Best Nursing Homes in Tennessee

Overview of Spring City Care and Rehabilitation Center

Spring City Care and Rehabilitation Center is a 138-bed nursing home owned by Tommie Owens on Hinch Street in Spring City, Tennessee. Operating for 33 years, it accepts Medicare, Medicaid, and private pay, offering several ways for families to afford short-term rehabilitation and longer-term nursing care. The average stay length is around 99 days, reflecting a blend of post-acute recovery and ongoing care residents.

The center operates as a nursing home with dedicated memory care, skilled nursing services, and rehabilitation programming. Daily nursing support averages 3 hours 26 minutes per resident, with breakdowns that include registered nurse coverage at 29 minutes per day, licensed practical nurse or vocational nurse coverage at 56 minutes, and nurse aide support at 29 minutes per day. This staffing structure supports the diligent care residents get all day. Dining accommodates different preferences, with buffet- and restaurant-style options available to residents. The facility is in a moderately walkable area of Spring City, with a Walk Score of 52, meaning some errands can be done on foot, though most trips involve a car. The community currently operates at 62 percent occupancy, with 85 of its 138 beds filled.

Department of Health, Division of Health Care Facilities’ state inspection oversight has focused on resident safety protocols and medication administration processes. Such areas warrant attention from families evaluating the facility, and touring it provides a chance to ask how the staff manages these care practices daily.

Overview of Mt. Pleasant Health and Rehabilitation

Mt. Pleasant Health and Rehabilitation is a 72-bed skilled nursing community in Mount Pleasant, Tennessee, providing long-term care, short-term rehabilitation, respite services, medication management, and IV therapy. Operating since 1992, the community accepts Medicare, Medicaid, and private-pay residents. Current occupancy remains below the state average, creating a smaller-scale environment with approximately a 60.7% occupancy rate.

CMS assigns the community an overall 3-star rating, reflecting average performance overall, with staffing results that compare favorably to Tennessee benchmarks despite somewhat lower total nursing hours per resident.

Regulatory history presents a generally moderate compliance profile. The most recent standard inspection in March 2025 identified seven deficiencies, all classified at the lowest severity level involving no actual harm. Areas cited included nursing staffing coverage, staff competency oversight, care planning, abuse-reporting procedures, controlled substance storage, and assistance with daily living activities. Families are encouraged to ask follow-up questions regarding staffing consistency and nursing supervision, as several nursing-related citations appeared during the same inspection cycle.

Staffing levels show a mixed picture, with total nursing hours per resident falling modestly below Tennessee averages, particularly in registered nurse and certified nursing assistant coverage. Licensed practical nurse coverage, however, exceeds state averages, and nurse turnover rates are slightly better than average. CMS staffing calculations also remain stronger than state benchmarks after adjusting for resident care complexity.

Clinical quality measures reveal several encouraging trends, especially for long-term residents. Emergency department visits occur far less frequently than the Tennessee average, an indicator often associated with stable care management and reduced disruptions for residents. Rates of falls with major injury, pressure ulcers, unexplained weight loss, and hospitalizations all outperform state averages. Reported depressive symptoms are also notably low, and pneumococcal vaccination rates reach 100% for long-stay residents. One area deserving additional discussion is antipsychotic medication usage, which exceeds the state average and may warrant clarification from the clinical team regarding prescribing practices and behavioral care strategies.

A variety of daily activities and supportive services, including live entertainment, religious programs, outings, crafts, games, housekeeping, laundry services, and an on-site beautician, are provided. Flexible dining options, an active resident council, and a nurse aide training program further contribute to community life.

Mt. Pleasant Health and Rehabilitation appeals to older adults seeking dependable long-term nursing support or rehabilitation services within a quieter small-town Tennessee setting, particularly for families prioritizing strong outcomes in fall prevention, hospitalization reduction, and overall resident stability.

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 Foothills Transitional Care and Rehabilitation

Located in Maryville, Tennessee, Foothills Transitional Care and Rehabilitation is a skilled nursing facility owned and operated by Rocky Top Healthcare LLC. The 185-bed community has been providing care for 33 years. It accepts Medicare, Medicaid, and private pay, which allows families to pursue different payment pathways for short-term rehabilitation and longer-term skilled nursing care. Residents stay an average of 96 days, including post-acute patients working toward recovery and residents who remain for ongoing nursing support.

The facility focuses on rehabilitation services. Residents are supported by in-house therapy and 24-hour staffing. Each resident receives approximately 3 hours and 23 minutes of total nursing care daily. These include time from registered nurses, licensed practical nurses, and nursing aides. This staffing level can provide hands-on assistance with activities of daily living and medical oversight throughout the day and night.

