226 Chain-Owned Nursing Homes in Tennessee

Nurse hours

3.80 /day

Staff turnover

41%

Serious cites

0

Nhc Healthcare, Pulaski runs 102 certified beds under corporate for-profit ownership, and its staffing sits just under the national average at 3.80 nurse hours per resident day. Weekends dip about 9% below its own weekday coverage, so the thinnest shifts are predictable. Annual turnover of 41% actually beats the 45.8% national figure, which matters for continuity. The health inspection side is the weak spot: a 2-out-of-5 star rating, seven deficiencies on record with two at harm or jeopardy level, no abuse citations, and nothing inspected since October 2022, nearly three years without a fresh look. Quality measures score 5/5, staffing 4/5. Ask what that care actually looks like on a Sunday.

Nurse hours

3.68 /day

Staff turnover

42%

Serious cites

0

Nhc Healthcare, Lawrenceburg runs 96 beds under corporate for-profit ownership, and its last health inspection was in April 2025, recent enough that the record reflects current conditions. The inspection history shows seven deficiencies, none at the harm or jeopardy level, though two are abuse-related, which families should ask about directly. Nurse staffing sits at 3.68 hours per resident day, about 5% under the national average, and weekends run roughly 15% thinner than weekdays, so coverage can feel different depending on when you visit. Staff turnover of 42.4% is slightly better than the national rate of 45.8%. Quality measures score well; staffing is the weaker spot.

Nurse hours

3.66 /day

Staff turnover

34%

Serious cites

0

Life Care Center of Greeneville runs 161 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.66 hours per resident day, about 5% under the national average of 3.86. Weekend coverage drops roughly 8% below its own weekday levels, so ask how that gap gets filled on Saturdays and Sundays. Staff turnover is 33.8%, which is meaningfully better than the 45.8% national average; keeping caregivers in place matters for residents who need consistency. The inspection record shows 18 deficiencies, none at the harm or jeopardy level, though one is abuse-related. The last inspection was June 25, 2025, so the record is current.

Nurse hours

3.76 /day

Staff turnover

42%

Serious cites

0

Holston Health & Rehabilitation Center runs 94 certified beds in Knoxville under for-profit LLC ownership, and its inspection record is the strongest part of the story: six total deficiencies with none at the harm or jeopardy level, and the most recent inspection came in December 2024. Three of those six deficiencies are abuse-related, which is worth asking about directly. Staffing sits at 3.76 nurse hours per resident day, slightly under the national average, and weekends run about 11% thinner than weekdays. Annual turnover of 41.7% is a bit better than the national rate. Quality measures score well. The weak spot is consistent coverage, not care problems on paper.

Nurse hours

4.18 /day

Staff turnover

42%

Serious cites

0

Adamsville Healthcare and Rehabilitation Center runs 125 certified beds under corporate for-profit ownership, and the numbers are mostly steady. Nurse staffing sits at 4.18 hours per resident day, about 8% above the national average, though weekends drop roughly 15% below what the home staffs during the week, worth asking about if your family member needs more attention on Saturdays and Sundays. Turnover is 42%, a touch better than the 45.8% national figure. The home carries 20 deficiencies on its current record, none at the harm or jeopardy level and none abuse-related, with its last inspection in July 2025.

Nurse hours

4.47 /day

Staff turnover

61%

Serious cites

0

Nhc Place Sumner runs on more nursing hours than most homes, 4.47 per resident day against a national average of 3.86, and weekends drop about 12% below its own weekday pace, so coverage thins out when families tend to visit. The bigger number to sit with is turnover: 61.1% of staff leaving in a year, well above the 45.8% national figure, which means the people caring for your relative are often new. Inspections are a genuine strength here: a perfect health inspection rating, seven total deficiencies with none at the harm level and nothing abuse-related, and the most recent state visit in March 2026. Quality measures also score 5/5. Ownership is for-profit, a limited liability company.

Nurse hours

3.66 /day

Staff turnover

20%

Serious cites

0

Signature Healthcare of Rockwood runs a tight ship on inspections and outcomes, top marks on both health inspection and quality measures, with just eight deficiencies on record and none rising to actual harm. The catch is staffing. At 3.66 nurse hours per resident day, it sits under the national average, and weekends drop about 16% below its own weekday coverage. That gap matters most when something goes wrong on a Saturday. On the plus side, turnover is 20%, well under half the national rate, so the aides and nurses you meet are more likely to still be there next year. The remaining concern is one abuse-related deficiency and the fact that the last full inspection was May 2023.

