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77 Independent Nursing Homes in Tennessee

77 of the 303 Medicare-certified nursing homes in Tennessee (25%) are independently owned, and all are listed below. They average 4.21 nursing hours per resident per day, 0.41 hours above the 3.8 for every home in Tennessee. 10 of the 77 graded homes earn an A and 8 earn a D or F. Stones River Manor, Inc in Murfreesboro grades highest at A (95 out of 100).

How independently owned homes in Tennessee compare

This group set against every nursing home in Tennessee, from the current CMS release.

Nursing hours per resident per day

4.21

All homes in Tennessee: 3.8

Better than the local average

Nurse staff turnover

48.2%

All homes in Tennessee: 48.9%

Better than the local average

Average ElderGrade score

72.4/100

All homes in Tennessee: 71/100

Better than the local average

Grade spread

A
B
C
D

10 grade A, 35 grade B, 24 grade C, 8 grade D,

The best-graded independently owned home in Tennessee is Stones River Manor, Inc in Murfreesboro, TN, grade A, 95/100.

Every independently owned nursing home in Tennessee

Showing 21 to 40 of 77, best-graded first.

B

80.5/100

Tennova Lafollette Health And Rehab Center

Lafollette, TN · Campbell County

CMS 4/598 bedsFor-profitMedicaid
Nurse hours
3.76 /day
Staff turnover
28%
Serious cites
0

Tennova Lafollette runs about 3.76 nurse hours per resident per day, a touch under the national average, and weekends drop roughly 17% below its own weekday staffing. The tradeoff is stability: 28% turnover is well below the national 45.8%, so the people caring for residents tend to stick around. Inspections in January 2025 turned up 19 deficiencies, none at the harm level but one abuse-related, and the quality measure score sits at 2 out of 5 even as the inspection and staffing ratings both hit 4. It's a corporation-owned home where consistent caregivers partly offset thin weekend coverage.

B

80/100

Overton County Health And Rehab Center

Livingston, TN · Overton County

CMS 4/5125 bedsGovernmentMedicaid
Nurse hours
4.36 /day
Staff turnover
35%
Serious cites
0

Overton County Health and Rehab Center runs on county government ownership, and the numbers show a home that's mostly steady. Nurse staffing sits at 4.36 hours per resident day, about 13% above the national average, with weekend coverage barely dipping below weekday levels, and turnover at 35.1% is well under the 45.8% national figure, which suggests people stick around. The record is clean where it counts: five deficiencies total, none at the harm level and none tied to abuse, with an inspection as recent as May 2025. The softer spot is quality measures, where the home scores 2 out of 5, so ask what specific conditions are driving that before you decide.

B

79.5/100

Center On Aging And Health

Erwin, TN · Unicoi County

CMS 3/5120 bedsFor-profitMedicaid
Nurse hours
4.29 /day
Staff turnover
43%
Serious cites
0

Nurse staffing here runs about 4.29 hours per resident per day, roughly 11% above the national average, though weekends drop about 16% below the home's own weekday levels. Turnover sits at 43.1%, slightly better than the 45.8% national figure. The inspection record shows 10 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent inspection dated April 2026. This is a limited liability company operating 120 certified beds for profit, and the staffing and inspection numbers land in middle territory rather than at either extreme.

B

79/100

Sevierville Health And Rehabilitation Center

Sevierville, TN · Sevier County

CMS 4/598 bedsNon-profitMedicaid
Nurse hours
3.71 /day
Staff turnover
42%
Serious cites
0

Sevierville Health and Rehabilitation Center runs 98 certified beds as a nonprofit corporation, and its staffing sits a bit under the national average, 3.71 nurse hours per resident day against 3.86 nationally, with weekends dipping roughly 11% below its own weekday coverage. That staffing pattern earned a middle-tier CMS staffing score, though turnover at 42.4% is actually better than the 45.8% national figure. The record shows 11 deficiencies, none involving harm or jeopardy and none tied to abuse, with a recent inspection in March 2026. Strong inspection and quality scores balance out the leaner direct-care hours, which is what keeps this one in solid rather than top territory.

