Best Senior Care in Tennessee

Overview of Signature Healthcare of Erin

Houston County houses Signature HealthCARE of Erin, a 164-bed private nursing home overseen by administrator Teresa Wall and owner Andrea Baston. Operating since 1992, the rural facility provides a mix of clinical care, rehabilitation therapies, and short-term respite stays. The resident population is supported by a payer structure of 47% private-pay, 28% Medicaid, and 26% Medicare admissions, resulting in an average stay of 115 days. The building sits in an area with a Walk Score of 34 and runs a 57% occupancy rate alongside an annual net loss of $782.3 thousand on $13.6 million in revenue.

State enforcement files reveal prominent safety and structural hurdles, including $211,000 in cumulative federal fines across four inspections since 2019. While the total count of 11 citations sits below the state baseline, the records detail four critical violations and one serious infraction, culminating in an April 2024 inspection that flagged severe issues with pharmacy services and abuse protocols.

Daily care times average 3 hours and 30 minutes per resident, but registered nurse coverage drops to 16 minutes on weekdays and 8 minutes on weekends, contributing to a 1.12:1 staff-to-resident ratio. Clinical tracking logs show widespread difficulties across both short- and long-term populations; permanent residents experienced elevated rates of serious fall injuries, walking difficulties, and daily activity decline, while short-stay rehabilitation metrics show high hospital readmission rates and a 42% deficit in standard vaccinations.

Prospective residents evaluating regional long-term placements should carefully weigh these public health records during their selection process. Because the official regulatory history documents multiple critical enforcement citations, elevated financial fines, low registered nurse presence, and poor clinical safety outcomes, verifying modern corrective actions with the administration is an essential step.

Overview of The Bridge Assisted Living at Life Care Center of Sparta

Managed by administrator Justin Freeman and owned by Latessa Morris through Sparta Medical Investors, The Bridge Assisted Living at Life Care Center of Sparta handles skilled nursing, rehab therapies, and memory care within a 60-bed building. Operational since 2000, the downtown facility works with an even mix of short-stay admissions, with 47% using Medicare and 47% paying privately, while 6% rely on Medicaid. The building carries a Walk Score of 44, reports an average resident stay of 61 days, and runs a 62.6% occupancy rate alongside a 2023 net operating loss of $530.6 thousand on $12.4 million in revenue.

Public oversight logs show a stable regulatory history with zero federal fines or penalties issued over the past three years. Daily care times hover near the state benchmark, with nursing staff providing an average of 3 hours and 18 minutes per resident each day. Clinical quality archives reveal strong numbers for preventive health, including a 100% vaccination rate for permanent residents and low rates of depression and antipsychotic medication use.

On the short-term rehab side, vaccination numbers and medication tracking also outpace state baselines, though the facility’s long-term care files note some performance dips, with serious injuries from falls tracking 59% higher than the Tennessee average alongside elevated rates of urinary tract infections.

Prospective residents researching local nursing or rehabilitation setups can look through these government tracking metrics to see how the home handles daily care. Since the health records highlight great short-term vaccination tracking and zero recent fines alongside some elevated fall numbers for long-stay residents, the paperwork fits a facility with a solid foundation in preventive care.

Overview of The King’s Daughters and Sons Home

Established in 1992, The King’s Daughters and Sons Home is a 108-bed nonprofit community in Bartlett, Tennessee, managed by administrator Nicole B. Wiles. The facility covers a range of senior care needs, coordinating long-term skilled nursing, hospice support, and short-term rehabilitation. Admissions reflect a diverse payer mix, 66% utilize Medicare, 24% pay privately, and 10% rely on Medicaid, resulting in an average resident stay of 128 days. The suburban campus maintains an 82.5% occupancy rate, which runs notably higher than the Tennessee benchmark, and sits in an area with a Walk Score of 36.

Public health databases reveal solid operational metrics, highlighted by a daily nursing presence averaging 5 hours and 6 minutes per resident to rank eighth statewide. Much of this time is driven by direct nurse aide support, which tracks at 3 hours and 13 minutes daily, roughly 50% above the state average. Long-stay clinical files show very strong outcomes, including low rates of functional decline, stable physical mobility, and a resident depression rate of less than one percent.

Short-stay recovery metrics indicate some friction, as the facility’s rehospitalization rate for temporary rehab residents reaches 33.2%, tracking about 50% worse than the state standard.

Prospective representatives checking into local long-term care or recovery setups can look through these government health summaries to assess the provider’s strengths. Since the official tracking profiles verify exceptional daily direct care hours and steady physical health trends alongside some elevated readmission marks for short-term recovery, the documentation points to an environment highly geared toward permanent residential care. Arranging an in-person tour is a helpful next step to check out the rehabilitation wing, view the common spaces, and ask the administrative team about their specific protocols for lowering short-stay hospital readmissions.

