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
Asbury Place At Maryville runs 181 certified beds under for-profit, limited-liability ownership, and its staffing numbers are the first thing worth knowing: 3.55 nurse hours per resident day against a national average of 3.86, with weekends about 8% thinner than weekdays. That gap shows up in the federal staffing rating, which sits at 1 out of 5. Annual turnover of 60%, well above the 45.8% national figure, means the people caring for residents are frequently new. On the record: 23 deficiencies, including one at harm level and two abuse-related, plus a $16,720 fine. The most recent inspection was January 14, 2026, so the picture is current. Quality measures score better than inspections do.
Mission Convalescent Home runs a 57-bed nonprofit operation in Jackson with a real strength and a real weak spot. The health inspection side looks solid, 20 deficiencies on record, none of them serious enough to cause harm or jeopardy, and no abuse findings, with the most recent inspection in July 2025. Where it struggles is daily hands-on care: 2.46 nurse staffing hours per resident day sits about 36% below the national average of 3.86, and weekend coverage dips slightly below its own weekday level. Annual turnover of 62.5% runs well above the 45.8% national figure, which makes it harder to keep consistent caregivers at the bedside. Good inspections, thin staffing, that's the tradeoff here.
Durham-Hensley runs 75 beds in Chuckey under corporate ownership, and the staffing numbers are the first thing worth knowing. At 3.49 nurse hours per resident day, it sits about 10% under the national average, and weekends drop roughly 16% below its own weekday coverage, so care thins out exactly when families tend to visit. Annual turnover of 50.8% tops the national figure of 45.8%, meaning many of the aides you'd meet are relatively new. The good news: nine deficiencies on record, none at harm or jeopardy level, none abuse-related, and a four-star inspection rating from August 2023. Quality and staffing measures both land at two stars, which is where the softer grade comes from.
Oneida Nursing and Rehab Center sits in Scott County with 56 certified beds and a for-profit LLC structure. Nurse staffing runs 3.86 hours per resident day, right at the national average on paper, but weekends drop about 13% below the home's own weekday level. Staff turnover is 59.5% a year versus a national average of 45.8%. The current record carries 8 deficiencies, 3 of them at harm or jeopardy level, and one fine totaling $52,111. CMS has placed this home in its Special Focus Facility program, and the last inspection was September 2023. The staffing number looks fine; almost everything around it doesn't.
Dickson Health And Rehab runs 70 certified beds as a for-profit corporation, and its staffing is the part I'd want you to sit with. At 3.16 nurse hours per resident day, it's about 18 percent under the national average of 3.86, weekends dip roughly 10 percent below its own weekday level, and annual turnover sits at 57.1 percent against a 45.8 percent national figure, that's a lot of new faces cycling through. The inspection record shows 28 deficiencies, three at harm or jeopardy level and one abuse-related, with the most recent survey in March 2025. Nurses' aide coverage and consistency are the questions I'd ask about directly on a tour.
Etowah Health and Rehabilitation runs a 120-bed for-profit operation where nurse staffing sits at 3.22 hours per resident day, about 16% under the national average of 3.86, and weekends dip roughly 8% below its own weekday levels. The inspection record shows 16 deficiencies, three of them serious enough to involve harm or jeopardy, four tied to abuse, and $21,692 in fines across three penalties. CMS rates it one star each for staffing and quality measures, two for health inspections, with the most recent inspection dated February 25, 2026. Families weighing this one should ask directly how the abuse-related findings were resolved and who covers the floor on weekends.
AHC McKenzie runs 99 certified beds under corporate for-profit ownership, and its last health inspection in April 2026 came back strong on paper, a 5-star inspection rating with just three deficiencies on record, none of them causing harm. An abuse-related citation does appear in that count, which is worth asking about directly. The staffing side is where the picture changes: 3.24 nurse hours per resident per day sits about 16% under the national average, weekends run roughly 15% thinner than weekdays, and 60% of staff turned over in a year against a national rate near 46%. Consistent coverage is the thing to press on when you visit.
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.
Magnolia Healthcare is a for-profit LLC home with 181 certified beds in Columbia, and its staffing is the number that stands out. At 3.40 nurse hours per resident day, it runs about 12% under the national average, and weekends dip roughly 15% below its own weekday levels, so coverage thins out right when families tend to visit. Annual turnover of 72.5% is well above the 45.8% national figure, which means the people caring for your relative are likely to change often. The good news: 18 deficiencies on record, but none at harm or jeopardy level and none abuse-related, and the last inspection was April 2026.
