226 Chain-Owned Nursing Homes in Tennessee

Nurse hours

3.26 /day

Staff turnover

57%

Serious cites

0

The Waters of Johnson City runs on 3.26 nurse hours per resident per day, about 16 percent under the national average, and weekend coverage drops roughly 11 percent below its own weekday levels. Staff turnover sits at 57.3 percent against a national 45.8 percent, so the people caring for residents are changing faster than average. Twelve deficiencies appear on the current record, two of them abuse-related, though none rose to the harm or jeopardy level, and the last inspection was in February 2025. The building is for-profit, LLC-owned, with 84 certified beds.

Nurse hours

3.14 /day

Staff turnover

39%

Serious cites

0

Parkway Health and Rehabilitation Center runs about 3.14 nurse hours per resident day, roughly 19% under the national average of 3.86, and weekends drop another 16% below its own weekday coverage. That thin staffing shows up in the CMS staffing rating of 2 out of 5, even though the quality measure score sits at 4. The inspection record is the bigger concern: 19 deficiencies, three at harm or jeopardy level and four tied to abuse, plus a $67,587 fine. Turnover at 38.9% is actually better than the 45.8% national figure, and the last inspection was recent, so the record reflects current conditions rather than old problems.

Nurse hours

3.88 /day

Staff turnover

76%

Serious cites

0

Signature Healthcare of Clarksville runs 120 beds as a for-profit limited liability company, and its latest inspection in May 2025 left seven deficiencies on the record, one serious enough to cause harm or jeopardy, another tied to abuse. The $63,105 fine reflects that. Staffing sits at 3.88 nurse hours per resident day, essentially even with the national average of 3.86, but weekends drop about 22% below the home's own weekday level, and turnover runs 76% against a national 45.8%. CMS gives it two stars each for health inspections and staffing, three for quality measures. The people who stay here the longest are leaving fastest, and coverage thins out exactly when families tend to visit.

Nurse hours

3.36 /day

Staff turnover

61%

Serious cites

0

Nurse staffing at Huntsville Post-Acute runs 3.36 hours per resident day, about 13 percent under the national average, and weekends drop roughly 9 percent below the home's own weekday levels, so the thinnest coverage lands when families tend to visit. Annual turnover of 61.1 percent sits well above the 45.8 percent national figure, meaning many of the aides and nurses you meet may be new to the building. The current inspection record carries 28 deficiencies, four at harm or jeopardy level and one abuse-related, with a single $9,062 fine. Three straight two-star ratings on health inspections, quality measures, and staffing tell a consistent story rather than a fluke.

Nurse hours

3.09 /day

Staff turnover

68%

Serious cites

0

The Waters of Cheatham runs 80 certified beds in Ashland City under for-profit LLC ownership, and its staffing is the number that stands out: 3.09 nurse hours per resident day, roughly 20% under the national average of 3.86. Weekend coverage dips about 6% below its own weekday level, and annual turnover hit 67.5% against a national 45.8%, meaning most of the people caring for your family member are relatively new to the building. The inspection record carries 24 deficiencies, including one abuse-related citation, though none rose to harm or jeopardy level, and CMS fined the home twice for a total of $6,350. Its last inspection was March 26, 2026, so the record is current. Resident outcome measures score well; direct care hours per resident do not.

Nurse hours

3.40 /day

Staff turnover

60%

Serious cites

0

Nurse staffing at Waters of Memphis runs about 12% under the national average, and weekends get thinner still, roughly 13% below what the home staffs on weekdays. That gap matters, because care doesn't pause on Saturdays. Annual turnover sits near 60%, well above the 46% national figure, so the people at the bedside keep changing. The current record shows 13 deficiencies, four tied to abuse, though none rose to the level of actual harm or jeopardy; the last full inspection was in September 2023, and one fine totaling $5,293 has been levied. Quality measures score well, but staffing and inspections tell the more grounded story about daily conditions here.

Nurse hours

3.37 /day

Staff turnover

67%

Serious cites

0

Creekview runs about 3.37 nurse hours per resident each day, roughly 13 percent under the national average, and weekend staffing drops another 16 percent below its own weekday levels, so the thinnest coverage lands when families tend to visit. Turnover sits at 66.7 percent against a national 45.8 percent, meaning most of the people charting care this year likely won't be there next year. The current record shows 23 deficiencies, none at harm or jeopardy level and none abuse-related, but the two-star inspection rating suggests the pattern, not just the count, is what inspectors noticed. Quality measures score well at four stars; that's real, though it rests on a workforce that keeps changing.

