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Compare Senior Care around Tennessee
The information below is reported by the Tennessee Department of Health, Division of Health Care Facilities.
Click column headers to sort
| Holston Health And Rehabilitation Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Knoxville | 94
Facility
94
TN AVG
88
Rank
#174 / 427 | No |
2
Facility
2
TN AVG
34
Rank
#508 / 554 | - | 31
Facility
31
TN AVG
27
Rank
#154 / 385 |
81.9%
Facility
81.9%
TN AVG
73.7%
Rank
#112 / 287 | - | Daniel Graham Mckenzie | Nhc Healthcare/Holston Hills, LLC | - |
| Morning Pointe of Knoxville |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Knoxville | 81
Facility
81
TN AVG
88
Rank
#204 / 427 | Yes |
2
Facility
2
TN AVG
34
Rank
#508 / 554 | Studio / Alcove / 1 Bed / 2 Bed | 7
Facility
7
TN AVG
27
Rank
#353 / 385 |
80.2%
Facility
80.2%
TN AVG
73.7%
Rank
#125 / 287 | - | Kristy Ritch | Westland Medical Investors LLC | 620 days
Facility
620 days
TN AVG
465
Rank
#60 / 201 |
| Clarendale at Indian Lake |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Hendersonville (Indian Lake Boulevard) | 78
Facility
78
TN AVG
88
Rank
#216 / 427 | No |
38
Facility
38
TN AVG
34
Rank
#249 / 554 | 1 Bed / 2 Bed | 6
Facility
6
TN AVG
27
Rank
#362 / 385 |
93.6%
Facility
93.6%
TN AVG
73.7%
Rank
#36 / 287 | A+ | Mitchell Metzger | Hendersonville Tn Senior Living Leaseco, | 508 days
Facility
508 days
TN AVG
465
Rank
#91 / 201 |
| Morning Pointe of Franklin |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Franklin | 80
Facility
80
TN AVG
88
Rank
#207 / 427 | Yes |
25
Facility
25
TN AVG
34
Rank
#350 / 554 | Studio / Alcove / 1 Bed / 2 Bed | 9
Facility
9
TN AVG
27
Rank
#337 / 385 |
92.5%
Facility
92.5%
TN AVG
73.7%
Rank
#38 / 287 | A+ | Jenna Alley | Franklin Tn Medical Investors, LLC | 649 days
Facility
649 days
TN AVG
465
Rank
#52 / 201 |
| Charter Senior Living of Cookeville |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Cookeville (Pleasant View) | 84
Facility
84
TN AVG
88
Rank
#196 / 427 | Yes |
36
Facility
36
TN AVG
34
Rank
#260 / 554 | Studio / 1 Bed / 2 Bed | 27
Facility
27
TN AVG
27
Rank
#181 / 385 | - | - | Dawn Smith-Huckeby | Snh Tenn Tenant LLC | 691 days
Facility
691 days
TN AVG
465
Rank
#37 / 201 |
| Morning Pointe of Spring Hill |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Spring Hill | 80
Facility
80
TN AVG
88
Rank
#207 / 427 | Yes |
24
Facility
24
TN AVG
34
Rank
#358 / 554 | Studio / Alcove / 1 Bed / 2 Bed | 8
Facility
8
TN AVG
27
Rank
#345 / 385 |
87.5%
Facility
87.5%
TN AVG
73.7%
Rank
#70 / 287 | - | Alicia Armstrong | Spring Hill Medical Investors LLC | 554 days
Facility
554 days
TN AVG
465
Rank
#75 / 201 |
| Schilling Gardens Senior Living |
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Collierville | 78
Facility
78
TN AVG
88
Rank
#216 / 427 | Yes |
29
Facility
29
TN AVG
34
Rank
#318 / 554 | Studio / 1 Bed | 44
Facility
44
TN AVG
27
Rank
#38 / 385 |
61.5%
Facility
61.5%
TN AVG
73.7%
Rank
#215 / 287 | A+ | Heather Overall | Southside Nursing , LLC | 433 days
Facility
433 days
TN AVG
465
Rank
#107 / 201 |
| Rain Forest Landings |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Knoxville (Truewood By Merrill) | 62
Facility
62
TN AVG
88
Rank
#282 / 427 | No |
18
Facility
18
TN AVG
34
Rank
#395 / 554 | Suite | 13
Facility
13
TN AVG
27
Rank
#314 / 385 |
95.2%
Facility
95.2%
TN AVG
73.7%
Rank