Nurse hours

4.79 /day

Staff turnover

52%

Serious cites

0

Princeton Transitional Care in Johnson City runs on a corporate for-profit model, and its staffing numbers tell a mixed story. At 4.79 nurse hours per resident day, it sits about 24% above the national average, which is a real margin in a field where most homes struggle to hit the baseline. But weekends drop roughly 23% below its own weekday coverage, so the care you see Monday isn't what you get Saturday. Annual turnover hits 52.2%, well past the 45.8% national figure, meaning the staff who know your parent may not stay long. The inspection record is clean: three deficiencies, none at harm level, none abuse-related, with a recent survey in May 2026 and top marks from CMS on health inspections.

Nurse hours

4.25 /day

Staff turnover

51%

Serious cites

0

Life Care Center of Ooltewah runs on 4.25 nurse hours per resident day, roughly 10% above the national average, and its inspection record shows six deficiencies with none at the harm or jeopardy level and nothing abuse-related. That staffing edge comes with a catch: weekend coverage drops about 19% below what the home provides on weekdays, and annual turnover sits at 51.1%, higher than the national 45.8%, meaning the people caring for your family member are more likely than average to be new. The last state inspection was December 2022, so the record you're reading is over two years old. Corporate-owned, 120 beds, decent marks on both quality measures and inspections. Worth a visit on a Saturday.

Nurse hours

5.34 /day

Staff turnover

n/a

Serious cites

0

Brigadier General Wendell H Gilbert Tn State Veter runs on state government money, and the nurse staffing shows it: 5.34 hours per resident day, roughly 38% above the national average. That's real coverage, though weekends dip about 13% below the home's own weekday level, so the weekday numbers aren't the whole story. The inspection record is where things get more mixed, eight deficiencies on file, two serious enough to involve harm or jeopardy, and one tied to abuse. The last full inspection was in April 2022, so that record is getting stale. Three stars each for inspections, quality measures, and staffing puts this home squarely in the middle of the pack.

Nurse hours

3.98 /day

Staff turnover

n/a

Serious cites

0

Starr Regional in Etowah runs 3.98 nurse hours per resident day, a bit above the national average of 3.86. That edge shrinks on weekends, though, when staffing drops roughly 18% below its own weekday level, worth asking about if you're planning visits or admissions around Saturdays and Sundays. The inspection record is clean where it counts: 11 deficiencies, none at harm or jeopardy level, none abuse-related, and two fines totaling $8,697. The most recent inspection was in January 2026, so the picture is current. Quality measures score well; staffing sits in the middle. Owned by a for-profit corporation.

Nurse hours

4.51 /day

Staff turnover

42%

Serious cites

0

Senator Ben Atchley State Veterans' Home runs on 4.51 nursing hours per resident day, roughly 17% above the national average, and its weekend staffing dips about 11% below its own weekday level, a real gap if your family visits or calls on Saturdays. The state-run home in Knoxville holds a clean inspection record: five deficiencies total, none at harm or jeopardy level, though one is abuse-related. Turnover sits at 42.4%, slightly better than the 45.8% national figure, and its last inspection came in March 2026. The quality measure score of 2 out of 5 is the number worth asking about directly, staffing looks strong, but clinical outcomes tell a different story.

Nurse hours

4.43 /day

Staff turnover

48%

Serious cites

0

Life Care Center Of East Ridge runs a solid nursing floor: 4.43 nurse hours per resident per day is about 15% above the national average of 3.86, and that staffing strength is the main reason it holds a B grade. Weekend coverage dips roughly 8% below its own weekday level, which is worth asking about if your family member needs help most on Saturdays and Sundays. Turnover sits at 48%, a little above the 45.8% national average. The home has 14 deficiencies on its current record, none at harm or jeopardy level and none abuse-related, and its most recent inspection was August 21, 2025, so the picture is reasonably current.