B

78.5/100

Laurelbrook Nursing Home

Dayton, TN · Rhea County

CMS 4/550 bedsNon-profitMedicaid
Nurse hours
4.12 /day
Staff turnover
22%
Serious cites
0

Laurelbrook's staffing is the strongest thing it has going: 4.12 nurse hours per resident day sits about 7% above the national average, and turnover of 21.7% is roughly half the national rate, a stable crew matters more than raw hours. The catch is weekends, when coverage drops about 22% below the home's own weekday level. The inspection record is where the real concern lives: 19 deficiencies on file, five of them at harm or jeopardy level and four tied to abuse, with the most recent inspection in October 2024. A church-affiliated nonprofit with 50 beds and steady staff, but that harm-level history is what a family should ask about directly.

B

77.5/100

Alamo Nursing And Rehabilitation Center

Alamo, TN · Crockett County

CMS 4/5121 bedsFor-profitMedicaid
Nurse hours
4.96 /day
Staff turnover
44%
Serious cites
0

Alamo Nursing and Rehabilitation Center runs on 4.96 nurse hours per resident day, roughly 28% above the national average of 3.86, that's the number working in its favor. Weekends dip about 18% below weekday staffing, so ask how coverage holds up on Saturdays and Sundays. Turnover sits at 43.8%, slightly better than the 45.8% national figure, which matters for whether your parent sees the same faces. The inspection history shows 17 deficiencies, one serious enough to reach harm or jeopardy level, and one fine of $12,542; the most recent inspection was March 2026. Corporate for-profit ownership, 121 beds. The staffing is real, but that one harm-level finding is worth asking about directly.

B

77.5/100

Dyer Nursing And Rehabilitation Center

Dyer, TN · Gibson County

CMS 4/5120 bedsFor-profitMedicaid
Nurse hours
5.13 /day
Staff turnover
38%
Serious cites
0

Dyer Nursing and Rehabilitation Center runs 5.13 total nurse hours per resident day, roughly a third more than the national average of 3.86, and its staff turnover of 38.2% sits below the national 45.8%, both signs of a home that keeps people and staffs them. Weekend hours drop about 24% from weekday levels, worth asking about if your family visits Saturdays or Sundays. The inspection record is clean where it matters: nine deficiencies, none at harm or jeopardy level, none abuse-related, with the most recent survey in August 2025. The weak spot is the quality measure star rating of 1 out of 5, which doesn't square with the staffing picture and is the number to press the administrator on.

B

77.5/100

Jefferson County Nursing Home

Dandridge, TN · Jefferson County

CMS 3/5160 bedsGovernmentMedicaid
Nurse hours
4.40 /day
Staff turnover
28%
Serious cites
0

Jefferson County Nursing Home is county-owned, and that shows up in the staffing numbers: 4.40 nurse hours per resident day, roughly 14% above the national average, with turnover at 28.4% against a national 45.8%. People tend to stay here. Weekend staffing drops about 18% below weekday levels, which is worth asking about if your family member needs more attention on Saturdays and Sundays. The health inspection record is clean where it counts, nine deficiencies on file, none at the harm or jeopardy level, none abuse-related, and the most recent inspection was in December 2025. The weak spot is the quality measure rating, which sits near the bottom at 1 out of 5. That gap between good staffing and poor clinical outcomes is the thing to press the administrator on.

B

77.5/100

Wellpark Health And Rehabilitation

Knoxville, TN · Knox County

CMS 3/532 bedsFor-profit
Nurse hours
3.84 /day
Staff turnover
n/a
Serious cites
0

Wellpark is a small for-profit home in Knox County, 32 beds, run by a limited liability company. Its quality scores look great, but that's where the shine fades. Nurse staffing sits just under the national average, and weekends run about 9% thinner than weekdays, so the care you'd want on a Saturday isn't quite the care you'd get on a Tuesday. Inspectors cited 17 deficiencies, including one tied to abuse, though none rose to actual harm or jeopardy. The last inspection was in January 2025, so the record is recent. The state's two-star health inspection rating tells you compliance has been uneven even if no single finding was severe. Ask about weekend coverage and that abuse citation before you decide.