#28 / 287 | - | Nicole Mccrory | Landings Operator, LLC | 327 days
Facility
327 days
TN AVG
465
Rank
#140 / 201 |
| The Health Center at Standifer Place |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Chattanooga (Walker Road) | 125
Facility
125
TN AVG
88
Rank
#68 / 427 | No |
38
Facility
38
TN AVG
34
Rank
#249 / 554 | - | 34
Facility
34
TN AVG
27
Rank
#49 / 385 |
33.6%
Facility
33.6%
TN AVG
73.7%
Rank
#281 / 287 | A+ | David Boozer | Maturecare Of Standifer Place, LLC | 4 days
Facility
4 days
TN AVG
465
Rank
#200 / 201 |
| Morning Pointe of Hixson |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Hixson | 80
Facility
80
TN AVG
88
Rank
#207 / 427 | Yes |
19
Facility
19
TN AVG
34
Rank
#387 / 554 | Studio / Suite / Alcove / 1 Bed / 2 Bed | 16
Facility
16
TN AVG
27
Rank
#302 / 385 |
100.0%
Facility
100.0%
TN AVG
73.7%
Rank
#1 / 287 | - | Robin Jackson | Hixson Medical Investors, LLC | 743 days
Facility
743 days
TN AVG
465
Rank
#18 / 201 |
| TerraBella Athens |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Athens (Bohannon Addition) | 74
Facility
74
TN AVG
88
Rank
#231 / 427 | No |
55
Facility
55
TN AVG
34
Rank
#95 / 554 | - | 27
Facility
27
TN AVG
27
Rank
#181 / 385 |
85.1%
Facility
85.1%
TN AVG
73.7%
Rank
#89 / 287 | - | Mendy Howard | Athens Al/Mc, LLC | 131 days
Facility
131 days
TN AVG
465
Rank
#179 / 201 |
| Morning Pointe of Powell |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Powell (Powells Crossroads) | 80
Facility
80
TN AVG
88
Rank
#207 / 427 | Yes |
5
Facility
5
TN AVG
34
Rank
#481 / 554 | Studio / 1 Bed / 2 Bed | 11
Facility
11
TN AVG
27
Rank
#327 / 385 |
87.5%
Facility
87.5%
TN AVG
73.7%
Rank
#70 / 287 | - | Michael Tonietti | Powell Medical Investors, LLC | 654 days
Facility
654 days
TN AVG
465
Rank
#50 / 201 |
| Morning Pointe of East Hamilton |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Ooltewah (Collegedale) | 81
Facility
81
TN AVG
88
Rank
#204 / 427 | Yes |
26
Facility
26
TN AVG
34
Rank
#342 / 554 | Studio / Alcove / 1 Bed / 2 Bed | 6
Facility
6
TN AVG
27
Rank
#362 / 385 |
86.4%
Facility
86.4%
TN AVG
73.7%
Rank
#79 / 287 | A+ | Ian Shives | East Hamilton Medical Investors, LLC | 412 days
Facility
412 days
TN AVG
465
Rank
#113 / 201 |
| Pinnacle Assisted Living |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Knoxville (Waterville Lane) | 74
Facility
74
TN AVG
88
Rank
#231 / 427 | Yes |
5
Facility
5
TN AVG
34
Rank
#481 / 554 | Private Rooms | - |
63.5%
Facility
63.5%
TN AVG
73.7%
Rank
#204 / 287 | - | Beth Anne Watts | Altillo, LLC | 666 days
Facility
666 days
TN AVG
465
Rank
#46 / 201 |
| Northshore Heights |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Knoxville (Rocky Hill Center) | 74
Facility
74
TN AVG
88
Rank
#231 / 427 | No |
6
Facility
6
TN AVG
34
Rank
#479 / 554 | Studio / 1 Bed | - |
82.4%
Facility
82.4%
TN AVG
73.7%
Rank
#108 / 287 | - | Carrie Catherwood | Northshore Heights, LLC | 716 days
Facility
716 days
TN AVG
465
Rank
#26 / 201 |
Ave Maria Home Assisted Living is a nonprofit senior living community in Bartlett, Tennessee, that offers assisted living, memory care, rehabilitation, skilled nursing, and pastoral care. Operating since 2000, the community has more than 26 years of experience providing residential care and healthcare services within a faith-based environment. With a 101-bed capacity, the community serves older adults throughout the greater Memphis and Shelby County region.
