226 Chain-Owned Nursing Homes in Tennessee

Nurse hours

3.23 /day

Staff turnover

49%

Serious cites

0

Nhc Healthcare, Oakwood runs 60 certified beds in Lewisburg under corporate for-profit ownership, and its strongest showing is in resident outcomes, the federal quality measure rating sits at 5 out of 5. Staffing is thinner than it looks on paper: 3.23 nurse hours per resident day, roughly 16 percent below the national average of 3.86, and weekends drop about 10 percent below the home's own weekday coverage. Annual turnover of 49.1 percent exceeds the 45.8 percent national figure, so the faces change often. Inspections earn 3 of 5 stars, with 12 deficiencies on record, none at the harm or jeopardy level, and none abuse-related. The most recent inspection was January 22, 2026, so the picture is current.

Nurse hours

3.84 /day

Staff turnover

58%

Serious cites

0

Nhc Healthcare, Knoxville runs 127 certified beds under for-profit limited liability ownership, and its staffing sits right at the national line, 3.84 nurse hours per resident day against a 3.86 average, with weekends dropping roughly 14% below its own weekday coverage. Annual turnover is 57.7%, well above the 45.8% national figure, so the people caring for residents change often. The current inspection record carries 16 deficiencies, including one at the harm or jeopardy level and three tied to abuse, from a last survey dated March 15, 2023. Quality and staffing measures look strong on paper, but the inspection history and weekend gaps are where families should focus their questions.

Nurse hours

4.07 /day

Staff turnover

51%

Serious cites

0

Nhc Healthcare, Athens runs on 4.07 nurse hours per resident day, about 5% above the national average, though weekends drop roughly 14% below its own weekday staffing. Annual turnover sits at 50.8%, higher than the 45.8% national figure. The home carries a for-profit LLC ownership structure and eight deficiencies on its current record, none at the harm or jeopardy level and none abuse-related. Its last inspection was August 24, 2023, and it holds 4 out of 5 stars in each CMS category, health inspections, quality measures, and staffing. The numbers point to a decently staffed home with solid inspection history, held back somewhat by turnover and thinner weekend coverage.

Nurse hours

3.69 /day

Staff turnover

37%

Serious cites

0

Nhc Healthcare, Sparta runs about 3.69 nurse hours per resident each day, roughly 4% under the national average, and weekends pull about 10% below its own weekday numbers. Turnover sits at 36.7%, better than the 45.8% national rate, so the crew here is comparatively stable. On its current record: seven deficiencies, none at the harm level, one tied to abuse, with the last inspection in June 2025. The limited liability, for-profit structure is worth knowing about, that ownership type often runs leaner on staffing, and the below-average hours here fit that pattern.

Nurse hours

3.88 /day

Staff turnover

51%

Serious cites

0

Life Care Center of Columbia sits right at the national average for nurse staffing, 3.88 hours per resident day against 3.86, close enough that the difference means nothing. What does stand out is the 51.3% annual turnover, well above the typical 45.8%, and weekend staffing that drops about 12% below the home's own weekday levels, so the people around your family member change often and thin out on Saturdays and Sundays. Seven deficiencies sit on the current record, three serious enough to involve harm or jeopardy. The last full inspection was December 2021, which is a long time ago.

Nurse hours

4.17 /day

Staff turnover

44%

Serious cites

0

Life Care Center Of Hixson runs 108 certified beds under corporate ownership, and its nurse staffing sits at 4.17 hours per resident day, roughly 8% above the national average of 3.86. That's real coverage on paper, though weekends drop about 13% below the home's own weekday level, so the weekday numbers don't tell the whole story. Staff turnover lands at 44%, a hair under the 45.8% national figure, which is neither a red flag nor a bragging point. The bigger issue is the inspection record: a 1-out-of-5 health inspection rating, 8 deficiencies with 1 at the harm or jeopardy level, and no abuse citations. The most recent inspection was May 2026. Quality and staffing measures each rate 3 out of 5.

Nurse hours

4.13 /day

Staff turnover

37%

Serious cites

0

Hancock Manor runs on 4.13 nurse hours per resident per day, which puts it about 7 percent above the national average of 3.86. Staff turnover sits at 37 percent, better than the 45.8 percent national figure, though weekend coverage drops roughly 10 percent below what the home staffs on weekdays. The inspection record is clean where it counts: four deficiencies total, none at the harm or jeopardy level, none abuse-related, and the most recent inspection was August 2025. For a 50-bed for-profit corporation in Sneedville, that combination of steady staffing and a short, low-severity deficiency list is the main thing working in its favor.

