Page 24 of Best Senior Care in Tennessee

Overview of Franklin Wellness and Rehabilitation Center

Situated just off West Main Street in Franklin, Tennessee, the Franklin Wellness & Rehabilitation Center is a dedicated skilled nursing facility, unwavering in its commitment to delivering exceptional care. Focused on fostering a loving, welcoming, and encouraging environment, their mission revolves around enabling residents to thrive physically, emotionally, and socially.

Accredited by the Joint Commission, Franklin Wellness & Rehabilitation Center seamlessly caters to short-term rehabilitation needs and long-term care services. Their unwavering dedication to excellence makes them a trusted choice for those seeking top-tier nursing care in the heart of Williamson County. With an emphasis on continuous quality improvement, the center aspires to be the premier nursing care provider in Williamson County. Residents at Franklin Wellness & Rehabilitation Center can engage in enriching activities, and the center’s patient-centered care programs are designed to prioritize individual well-being. Accommodations include private suites and semi-private rooms, complemented by amenities like satellite TV service and WiFi. 

Overview of Life Care Center of Hixson

Life Care Center of Hixson is a 108-bed skilled nursing and rehabilitation facility in Hixson, Tennessee. It’s owned by North River Valley Operations, LLC, administered by Johnny Cerino, operating in Hamilton County since 1976, and recognized with a Best Nursing Home award. Medicare, Medicaid, and private pay are accepted. The facility is primarily a short-stay destination, with an average stay of 46 days and 77 percent occupancy above Tennessee’s average.
CMS grades Life Care Center of Hixson 4 stars, 31 percent above Tennessee’s average, with above-average scores across all four sub-categories. Health inspection performance runs 37 percent above the state average; 12 total health citations recorded across two inspections since 2018 compare favorably to Tennessee’s 15.4 average, with zero critical or serious findings. All citations were moderate and resulted from standard inspections. The per-inspection average of 6 citations sits higher than the 4.39 state mean, reflecting concentration in the two inspections on record rather than chronic noncompliance. No penalties imposed in the past three years. Meanwhile, staffing is a particular strength for short-stay residents. Physical therapist hours reach 13 minutes per resident daily, 160 percent above Tennessee’s 5 minutes average. RN hours at 52 minutes daily are 41 percent above the state average, and weekend RN coverage at 36 minutes daily is 50 percent above Tennessee’s 24 minutes benchmark. Short-stay quality measures are rated significantly above average: zero short-stay falls with major injury, a 66.9 percent community return rate (32 percent better than the state), and 5.1 percent ED visit rate (54 percent better than Tennessee’s 11.2 percent). Long-stay measures are rated below average, with notably elevated pressure ulcer rates at 11.3 percent against Tennessee’s 5.4 percent average, and hospitalization rates 56 percent above the state benchmark.
Amenities highlight an Alzheimer’s and dementia care program, a Community Re-Entry Program, a fine dining program, and landscaped grounds and courtyards.
Life Care Center of Hixson is a strong fit for Hamilton County families seeking post-acute rehabilitation, with standout therapy staffing and short-stay outcomes ranking among the better performers in the region. Families considering long-stay placement should ask about wound care protocols and clinical monitoring practices.

Overview of The McKendree Post Acute and Rehabilitation

The McKendree Post Acute and Rehabilitation is an 180-bed nursing home in Hermitage, TN, offering a full continuum of support, including assisted living, memory care, short-term rehabilitation, long-term care, and skilled nursing. Licensed in July 1992 under McKendree SNF Operations, LLC, which is affiliated with Hill Valley Healthcare, the community currently holds a 1-star CMS overall performance rating. Medicare, Medicaid, and private insurance payments are also accepted.

Therapeutic rehabilitation stands out as a verified highlight of the community, with daily physical therapist contact averaging 7 minutes per resident, marking a 40% increase over the Tennessee state average of 5 minutes, which delivers a substantial advantage to individuals recovering from acute medical events. Weekend registered nurse coverage reaches 30 minutes per resident each day, outperforming the state average of 24 minutes and ensuring comprehensive clinical monitoring throughout Saturdays and Sundays. Staffing documentation from the second quarter of 2025 also confirms the presence of a nurse practitioner, clinical nurse specialists, respiratory therapy technicians, speech-language pathologists, and mental health professionals. Overall nursing care averages 3 hours and 3 minutes per resident daily, falling short of the Tennessee average of approximately 3 hours and 40 minutes, while individual hours for registered nurses, licensed practical nurses, and nursing assistants track between 4% and 11% below state benchmarks.