Care options include assisted living support, long-term skilled nursing care, short-term rehabilitation, and specialized Alzheimer’s and dementia care through St. Luke’s Cottage, the community’s dedicated memory care program. Rehabilitation therapies, including physical, occupational, and speech therapy, are also available onsite. Pastoral care, religious programming, volunteer involvement, and family-centered care are also available.
Clinical staffing levels are a notable feature of the community, with licensed nurses and certified nursing assistants on-site. Additionally, publicly reported nurse staffing hours are substantially higher than the Tennessee state average, reflecting a stronger level of direct clinical support and supervision than many comparable communities. The community also accepts both Medicare and Medicaid, broadening access for residents with varying financial and healthcare coverage needs.
Amenities and support services include three daily meals served in private dining spaces, transportation for medical appointments and shopping, wellness monitoring, as well as shared activities and volunteer programs.
Regulatory records from the Tennessee Department of Health and CMS inspection data reflect a mixed compliance history over recent years. A total of 18 deficiencies have been recorded across multiple inspections. The most serious finding occurred during a March 2024 complaint investigation involving accident hazard supervision and resident safety, resulting in an immediate jeopardy citation, financial penalties, and a payment suspension.
Earlier inspections also identified concerns related to infection control, medication storage, care planning, food safety, resident rights, and assessment procedures. Reported corrective actions were implemented following these inspections. Additionally, the most recent standard inspection available was conducted in May 2025, which falls outside the usual inspection timeframe.
With a combination of faith-based programming, above-average nursing support, integrated memory care, and multi-level healthcare services, Ave Maria Home Assisted Living is a distinctive option within the Bartlett and Memphis senior living market. It is also a practical option for older adults with evolving medical or cognitive care needs who would benefit from remaining within one community over time, particularly families who value spiritual support alongside clinical care and rehabilitation services.
Nashville Senior Care is an assisted living home located in Nashville, Tennessee. It offers a full range of services including 24/7 care, nutrition assistance, and resident transportation. The facility is designed to create a safe and secure living environment for seniors.
Avail at Cleveland is a senior living community in Cleveland, Tennessee, that offers assisted living and memory care. The community is owned by Stuart Road Investors, LLC, with operations supported through Civitas Senior Living, a regional senior living management organization with communities across multiple states. With an 84-bed capacity, this community has only been in operation for four years.
This pet-friendly community offers studio, one-bedroom, and two-bedroom apartment layouts. Additionally, licensed nurses and certified nursing assistants provide 24-hour support. On-site access to services such as rehabilitation therapy, hospice coordination, podiatry, dental care, and short-term respite stays is also provided. Recreational and shared spaces are also available, along with home-cooked meals.
The most recent inspection was conducted in September 2023, though detailed findings from the report were not publicly accessible through reviewed sources. No publicly indexed enforcement actions, substantiated complaints, or fines were identified in the available records.
Featuring modern amenities, strong on-site clinical support, and individualized care planning, Avail at Cleveland is a good option for older adults and families seeking a newer assisted living and memory care community within the Cleveland and Chattanooga area.
Memory Assisted Living at Uplands Village is a senior living community in Pleasant Hill, Tennessee, offering independent living, assisted living, and memory care. Owned and operated by Uplands Village, Inc., the community has been serving residents since 2017 and maintains a smaller 31-bed setting that supports a more personal and consistent care experience. Medicare, Medicaid, and private pay are all accepted.
The most recent state inspection took place in January 2023. Additionally, no penalties or fines have been imposed for the past three years. Occupancy is currently at 48.2%, which is lower than the state average, suggesting availability. Additionally, 9% of new residents utilize Medicare, and 18% are Medicaid participants, while 73% are private pay.
The community’s continuum-of-care, including independent living, assisted living, and memory care, allows residents to remain within the same familiar environment as care needs evolve. Clinical and supportive services also include licensed nursing oversight, certified nursing assistants, rehabilitation support, respite stays, and access to on-site home healthcare services.