Operating within a continuing care retirement campus in Nashville’s West Meade neighborhood, The Health Center at Richland Place is a 107-bed nonprofit facility managed by administrator Hunter Blake Harris. The community coordinates independent living, assisted living, short-term rehabilitation, and respite care under a 24-hour staffing model. Payer demographics show that 72% of admissions pay privately, while 28% utilize Medicare, leading to a brief average resident stay of 46 days. The property maintains a high occupancy rate of 94% and stands in a suburban setting with a Walk Score of 54.

Health department summaries reveal serious regulatory and supervision hurdles, noting 23 total citations across five inspections since 2018. This volume tracks significantly above the typical Tennessee facility baseline, resulting in $56,000 in federal fines. Notably, a March 2024 complaint investigation uncovered an immediate jeopardy violation when inadequate supervision led to an unwitnessed fall, resulting in fractures and a resident’s subsequent death, while older logs from 2019 documented actual resident harm from neglected pressure ulcer care.

The latest routine evaluation in August 2025 flagged five moderate deficiencies spanning unsecured oxygen tanks, medication administered without physician orders, breached medical records, and basic hand-hygiene failures. Daily nursing care averages 4 hours and 11 minutes per resident, with an emphasis on physical therapy staffing that ranks well above state levels. Clinical data shows stable results for long-term mobility and low depression rates, though short-stay readmission rates run 27% worse than the state average, and long-stay pneumococcal vaccination rates drop to 49.4%.

Interested individuals assessing local post-acute or long-term options can utilize these multi-year state dossiers to balance the facility’s strong therapy presence against its compliance record. Tracking archives document critical supervision failures, past resident harm, and recurring administrative infractions alongside low long-term vaccination numbers, a detailed review of current corrective steps is a necessary safety measure.

Overview of Life Care Center of Ooltewah

Life Care Center of Ooltewah is a 120-bed skilled nursing and rehabilitation facility administered by Ashley Borja in Ooltewah, Tennessee, owned by Ooltewah Medical Investors Limited Partnership. Licensed since 2013 and recognized with a Best Nursing Home award, the facility offers 24-hour skilled nursing care and rehabilitation services in the greater Chattanooga area.
Staffing is a consistent strength. Registered nurse hours reach 1 hour and 7 minutes per resident per day, 81 percent above the 37 minutes Tennessee average, providing stronger clinical oversight than most peers in the state. Weekend RN coverage holds at 48 minutes per day, double the 24 minutes Tennessee benchmark. Physical therapist hours at 18 minutes per resident per day are 260 percent above the 5 minutes state average, which translates to markedly more hands-on therapy time for residents recovering from surgery, stroke, or injury. Short-stay quality outcomes are rated significantly above average by CMS. The 63.7 percent community return rate is 26 percent better than Tennessee’s 50.6 percent average, and 78.4 percent of short-stay residents met or exceeded expected self-care ability at discharge, 46 percent above the state benchmark. For long-stay residents, hospitalizations run at 1.46 per 1,000 resident days, 8 percent better than the state average, and ED visit rates at 0.62 per 1,000 days are 61 percent better than the Tennessee figure of 1.57.
Amenities feature a dedicated Alzheimer’s and dementia care program, a Community Re-Entry Program, a fine dining program, and landscaped grounds and courtyards.
Life Care Center of Ooltewah fits families in Chattanooga seeking post-acute rehabilitation with above-average therapy staffing, or long-stay placement for residents with dementia. The latest inspection summary must be requested from facility leadership or the Tennessee Department of Health.

Overview of Life Care Center of Rhea County

Life Care Center of Rhea County is an 89-bed skilled nursing and rehabilitation facility administered by Kate A. Swafford in Dayton, Tennessee. Owned by Dayton Medical Investors, LLC, and operating in Rhea County since 2009, the facility accepts Medicare, Medicaid, and private pay. It serves residents with a mix of short-term rehabilitation and long-term skilled nursing care.
CMS health inspection data covering three inspections since 2018 shows 13 total citations, well below the 15.4 Tennessee average, with the facility ranked 76th of 176 state nursing homes. All citations were moderate, with none critical or serious. The latest standard inspection was in September 2022. No penalties assessed in the past three years. The 2 deficiencies in the abuse, neglect, and exploitation category are worth asking, though the absence of any critical findings and the below-average citation count reflect a generally stable compliance record. Short-stay quality measures are rated significantly above average by CMS. The 67.7 percent community return rate is 34 percent better than Tennessee’s average of 50.6 percent, and 81.9 percent of short-stay residents met or exceeded expected self-care ability at discharge, 53 percent above the state benchmark. These figures suggest meaningful rehabilitation outcomes for post-acute residents. Total nursing hours reach 3 hours and 12 minutes per resident daily, 12 percent below Tennessee’s average of 3 hours and 40 minutes, driven primarily by RN hours at 30 minutes per day (19 percent below average) and weekend RN hours at 14 minutes per day (42 percent below the state figure of 24 minutes). CNA hours at 2 hours and 15 minutes per day modestly exceed the state average.
Amenities include a Community Re-Entry Program, fine dining, landscaped grounds and courtyards, a certified activity director, and a beauty salon and barber shop.
Life Care Center of Rhea County is a practical fit for Rhea County families seeking short-term rehabilitation with strong discharge outcomes. Those considering long-stay placement should discuss RN staffing levels and weekend clinical coverage with facility leadership.

