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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 61 to 80 of 226, best-graded first.

B

77/100

Nhc Healthcare, Murfreesboro

Murfreesboro, TN · Rutherford County

CMS 5/5181 bedsFor-profitMedicaid
Nurse hours
3.85 /day
Staff turnover
57%
Serious cites
0

Nhc Healthcare, Murfreesboro runs 181 certified beds under corporate for-profit ownership, and its inspection record is genuinely strong, a five-star health inspection rating, seven total deficiencies with none rising to harm or jeopardy, and a survey completed in March 2026. The catch sits in the workforce. Nurse staffing averages 3.85 hours per resident day, essentially level with the national figure, but weekends run about 9% lighter than weekdays, and annual turnover hits 56.7% against a national average of 45.8%. Two abuse-related deficiencies also appear on the current record. Consistent oversight and quality scores are doing real work here; the question is whether enough consistent hands stay on staff to keep it that way.

B

77/100

Signature Healthcare Of Elizabethton Rehab & Welln

Elizabethton, TN · Carter County

CMS 5/594 bedsFor-profitMedicaid
Nurse hours
3.89 /day
Staff turnover
37%
Serious cites
0

Signature Healthcare of Elizabethton runs 94 certified beds under for-profit LLC ownership, and its inspection record is the cleanest part of the story: a five-star health inspection rating with just two deficiencies on file, none at the harm or jeopardy level. One of those two is abuse-related, which is worth asking about directly. Nurse staffing sits at 3.89 hours per resident day, barely above the 3.86 national average, and weekends dip about 12% below the home's own weekday coverage. Staff turnover is 36.8%, lower than the 45.8% national figure, which suggests people tend to stay. The last inspection was May 2025, so the record you're reading is recent.

B

77/100

Countryside Post-Acute And Rehabilitation Center

Lawrenceburg, TN · Lawrence County

CMS 3/5162 bedsFor-profitMedicaid
Nurse hours
3.66 /day
Staff turnover
40%
Serious cites
0

Countryside Post-Acute and Rehabilitation Center is a 162-bed for-profit in Lawrenceburg, and its numbers tell a mixed story. Nurse staffing sits at 3.66 hours per resident per day, roughly 5% under the national average, and weekend coverage drops about 13% below the home's own weekday level, so care thins out exactly when families tend to visit. Staff turnover, at 40.2%, is actually better than the 45.8% national figure, which suggests some stability in the workforce. The current record shows 15 deficiencies, none at the harm level and none abuse-related, and the last inspection was in February 2026. Quality measures score well; staffing is the weak spot.

B

77/100

Life Care Center Of Collegedale

Collegedale, TN · Hamilton County

CMS 4/5124 bedsFor-profitMedicaid
Nurse hours
3.35 /day
Staff turnover
36%
Serious cites
0

Life Care Center of Collegedale runs about 3.35 nursing hours per resident each day, roughly 13% under the national average, and weekends are thinner still, about 13% below its own weekday staffing. Turnover sits at 35.8%, better than the 45.8% national figure, so the people who stay tend to stay. The current record shows 8 deficiencies, none involving harm or abuse, and the last inspection was in March 2023. Its quality measure score is perfect while staffing and inspections land in the middle. Read together, that mix suggests a home getting good clinical outcomes from a leaner crew, though the weekend dip is worth asking about directly.

B

77/100

Trenton Health And Rehabilitation Center, Llc

Trenton, TN · Gibson County

CMS 5/550 bedsFor-profitMedicaid
Nurse hours
3.88 /day
Staff turnover
49%
Serious cites
0

Trenton Health and Rehabilitation Center runs 50 certified beds under corporate for-profit ownership, and its inspection record is genuinely clean, a five-star health inspection rating, no deficiencies at the harm or jeopardy level, and nothing abuse-related among its eight total citations. The catch is staffing. Total nurse coverage sits at 3.88 hours per resident day, essentially dead even with the national average, and weekends drop about 12% below what the home staffs on weekdays. Annual turnover of 48.9% tops the national rate of 45.8%, which means roughly half the nursing staff turns over each year. Quality measures score five stars, and the most recent inspection was in January 2026. Strong care outcomes, thin staffing cushion.