B

77.5/100

Harbert Hills Academy N H

Savannah, TN · Hardin County

CMS 5/549 bedsNon-profitMedicaid
Nurse hours
4.88 /day
Staff turnover
51%
Serious cites
0

Harbert Hills Academy N H runs a tight ship on nurse coverage, with 4.88 hours per resident day, roughly a quarter more than the national average, and that staffing earns it four stars. Weekends dip about 17% below weekday levels, so care may feel thinner on Saturdays and Sundays than the weekday numbers suggest. The inspection record is clean where it counts: 13 deficiencies on file, none at harm or jeopardy level, though one is abuse-related and worth asking about directly. Staff turnover sits just above the national rate at 50.8%, and quality measures lag at two stars, a gap that suggests the clinical outcomes don't fully match the staffing picture.

B

77/100

The Health Center At Standifer Place

Chattanooga, TN · Hamilton County

CMS 4/5444 bedsFor-profitMedicaid
Nurse hours
3.83 /day
Staff turnover
45%
Serious cites
0

The Health Center at Standifer Place runs 444 certified beds as a for-profit LLC, and its most recent inspection closed out in July 2025 with 15 deficiencies on record, none of them at the harm or jeopardy level, and none abuse-related. Nurse staffing sits at 3.83 hours per resident day, roughly a hair under the national average, but weekends drop about 15% below what the building staffs on weekdays, which is where thin coverage tends to show. Annual turnover of 44.9% is essentially the national rate. Inspection and quality measures both rate well; staffing is the softer spot.

B

76/100

Memphis Jewish Home

Cordova, TN · Shelby County

CMS 4/5160 bedsNon-profitMedicaid
Nurse hours
5.66 /day
Staff turnover
56%
Serious cites
0

Memphis Jewish Home runs on 5.66 nurse hours per resident day, roughly 47 percent above the national average of 3.86, and that shows up in its four-star staffing rating. The catch is consistency: weekend coverage drops about 12 percent from weekday levels, and turnover sits at 56.1 percent against a national 45.8 percent, so the people delivering that strong staffing number keep changing. Fourteen deficiencies sit on the current record, one serious enough to involve harm or jeopardy, though none are abuse-related. Its last inspection came in February 2026, and quality measures score two stars against four for health inspections, so the hands-on care is there, but watch how it holds up on weekends and who's still on staff a year from now.

B

76/100

Park Rest Hardin County Health Center

Savannah, TN · Hardin County

CMS 4/562 bedsGovernmentMedicaid
Nurse hours
4.25 /day
Staff turnover
n/a
Serious cites
0

Park Rest Hardin County Health Center runs on county money, and the county's tax base shows up in the numbers. Total nurse staffing sits at 4.25 hours per resident day, about 10% above the national average, but weekends drop roughly 20% below the home's own weekday level, which means care thins out on Saturdays and Sundays. The current record lists 10 deficiencies, none at the level of actual harm or jeopardy, though 2 are abuse-related. That combination, decent weekday coverage, thinner weekends, a clean harm record, and a small cluster of abuse citations, is what keeps this from scoring higher.

B

75/100

Legacy Health And Rehab

Manchester, TN · Coffee County

CMS 2/572 bedsFor-profitMedicaid
Nurse hours
3.51 /day
Staff turnover
35%
Serious cites
0

Legacy Health And Rehab runs 72 certified beds in Manchester under for-profit limited liability ownership, and its staffing sits at 3.51 nurse hours per resident day, roughly 9% under the national average of 3.86. Weekends drop about 13% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. The inspection record shows 24 deficiencies, none at the harm or jeopardy level but one abuse-related, with the most recent inspection in June 2025. Staff turnover at 35.4% is actually better than the 45.8% national figure, which matters for continuity of care, though CMS inspection and quality measure ratings both sit at 2 out of 5. Ask about weekend coverage and that abuse citation directly.

B

75/100

Abundant Christian Living Community Rehabilitation

Johnson City, TN · Washington County

CMS 5/5103 bedsFor-profitMedicaid
Nurse hours
3.16 /day
Staff turnover
42%
Serious cites
0

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.

B

75/100

Perry County Nursing Home

Linden, TN · Perry County

CMS 3/5114 bedsFor-profitMedicaid
Nurse hours
3.48 /day
Staff turnover
25%
Serious cites
0

Perry County Nursing Home runs leaner than average on nursing hours, about 3.48 per resident day against a national figure near 3.86, and weekends get thinner still, dropping roughly 14% below the home's own weekday coverage. That staffing picture, plus 22 deficiencies on the current record including one at the harm level and three tied to abuse, is the main reason its federal quality and staffing ratings sit low even though inspectors gave the place 4 out of 5 stars and the last visit was in April 2026. The one real bright spot is turnover: 25% against a national average of 45.8%, meaning the aides and nurses who are there tend to stay. One fine on record, $15,593.

