16 Continuing Care Retirement Communities in Tennessee
16 of the 303 Medicare-certified nursing homes in Tennessee (5%) are CCRC, and all are listed below. 4 of the 16 graded homes earn an A and 1 earn a D or F. They average 4.49 nursing hours per resident per day, 0.69 hours above the 3.8 for every home in Tennessee. Stones River Manor, Inc in Murfreesboro grades highest at A (95 out of 100).
How CCRC homes in Tennessee compare
This group set against every nursing home in Tennessee, from the current CMS release.
Nursing hours per resident per day
4.49
All homes in Tennessee: 3.8
Better than the local average
Nurse staff turnover
48.1%
All homes in Tennessee: 48.9%
Better than the local average
Average ElderGrade score
77.8/100
All homes in Tennessee: 71/100
Better than the local average
Grade spread
A
B
C
4 grade A, 9 grade B, 2 grade C, 1 grade D,
The best-graded CCRC home in Tennessee is
Stones River Manor, Inc
in Murfreesboro, TN, grade A, 95/100.
Stones River Manor runs a small house, 30 beds, and staffs it far heavier than most places. At 6.19 nurse hours per resident per day, it's roughly 60 percent above the national average, and its nurses stay: turnover of 28.6 percent against a national rate of 45.8 percent. Inspectors were last in on July 1, 2025, and the home has 15 deficiencies on record with none at the harm or jeopardy level, one of them abuse-related, which is worth asking about directly. The trade-off to know is weekends, when staffing drops about a fifth below its own weekday level. Ownership is nonprofit.
Woodcrest at Blakeford sits in Nashville with 83 certified beds and a nonprofit owner. Nurse staffing runs 4.66 hours per resident day, about 21% above the national average of 3.86, and that shows in a four-star staffing rating. The catch is weekends, when coverage drops roughly 11% below the home's own weekday level. Annual turnover is 51.2%, higher than the 45.8% national figure, so even with good raw hours, some of the faces change often. The current record shows 13 deficiencies, none at harm or jeopardy level, but one abuse-related citation. A five-star quality measure rating and an inspection dated March 2026 round out a home that's strong on care measures with a few real caveats.
The Health Center At Richland Place is a 107-bed nonprofit home in Nashville with staffing that beats the national average, 4.34 nurse hours per resident day against 3.86, though weekends run about 12% thinner than weekdays. Annual turnover sits at 42.1%, a bit better than the 45.8% national figure. The trouble shows up in inspections: 19 deficiencies on the current record, five at harm or jeopardy level and one abuse-related, with a $56,378 fine and a two-star health inspection rating. Quality measures score five stars, but that reflects resident care metrics, not how well the building has been kept in compliance.
Allen Morgan runs on staffing you rarely see in a 31-bed home: 6.64 nurse hours per resident day, about 72% above the national average, with weekends dipping only slightly below weekdays. Inspections back that up, three deficiencies on record, none causing harm or jeopardy, no abuse findings, and the most recent survey came in February 2026. Quality measures sit mid-range at 3 out of 5, which is the one number here that doesn't stand out. As a nonprofit, there's no owner profit motive pulling resources away from care, and the low deficiency count with recent oversight suggests a home that stays on top of things between surveys.
Kirby Pines Manor runs on a nonprofit model with 120 certified beds, and its inspection record is genuinely clean, two deficiencies on file, none involving harm or abuse, and a survey completed in June 2025. The quality measure scores back that up. Where it gets less comfortable is staffing: 3.67 nurse hours per resident day sits about 5% under the national average, weekends drop roughly 22% below weekdays, and turnover runs 54.5% against a national 45.8%. So the care standards look strong on paper, but the people delivering that care are stretched thinner than average and cycling through faster than average. Worth asking the administrator directly how they cover weekends and what they're doing about retention.
Adamsplace runs 4.71 nurse hours per resident day, about 22% above the national average, and that staffing shows up in its four-out-of-five staffing rating. But weekends drop roughly 20% below its own weekday level, and annual turnover sits at 52.5% against a national 45.8%, meaning the people covering those shifts keep changing. The health inspection side is weaker: a two-out-of-five rating, nine deficiencies on record, including one abuse-related citation, though none rose to harm or jeopardy. Its last inspection was in December 2025. A five-out-of-five quality measure rating reflects resident care outcomes, but the inspection record and churn are the parts worth asking about directly.
The Village at Germantown runs 7.17 nurse staffing hours per resident day, roughly 86% above the national average, and weekend coverage stays within about 10% of weekday levels, which matters because that's where a lot of homes quietly thin out. But the inspection record is the problem: 16 deficiencies on file, two of them at harm or jeopardy level, and a one-star health inspection rating that pulled the overall grade down despite the five-star staffing mark. Annual turnover sits at 41%, a bit better than the 45.8% national figure. The last inspection was September 2025, so the record is current, and there's one fine totaling $11,196. Plenty of hands, but a documented history of things going wrong.
Somerfield At The Heritage runs 4.23 nurse hours per resident day, about 10% above the national average, and weekends dip roughly 15% below its own weekday coverage, worth knowing if most of your visits fall on Saturdays and Sundays. The current record shows six deficiencies, none at the harm or jeopardy level and none abuse-related, though the last inspection was April 2022, so that record is getting old. Annual turnover sits at 47.6%, slightly worse than the national 45.8%, which means roughly half the staff you meet this year may not be there next year. The county's for-profit LLC ownership is typical for Tennessee. Strong marks on health inspections and quality measures, thinner on staff retention.