Located in the rural Pleasant Hill area, the community offers a quieter and more secluded environment than many urban senior living campuses. The surrounding area is also highly car-dependent, making transportation planning important for families coordinating appointments, visits, or errands outside the campus.
Featuring an aging-in-place model, clinical support services, and a personalized atmosphere, Memory Assisted Living at Uplands Village appeals to families seeking a smaller, more intimate senior living environment that combines independent living, assisted living, and memory care within one community.
Autumn Care West Knoxville is an assisted living community in Knoxville, Tennessee, that offers personal care and memory care for older adults throughout Knox County and the greater West Knoxville area. The community has operated since 2013 as part of the locally owned Autumn Care family of senior living communities, a Knoxville-based organization with multiple locations throughout the region. With a 56-bed capacity, the community has studio, deluxe studio, one-bedroom, and two-bedroom layouts.
24-hour caregiving support, medication management, housekeeping, laundry services, and routine maintenance assistance are offered, along with a specialized memory care program and therapies. The community also collaborates with Mission Mobile Medical Care to provide on-site primary care, behavioral healthcare, wound care, and podiatry services. Physical, occupational, and speech therapy are also available onsite, while smaller pets are allowed within resident apartments.
Shared spaces, restaurant-style dining, and recreational spaces are provided, along with regular activities and excursions to destinations throughout the Knoxville area and the nearby Smoky Mountains region. The community’s location in the Farragut corridor also provides convenient access to healthcare and everyday services.
The community has undergone a recent inspection in March 2023, under the Tennessee Department of Health, Division of Health Care Facilities, which conducts unannounced inspections and compliance reviews. However, no detailed findings, enforcement actions, fines, or substantiated complaints were identified in the reviewed materials.
With extensive amenities, onsite healthcare partnerships, and a strong emphasis on lifestyle engagement, Autumn Care West Knoxville appeals to older adults seeking a locally owned community that combines independent living, assisted living, and memory care within the West Knoxville and Farragut area.
Assisted Living at Trezevant is a LifeCare living community in Memphis, Tennessee, offering assisted living, memory care, skilled nursing, and rehabilitation services. Operating since 1998 under the ownership of Assisted Living at Trezevant Episcopal H., the community provides a full continuum of care under one roof. With 151 licensed beds, it is one of the larger senior living communities in the Memphis area.
An extensive range of amenities is offered, including multiple dining venues such as the Snowden Dining Room, the Trezevant Bistro, and private dining areas for family gatherings and special occasions. Lifestyle amenities, an activities calendar, and on-site banking services are also available within the community’s gated campus. Its moderate walkability also offers access to some nearby services and amenities within the surrounding Memphis area.
With oversight from the Tennessee Department of Health, Division of Health Care Facilities, the most recent recorded inspection occurred in July 2022. However, detailed deficiency or complaint information was not available.
Assisted Living at Trezevant is best-suited for older adults and families seeking a large, well-established senior living campus that combines assisted living, memory care, rehabilitation, and skilled nursing services within one integrated community. Its broad amenity offerings, onsite wellness resources, and multi-level care structure are also practical for residents anticipating evolving healthcare and support needs over time.
Cumberland Ridge Assisted Living Center is an assisted living community in Crossville, Tennessee, offering personal care. Serving older adults throughout Cumberland County, this 35-bed community is owned by Crossville Assisted Living Association LLC.
Medication management, personal care, housekeeping, meals, and routine wellness support are provided. Its smaller size contributes to a more intimate residential environment where staff familiarity and individualized attention may be more achievable than in larger campus-style communities. Three home-cooked meals daily, along with snacks throughout the day, are also provided. Additionally, staffing includes licensed nurses and certified nursing assistants providing 24-hour coverage, offering a meaningful level of clinical oversight for a community of this size.
The Crossville location reflects a quieter, more residential setting typical of the Cumberland Plateau region. While the area is considered highly car-dependent, Crossville is widely recognized as a retirement-friendly community known for outdoor recreation opportunities, golf courses, and a lower overall cost of living compared with many larger Tennessee cities. These regional characteristics may appeal to families considering both care placement and long-term lifestyle preferences.
Cumberland Ridge Assisted Living Center is ideal for older adults seeking a smaller assisted living environment with personalized attention, home-style amenities, and supportive daily care within the Crossville area.