B

73.5/100

Lewis Park Post Acute

Hohenwald, TN · Lewis County

CMS 1/5131 bedsFor-profitMedicaid
Nurse hours
3.57 /day
Staff turnover
35%
Serious cites
0

Lewis Park Post Acute runs 131 certified beds in Hohenwald under for-profit LLC ownership, and its staffing sits at 3.57 nurse hours per resident day, roughly 8% under the national average, with weekends about 16% thinner than weekdays. Turnover is 34.6%, which is actually better than the 45.8% national figure, so the problem isn't retention; it's how few hours reach the floor. The inspection record is the harder read: 28 deficiencies, 9 at harm or jeopardy level, 5 involving abuse, and a 1-out-of-5 health inspection rating despite a 4-out-of-5 on quality measures. The most recent inspection was August 2025, so the record is current.

B

73.5/100

Island Home Park Health And Rehab

Knoxville, TN · Knox County

CMS 4/595 bedsNon-profitMedicaid
Nurse hours
3.37 /day
Staff turnover
39%
Serious cites
0

Island Home Park runs 3.37 nurse hours per resident day, roughly 13 percent under the national average, and weekends drop about 15 percent below its own weekday staffing. That thin coverage shows up in its staffing star rating, which is the weak spot on an otherwise solid record. Turnover sits at 39.1 percent, better than the national 45.8 percent, and its most recent inspection in May 2026 found eight deficiencies with none at the harm level. Two abuse-related citations are still worth asking about directly. As a nonprofit with 95 beds, the home has stable hands but not enough of them on any given shift.

B

71/100

Riverview Post Acute

Ashland City, TN · Cheatham County

CMS 2/595 bedsFor-profitMedicaid
Nurse hours
3.98 /day
Staff turnover
53%
Serious cites
0

Hillcrest runs 95 beds in Ashland City, and its overall nurse staffing sits at 3.98 hours per resident day, slightly above the national average, though the federal staffing rating still comes in at just one star out of five. That gap tells you something: the average looks fine, but the weekend numbers run about 14 percent below weekday levels, and turnover hits 53.2 percent against a national 45.8. More than half the nursing staff turning over in a year is worth asking about directly. The inspection record shows 13 deficiencies, none at the harm level and none abuse-related, with the most recent visit in January 2026.

B

71/100

Knollwood Manor

Lafayette, TN · Macon County

CMS 1/549 bedsFor-profitMedicaid
Nurse hours
3.41 /day
Staff turnover
33%
Serious cites
0

Knollwood Manor runs on thinner staffing than most homes, about 3.41 nurse hours per resident day against a national average near 3.86. Turnover sits at 33.3%, better than the 45.8% national figure, so the people who stay tend to stay. The harder numbers are on the inspection side: 18 deficiencies on record, four of them serious enough to involve harm or jeopardy, and three tied to abuse. Both the health inspection and quality measure ratings come in at one star out of five. The last inspection was recent, November 2025, so this record reflects how the home operates now, not an old problem already cleaned up. Ownership is a for-profit corporation.

Frequently asked questions

How many independently owned nursing homes are there in Tennessee?
There are 77 independently owned Medicare-certified nursing homes in Tennessee, 25% of the 303 nursing homes there.
Are independently owned nursing homes better staffed?
In Tennessee they average 4.21 total nursing hours per resident per day, against 3.8 for all nursing homes in Tennessee, a difference of +0.41 hours. Staff turnover averages 48.2% against 48.9%.
Which independently owned nursing home grades best in Tennessee?
Stones River Manor, Inc in Murfreesboro, TN, grade A, 95 out of 100.
Does being independently owned mean a nursing home is safe?
No. Of the 77 graded independently owned homes in Tennessee, 10 grade A and 8 grade D or F.
Do independently owned nursing homes in Tennessee accept Medicaid?
68 of the 77 are certified to accept Medicaid. See Medicaid and nursing homes.

Before you shortlist in Tennessee