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226 Chain-Owned Nursing Homes in Tennessee

226 of the 303 Medicare-certified nursing homes in Tennessee (75%) are chain-owned, and all are listed below. 8 of the 225 graded homes earn an A and 19 earn a D or F. They average 3.67 nursing hours per resident per day, 0.13 hours below the 3.8 for every home in Tennessee. Nhc Healthcare, Kingsport in Kingsport grades highest at A (92 out of 100).

How chain-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

3.67

All homes in Tennessee: 3.8

Worse than the local average

Nurse staff turnover

49.1%

All homes in Tennessee: 48.9%

Worse than the local average

Average ElderGrade score

70.6/100

All homes in Tennessee: 71/100

Worse than the local average

Grade spread

B
C
D

8 grade A, 131 grade B, 67 grade C, 19 grade D,

The best-graded chain-owned home in Tennessee is Nhc Healthcare, Kingsport in Kingsport, TN, grade A, 92/100.

Every chain-owned nursing home in Tennessee

Showing 1 to 20 of 226, best-graded first.

A

92/100

Nhc Healthcare, Kingsport

Kingsport, TN · Sullivan County

CMS 5/590 bedsFor-profitMedicaid
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.

A

87/100

Nhc Healthcare, Dickson

Dickson, TN · Dickson County

CMS 5/5191 bedsFor-profitMedicaid
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.

A

87/100

Nhc Place At Cool Springs

Franklin, TN · Williamson County

CMS 4/5121 bedsFor-profit
Nurse hours
4.97 /day
Staff turnover
49%
Serious cites
0

Nhc Place At Cool Springs runs on unusually heavy nurse coverage, 4.97 hours per resident day against a national average of 3.86, roughly 29% more hands-on time than most homes. Weekend staffing dips about 12% below its own weekday level, so the generous weekday numbers aren't quite matched on Saturdays and Sundays. Turnover sits at 48.9%, a bit above the 45.8% national figure, which means a fair amount of churn among the people doing that care. The inspection record shows 8 deficiencies, 2 serious enough to involve harm or jeopardy, none abuse-related, and the last full inspection was September 2022, over two years ago. Corporate for-profit ownership, and four-out-of-five ratings on health inspections, quality measures, and staffing.

A

86/100

The Health Center At Richland Place

Nashville, TN · Davidson County

CMS 3/5107 bedsNon-profit
Nurse hours
4.34 /day
Staff turnover
42%
Serious cites
0

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.

A

86/100

Covington Post Acute

Covington, TN · Tipton County

CMS 4/598 bedsFor-profitMedicaid
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.

A

86/100

Nhc Healthcare, Farragut

Knoxville, TN · Knox County

CMS 5/5106 bedsFor-profit
Nurse hours
4.15 /day
Staff turnover
46%
Serious cites
0

Nhc Healthcare, Farragut sits in Knoxville with 106 certified beds and a for-profit corporate owner. The inspection history is the strong part: a recent survey in February 2026, 14 deficiencies on record, and none of them tied to harm, jeopardy, or abuse. Quality measures also score well. Staffing is where this home separates from the pack in the wrong direction, a one-star staffing rating, meaning nurse hours per resident fall well below what CMS expects. Turnover runs 46.2%, just above the national average of 45.8%, so the people who do show up don't tend to stay long. A clean inspection record doesn't fix thin coverage on the floor, especially when aides and nurses are cycling through.

A

86/100

Nhc Place At The Trace

Nashville, TN · Davidson County

CMS 5/590 bedsFor-profit
Nurse hours
4.08 /day
Staff turnover
55%
Serious cites
0

Nhc Place At The Trace runs 4.08 nurse hours per resident day, about 6% above the national average, though weekend coverage drops roughly 10% below its own weekday level. Staff turnover sits at 54.5%, nearly nine points above the national figure, which matters because new aides cycle through quickly. The current record shows 14 deficiencies, none rising to harm or jeopardy and none abuse-related, and the last inspection was February 2025. Quality measures score well, inspections land in the middle, and staffing holds up on paper. It's a for-profit limited liability company with 90 beds. The numbers describe a stable home with a churn problem worth asking about directly.

A

85/100

Nhc Healthcare, Columbia

Columbia, TN · Maury County

CMS 4/5106 bedsFor-profitMedicaid
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.

B

84.5/100

Adamsplace, Llc

Murfreesboro, TN · Rutherford County

CMS 3/540 bedsFor-profitMedicaid
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.

B

83.5/100

Nhc Healthcare, Somerville

Somerville, TN · Fayette County

CMS 5/572 bedsFor-profitMedicaid
Nurse hours
3.96 /day
Staff turnover
38%
Serious cites
0

Nhc Healthcare, Somerville runs 72 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.96 hours per resident day, a bit above the national average of 3.86. That margin is thin, though, and weekends dip about 16% below the home's own weekday coverage, which matters when that's when families tend to visit. Staff turnover comes in at 37.5%, better than the 45.8% national figure, so the people caring for residents are staying longer than is typical. The current record shows five deficiencies, one serious enough to reach harm or jeopardy level, with no abuse citations. Its most recent inspection was February 19, 2026.

B

83.5/100

Life Care Center Of Morristown

Morristown, TN · Hamblen County

CMS 5/5161 bedsFor-profitMedicaid
Nurse hours
3.35 /day
Staff turnover
25%
Serious cites
0

Life Care Center of Morristown runs 161 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.35 hours per resident per day, roughly 13% under the national average of 3.86. Weekends drop about 22% below the home's own weekday coverage, so the hours your relative gets on a Saturday won't match a Tuesday. What stands out favorably is turnover: 24.6% against a national average of 45.8%, meaning the people showing up tend to stay. Inspections in August 2025 found 8 deficiencies with nothing at the harm level, though one was abuse-related. Quality measures score 5/5; staffing scores 3/5.