Charter Senior Living of Gallatin is an assisted living community in Gallatin, Tennessee, offering personal care, rehabilitation services, and respite care. Serving older adults throughout Sumner County and the greater Nashville region, this 49-bed community is operated by Charter Senior Living, a regional senior living provider. The community has also received local recognition as the Best Assisted Living Community of Sumner County for 2023, reflecting positive visibility and reputation within the Gallatin area.
Support services include medication management, mobility support, personal care, meals, and housekeeping within a professionally managed residential environment. The community also provides rehabilitation support, respite care, and short-term stays, making it a potential option for both long-term residents and individuals recovering from hospitalization, surgery, or temporary health setbacks. Restaurant-style dining and activities are also available.
With a Walk Score significantly above many comparable assisted living communities in the area, residents and visiting families benefit from convenient access to nearby shopping, pharmacies, dining, healthcare providers, and other city-center amenities. Its location in Gallatin also offers relatively easy access to the broader Nashville metropolitan area.
Charter Senior Living of Gallatin’s combination of supportive services, social programming, rehabilitation options, and central location appeals to older adults seeking an active assisted living environment with access to both short-term and long-term care support.
Delivering a full continuum of care since 1992, Signature HealthCARE of Putnam County coordinates long-term skilled nursing, medical rehabilitation, and short-term respite stays within a 175-bed building. Administrator Paula Boone manages daily operations, which include multi-denominational chaplain programs, a beauty salon, private rooms, and an on-site physician. Payer distribution covers a varied mix, with 56% paying privately, 35% utilizing Medicare, and 9% relying on Medicaid. Residents record an average stay of 77 days, and the property maintains a 75.3% occupancy rate in a highly walkable city-center neighborhood carrying a Walk Score of 79.
State records point to thin staffing configurations, noting that daily nursing attention averages 3 hours and 7 minutes per resident to fall roughly 15% below the Tennessee benchmark. This reduction becomes more pronounced on weekends, when registered nurse coverage averages 13 minutes daily, marking a 46% drop below the state baseline. To balance these low nursing averages, the property’s dedicated physical therapy presence tracks 20% above the state standard, matching its focus on short-term recovery.
Operational data also reveals significant local financial friction, with the home reporting a net loss of $1.4 million in 2023 on total revenues of $19 million. On the clinical side, quality logs show strong preventive performance, including favorable vaccination updates and low rates of serious fall injuries, though resident anti-psychotic medication use runs higher than the state average.
Prospective residents weighing regional post-acute rehabilitation choices can look through these public health summaries to evaluate the facility’s day-to-day patterns. Since the official tracking profiles document solid physical therapy scores and positive long-term wellness indicators alongside below-average nursing hours and notable financial deficits, examining the facility’s clinical oversight and administrative stability is a helpful precaution.
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.
Ranking Methodology
How we rank these communities
Every community above is evaluated across six weighted categories using public data including state inspection records, review platforms, BBB profiles, and operator-published materials.
Weighting overview
- 35%Resident Experience
- 25%Regulatory
- 15%Visual Media
- 10%Website
- 10%Stability
- 5%Environment
01
Resident & Family Experience 35%
The single largest share of every ranking. Aggregated review sentiment and volume from major platforms — the closest signal to real resident experience.
- Includes
- Review Sentiment
- Review Volume
02
Regulatory & Safety Record 25%
State inspection records, citations, and complaint visits. We weight per-inspection rates more heavily than raw counts.
- Includes
- State Inspections
- Citations/Inspection
- % Inspections w/ Citations
- Complaint Visits
- Accreditations
- BBB Rating
03
Visual Media & Transparency 15%
Communities that publish high-quality visuals give families a real preview. No photos or tours = a negative transparency signal.
- Includes
- Video Tours
- Virtual Walkthroughs
- Photo Quantity
- Photo Quality
04
Website & Operator Transparency 10%
Site quality and whether the operator publishes basic accountability information — staff names, contact details, ownership.
- Includes
- Website Content
- Mobile Usability
- Staff Info Available
- Owner Info Available
05
Community Stability 10%
Operational signals indicating whether a community is well-run and meeting demand.
- Includes
- Occupancy Rate
- Bed Options
06
Environment & Pricing 5%
Walkability and pricing transparency. Walk Score is weighted higher for Independent Living than for Memory Care, where most residents do not leave unaccompanied.
- Includes
- Walk Score
- Pricing Transparency
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