Mulberry Health & Rehabilitation runs 157 certified beds in Franklin, and its current record carries 35 deficiencies, five of them at the harm or jeopardy level and five tied to abuse. CMS has placed the home in its Special Focus Facility program, a designation reserved for the homes with the most persistent problems, and its health inspection rating sits at 1 out of 5. Nurse staffing runs slightly under the national average, and weekends dip about 10 percent below the home's own weekday levels. Annual turnover is 67.9 percent against a national average of 45.8 percent, meaning most of the people caring for residents are new to the building. The last inspection was June 15, 2023.
Antioch Tn Opco has a split record that's worth reading carefully. The clinical quality numbers look good on paper, but the staffing rating sits at the bottom of the federal scale, meaning residents are getting too few hours of direct care per day compared to what CMS expects. Inspectors have cited 28 deficiencies, ten of them serious enough to put residents in harm's way, and three tied to abuse. The federal government has placed this home in its Special Focus Facility program, a designation reserved for the small share of homes with a pattern of persistent problems, and fines totaling $293,189 back that up. Ownership is a for-profit corporation, and the last full inspection was in August 2023.
Rocky Top Care Center has the staffing most families hope for, 4.02 nurse hours per resident day, a bit above the national average, and its quality measure scores look strong on paper. But the inspection record tells a different story: 28 deficiencies, four of them serious enough to put residents in harm's way and five tied to abuse. Turnover sits at 45.7%, which sounds average until you realize that's roughly half the nursing staff leaving every year, and weekend coverage drops about 10% below weekday levels. CMS has placed this for-profit home in its Special Focus Facility program and fined it $86,768. Inspectors were last on site in March 2026.
Cedar Creek Post Acute runs 4.95 nurse hours per resident day, roughly 28% above the national average of 3.86, and weekend staffing holds within about 1% of weekday coverage. That's the good news, and it's real. The rest of the picture is harder. Staff turnover sits at 67% against a national average of 45.8%, meaning most of the people providing that above-average coverage are new to the building. The current record shows 33 deficiencies, 11 of them at harm or jeopardy level and 4 abuse-related, plus a $211,244 fine. Federal inspectors gave one star for health inspections and two each for quality measures and staffing. The most recent inspection was July 30, 2025.
West Hills runs a nonprofit home with 194 beds, and its inspection record is genuinely good, 4 out of 5 stars, last surveyed in November 2024, with 10 deficiencies on file, only 2 of them serious enough to cause harm. The problem sits elsewhere. Nurse staffing comes in around 3.41 hours per resident day, roughly 12% under the national average, and weekends run about 11% lighter than weekdays. Staff turnover is the number that should worry you most: 77%, against a national average near 46%. That's a lot of unfamiliar faces coming through the door. Quality measures score 2 out of 5, which suggests the day-to-day care isn't matching the clean inspection sheet.
The staffing numbers at Christian Care Center of Medina are the first thing that stands out: 3.35 nurse hours per resident day, roughly 13 percent under the national average, with weekends running about 12 percent thinner than weekdays. That shortfall shows up in the turnover figure too, 70.6 percent annually against a national rate near 46 percent, meaning most of the people caring for residents are relatively new to the building. Meanwhile, the current inspection record carries 28 deficiencies, four of them serious enough to involve harm or jeopardy and three tied to abuse. Three fines totaling $15,592 round out the picture. Nonprofit ownership doesn't change what those numbers say.
Graceland Rehabilitation and Nursing Care Center is a 240-bed for-profit home in Memphis, and the numbers behind its record are worth walking through carefully. Nurse staffing sits at 3.47 hours per resident per day, about 10 percent under the national average, and it thins out further on weekends. That shortfall matters given a 51.6 percent annual turnover rate, meaning the aides and nurses caring for residents are changing constantly. The inspection history is the harder part: 33 deficiencies on the current record, 10 of them at the level where harm or jeopardy to residents occurred, three tied to abuse, plus $342,603 in federal fines. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a persistent pattern of serious problems, and the most recent inspection was May 13, 2025.
Gallaway Health and Rehab runs on 2.94 nurse hours per resident day, about a quarter below the national average, and weekends drop roughly 15% below what the home staffs on weekdays. Nearly two-thirds of its nurses left over the past year, well above the 45.8% national rate, which means care is often delivered by people still learning the building. Its record shows 21 deficiencies, including one at the harm or jeopardy level and two tied to abuse, plus a $78,741 fine. The last inspection was June 2022, so that record is largely unverified since then. A for-profit LLC operates the 104-bed home out of Fayette County.
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?