Nurse hours

3.37 /day

Staff turnover

69%

Serious cites

0

Briarwood runs about 3.37 nurse hours per resident each day, roughly 13% under the national average, and weekends drop another 15% below its own weekday staffing. Turnover sits at 69% against a national 45.8%, which means the people caring for residents are, more often than not, new to the building. Fourteen deficiencies appear on the current record, four of them abuse-related. None rise to harm or jeopardy level, and the most recent inspection was in May 2025, so the picture is current rather than stale. The quality measure rating of 1 out of 5 is the number that should give you pause; staffing at 2 out of 5 and inspections at 3 out of 5 round out a home that isn't failing outright but isn't steady either.

Nurse hours

3.49 /day

Staff turnover

50%

Serious cites

0

Vanayer Senior Living runs 91 certified beds in Martin under individual for-profit ownership, and the numbers show a building that's staffed thinner than most. Total nurse coverage sits at 3.49 hours per resident day, roughly 10% under the national figure, and weekends dip about 18% below the home's own weekday levels, so the thinnest coverage lands when families tend to visit. Half the staff turned over in the past year, above the 45.8% national rate, which matters because new aides don't know residents yet. Nine deficiencies sit on the current record, one serious enough to involve harm or jeopardy, plus $8,589 in fines. The last inspection was November 2025, so that record is recent.

Nurse hours

3.19 /day

Staff turnover

n/a

Serious cites

0

Meadowbrook Healthcare And Rehabilitation Center runs 83 certified beds in Pulaski, and its nurse staffing sits at 3.19 hours per resident day, roughly 17% under the national average of 3.86. That gap shows up most on weekends, when coverage drops about 13% below what the home staffs on weekdays. The record itself is fairly clean on safety, 8 deficiencies total, none at the harm level and none tied to abuse, with the last inspection dated February 2026 and a 4-star health inspection rating. Quality measures come in at 2 stars, though, which fits with thin staffing. Corporate for-profit ownership means decisions about direct-care hours get made with margin in mind.

Nurse hours

4.09 /day

Staff turnover

46%

Serious cites

0

Ripley Healthcare and Rehab Center runs 144 certified beds under for-profit LLC ownership, and its nurse staffing sits at 4.09 hours per resident day, roughly 6% above the national average, which sounds better than it is. Weekend staffing drops about 22% below the home's own weekday level, so the coverage your family member gets on a Saturday looks nothing like a Tuesday. Staff turnover is 45.7%, essentially identical to the national average, meaning nearly half the workforce turns over each year. Eleven deficiencies sit on the current record, one serious enough to involve harm or jeopardy, and CMS has fined the home $66,472. The last inspection was May 2026.

Nurse hours

3.30 /day

Staff turnover

49%

Serious cites

0

Willow Branch runs lean on nursing staff, 3.30 hours per resident day against a national average of 3.86, and weekends dip about 11% below its own weekday coverage, which is when families often notice. The 48.6% annual turnover means nearly half the nursing staff leaves each year, so the people caring for your relative may not be the ones who were there six months ago. The current inspection record shows 11 deficiencies, three serious enough to involve harm or jeopardy, though none were abuse-related. The most recent inspection was April 30, 2025, so it's fairly current. Ownership is a for-profit limited liability company. Worth asking the administrator directly how they cover weekend shifts and what they're doing about retention before you decide.

Nurse hours

3.28 /day

Staff turnover

61%

Serious cites

0

Andersonville Tn Opco runs 103 certified beds as a for-profit LLC, and its recent inspection history is genuinely solid, a four-star health inspection rating, only seven deficiencies on record, none of them causing harm or involving abuse, and an inspection as recent as December 2025. The problem sits elsewhere: nurse staffing at 3.28 hours per resident day trails the national average by roughly 15%, weekends run about 8% thinner than weekdays, and annual turnover hits 61.4% against a national figure near 46%. Quality measures land at two stars. A clean survey record matters, but it can't fully offset thin coverage and a workforce that keeps cycling out.

