 beds are currently about two-thirds full, with roughly 238 days of resident stay on average. That mix suggests a strong focus on short-term rehabilitation post-surgery or hospitalization, alongside longer-stay residents. Daily nursing care averages 3 hours 27 minutes per resident, providing consistent hands-on support through nursing staff, nurse aides, and licensed practical nurses. Medicare, Medicaid, and private pay are welcome, so there’s flexibility in how families fund care.

Whether someone is healing from an acute event or needing active nursing support, Countryside Post-Acute and Rehabilitation Center offers a straightforward pathway for both routes.

Overview of Life Care Center of Crossville

Life Care Center of Crossville is a 122-bed skilled nursing and rehabilitation facility owned by Crossville Medical Investors, LLC in Crossville, Cumberland County, Tennessee. Operating since 1992 and administered by Cathy Marie Jones Howe, the facility accepts Medicare, Medicaid, and private pay. It serves short-term rehabilitation and long-term care residents, with 74 days average stay.
CMS rates the facility 3 stars, with quality measures 34 percent above Tennessee’s average and a staffing rating 22 percent above the state benchmark. Short-stay outcomes are rated significantly above average: re-hospitalization at 12 percent is 46 percent better than Tennessee’s average of 22.2 percent, and 83.3 percent of short-stay residents met or exceeded expected self-care ability at discharge, 55 percent above the state figure. Short-stay ED visit rates of 4.8 percent are 57 percent better than Tennessee’s average. Long-stay quality measures are rated significantly above average, with ED visits at 0.59 per 1,000 resident days representing a 62 percent improvement over the state benchmark, and hospitalizations at 1.34 per 1,000 days running 15 percent better than Tennessee’s average. Weight loss among long-stay residents at 14.5 percent is 130 percent worse than the 6.3 percent state average, a figure worth discussing directly with nursing leadership. The health inspection rating trails the Tennessee average by 31.5 percent. 3 abuse, neglect, and exploitation citations are in the seven-year record alongside one serious citation, and four of the 18 total citations came from complaint investigations. A $9,000 civil money penalty was assessed in August 2024, well below the $86,000 Tennessee average. RN hours at 18 minutes per resident per day are 51 percent below the 37 minutes state average, and weekend RN hours at 7 minutes per day are 71 percent below the Tennessee benchmark. LPN hours at 1 hour and 25 minutes per day, 31 percent above the state average, represent staffing strength.
Amenities include a Community Re-Entry Program, an Alzheimer’s and dementia care program, a fine dining program, and landscaped grounds and courtyards.
Life Care Center of Crossville suits families in Cumberland County seeking strong short-stay rehabilitation outcomes and long-stay hospital avoidance. Families should review the abuse and neglect citations and ask about RN and weekend clinical coverage before placement. They must also discuss with nursing leadership the worse-than-state-average weight loss figures for long-stay residents.

Overview of Nhc HealthCare, Smithville

Nhc HealthCare, Smithville is a nursing home on Fisher Avenue in Smithville, Tennessee, with 114 beds. Ryan Vaden owns the facility, which has been operating for 55 years, making it a long-standing part of the community. It accepts Medicare, Medicaid, and private pay, so families have options to cover both short-term rehabilitation stays and longer-term nursing care. Residents stay an average of 110 days, which are mostly under post-acute rehabilitation and are receiving ongoing care.

Short-term rehabilitation and recovery are its clinical focus. Each resident receives daily nursing support averaging 3 hours and 31 minutes, which is the backbone of direct care. Through its partnership with Caris Hospice, it provides support to those nearing the end of life. At the same time, it offers respite care and home care services for families managing care at home. With 24-hour staffing, the home can accommodate residents’ needs around the clock.

The neighborhood is moderately walkable, with a Walk Score of 53. Some errands can be done on foot, but most trips require a short drive. The location is easy to access and navigate for families planning to visit.