Wood Village runs lean on daily nursing hours, 3.48 per resident, roughly 10 percent under the national average, and weekends dip another 9 percent below its own weekday pace. What stands out instead is retention: 27.9 percent turnover against a national average of 45.8 percent means the aides and nurses here tend to stay, which matters more for daily care than a staffing ratio on paper. The inspection record backs that up, with a 5/5 health inspection rating, only two deficiencies on file, none involving harm or abuse, and a recent May 2025 survey. Nonprofit ownership and a 4/5 quality measure rating round out a home that's stable rather than flush.
Ascension Living Alexian Village Tennessee sits in Signal Mountain with 114 certified beds, run by a nonprofit corporation. The staffing numbers look decent on paper, 4.05 nurse hours per resident day, slightly above the national average, but that advantage shrinks on weekends, when coverage drops about 7% below the home's own weekday level. Staff turnover runs 49%, a few points above the national rate of 45.8%.
The real problem shows up in inspections. CMS gave this home 1 out of 5 stars for health inspections, with 28 deficiencies on the current record, including 6 at the harm or jeopardy level and 3 tied to abuse. Two fines total $233,543. The last inspection was December 10, 2025. Strong quality and staffing scores don't offset that inspection history.
Abundant Christian Living in Johnson City runs a sharp split. Inspectors visited in July 2024 and found six deficiencies, none at the harm level, and its clinical quality measures score at the top of CMS's scale, that part of the record is genuinely clean. Staffing is where it thins out. At 3.16 nurse hours per resident day, this 103-bed for-profit home sits about 18 percent under the national average, and weekends drop roughly another 12 percent below its own weekday coverage. Turnover at 42.4 percent is slightly better than the 45.8 percent norm nationally, but with that many caregivers cycling through, consistent hands are hard to count on. Ask how weekends are actually covered before you decide.
Nhc Healthcare, Scott runs a tight ship on inspections, a five-star health inspection rating and a recent April 2026 survey with just four deficiencies on record, none of them causing harm. That matters. Where the picture gets less comfortable is staff retention: turnover sits near 60%, well above the national figure of roughly 46%, and weekend nurse hours drop about 17% below the home's own weekday coverage. Overall nurse staffing, at 3.98 hours per resident day, is only slightly ahead of the national average. So you have a place that passes its inspections cleanly but cycles through caregivers quickly, which is worth asking about directly when you visit, who actually knows the residents on a Sunday.
The Suites At Jordan River runs a nonprofit shop with 60 beds in Collierville, and staffing is the one number that stands out in a good way: 4.49 nurse hours per resident day, roughly 16 percent above the national average. Weekends dip about 11 percent below its own weekday coverage, though, and turnover sits at 54.8 percent against a national 45.8, people are leaving faster than average. The tradeoff shows up on the clinical side, where the quality measure rating is 1 out of 5 and the last inspection in March 2025 produced 8 deficiencies, none at harm level but one tied to abuse. Three fines totaling $17,644 round out the record.
Wharton Nursing Home carries a heavier nurse staffing load than most places, 4.20 hours per resident day against a national average of 3.86, but weekends drop about 11% below its own weekday level, so the coverage families see on a Tuesday isn't what they get on a Sunday. The inspection record is the real problem: 18 deficiencies, four serious enough to put residents at harm or jeopardy, and two tied to abuse, with $69,885 in fines and the most recent inspection from February 2024. Nonprofit ownership hasn't kept the clinical side clean, and that staffing edge doesn't offset what inspectors found.
Legacy Park runs 176 certified beds in Knox County under for-profit LLC ownership, and the staffing numbers are the first thing I'd want you to see. At 3.33 nurse hours per resident day, it sits about 14% under the national average of 3.86, and weekends drop another 13% below its own weekday level. That thin coverage helps explain a 63.6% annual turnover rate, well above the 45.8% national figure, and a CMS staffing rating of 1 out of 5. The health inspection record shows 32 deficiencies, one serious enough to reach harm or jeopardy level, plus a $74,633 fine. Its last inspection was August 2025, so the record is current. Quality measures score well, but consistent hands-on care is the weaker spot here.
The Mckendree Post Acute & Rehabilitation is a 180-bed nonprofit home in Hermitage that CMS has placed in its Special Focus Facility program, a designation reserved for homes with a persistent record of poor inspections. The numbers explain why: 37 deficiencies on the current record, including four at the harm or jeopardy level and five tied to abuse, plus a single fine of $252,242. Staffing sits at 3.50 nurse hours per resident day, about 9% under the national average, and weekends run roughly 12% thinner than weekdays. Annual turnover is 58% against a national 45.8%. Its last inspection was October 2023. If you're considering this home, ask what's changed since then.
Frequently asked questions
How many CCRC nursing homes are there in Tennessee?
There are 16 CCRC Medicare-certified nursing homes in Tennessee, 5% of the 303 nursing homes there.
Are CCRC nursing homes better staffed?
In Tennessee they average 4.49 total nursing hours per resident per day, against 3.8 for all nursing homes in Tennessee, a difference of +0.69 hours. Staff turnover averages 48.1% against 48.9%.