Best Senior Care in Tennessee

Overview of The Village at Germantown

The Village at Germantown operates as a nonprofit continuing care retirement community in Germantown, Tennessee, about 0.6 miles from the city center in Shelby County. Managed by Junaita Lavy, the 60-bed community offers independent living, assisted living, skilled nursing, rehabilitation, respite care, and memory care on a single campus designed around aging in place.

The facility carries a 3-star overall CMS rating. Staffing is a clear strength: total nurse hours run 5 hours and 56 minutes per resident per day, ranking 4th out of 172 skilled nursing facilities in Tennessee and running 62% above the state average, a meaningful figure for residents requiring consistent hands-on care. Health Inspection performance is a counterweight, which is 31.5% below the Tennessee average. Quality Measures trail the state by roughly 20%.

Occupancy is 86%, well above Tennessee’s average of 71.6%, reflecting sustained local demand. The community accepts Medicare and private pay. Standout amenities include an on-site healthcare center with 10 free days annually, a fitness center and pool, spa services, and Life Changes Support Groups — the last of which targets the transitions inherent to a multilevel community.

The Village at Germantown fits older adults seeking a planned continuum of care in a single setting, particularly those who prioritize high staffing ratios and want flexibility across independent, assisted, and skilled nursing levels as needs change.

Overview of Whites Creek Wellness and Rehabilitation Center

Whites Creek Wellness and Rehabilitation Center is a privately owned 127-bed skilled nursing facility in Whites Creek, Tennessee, operated by Whites Creek Holdco LLC. The center serves residents in Davidson County and focuses on short-term rehabilitation and long-term care. It also holds Joint Commission accreditation.
The facility recorded 35 total health citations across seven inspections since 2018, more than double the Tennessee average of 15.4. Five of those citations were classified as critical severity, roughly 3.5 times the state norm. No civil money penalties or payment denials have been issued in the past three years. The 3-star CMS overall rating reflects a staffing sub-rating significantly below the Tennessee average; the Quality Measures sub-rating is 34% above state peers, a meaningful signal for residents prioritizing short-stay clinical outcomes.

Nurse staffing averages 3 hours and 7 minutes per resident per day, placing the center 134th out of 172 ranked Tennessee nursing homes on that measure. Occupancy is 89%, well above the Tennessee average of 73%, indicating consistent local demand.

Rehabilitation services and memory care are both available on site. The facility also offers a Life Enrichment Program, an outdoor courtyard, and resident garden support for day-to-day engagement, and private suites and semi-private rooms. The center accepts Medicare, Medicaid, and private pay.

Whites Creek Wellness and Rehabilitation Center is for residents seeking short-term post-acute rehabilitation or long-term skilled nursing care in Davidson County, with above-average quality-measures performance and capacity available despite sustained high occupancy.

Operating for 33 years in Decaturville, Tennessee, Westwood Health and Rehabilitation is a privately owned 90-bed skilled nursing facility managed by Melinda Wade. The community provides long-term nursing care, memory care, short-term rehabilitation, and respite stays for residents in Decatur County. Medicare, Medicaid, and private pay are all accepted.

CMS rates the facility 2 stars overall, 34.6% below the Tennessee average, driven by below-average Health Inspection and Quality Measures sub-ratings. Across 3 inspections since 2022, the facility has recorded 6 health citations, ranking 24th among 176 Tennessee SNFs by citation count. The most recent inspection in June 2025 resulted in a serious and a moderate abuse and neglect citation, along with a $15,000 civil money penalty; CMS marks both citations as corrected. Staffing earns an above-average CMS sub-rating, though nurse staffing averages 3 hours and 18 minutes per resident per day, compared with a Tennessee mean of 3 hours and 40 minutes.

Occupancy is well below the Tennessee average of 73%, meaning beds are available. Clinical programs include 24-hour skilled nursing, wound care, respiratory therapy, hospice and palliative care, registered dietitian services, and psychological services. On-site therapy supports both short-stay rehabilitation and longer-term care, and a dedicated memory care unit serves residents in cognitive decline.

The facility’s rehabilitation capacity, clinical service range, and current availability make it best suited for residnets seeking post-acute skilled nursing and memory care in a rural Decatur County setting.

Overview of Waynesboro Post Acute and Rehabilitation

Waynesboro Post Acute and Rehabilitation is a 66-bed skilled nursing facility in Waynesboro, Tennessee, operated by Waynesboro SNF Operations, LLC. The community provides short-term rehabilitation, memory care, and respite care, along with specialized programs in orthopedic rehabilitation, post-surgical care, pulmonary care, bariatric care, and oncology care.

