Tennessee Best Medicaid Nursing Homes 2026

Nurse hours

6.19 /day

Staff turnover

29%

Serious cites

0

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.

Nurse hours

4.53 /day

Staff turnover

34%

Serious cites

0

Nhc Healthcare, Kingsport runs on 4.53 nurse hours per resident per day, roughly 17% above the national average, and its weekend coverage dips only about 9% below its own weekday level, a gap that tends to matter when families visit and notice who's actually on the floor. Annual turnover sits at 34.1%, well under the 45.8% national figure, meaning the aides and nurses here are more likely to be people who've stayed. The current inspection record shows three deficiencies, none at the harm level and none abuse-related, with the most recent survey dated May 2026. It's a for-profit limited liability company, so weigh that against the numbers rather than instead of them.

Nurse hours

5.86 /day

Staff turnover

26%

Serious cites

0

Siskin Subacute West runs on unusually heavy staffing, 5.86 nurse hours per resident day against a national average near 3.86, and weekend coverage barely dips below the weekday pace. Turnover sits at 26.4%, well under the national 45.8%, which matters because consistent caregivers tend to know residents' routines. Those numbers earn top federal marks across staffing, health inspections, and quality measures. The catch is the inspection record behind those stars: 16 deficiencies, five serious enough to involve harm or jeopardy, and one fine of $93,919. A recent inspection date doesn't erase that history. The staffing is real and strong; the survey record is the part worth asking about directly.

Nurse hours

4.40 /day

Staff turnover

25%

Serious cites

0

Pavilion-Ths runs 4.40 nurse hours per resident day, about 14% above the national average of 3.86, and its weekend staffing dips roughly 17% below its own weekday level, a gap worth asking about if your family visits or calls on Saturdays and Sundays. Staff turnover sits at 25%, well under the 45.8% national figure, so the people caring for residents tend to stay. The current record shows 8 deficiencies, none at the harm level and none abuse-related, with the most recent inspection in March 2025. It's a for-profit LLC with 60 certified beds, and its federal ratings land at 4 out of 5 on health inspections and quality measures, 5 out of 5 on staffing.

Nurse hours

5.70 /day

Staff turnover

51%

Serious cites

0

White House Health Care runs high on nurse hours, 5.70 per resident per day, roughly half again the national average, and that shows up in its staffing star rating. Weekend coverage dips only about 4% below weekdays, so care doesn't thin out much when families visit. The current inspection record carries 7 deficiencies, none at harm or jeopardy level and none abuse-related, with a survey completed in November 2025. Turnover sits at 51.3% against a national 45.8%, a real weak point given how often residents see new faces. Corporate for-profit ownership, 84 certified beds.

Nurse hours

3.95 /day

Staff turnover

39%

Serious cites

0

NHC Healthcare, Dickson runs 191 certified beds under corporate for-profit ownership, and the numbers behind its A grade are mostly steady rather than spectacular. Nurse staffing sits at 3.95 hours per resident day, a hair above the national average, though weekends drop roughly 13% below what the home provides on weekdays, worth asking about if your family member needs more help on Saturdays and Sundays. Staff turnover is 38.8%, better than the 45.8% national figure, which suggests people tend to stay. Six deficiencies on record, none at harm or jeopardy level and none abuse-related, with an inspection dated April 2026.

Nurse hours

4.29 /day

Staff turnover

23%

Serious cites

0

Towne Square Care of Puryear runs 32 certified beds in Henry County under corporate for-profit ownership, and its staffing numbers tell two different stories. Total nurse coverage sits at 4.29 hours per resident day, about 11% above the national average, but weekends run roughly 34% below its own weekday level, so the weekday floor is better staffed than the weekend one. Staff turnover is the standout: 22.7% annually, well under the national 45.8%, which suggests people stay. The tradeoff is a record of 16 deficiencies with no harm-level findings, though one is abuse-related, and a 3/5 inspection rating against a 4/5 on quality measures. That mix, steady staff, thinner weekends, a documented abuse citation, is what a family should weigh.

