226 Chain-Owned Nursing Homes in Tennessee

Nurse hours

3.22 /day

Staff turnover

78%

Serious cites

0

Nurse staffing at Chattanooga Health And Rehab Center runs about 3.22 hours per resident day, roughly 17% under the national average, and weekends dip another 16% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Staff turnover sits at 77.6%, well above the 45.8% national figure, which matters because aides who know residents are the ones who notice changes first. Inspectors cited 22 deficiencies on the current record, none at the harm level and none abuse-related, with one fine of $6,509 and a most recent inspection in August 2025. The limited liability, for-profit owner carries the license.

Nurse hours

3.85 /day

Staff turnover

67%

Serious cites

0

Maplewood runs 160 beds in Jackson under for-profit LLC ownership, and its staffing sits right at the national average, 3.85 nurse hours per resident day against 3.86 nationally. That number looks fine until you see who's delivering it: turnover runs 66.7% a year, well above the 45.8% national figure, and weekends drop about 11% below the home's own weekday level. Inspections tell a harder story. The current record carries 26 deficiencies, five at harm or jeopardy level and three tied to abuse, with a $93,678 fine and a 2/5 health inspection rating. Quality measures score 1/5.

Nurse hours

3.45 /day

Staff turnover

70%

Serious cites

0

Smoky Mountain Health and Rehabilitation Center runs on thin staffing, 3.45 nurse hours per resident day, roughly 11% under the national average, and it gets noticeably thinner on weekends, dropping about 17% below its own weekday level. That matters most when a resident needs help on a Saturday. Staff turnover sits at 70.1%, well above the 45.8% national average, so the people caring for your relative are often new and still learning the building. The inspection record shows 16 deficiencies, four of them serious enough to put residents in harm's way and two tied to abuse, with $61,180 in fines and a survey from January 2024. A for-profit LLC operates it. Ask direct questions about weekend coverage and how they've addressed the abuse findings.

Nurse hours

3.36 /day

Staff turnover

69%

Serious cites

0

Majestic Gardens runs 169 beds under corporate ownership, and the staffing numbers are where the trouble starts. At 3.36 nurse hours per resident day, it sits about 13% under the national average, and weekends drop roughly 11% below its own weekday coverage. Staff turnover hits 68.5%, well above the 45.8% national figure, so caregivers are cycling through constantly. The inspection record is worse: 37 deficiencies on file, including 4 at the harm or jeopardy level and 5 tied to abuse. CMS has levied 9 fines totaling $810,404 and placed the home in its Special Focus Facility program, a designation reserved for the country's most persistently troubled homes. The most recent inspection was September 11, 2025.

Nurse hours

2.99 /day

Staff turnover

69%

Serious cites

0

The Waters of Smyrna runs on 2.99 nurse staffing hours per resident day, roughly a quarter below the national average of 3.86, and weekend coverage dips further below its own weekday level. That thin staffing sits alongside 69.3% annual turnover, well above the 45.8% national figure, meaning most of the people caring for residents are new to the building. Its record shows 36 deficiencies, including three at the harm or jeopardy level and six tied to abuse, plus a $97,773 fine. The last inspection was in August 2022, so that record has had time to age without a fresh look.

Nurse hours

5.25 /day

Staff turnover

n/a

Serious cites

0

Advanced Health Care of Nashville runs 49 beds under a for-profit limited liability company, and its nurse staffing sits at 5.25 hours per resident day, roughly 36% above the national average of 3.86. That part looks strong on paper. What sits underneath is harder to ignore: five deficiencies on the current record, three of them at the harm or jeopardy level, and all five abuse-related. CMS has fined this home six times for a total of $125,508, and the last inspection was October 2022, so the record you're reading is nearly three years old. Weekend staffing also drops about 21% below its own weekday level, meaning the hours aren't spread evenly across the week.