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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.
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.
$5.5M*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.
$3.3M*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.
60.3%*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.
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Rank badges are statewide and care-type specific: each nursing home is ranked against every other TN nursing home we track that reports that metric, not just the 203 on this page. See how we rank facilities
Wellpark Health and Rehabilitation functions as a 32-bed nursing center in Knoxville, Tennessee, centered around skilled nursing support and recovery services. On-site therapy programs allow individuals to complete physical rehabilitation routines without leaving the building.
Caregivers and staff provide an average of 3 hours and 32 minutes of daily nurse staffing per resident across the property. Operated by River Bluff Healthcare under administrator Kyle Albrechtsen, the smaller footprint encourages familiar interactions between residents and team members. Covered payment arrangements include Medicare for post-hospital recovery, Medicaid, and private funding.
Prospective residents can get in touch with Wellpark Health and Rehabilitation to discuss clinical programs, review admission criteria, or arrange an in-person tour.
The National HealthCare Corporation or the NHC Farragut strives in providing short-term skilled nursing and rehabilitative care; they have been awarded twice for their recognition for the ‘Customer Approved Award’ and the ‘Employee Approved Award’ by the Customers for Outstanding Experience.
They provide housing options for assisted living, memory care, hospice care, and home care; management and staff are dedicated to ensuring that residents live comfortably in their new homes. NHC Healthcare Farragut strives in working every day with quality service to its residents so that residents maintain a level of independence and individuality.
Overview of Mt. Pleasant Health and Rehabilitation
Mt. Pleasant Health and Rehabilitation provides nursing home, hospice care, respite care, and skilled nursing in Mount Pleasant, TN. Nursing home and skilled nursing care provide ongoing nursing support, while hospice care addresses end of life needs.
Respite care offers a short stay for someone whose usual caregiver needs time to travel or recover. The community has 72 beds, with total nurse staffing of three hours per resident per day, representing the daily hands on nursing time allocated to each resident.
Rehabilitation services support residents who need therapy as part of recovery. The Medication and IV Management program addresses medication and intravenous treatment needs on site, so those services are available within the community.
Payment options include Medicare, Medicaid, and private pay. Medicare can help cover short term skilled care after a hospital stay, Medicaid may help when savings do not cover a long stay, and private pay allows a family to pay directly. Mount Pleasant TN Opco operates the community, and Charmaine Brown serves as administrator. Respite care may make Mt. Pleasant Health and Rehabilitation a good fit for a family seeking short term support while a primary caregiver travels or recovers.
Overview of Monroe Health and Rehabilitation Center
Monroe Health and Rehabilitation Center provides nursing home, hospice care, memory care, palliative care, respite care, and skilled nursing in Madisonville, TN. Nursing home and skilled nursing offer ongoing residential support with licensed nursing care, while memory care provides a secured, supervised setting for someone at risk of wandering.
Hospice care addresses end of life needs, and palliative care centers on comfort and symptom relief. Respite care offers a short stay when a usual caregiver needs to travel or recover.
The community has 81 beds, giving families a clear sense of its overall capacity. Total nurse staffing is 2 hours and 48 minutes per resident per day, representing the daily hands on nursing time allocated to each resident.
Monroe Health and Rehabilitation Center accepts Medicare, Medicaid, and private pay. Families can consider those payment sources when arranging care.
Outpatient therapy and rehabilitation services are available for residents receiving therapy through the community’s programs, while short term rehabilitation can support a temporary recovery period. Scheduled transportation provides a planned way for residents to travel beyond the community.
A barber and beauty salon offers grooming services on site. Residents also have access to a courtyard and community garden for outdoor time within the community.
A Walk Score of 56 describes the East Tennessee area as somewhat walkable, meaning some errands can be completed on foot while other trips may require transportation. Jason Werden serves as the administrator.
The combination of nursing, memory, hospice, palliative, and respite services may be a good fit for a resident whose care needs or family support needs may change over time.
Four Oaks Health Care Center offers nursing home, skilled nursing, hospice care, and respite care in Jonesborough, TN. Skilled nursing provides licensed nursing care on site around the clock, while nursing home services support long term residence. Hospice care supports residents receiving end of life care, and respite care provides a short stay when someone’s usual caregiver needs to travel or recover.
The community has 26 beds, creating a smaller setting where staff and residents get to know each other. It may be a good fit for someone seeking a smaller care community. Short term rehabilitation supports temporary recovery needs, while long term care serves residents who need ongoing support.
Total nurse staffing is 3 hours 22 minutes per resident per day, representing the daily hands on nursing time assigned to each resident. A therapy gym and wellness program support on site rehabilitation, and the courtyard gives residents an outdoor area; the on site beauty salon allows them to receive salon services within the community. Medicare, Medicaid, and private pay are accepted, Tammy Lyn Edwards serves as the administrator, and Four Oaks Operating Group operates the community.