Nurse hours

4.62 /day

Staff turnover

39%

Serious cites

0

Covington Post Acute runs on more nursing attention than most homes get. At 4.62 nurse hours per resident day, it's about 20 percent above the national average of 3.86, and the weekend dip, roughly 13 percent below its own weekday level, is real but not steep enough to erase that cushion. Staff turnover sits at 38.7 percent, better than the 45.8 percent national figure, though still meaning more than a third of the workforce turns over each year. The inspection record shows 11 deficiencies, none at harm or jeopardy level and none abuse-related, with the last survey in March 2026. Three four-star ratings, health inspections, quality measures, staffing, back up the numbers. Corporate ownership doesn't change what the data shows.

Nurse hours

3.73 /day

Staff turnover

43%

Serious cites

0

Nhc Healthcare, Columbia runs 106 certified beds under corporate for-profit ownership, and the numbers tell a mixed but mostly steady story. Nurse staffing sits at 3.73 hours per resident day, about 3% under the national average, and weekends drop roughly 13% below what the home staffs on weekdays, worth asking about if your family visits or calls on Saturdays and Sundays. Staff turnover is 43.2%, slightly better than the national 45.8%, and the six deficiencies on record include none tied to harm, jeopardy, or abuse. One caution: the last inspection was November 2021, so that clean record is getting stale.

Nurse hours

4.71 /day

Staff turnover

53%

Serious cites

0

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.

Nurse hours

4.37 /day

Staff turnover

43%

Serious cites

0

Ivy Hall runs about 4.37 nursing hours per resident day, roughly 13% above the national average, and its inspection record is genuinely clean: two deficiencies on file, none involving harm or abuse, with a survey completed in September 2025. Staff turnover sits at 43.4%, a touch under the national figure. The one thing worth watching is weekends, when staffing drops about 14% below the home's own weekday level, that gap matters most for residents who need help at meals, with mobility, or with toileting on Saturday and Sunday. A for-profit owned by an individual, 101 beds, in Elizabethton. The numbers say a well-staffed home on paper; ask how weekends actually run.

Nurse hours

4.37 /day

Staff turnover

29%

Serious cites

0

Christian Care Center Of Unicoi County runs about 4.37 nurse hours per resident each day, roughly 13% above the national average, and its staff tends to stay: turnover sits at 29.2% against a national rate near 46%. The tradeoff is weekends, when coverage drops about 12% below what the home staffs on weekdays. Inspections show 7 deficiencies on the current record, none at the harm level and none abuse-related, with the last visit in April 2026. A 50-bed for-profit LLC, it holds 4 of 5 stars for both health inspections and staffing, and 3 for quality measures.

Nurse hours

3.40 /day

Staff turnover

33%

Serious cites

0

Life Care Center of Gray runs on leaner nursing hours than most homes, 3.40 per resident day against a national average of 3.86, and weekends get thinner still, dropping roughly 18% below what the building staffs during the week. Turnover sits at 33.3%, which is actually better than the 45.8% national figure, so the people who are there tend to stay. The trouble is inspections: a one-star health inspection rating, 16 deficiencies with four serious enough to put residents at risk of harm, three tied to abuse, and a $10,039 fine. Quality and staffing measures score well, but the last full look at this building was September 2023.

Nurse hours

3.78 /day

Staff turnover

32%

Serious cites

0

Pickett Care runs 69 certified beds under for-profit LLC ownership, and its staffing sits just under the national average at 3.78 nurse hours per resident day. That gap is small, but weekends thin out roughly 20% below the home's own weekday coverage, which is where short-staffing tends to bite. Turnover at 31.5% is meaningfully better than the 45.8% national figure, so caregivers here stick around longer than at the typical home. The current inspection record shows 17 deficiencies, including two at harm or jeopardy level and one tied to abuse, worth asking about directly. A recent April 2025 inspection and solid quality and staffing ratings round out a mixed but workable picture.

Nurse hours

4.24 /day

Staff turnover

22%

Serious cites

0

The state runs this 140-bed veterans home in Humboldt, and the numbers back up the operation. Nurse staffing sits at 4.24 hours per resident per day, roughly 10% above the national average, and weekend coverage dips only about 15% below its own weekday level, modest, as these gaps go. Staff turnover of 21.9% is less than half the national rate, which suggests people stay. On the record: 7 deficiencies, none at harm or jeopardy level, none abuse-related, with the last inspection in October 2023. All three CMS star ratings land at 4 out of 5. A stable, well-staffed home with a clean recent inspection history and no serious findings.