Foothills has an occupancy rate of 52%, with 96 residents across its beds. Its location on Jamestown Way in Maryville is car-dependent, and there are limited nearby walkable options. Visitors and residents must rely on personal transportation for most errands and appointments.

The facility operates under the oversight of the Tennessee Department of Health, Division of Health Care Facilities, with records spanning the past four years. Families can request the home’s inspection history and discuss any questions about facility operations during a tour.

Overview of Signature Healthcare of South Pittsburg Rehab and Wellness Cente

Signature HealthCARE of South Pittsburg Rehab & Wellness Center is a 165-bed nursing home in South Pittsburg, Tennessee, offering nursing, short-term rehabilitation, long-term support, memory care, and temporary respite stays. Licensed since July 1992 and maintaining federal certifications for Medicare and Medicaid since March 1995, this community is owned by LP South Pittsburgh LLC and operates within the broader Signature HealthCARE corporate network. It stands as the only skilled nursing choice located directly inside South Pittsburg.

Annual nursing turnover sits at just 20.4%, which is better than the Tennessee statewide average of 48.7%, representing a massive variance that translates to excellent consistency of care for permanent residents. Regarding overall nursing availability, registered nurse contact averages 44 minutes per resident daily, exceeding the Tennessee state benchmark of 37 minutes by 19% and also outperforming the national median of 41 minutes. Conversely, hours for licensed practical nurses and certified nursing assistants are below state benchmarks at 52 minutes and 1 hour 36 minutes, respectively. Additionally, weekend nursing attention stands at 2 hours and 42 minutes per resident daily, trailing the Tennessee state baseline of 3 hours and 21 minutes by 19%. Currently, the community is operating at a 51.1% occupancy rate, which is below the Tennessee average, suggesting open availability for immediate placement.

A review of the state regulatory ledger shows that the Tennessee Department of Health conducted 4 evaluations over the tracking period, documenting 14 total deficiencies across three routine annual reviews and a complaint investigation. The latest comprehensive annual inspection on October 16, 2024, uncovered 5 deficiencies related to actual resident harm without immediate jeopardy for failing to prevent abuse. The review also listed concerns regarding the failure to safeguard personal belongings, alongside environmental upkeep, resident assessments, and basic infection control protocols, leading to an active civil monetary penalty.

Every private space features satellite television, property-wide wireless internet, and bedside telephone access. A signature Select Dining program is also offered, along with concierge care, continuous 24-hour pharmacy coordination, and on-site professional services covering podiatry, dental care, and optometry. Additional lifestyle perks include a beauty salon, a transit van, unrestricted round-the-clock visitation, a full-time chaplain delivering multi-denominational weekly services, a specialized multi-sensory environment room, an active volunteer program, and private bereavement spaces. Life enrichment schedules are thoroughly detailed, featuring group excursions, localized hobby clubs, and public neighborhood gatherings.

Signature HealthCARE of South Pittsburg Rehab & Wellness Center represents a highly compatible fit for older adults seeking long-term clinical care within a well-appointed, stable setting defined by low employee turnover and excellent long-stay medical outcomes.

Overview of Signature Healthcare of Monteagle Rehab and Wellness Center

A 150-bed private nursing community operating under administrator Douglas Malin and owner Amanda Levieux, Signature HealthCARE of Monteagle Rehab & Wellness Center focuses on long-term clinical care and physical rehabilitation. The payer demographic consists of 46% private-pay, 34% Medicare, and 20% Medicaid admissions, which together average a 181-day length of stay. The property, situated in a rural setting with a Walk Score of 43, maintains an occupancy rate of 55.9% and posted a modest net income of $145.3 thousand on $11 million in revenue.

Government archives show some operational and compliance hurdles, noting 21 total citations across four inspections since 2021. The latest review in September 2025 flagged four moderate deficiencies spanning nutrition, infection control, nursing services, and basic care quality, adding to a historical federal fine total of $40,000 with zero payment denials.

Daily nursing attention tracks closely to the state benchmark at 3 hours and 32 minutes per resident, but registered nurse coverage is low, averaging just 14 minutes daily, 62% below the Tennessee standard. Clinical logs point to positive long-term outcomes for resident pressure ulcer prevention, walking stability, and depression management, though temporary rehabilitation residents experienced lower rates of successful community discharge compared to the state average.

Older adults analyzing regional skilled nursing alternatives can consult these public health summaries to evaluate the operator’s long-term performance trends. Since the official databases verify strong physical and behavioral health scores for permanent residents alongside low direct registered nurse hours and repeated standard inspection citations, reviewing current clinical staffing updates with management is a helpful precaution.