Throughout an eight-year review period, the Tennessee Department of Health executed 4 separate inspections, compiling a total of 47 health citations, representing the largest volume of deficiencies among evaluated local options. 7 of which were deemed critical, 1 was categorized as serious, 38 were labeled moderate, and 1 was judged minor. Specifically, quality of life and clinical care accounted for 11 citations, resident rights made up 8 deficiencies, and issues surrounding abuse, neglect, or exploitation generated 6 citations. Additionally, the most recent formal evaluation on October 3, 2023, yielded critical as well as multiple moderate citations related to abuse and neglect, all of which were documented as resolved.

CMS has designated this community as a Special Focus Facility Candidate, a status reserved for properties possessing a recorded pattern of significant care issues that have not yet entered the official Special Focus Facility program. Independent data indicate the community was subject to active federal monitoring for at least one month between August 2024 and July 2025. However, no monetary fines or payment suspensions were noted in the state records. In September 2025, the management submitted a Certificate of Need request to add 30 dually certified skilled nursing beds, pointing to operational enhancements introduced by the current ownership and a rising regional need for post-acute care.

With an expansive 42-acre campus near Long Hunter State Park and Stones River Bend Park, the community provides structured wellness options and lifestyle events delivered daily through the local EngageLife program.

The McKendree Post Acute and Rehabilitation is a practical option for older adults seeking a broad spectrum of medical and lifestyle support.

Overview of Magnolia Creek Nursing and Rehabilitation

Magnolia Creek Nursing and Rehabilitation is a 156-bed nursing home in Covington, Tennessee, offering long-term care, rehabilitation services, and daily nursing support. Operating since 1992, the community accepts Medicare, Medicaid, and private pay, making services accessible across a wide range of financial situations. Occupancy remains below the state average at a 56.4% occupancy rate, suggesting bed availability is often easier to secure than at many comparable communities in the region.

CMS currently assigns the community a 1-star overall rating, reflecting performance that falls below Tennessee benchmarks in several key areas. Inspection records over the past seven years show 29 deficiencies across five inspections, including multiple serious and critical-level citations. The most common findings involved quality of care, resident rights, pharmacy services, abuse and neglect prevention, and environmental concerns. Several deficiencies also stemmed from complaint investigations rather than routine annual surveys. All cited issues have reportedly been corrected, and the most recent inspection was completed in September 2025.

Licensed practical nurse coverage exceeds Tennessee averages and may support stronger day-to-day hands-on care for residents. However, registered nurse coverage, certified nursing assistant hours, and overall weekend staffing levels all fall below state benchmarks. Total nursing hours per resident also trail the Tennessee average. Lower staffing levels do not necessarily determine care quality on their own, but they are an important factor for families to discuss directly with leadership, particularly for residents requiring more intensive medical oversight or assistance with daily living activities.

The community provides 24-hour nursing support along with rehabilitation therapies and licensed CNA care. The average length of stay is approximately 108 days, reflecting a blend of transitional recovery and ongoing care needs. Private-pay residents account for a notable share of new admissions, though the community continues to maintain broad access through Medicare and Medicaid participation. Its location along U.S. 51 South also offers relatively convenient access for families and visitors.

Magnolia Creek Nursing and Rehabilitation is ideal for families seeking a larger skilled nursing community in the Covington area with flexible payment options and ongoing bed availability. Its higher LPN staffing levels and broad admissions structure are meaningful advantages, particularly in markets where choices may be limited. At the same time, the community’s inspection history, staffing shortfalls in several categories, and below-average CMS rating make it important for interested families to review state inspection reports carefully and speak directly with administration about quality-improvement efforts, staffing stability, and resident care oversight.

Overview of Morningside of Belmont

Seated in the heart of “Music City” Nashville, Morningside of Belmont independent living facility provides a vibrant community geared towards seniors seeking an active and fulfilling life. Being surrounded by friendly faces, taking part in lively discussions while enjoying tasty meals, bolsters a healthy social life. Spacious apartments that put an emphasis on natural light, and provide a cozy spot for you to kick back, relax, and recharge.