Nurse hours

4.92 /day

Staff turnover

52%

Serious cites

0

West Tennessee Post Acute runs about 4.92 nurse hours per resident per day, roughly 27% above the national average of 3.86, that's real coverage on paper. The catch is consistency: weekend staffing drops about 20% below its own weekday level, so the aide who knows your mother on Tuesday may not be there Saturday. Staff turnover sits at 51.9%, above the national 45.8%, meaning half the workforce turns over each year. Fourteen deficiencies are on the current record, though none at harm or jeopardy level and none abuse-related. State inspectors last visited in May 2025. For-profit, limited liability ownership. The staffing numbers look better than the average; the retention numbers explain why that average can be hard to feel.

Nurse hours

4.10 /day

Staff turnover

56%

Serious cites

0

Nhc-Maury Regional runs a clean shop on the things inspectors can see. Seven deficiencies on the current record with none causing harm or jeopardy, and a five-star inspection rating backed by a September 2023 survey, that combination usually means a building where the basics get done. The staffing picture is more mixed. At 4.10 nurse hours per resident day, it sits about 6% above the national average, but weekends run roughly 11% thinner than weekdays, and turnover hits 55.9% against a national 45.8%. That churn is worth asking about directly. Corporate for-profit ownership, 112 beds. The care numbers look solid. The question is whether the people delivering them stick around.

Nurse hours

2.96 /day

Staff turnover

32%

Serious cites

0

The Waters of Clinton runs on 2.96 nurse hours per resident per day, roughly a quarter below the national average of 3.86, and weekends dip about 10% below its own weekday level. That thin coverage is what CMS's 2-out-of-5 staffing rating reflects, even though the home's quality measure score is perfect and turnover (32.4%) actually beats the national 45.8%. The 14 deficiencies on record include none at the harm level and none abuse-related, and the most recent inspection was September 2025. So this is a for-profit LLC where outcomes look good on paper and staff tend to stay, but day-to-day hands-on time is well short of average, worth asking how the floor is covered on a Saturday.

Nurse hours

3.68 /day

Staff turnover

41%

Serious cites

0

Life Care Center Of Crossville runs 122 certified beds under for-profit LLC ownership, and its staffing sits at 3.68 nurse hours per resident day, roughly 5% under the national average of 3.86. Weekends dip about 10% below the home's own weekday coverage, so families should ask who's actually on the floor on Saturdays and Sundays. The inspection record shows 17 deficiencies, including one at the harm or jeopardy level and three tied to abuse; the state fined the home $8,824. Turnover at 41.3% is slightly better than the 45.8% national figure, and the quality measure rating is strong, but that harm-level and abuse-related history is what you'd want to press administrators on directly.

Nurse hours

3.75 /day

Staff turnover

24%

Serious cites

0

Lynchburg Nursing Center runs 88 certified beds under for-profit LLC ownership, and the staffing picture is where your attention should go first. Total nurse hours sit at 3.75 per resident day, a bit under the national average, and weekends drop roughly 13% below what the home staffs on weekdays, so coverage thins out exactly when families tend to visit and when fewer administrators are around. What offsets that is unusually low turnover at 24.2%, well under the national figure, which suggests the aides and nurses who are there tend to stay. The inspection record is clean where it counts: six deficiencies, none at harm or jeopardy level, none abuse-related, with a recent survey in December 2025. Staffing is the soft spot; consistency is the strength.

Nurse hours

3.32 /day

Staff turnover

29%

Serious cites

0

The Waters of Roan Highlands runs lean on direct care: 3.32 nurse hours per resident day, roughly 14 percent under the national average, and weekends get thinner still, dropping another 14 percent below the home's own weekday level. That gap is what pulls its staffing rating down to 2 out of 5. What offsets it is a clean inspection record, zero deficiencies on the current books, none at harm level, none abuse-related, with a survey completed in May 2026, and quality measures scoring 5 out of 5. Staff turnover sits at 29.2 percent, well below the 45.8 percent national figure, so the people who are there tend to stay.

Nurse hours

3.48 /day

Staff turnover

35%

Serious cites

0

Asbury Place Kingsport runs a lean nursing floor: 3.48 nurse hours per resident day, roughly 10% under the national average, and weekends drop about 8% below its own weekday coverage. That's worth asking about if your family member needs help on Saturdays and Sundays. The tradeoff is consistency, 34.5% annual turnover is well below the 45.8% national figure, so the aides and nurses you meet are more likely to still be there next year. Ten deficiencies sit on the current record, none at harm level, one tied to abuse, with five fines totaling $23,604. A for-profit LLC operates the 67-bed home, and its last inspection was April 2026.