Nurse hours

4.14 /day

Staff turnover

47%

Serious cites

0

Nhc Healthcare, Sequatchie runs 110 certified beds in Dunlap under corporate for-profit ownership, and its strongest numbers are on the clinical side, the federal quality measures come in at the top of the scale. Nurse staffing sits at 4.14 hours per resident day, roughly 7% above the national average of 3.86, though weekends drop about 17% below the home's own weekday coverage, so the care floor thins out on Saturdays and Sundays. Staff turnover lands at 46.6%, right in line with the national 45.8%, meaning nearly half the workforce turns over in a year. Seven deficiencies sit on the current record with none at harm level and no abuse findings, and the most recent inspection was April 2026.

Nurse hours

3.73 /day

Staff turnover

33%

Serious cites

0

Life Care Center of Cleveland runs 142 certified beds under corporate for-profit ownership, and its staffing sits at 3.73 nurse hours per resident day, about 3% under the national average of 3.86. Weekends drop roughly 15% below its own weekday coverage, so if you're planning visits or checking in on care, that gap is worth knowing about. The good news on retention: turnover here is 32.9%, well below the 45.8% national figure, which suggests a steadier crew than many homes manage. State inspectors logged 16 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent inspection in December 2025.

Nurse hours

3.52 /day

Staff turnover

43%

Serious cites

0

Diversicare Of Martin runs 150 beds under corporate ownership, and its inspection record is the strongest part of the story: a 4-out-of-5 health inspection rating with eight deficiencies on file, none of them serious enough to cause harm or jeopardy. One abuse-related citation is there, which is worth asking about directly. The weaker spot is staffing. At 3.52 nurse hours per resident day, it sits roughly 9% under the national average, and weekends drop about 19% below its own weekday coverage, so a Saturday shift looks noticeably thinner than a Tuesday. Turnover at 42.9% is slightly better than the 45.8% national figure, and the last inspection was April 2025, so the picture is current.

Nurse hours

3.55 /day

Staff turnover

39%

Serious cites

0

Signature Healthcare of Ridgely runs about 3.55 nurse hours per resident day, roughly 8% under the national average of 3.86, and weekends dip about 17% below its own weekday coverage. That thinner weekend staffing matters most for a 100-bed home, since that's when families often visit and when needs don't pause. Turnover sits at 39.1%, better than the 45.8% national figure. The inspection record shows 15 deficiencies, none at harm or jeopardy level and none abuse-related, with the last inspection in August 2023, a fairly long gap since the state was last inside. The 2/5 inspection rating reflects that citation history, while the 5/5 quality measure score comes from clinical data the home reports.

Nurse hours

3.98 /day

Staff turnover

50%

Serious cites

0

Nhc Healthcare, Ft Sanders runs 160 certified beds as a for-profit corporation, and its nurse staffing sits just above the national average, 3.98 hours per resident day against 3.86. That edge softens on weekends, when coverage drops about 7% below its own weekday level. Staff turnover is the number worth pausing on: 50.4% a year, higher than the national 45.8%. The current record carries 21 deficiencies, including one at the harm or jeopardy level and one abuse-related, with a single fine of $9,770. Health inspections earned 2 out of 5 stars, while quality measures scored 5 and staffing 4, a split that suggests the day-to-day care metrics look better than the inspection history does. The last survey was January 22, 2026.

Nurse hours

4.09 /day

Staff turnover

40%

Serious cites

0

Nhc Healthcare, Cookeville runs on a corporate for-profit model with 104 certified beds, and the numbers are mostly steady. Nurse staffing sits at 4.09 hours per resident day, about 6% above the national average, though weekends drop roughly 15% below what the home provides during the week, a gap worth asking about if your family member needs consistent weekend coverage. Staff turnover is 40%, slightly better than the 45.8% national figure. Six deficiencies appear on the current record, none at the harm level and none abuse-related, and the last inspection was February 2025. That combination, recent inspection, no serious citations, solid quality scores, explains why this home grades out reasonably well despite average staffing marks.

Nurse hours

3.48 /day

Staff turnover

28%

Serious cites

0

Wood Village runs lean on daily nursing hours, 3.48 per resident, roughly 10 percent under the national average, and weekends dip another 9 percent below its own weekday pace. What stands out instead is retention: 27.9 percent turnover against a national average of 45.8 percent means the aides and nurses here tend to stay, which matters more for daily care than a staffing ratio on paper. The inspection record backs that up, with a 5/5 health inspection rating, only two deficiencies on file, none involving harm or abuse, and a recent May 2025 survey. Nonprofit ownership and a 4/5 quality measure rating round out a home that's stable rather than flush.