Wherever your interests lie, Morningside of Belmont has got something for you. Music enthusiasts, fitness buffs, lifelong learners, will be able to enjoy many concerts and performances, a top-class gym, and various educational workshops, respectively. All with the peace of mind that you’ll be receiving amazing service from an expert staff, should you require it. This independent living system encourages and empowers residents to safely live life on their own terms, exploring more of what they enjoy and even picking up hobbies they never imagined being interested in.

Located in Elizabethton, Tennessee, Hermitage Health Center is a nursing home offering skilled nursing and memory care in Carter County, right at the heart of town. The community is operated by Ocoee Hermitage Health Center, LLC, under administrator Andrew Call, and owned by Jeannie Bradshaw. Medicare, Medicaid, and private pay are accepted, giving families multiple ways to cover a stay.

The 70-bed community has been operating for 34 years. It’s a moderately sized, long-standing option in the area. Its current occupancy rate is 78%, with 55 of its 70 beds currently filled, so some availability exists for families weighing their options. Residents stay an average of 94 days, which is a mix of short-term rehabilitation and longer-term nursing care.

Clinically, the home provides physical, occupational, and speech therapy alongside dedicated memory care services. These support residents recovering from an illness, injury, or hospital stay as well as those living with cognitive changes. Total nursing care averages about 3 hours and 11 minutes per resident daily, so daily hands-on support is built into the routine. Residents also have an active resident council that meets regularly to weigh in on facility policies, care quality, and activities. They can voice their opinions on how to run the community.

State health inspections on file for Hermitage Health Center have centered on care-planning documentation. The issues identified have been resolved, and no critical or serious findings have been recorded. The home is in a moderately walkable part of Elizabethton, scoring 68 out of 100, so some errands nearby can be handled on foot. Families touring the community should ask how care planning is being documented and reviewed.

Overview of Decatur County Health and Rehabilitation

Decatur County Health and Rehabilitation is a nursing home in Parsons, Tennessee, offering skilled nursing and rehabilitation services. Owned by Bear Creek Healthcare, LLC, this 125-bed community has been in operation since 1992 and accepts both Medicare and Medicaid.

Hospitalization rates for long-term residents are consistent with the Tennessee average, while emergency room visits for this group are 32% better than the state average, which serves as a strong sign of successful chronic care management. This community is also rated significantly above average regarding its long-term quality standards, while findings vary for temporary residents. The rate of falls resulting in major injury is zero, which is perfectly optimal, and the success rate for residents returning home after their stay exceeds the state average by 10%. Conversely, rates for re-hospitalization and emergency visits following admission are higher than the state average for the short-term population, indicating that families should inquire about transition planning.

Employee data shows that Registered Nurse time is below the state mean, though Licensed Practical Nurse hours are 25% higher than the Tennessee average. Total nursing hours on weekends remain consistent with state standards for older adults.

This community provides professional nursing, on-site therapy, and recovery services, supported by a physician on staff and 24-hour coverage from licensed nurses and certified assistants. A social calendar titled Stay Active programming is also conducted. Private and shared rooms, as well as dining services, regular housekeeping, and laundry assistance, are also available. Additionally, the acceptance of Medicare and Medicaid ensures that the community is accessible to residents with various financial backgrounds.

Decatur County Health and Rehabilitation is a practical option for both permanent nursing residents and temporary recovery patients in the Parsons area and throughout Decatur County. The high performance in long-term care standards and the perfect record in preventing fall-related injuries suggest a safe and stable environment for those with complex health requirements. However, those focusing on short-term recovery may find it helpful to review the specific discharge and transition protocols due to the higher rates of return hospital visits for that specific group.

A member of Hillcrest Community, Island Home Park Health is a skilled nursing and rehabilitation center that has been providing service for many families since 1960; they have strived to be one of the nursing homes that offer a top-notch level of service. Management ensures that the mental, physical, and emotional needs of their residents are met and satisfied; they provide a personalized care program that is focused on the specific needs of each unique individual. Marian Manor is where opportunities happen, and where residents feel as if they’re home away from home.

Island Home offers a range of services such as short-term and sub-acute care, skilled nursing, rehabilitative services, and long-term care; to name a few of the highlighted services including specializing in respiratory care, wound care, IV therapy, and bariatric care. 

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 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.