B

83.5/100

W D Bill Manning Tennessee State Veterans Home

Humboldt, TN · Gibson County

CMS 5/5140 bedsGovernmentMedicaid
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.

B

83.5/100

Pickett Care And Rehabilitation Center

Byrdstown, TN · Pickett County

CMS 4/569 bedsFor-profitMedicaid
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.

B

83.5/100

Life Care Center Of Gray

Gray, TN · Washington County

CMS 1/5133 bedsFor-profitMedicaid
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.

B

83.5/100

Somerfield At The Heritage

Brentwood, TN · Williamson County

CMS 3/566 bedsFor-profit
Nurse hours
4.23 /day
Staff turnover
48%
Serious cites
0

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.

B

83/100

Nhc Healthcare, Johnson City

Johnson City, TN · Washington County

CMS 5/5167 bedsFor-profitMedicaid
Nurse hours
3.89 /day
Staff turnover
29%
Serious cites
0

Nhc Healthcare, Johnson City runs 167 certified beds under for-profit LLC ownership, and its inspection record is the standout: a single deficiency on file, none involving harm or jeopardy, none tied to abuse, and a survey completed in January 2026. Staff turnover sits at 28.9% against a national average of 45.8%, which suggests people tend to stay. Nurse staffing is 3.89 hours per resident day, barely above the 3.86 national figure, and weekends run about 12% thinner than weekdays, so coverage isn't uniform across the week. The weaker staffing rating reflects that thin margin more than any serious problem.

B

83/100

Nhc Healthcare, Mcminnville

Mcminnville, TN · Warren County

CMS 5/5115 bedsFor-profitMedicaid
Nurse hours
3.67 /day
Staff turnover
34%
Serious cites
0

Nhc Healthcare, Mcminnville runs on tighter staffing than most homes, 3.67 nurse hours per resident day against a national average of 3.86, and weekends drop roughly 9% below what the building staffs during the week. That combination matters if your family visits on Saturdays and Sundays. Turnover sits at 33.9%, which is actually better than the 45.8% national figure, so the aides and nurses who are there tend to stay. The current record shows four deficiencies, none at harm or jeopardy level and none abuse-related, with the last inspection in December 2023. Quality measures score well; staffing is where the weakness concentrates.

B

83/100

Life Care Center Of Centerville

Centerville, TN · Hickman County

CMS 4/5132 bedsFor-profitMedicaid
Nurse hours
3.52 /day
Staff turnover
29%
Serious cites
0

Life Care Center of Centerville runs 132 certified beds under corporate ownership, and its staffing sits at 3.52 nurse hours per resident day, roughly 9% under the national average of 3.86. Weekends dip about 12% below its own weekday coverage, so the thinnest shifts are the ones families tend to visit. Turnover is the bright spot: 29.2% against a national average of 45.8%, which suggests less churn than most homes manage. The current record shows 17 deficiencies, two tied to abuse, though none rose to harm or jeopardy level. Its last inspection was September 2024, and quality measures score well even where staffing does not.

B

83/100

Ocoee Transitional Care Center Llc

Maryville, TN · Blount County

CMS 3/576 bedsNon-profit
Nurse hours
4.36 /day
Staff turnover
50%
Serious cites
0

Ocoee Transitional Care Center runs on better-than-average staffing, 4.36 nurse hours per resident day, roughly 13% above the national figure, and the federal staffing and quality ratings reflect that. The catch is consistency: weekends run about 15% thinner than weekdays, and half the staff turns over each year, a bit worse than the 45.8% national rate. The inspection record is the softer spot, a 2 out of 5 with 17 deficiencies, though none rose to harm or jeopardy and none involved abuse. The last survey was August 2023, so that picture is getting dated. Nonprofit ownership, solid care numbers, and turnover are the real story here.

B

83/100

Life Care Center Of Rhea County

Dayton, TN · Rhea County

CMS 4/589 bedsFor-profitMedicaid
Nurse hours
3.52 /day
Staff turnover
27%
Serious cites
0

Life Care Center of Rhea County runs on leaner nurse staffing than most homes, about 3.52 hours per resident day against a national average of 3.86, and weekends dip roughly another 10% below its own weekday levels. Staff turnover sits at 27.3%, well under the 45.8% national figure, which matters because consistent caregivers tend to know residents' routines. Inspectors logged 16 deficiencies, including 2 abuse-related, though none reached harm or jeopardy, and the most recent inspection was April 2026. The for-profit, limited-liability ownership is typical for Tennessee. Clinical quality measures score strongly; the staffing and inspection numbers are where the tradeoffs show.

Frequently asked questions

How many chain-owned nursing homes are there in Tennessee?
There are 226 chain-owned Medicare-certified nursing homes in Tennessee, 75% of the 303 nursing homes there.
Are chain-owned nursing homes better staffed?
In Tennessee they average 3.67 total nursing hours per resident per day, against 3.8 for all nursing homes in Tennessee, a difference of -0.13 hours. Staff turnover averages 49.1% against 48.9%.
Which chain-owned nursing home grades best in Tennessee?
Nhc Healthcare, Kingsport in Kingsport, TN, grade A, 92 out of 100.
Does being chain-owned mean a nursing home is safe?
No. Of the 225 graded chain-owned homes in Tennessee, 8 grade A and 19 grade D or F.
Do chain-owned nursing homes in Tennessee accept Medicaid?
212 of the 226 are certified to accept Medicaid. See Medicaid and nursing homes.

Before you shortlist in Tennessee