Overview of Life Care Center of Morristown

Life Care Center of Morristown is a 161-bed skilled nursing and rehabilitation facility owned by Life Care Centers of America, Inc., and administered by Victoria Bowen in Morristown, Tennessee. Licensed since 1992 and serving Hamblen County, the facility accepts Medicare, Medicaid, and private pay, supporting a mix of short-term rehabilitation and long-term care residents, with 100 days average stay.
CMS grades Life Care Center of Morristown 5 stars, 63 percent above the Tennessee average, with above-average scores across all four sub-categories. The health inspection rating sits 37 percent above the state average, supported by a lean citation record: 8 total health citations since 2020 across four inspections, compared to Tennessee’s average of 15.4, placing the facility 39th of 176 in the state. At 2 citations per inspection, the community ranks 12th of 176 statewide. All 8 citations were moderate; none were critical or serious. The June 2024 inspection produced one already-corrected abuse and neglect citation. No penalties identified in the past three years. Long-stay quality measures are rated significantly above average. Hospitalization rates for long-stay residents run at 1.19 per 1,000 resident days, 25 percent better than the Tennessee average of 1.58. Only 5.2 percent of long-stay residents experienced increased need for daily activity assistance, 68 percent better than the state benchmark. Depressive symptom rates at 3.3 percent are 70 percent below the Tennessee average. Short-stay falls with major injury at 2.9 percent are notably worse than Tennessee’s 0.8 percent average, worth discussing with leadership for residents at fall risk.
Amenities include 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 Morristown suits families in Hamblen County wanting a highly rated facility for skilled nursing or long-term care, with a strong compliance record and demonstrably better-than-average long-stay health outcomes. Short-stay falls are worth reviewing with facility leadership.

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 Life Care Center of Gray

Life Care Center of Gray is a 133-bed skilled nursing and rehabilitation facility administered by Ashley Lee in Gray, Tennessee, owned by Gray Medical Investors, LLC. Situated in Washington County and operating since 1992, the facility accepts Medicare, Medicaid, and private pay.
CMS rates Life Care Center of Gray 1 star, 67 percent below the Tennessee average, driven primarily by a health inspection rating 66 percent below the state benchmark. 4 critical abuse, neglect, and exploitation citations were issued in April 2024, all subsequently corrected, along with a $10,000 civil money penalty. 6 of the facility’s 16 total health citations since 2018 resulted from complaint investigations. The 4 critical citations recorded within eight years are 264 percent above the Tennessee average of 1.1, the most consequential data point in the inspection record. The CMS staffing rating runs 22 percent above the Tennessee average, though CNA hours at 1 hour and 39 minutes per resident per day are 23 percent below the state benchmark, and weekend total nursing at 2 hours and 32 minutes per day is 24 percent below the Tennessee average. Long-stay quality measures are rated above average. Hospitalizations run at 1.40 per 1,000 resident days, 11 percent better than the Tennessee average of 1.58, and ED visits at 1.12 per 1,000 days are 29 percent better than the state figure. Pressure ulcer rates at 3.0 percent are 46 percent below the Tennessee average. Short-stay falls with major injury at 2.6 percent are 242 percent worse than the state average of 0.8 percent, and the community return rate of 35.7 percent is 29 percent below the Tennessee benchmark of 50.6 percent, limiting the facility’s fit for residents aiming for post-acute rehabilitation with discharge home.
Amenities feature an Alzheimer’s and dementia care program, a Community Re-Entry Program, landscaped grounds and courtyards, and a fine dining program.
Life Care Center of Gray may suit families in Washington County seeking long-term skilled nursing care, where the long-stay clinical outcomes are more favorable. The 2024 abuse and neglect findings and the 1-star overall rating warrant discussion with facility leadership before placement. Families should ask specifically about the April 2024 findings, the corrective actions taken, and current oversight practices before deciding.