Across 3 inspections over the past 8 years, the facility has received 15 citations, close to the Tennessee average of 15.4. It has carried no federal fines or penalties in the past three years. The more significant signal is citation severity: the facility recorded 7 serious citations, compared with a state average of 0.6, including an abuse/neglect finding at the most recent inspection in October 2025, which CMS records as corrected. The Health Inspection sub-rating is 37% above the Tennessee average, reflecting the low total count, though the seriousness of individual findings is the more relevant measure.

The facility holds a 2-star overall CMS rating, with Staffing as the primary driver. Nurse staffing averages 2 hours and 57 minutes per resident per day, ranking 150th of 172 Tennessee SNFs, well below the state average. Quality Measures also run below the Tennessee average across most tracked indicators.

The facility’s occupancy rate is 97%, substantially above Tennessee’s average of 71.6%, signaling consistent demand within Wayne County.

Waynesboro Post Acute and Rehabilitation’s rehabilitation capacity, including orthopedic, post-surgical, pulmonary, bariatric, and oncology programs, along with 24/7 nursing support, may suit residents seeking structured short-term post-acute care in a high-occupancy community in rural Wayne County.

Serving residents across Jackson County, The Waters of Gainesboro provides skilled nursing care, memory care, short-term rehabilitation, and respite care in a rural Tennessee setting. The facility is an 83-bed nursing home in Gainesboro, operated by The Waters of Gainesboro, LLC, under the administration of Rita Crabtree. Medicare and Medicaid are both accepted.

The CMS 3-star overall rating reflects a marked split across sub-ratings. Health Inspection performance is 37% above the Tennessee average, a meaningful positive signal for families weighing recent compliance history. However, staffing is the counterweight. Total nurse staffing averages 2 hours and 57 minutes per resident per day, compared with a state average of 3 hours and 40 minutes, placing the facility 150th out of 172 Tennessee SNFs on that measure.

Over five inspections since 2017, the facility has received 16 citations. A 2019 annual survey produced an Immediate Jeopardy finding related to elopement prevention. A February 2023 complaint investigation substantiated a failure to report an allegation of abuse within the required two-hour window. No fines or enforcement actions appear in the available reports.

Occupancy sits at 54%, well below the Tennessee average of 73%, which typically indicates current availability. Clinical programs include Comprehensive Wound Care and Respiratory Services, as well as the Living Well and In Motion activity and wellness tracks.

The facility serves residents requiring post-acute rehabilitation, long-term skilled nursing, or memory care support in rural Jackson County, Tennessee.

Overview of Oneida Nursing & Rehab Center

Serving residents in Scott County, Oneida Nursing & Rehab Center provides long-term care, short-term rehabilitation, memory care, and comfort care in Oneida, Tennessee. The 117-bed facility is privately owned and operated by Preferred Health Services of Tennessee and holds The Joint Commission’s Gold Seal of Approval for Nursing Care Center Accreditation, an independent certification focused on clinical and operational standards.

The facility carries a 1-star overall CMS rating, driven by below-average sub-scores in Health Inspection and Quality Measures. Since 2018, the facility has received eight citations across two health inspections, well below Tennessee’s average of 15.4. A $52,000 civil money penalty was issued following the September 2023 inspection.

Nurse staffing averages 4 hours and 7 minutes per resident per day, ranking the center 26th out of 172 Tennessee skilled nursing facilities and roughly 12% above the state average, which is meaningful for residents who depend on consistent daily assistance. The facility’s occupancy rate is 44%, reflecting broad availability across room types.
Amenities include private suites, salon services, and outdoor spaces; programs include Community Integration Trips and a dedicated Comfort Care track. The center accepts Medicare, Medicaid, and private pay.

Oneida Nursing & Rehab Center is best suited for residents seeking long-term skilled nursing or post-acute rehabilitation in rural Scott County, with dedicated capacity for memory care and comfort care.

Operating for 33 years on East College Street in Pulaski, Tennessee, Nhc Healthcare, Pulaski is a 102-bed skilled nursing facility managed by NHC Healthcare/Pulaski, LLC under administrator Douglas Wong. The facility accepts Medicare, Medicaid, and private pay and maintains 24-hour staffing across all shifts.