Cypress Grove Post Acute is a nursing home in Jackson, Tennessee, that offers skilled nursing, rehabilitation, memory care, and wound management. Owned by Goodhope Bay Holdings, LLC, this 170-bed community is one of the larger nursing options in the Jackson area, offering a variety of features and schedules that more intimate settings might not provide.

Regarding regulatory and staffing data, the most recent state review for the community was conducted in July 2022. The community has accumulated a total of 24 health citations across four inspections, which is higher than the state average.

Federal records indicate that Registered Nurse time per resident daily is 29 minutes, which sits 22% lower than the Tennessee mean and represents a significant difference in clinical supervision. Licensed Practical Nurse time reaches 1 hour 9 minutes, which is 6% higher than the state average, while nurse aide time is nearly identical to state averages at 2 hours 1 minute per day. Total nursing hours on the weekends stay relatively steady at 3 hours 15 minutes, only 3% under the state average. Physical therapy time for each resident is 3 minutes, which is lower than the state mean of 5 minutes and may be a factor for those prioritizing therapeutic results.

On a positive note, the community excels in preventing short-stay hospital readmissions, performing 48% better than the state average, and shows superior results in helping residents regain self-care abilities. However, the rate of falls resulting in major injury is 3%, which is higher than the state norm for older adults.

This community offers professional nursing, therapeutic recovery, memory assistance, and skin care services alongside constant staffing. Features on the property include a hair salon, a dedicated room for activities, an outdoor courtyard, and quiet areas for residents and their visitors. The focus on wound care also serves as a vital medical advantage for those with complex healing needs, which is a frequent requirement in post-acute care.

Cypress Grove Post Acute supports both temporary recovery patients and permanent nursing residents in Jackson, Tennessee. Its impressive record for preventing rehospitalization makes it a strong contender for older adults healing from surgery or acute illness who require professional support, while its specialized wound management program appeals to families seeking specific clinical expertise.

Nhc HealthCare in Franklin is an 80-bed, 24-hour skilled nursing healthcare center known for its reliability and expert team. With specialized physicians, nurse practitioners, therapists, and dedicated nursing staff, they ensure comprehensive care for residents. The facility boasts chef-approved meals curated by a dietitian and provides on-site rehabilitation and therapy services to enhance residents’ well-being. Daily assistance with personal living activities is a key offering, providing seniors with the support they need.

This community goes beyond the basics, offering a range of amenities and activities to enrich the lives of residents. From religious services and gardening areas to a beauty and barbershop, entertainment, housekeeping, and laundry services, NHC HealthCare strives to create a vibrant and comfortable environment for seniors. With a focus on both skilled nursing and the overall senior living experience, this facility stands as a reliable choice for those seeking quality care and an engaging community.

Overview of Spring Meadows Health Care Center

Spring Meadows Health Care Center is a 32-bed nursing home in Clarksville, Tennessee, at 220 TN-76, operated by Spring Meadows Retirement Village LLC under Administrator Shannon R. Jones. It’s a small facility in a car-dependent area (Walk Score 22) that has been running for 39 years and is now at full capacity with all 32 beds occupied. The average resident stay is about 136 days. The home accepts Medicare, Medicaid, and private pay.

Staffing metrics tell a consistent story across all categories. RNs work 25 minutes per resident per day, versus 37 minutes statewide. LPNs work 57 minutes daily, below Tennessee’s 1 hour 6 minutes. Nursing aides supply 2 hours 1 minute, compared to the state average of 2 hours 9 minutes. Total nursing coverage runs 3 hours 13 minutes per resident per day, about 12 percent short of the Tennessee average. These aren’t tiny gaps. They add up when you’re managing residents through recovery or managing chronic conditions.

The inspection record reflects strain. Over six years, Spring Meadows recorded 24 citations, which is 500 percent higher than the typical Tennessee nursing home.

In April 2023, a complaint investigation flagged an Immediate Jeopardy situation. A resident with cognitive impairment eloped, spent 58 minutes unsupervised outside, and the facility lacked adequate oversight to prevent it. They filed a correction plan.

The July 2024 follow-up inspection confirmed those corrective actions were held and found no new harm-level issues. That same inspection, though, documented additional problems: late resident assessments (7 of 28), gaps in infection control protocol, deficient feeding tube care, inadequate care planning, environment and safety violations, and insufficient staff training.

What you’re looking at is a small, rural nursing home operating at maximum capacity with nursing staff running lean compared to state norms and a recent history of serious regulatory violations alongside demonstrable corrective action. The Immediate Jeopardy elopement situation was addressed, which matters. The broader pattern of deficiencies across infection control, assessments, and staff training signals systemic pressures that may not be fully resolved.