Nurse hours

4.00 /day

Staff turnover

53%

Serious cites

0

Nhc Healthcare, Tullahoma runs 90 certified beds under for-profit LLC ownership, and the nurse staffing number lands at 4.00 hours per resident day, about 4% above the national average of 3.86. That margin narrows on weekends, when coverage drops roughly 13% below the home's own weekday level. Staff turnover sits at 52.6%, noticeably higher than the 45.8% national figure, so continuity of caregivers is a fair question to raise. The current inspection record shows 13 deficiencies, none at harm or jeopardy level, though one is abuse-related. The last inspection was June 11, 2025, so the picture is recent. CMS rates staffing and quality measures 4 out of 5, health inspections 3.

Nurse hours

3.81 /day

Staff turnover

48%

Serious cites

0

Signature Healthcare of Primacy runs 120 beds under for-profit LLC ownership, and the staffing picture is the weak spot. At 3.81 nurse hours per resident day, it sits just under the national average of 3.86, and weekends drop roughly 17% below its own weekday coverage. Annual turnover of 48.2% also edges past the national 45.8%, so the people caring for residents change often. What lifts it is the inspection record: a 4-star health inspection rating, seven deficiencies on file, none involving harm or jeopardy, and none abuse-related, with the most recent inspection dated March 2026. Quality measures come in strong at 5 stars. If staffing consistency matters most to you, ask how weekends are covered.

Nurse hours

3.43 /day

Staff turnover

35%

Serious cites

0

Mountain City Care & Rehabilitation Center runs 3.43 total nurse hours per resident per day, roughly 11% under the national average, and weekends drop about 16% below its own weekday staffing. That's worth knowing before you visit on a Sunday. The tradeoff is stability: turnover sits at 35.4% against a national average near 46%, so the aides and nurses you meet are more likely to still be there next year. The current record shows six deficiencies, none at the harm level and none abuse-related, and its last inspection was April 2026, so the findings are recent rather than stale. A 120-bed for-profit LLC with a five-star inspection history and thinner daily coverage, ask about weekend coverage directly.

Nurse hours

3.65 /day

Staff turnover

41%

Serious cites

0

Hillview Health Center runs on federal ownership, which shapes how it operates. The 76-bed home in Elizabethton scores 4 out of 5 stars on all three CMS measures, health inspections, quality, and staffing, and its record shows 7 deficiencies with none at the harm or jeopardy level and nothing abuse-related. Staffing sits at 3.65 hours per resident day, about 5% under the national average of 3.86, and weekends drop roughly 20% below its own weekday coverage. Turnover is 41.2%, better than the 45.8% national figure. Its last inspection was November 2023, so the record is reasonably current. The weak spot is thin weekend staffing, not safety or quality.

Nurse hours

3.79 /day

Staff turnover

51%

Serious cites

0

Life Care Center of Blount County runs 120 certified beds under corporate ownership, and its staffing sits slightly under the national average, 3.79 nurse hours per resident day against 3.86. That gap is small, but weekends drop about 18% below the home's own weekday coverage, and staff turnover is 51.4%, noticeably above the 45.8% national figure. The inspection record is where the real concern shows: 19 deficiencies, one at harm or jeopardy level, two abuse-related, plus an $8,018 fine, with the most recent inspection in December 2024. Quality measures score well, but strong clinical numbers don't cancel out a thin weekend shift or a harm-level finding. Worth asking about directly before deciding.

Nurse hours

3.66 /day

Staff turnover

51%

Serious cites

0

Nhc Healthcare, Chattanooga runs 200 beds under corporate for-profit ownership, and its nurse staffing sits at 3.66 hours per resident day, about 5% under the national average, with weekends dipping roughly 13% below its own weekday levels. That thinner weekend coverage matters, because direct care doesn't pause on Saturdays. Annual turnover hits 51%, well above the 45.8% national figure, so familiar faces cycle out faster than average here. The inspection record is current, last reviewed in October 2024, and shows 10 deficiencies with none at the harm or jeopardy level and nothing abuse-related. CMS rates the clinical quality measures a full 5 out of 5, while staffing earns 2. The care itself looks solid on paper; the workforce keeping it running is where the strain shows.