Life Care Center of Blount County is a 120 bed nursing home in Louisville, Tennessee, offering skilled nursing care. Residents have licensed nursing care on site around the clock through 24 hour skilled nursing services. Rehabilitation is also available for people who need support while recovering. The combination may suit someone who needs continuous nursing care and rehabilitation services in one setting.
Medicare and private pay are accepted. Medicare covers short term skilled care after a hospital stay, rather than long term residence, while private pay means the resident or family pays directly. Total nurse staffing is 3 hours and 44 minutes per resident per day, representing the daily nursing time allocated to each resident.
A beauty salon and barber shop let residents receive grooming services at the community, and transportation is available for trips beyond the building. Maria Farmer serves as administrator, while Blount Medical Investors operates the community. The facility opened in 2016.
Nhc HealthCare, Smithville is a nursing home in Smithville, TN, providing skilled nursing care. Skilled nursing means licensed nursing care is available on site around the clock, while short-term rehabilitation supports a temporary recovery stay. Respite care provides a short stay when a family caregiver needs time to travel or recover.
The home has 114 beds, with total nurse staffing of 3h 31m per resident each day. That figure represents the daily nursing time allocated to resident care. Medicare, Medicaid and private pay are accepted: Medicare applies to short-term skilled care rather than long-term residence, Medicaid may help when savings do not cover a long stay, and private pay means paying directly for care.
An on-site beauty and barber shop allows residents to receive grooming services within the community. Dietitian and chef-approved meals are tailored to nutritional needs, and Caris Hospice is a named program at the home. Nhc HealthCare, Smithville may be a good fit for someone who needs around-the-clock nursing support, a temporary rehabilitation stay or respite care, and Ryan Vaden serves as the administrator.
Overview of Signature Healthcare of South Pittsburg Rehab and Wellness Cente
Signature Healthcare of South Pittsburg Rehab and Wellness Cente provides nursing home, hospice care, memory care, respite care, and skilled nursing in South Pittsburg, TN. Nursing home and skilled nursing care provide 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, and respite care provides a short stay when a family caregiver needs to travel or recover.
The range of services may suit a family coordinating care for someone whose needs include dementia support, skilled nursing, or a temporary caregiver break. The home has 165 beds, making it a larger community with more residents, staff, and usually more programming.
Medicare, Medicaid, and private pay are accepted. Medicare can cover short-term skilled care after a hospital stay, Medicaid may help eligible residents whose savings do not cover a long stay, and private pay means paying directly. Total nurse staffing is 3 hours 3 minutes per resident per day, representing daily hands-on nursing time allocated to each resident.
Rehabilitation services allow residents to receive therapy at the community, while the salon or spa provides an on-site personal-care option. Life Enrichment programs include outings, hobby clubs, and events, giving residents organized activities to join. Mr. Doyle Love serves as administrator, and LP South Pittsburgh operates the community.
A Walk Score of 45 / 100 places the area in a car-dependent setting, so most errands require a car or a ride; a resident who no longer drives would generally need transportation to run errands.
Cypress Grove Post Acute is a skilled nursing and nursing home community with specialized memory care in Jackson, TN. Skilled nursing includes licensed nursing care on site around the clock, while memory care provides supervision for residents who need support related to memory loss.
The community may be a good fit for a resident who needs ongoing nursing oversight, rehabilitation, wound care, or specialized memory support. It has 170 beds, with total nurse staffing of 3h 33m per resident per day, representing the daily nursing time allocated to each resident.
Rehabilitation services and wound care are available, giving residents access to therapy and wound focused clinical support as part of their care. A salon and barber provide on site grooming, and Medicare, Medicaid, and private pay are accepted: Medicare can cover short term skilled care after a hospital stay, Medicaid may help eligible residents whose savings do not cover a long stay, and private pay allows families to pay directly.
Zabian Sanders serves as administrator, and Goodhope Bay Holdings operates the community.
The Waters of Gainesboro offers nursing home, skilled nursing, assisted living, and respite care in Gainesboro, Tennessee. Skilled nursing provides licensed nursing care on site around the clock. Assisted living supports bathing, dressing, medication, and other daily tasks while residents maintain their own apartment.
Respite care offers a short term stay when a usual caregiver needs time to travel, recover, or manage other responsibilities. Having assisted living, nursing home, and skilled nursing services in one community can allow a resident’s care to increase over time without a move elsewhere. The community has 83 beds, creating a defined residential setting.
Rehabilitation services support residents working to regain function after illness or injury. Comprehensive wound care and respiratory services address specific medical needs, while Living Well and In Motion are named programs available at the community.
Medicaid, Medicare, and private pay are accepted. Medicare generally applies to short term skilled care after a hospital stay rather than long term residence, while Medicaid may help when a resident’s savings do not cover an extended stay. Total nurse staffing is 2 hours and 32 minutes per resident per day, representing the daily hands on nursing time allocated to each resident. Rita Crabtree serves as administrator, and a Walk Score of 41 places the area in a car dependent setting where most errands require a car or a ride.
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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