CMS rates the facility at 3 stars overall. The Health Inspection sub-rating trails the Tennessee average. The facility has received 7 citations across 2 inspections since 2019 compared with the state’s average of 15.4. Both serious citations from the October 2022 inspection were corrected with no penalties recorded in the past three years. Staffing and Quality Measures are both above the state average, with Quality Measures sub-rating 34% above Tennessee peers.

Nurse staffing averages 3 hours and 22 minutes per resident per day, about 8% below the Tennessee average. Physical therapist coverage stands out at 8 minutes per resident per day, which iis 60% above the state average, a meaningful figure for a facility where nearly half of new admissions arrive on Medicare for short-term rehabilitation.

Short-stay outcomes reflect that orientation. The rehospitalization rate of 7.3% is 67% better than the Tennessee average of 22.2%, and 58.6% of short-stay residents return successfully to home or community, compared to 50.6% statewide. Occupancy is 89.2%, well above the Tennessee average of 73%, ranking 63rd out of 302 facilities in the state.

Services include short-term rehabilitation, an on-site beauty and barber shop, an outdoor relaxation area, and daily activities programming. NHC Homecare and a Caris Hospice partnership extend care options beyond the facility.

Nhc Healthcare, Pulaski is structured for short-term post-acute rehabilitation and Medicare-covered skilled nursing stays in Giles County, with a care model and discharge record oriented toward residents planning to return home.

Overview of Princeton Transitional Care & Assisted Living

Princeton Transitional Care & Assisted Living is a 79-bed assisted living and transitional care community in Johnson City, Tennessee, operated through a partnership between Ballad Health and Signature HealthCARE under Blue Ridge Medical Management Corporation. The facility serves Washington County residents across assisted living, short-term rehabilitation, and memory care.

The facility performs above the Tennessee average across all four CMS rating categories. Health Inspection scores run 71% above state norms, and Staffing metrics place it 19th out of 172 Tennessee skilled nursing facilities. Nurse staffing averages 4 hours and 19 minutes per resident per day, roughly 22% above the state benchmark, which is meaningful for residents requiring consistent hands-on assistance.

The campus is built around rehabilitation and recovery. It includes a dedicated therapy gym for outpatient care, assisted living apartments, and transitional care units. Memory care is available on-site. Outdoor spaces include secure courtyards with walking paths and a covered patio with an outdoor fireplace. A chapel with weekly spiritual programming rounds out the lifestyle offering.

The facility accepts Medicare and private pay.

Princeton Transitional Care & Assisted Living serves older adults undergoing post-acute rehabilitation, residents with memory care needs, or those seeking assisted living within a larger health system footprint in the Tri-Cities region.

Overview of Monroe Health and Rehabilitation Center

Licensed since 1992, Monroe Health and Rehabilitation Center operates as a voluntary nonprofit skilled nursing and rehabilitation facility in Madisonville, Tennessee. The 81-bed community serves residents across Monroe County and provides short-term rehabilitation, long-term skilled nursing care, and respite care. Medicare, Medicaid, and private pay are all accepted.

Across six inspections over the past seven to eight years, the facility recorded 19 total citations, above the Tennessee average of 15.4 but at a per-inspection rate of 3.17, which is below the state mean of 4.39. Two of those citations involved abuse and neglect findings in June 2023 and June 2024, both of which were corrected. No federal fines or enforcement actions have been imposed in the past three years.

CMS rates the facility 3 stars overall, with a Health Inspection sub-rating slightly above the Tennessee average; Quality Measures trail the state by 46%, and nurse staffing averages 22% below the Tennessee benchmark at 2 hours and 51 minutes per resident per day.

The center accepts Medicare, Medicaid, and private pay. Therapy and rehabilitation services, including outpatient therapy, are offered on-site, alongside a courtyard, community garden, family visitation room, and spiritual services.

Admissions data show a predominantly private-pay and Medicare population with typical stays of one to three months, consistent with a post-acute orientation. Long-stay residents show notably low antipsychotic use (2.9% vs. a Tennessee average of 16.5%) and hospitalization rates 32% below the state benchmark. Short-stay outcomes are weaker, with emergency department visits and falls with major injury above state norms.

Monroe Health and Rehabilitation Center fits residents seeking short-term post-acute rehabilitation or respite care in a rural Monroe County setting. It also suits longer-term residents whose care needs align with a skilled nursing environment where clinical oversight and staffing depth are not primary selection criteria.