Residents stay comfortable and engaged daily. Every room is equipped with high-speed wireless internet and cable television. Plus, there is an on-site beauty and barber shop for grooming, and daily activities and entertainment keep residents engaged.

Other available services include housekeeping and laundry, an outdoor area for relaxation, and a dining room. Meals are prepared by a dietitian and are chef-approved to meet nutritional needs. Families considering placement will find it beneficial, particularly those concerned about appetite and health.

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.

Overview of Monroe Health and Rehabilitation Center

Licensed since 1992, Monroe Health and Rehabilitation Center operates as a voluntary nonprofit skilled nursing and rehabilitation facility in Madisonville, Tennessee. The 81-bed community serves residents across Monroe County and provides short-term rehabilitation, long-term skilled nursing care, and respite care. Medicare, Medicaid, and private pay are all accepted.

Across six inspections over the past seven to eight years, the facility recorded 19 total citations, above the Tennessee average of 15.4 but at a per-inspection rate of 3.17, which is below the state mean of 4.39. Two of those citations involved abuse and neglect findings in June 2023 and June 2024, both of which were corrected. No federal fines or enforcement actions have been imposed in the past three years.

CMS rates the facility 3 stars overall, with a Health Inspection sub-rating slightly above the Tennessee average; Quality Measures trail the state by 46%, and nurse staffing averages 22% below the Tennessee benchmark at 2 hours and 51 minutes per resident per day.

The center accepts Medicare, Medicaid, and private pay. Therapy and rehabilitation services, including outpatient therapy, are offered on-site, alongside a courtyard, community garden, family visitation room, and spiritual services.

Admissions data show a predominantly private-pay and Medicare population with typical stays of one to three months, consistent with a post-acute orientation. Long-stay residents show notably low antipsychotic use (2.9% vs. a Tennessee average of 16.5%) and hospitalization rates 32% below the state benchmark. Short-stay outcomes are weaker, with emergency department visits and falls with major injury above state norms.

Monroe Health and Rehabilitation Center fits residents seeking short-term post-acute rehabilitation or respite care in a rural Monroe County setting. It also suits longer-term residents whose care needs align with a skilled nursing environment where clinical oversight and staffing depth are not primary selection criteria.

Overview of Pickett Care and Rehabilitation Center

Pickett Care and Rehabilitation Center is a nursing home operated by owner Noah Foster in Byrdstown, Tennessee, a small rural town in the Cumberland Plateau region. Serving the community for 33 years, it operates as a 69-bed community set up to provide skilled nursing care, rehabilitation, and short-term recovery services to residents transitioning from hospital care or managing ongoing medical needs. Accepted are Medicare, Medicaid, and private pay, offering families numerous options to fund short-term rehabilitation stays and longer-term care. The average stay length of 125 days mirrors a resident mix of those healing from acute illness or surgery and those settling into ongoing care. With 57 of its 69 beds occupied, the home currently maintains an 83 percent occupancy rate.

Clinical care is a core focus. Total nursing care averages 3 hours 43 minutes per resident day, backed by registered nurses, licensed practical nurses, and certified nurse aides. The facility offers rehabilitation services and respite care, making it a grounded choice for families managing recovery timelines or seeking momentary placement while arrangements are sorted out. A care navigation program helps guide residents and families through the complexity of moving between care settings. The home is well-equipped with on-site medical services, including a 24-hour pharmacy and daily access to podiatry, dental care, and optometry. Such services lessen the friction of coordinating outside appointments and offer convenience for residents and visiting family. The facility provides complimentary transportation to physician appointments, especially valuable in a car-dependent setting where Byrdstown’s Walk Score of 14 means most errands demand a vehicle. Daily living includes restaurant-style dining with an annual Hall of Fame Café event to mark the calendar, private rooms for those wanting privacy, facility-wide Wi-Fi, and television service in every room. Occupants can partake in a volunteer program, enjoy multi-denominational religious services led by a full-time chaplain, and count on 24-hour visitation and bereavement accommodations for family members during hardship. For grooming and personal care, the center also operates a beauty shop on site.