Nurse hours

2.90 /day

Staff turnover

63%

Serious cites

0

The Waters of Springfield runs on thin nurse coverage, 2.90 hours per resident day against a national average of 3.86, and weekends dip about 11 percent below its own weekdays, so the thinnest shifts are the ones families visit. Staff turnover sits at 63 percent, well above the 45.8 percent national figure, which means the people caring for your relative are often new and still learning the building. Inspectors cited 20 deficiencies, including two at the harm level and four tied to abuse, with $35,552 in fines; the most recent inspection was in May 2025. The quality measure score looks strong on paper, but that reflects charted clinical data, not day-to-day staffing or the inspection record.

Nurse hours

3.15 /day

Staff turnover

56%

Serious cites

0

Mabry Health Care runs 80 certified beds in Gainesboro under for-profit LLC ownership, and its strongest card is inspections, a 4/5 health inspection rating with the most recent visit in February 2025 and no deficiencies at the harm or jeopardy level. The trouble sits elsewhere. Nurse staffing comes in at 3.15 hours per resident day against a national average of 3.86, roughly 19% below, and that thin coverage holds steady through the weekend rather than dipping further, which is small comfort when the baseline is already low. Staff turnover of 55.7% tops the 45.8% national figure, so the people providing that care keep changing. Quality measures land at 2/5. Clean inspections only mean so much without enough consistent hands on the floor.

Nurse hours

3.41 /day

Staff turnover

66%

Serious cites

0

The Waters of McKenzie is a 66-bed for-profit home in Carroll County, and its biggest soft spot is staffing. At 3.41 nurse hours per resident day, it runs about 12% under the national average, and weekends dip roughly 8% below its own weekday coverage. Turnover sits at 66% against a national 45.8%, which means a lot of unfamiliar faces moving through the building. The inspection record is more mixed: 13 deficiencies on file, but none involving harm or abuse, and a survey as recent as April 2025. Quality measures land mid-pack. Nothing here screams danger, but the staffing numbers are the thing I'd keep asking about, who's actually on the floor at 2 a.m. on a Sunday.

Nurse hours

3.73 /day

Staff turnover

55%

Serious cites

0

Henderson Health and Rehabilitation Center runs 132 certified beds under corporate for-profit ownership, and the numbers behind its record are worth walking through. Nurse staffing sits at 3.73 hours per resident day, slightly under the national average, and weekends drop about 12% below what the home staffs on weekdays, which is when gaps tend to show up. Annual turnover is 54.8%, well above the 45.8% national figure, meaning more than half the nursing staff leaves each year. Its inspection history includes 16 deficiencies, three of them at the harm or jeopardy level, plus one fine totaling $81,328. The most recent inspection was November 19, 2025.

Nurse hours

3.41 /day

Staff turnover

49%

Serious cites

0

Huntingdon Health & Rehabilitation Center runs 120 certified beds under for-profit LLC ownership, and the staffing numbers are where I'd start. At 3.41 nurse hours per resident day, it sits about 12% under the national average of 3.86, and weekends drop roughly 20% below its own weekday levels, so coverage thins out exactly when families tend to visit. Annual turnover of 49.2% tops the national figure, which means the people caring for your relative are often new. The inspection record shows 18 deficiencies, four at harm or jeopardy level and one abuse-related, plus a $52,156 fine. The most recent inspection was January 2026, so the picture is current rather than stale.

Nurse hours

3.53 /day

Staff turnover

57%

Serious cites

0

Dyersburg Health and Rehabilitation Center runs 123 certified beds under for-profit LLC ownership, and the staffing numbers are where you'll want to focus. Nurse hours come in at 3.53 per resident per day against a national average of 3.86, and weekends drop about 12% below the home's own weekday coverage, that's the kind of gap families notice when they visit on a Saturday. Turnover sits at 57.1% versus 45.8% nationally, so aides and nurses cycle through faster than average. The inspection record is recent, December 2025, with 18 deficiencies total, 8 at harm or jeopardy level and 2 abuse-related. Quality measures score 2 out of 5, staffing 2 out of 5, while inspections hold at 4.

Nurse hours

3.45 /day

Staff turnover

45%

Serious cites

0

Quality Center for Rehabilitation and Healing is a 280-bed for-profit home in Lebanon, and the numbers there deserve a careful look before you decide anything. Nurse staffing sits at 3.45 hours per resident day, roughly 11% under the national average, and weekend coverage drops about 17% below what the home staffs on weekdays, which matters because that's often when families visit and when problems surface. The inspection record shows 19 deficiencies, including one at the harm level and one tied to abuse, plus a $13,305 fine; the last full inspection was in August 2023. Staff turnover, at 45.3%, is essentially average.