B

77/100

Signature Healthcare Of Rogersville

Rogersville, TN · Hawkins County

CMS 5/5150 bedsFor-profitMedicaid
Nurse hours
3.40 /day
Staff turnover
43%
Serious cites
0

Signature Healthcare of Rogersville runs 150 certified beds under corporate ownership, and its staffing sits at 3.40 nurse hours per resident per day, about 12% under the national average of 3.86. Weekends dip roughly another 12% below its own weekday coverage, so if you're visiting or calling on a Saturday, expect a thinner floor than midweek. The stronger news is on inspections: three deficiencies on record, none at the harm level, none abuse-related, and the most recent survey was in January 2026. Turnover lands at 42.9%, slightly better than the 45.8% national figure. Its inspection and quality ratings both hit the top mark; staffing is the piece holding it back.

B

77/100

The Preserve At Fairfield Glade

Crossville, TN · Cumberland County

CMS 4/560 bedsFor-profitMedicaid
Nurse hours
3.82 /day
Staff turnover
65%
Serious cites
0

The Preserve At Fairfield Glade runs on staffing that's essentially at the national average, 3.82 nurse hours per resident day against 3.86, though weekends dip about 8% below its own weekday coverage, which matters if your visits fall on a Saturday or Sunday. What stands out more is the 65% annual turnover, well above the 45.8% national figure, meaning the aide or nurse your family member sees most often may not be there in a year. The record shows 16 deficiencies, none at the harm level but two tied to abuse, and the last full inspection was in May 2023. Quality measures score well; inspections are middling.

B

76.5/100

Dover Care Center

Dover, TN · Stewart County

CMS 3/588 bedsFor-profitMedicaid
Nurse hours
3.57 /day
Staff turnover
44%
Serious cites
0

Dover Care Center runs 88 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.57 hours per resident day, roughly 8% under the national average of 3.86. Weekends are thinner still, about 17% below the home's own weekday coverage, which is worth asking about if your family visits mainly on Saturdays and Sundays. Staff turnover of 43.9% is a hair better than the 45.8% national figure, so aides and nurses here aren't leaving any faster than elsewhere. The current record shows 17 deficiencies, none at harm or jeopardy level, though three are abuse-related, a category that deserves a direct question. The last inspection was July 2025, and all three CMS star ratings land at 3 out of 5.

B

76/100

Soddy-Daisy Health Care Center

Soddy-Daisy, TN · Hamilton County

CMS 3/5134 bedsFor-profitMedicaid
Nurse hours
3.69 /day
Staff turnover
48%
Serious cites
0

Soddy-Daisy Health Care Center runs 134 certified beds under corporate for-profit ownership, and its staffing sits at 3.69 nurse hours per resident day, about 5% under the national figure of 3.86. Weekends drop roughly another 10% below the home's own weekday coverage, and annual turnover is 47.7%, slightly above the 45.8% national average. On inspections, the current record shows 8 deficiencies with none at the harm or jeopardy level and none abuse-related; the last inspection was November 17, 2025. CMS rates staffing 2 out of 5 stars, which lines up with those hours, while the quality measure rating is a stronger 4 out of 5. Ask about weekend nurse coverage and how they keep direct-care staff from cycling out.

B

75.5/100

Buchanan Place

New Tazewell, TN · Claiborne County

CMS 2/5134 bedsFor-profitMedicaid
Nurse hours
3.65 /day
Staff turnover
37%
Serious cites
0

Buchanan Place runs 134 certified beds under corporate ownership, and its staffing sits at 3.65 nurse hours per resident day, roughly 5% under the national average of 3.86. Weekends dip about 17% below its own weekday coverage, so if you're planning visits, that gap matters. Turnover is the one number that beats the norm: 36.7% against a national 45.8%, which suggests some stability in the workforce even if raw hours run thin. What pulls the record down is the inspection side, 18 deficiencies on file, including one at the harm level and four tied to abuse, with a single fine of $8,021. The last inspection was June 2022, so this record is dated.

B

75.5/100

Manchester Center For Rehabilitation And Healing L

Manchester, TN · Coffee County

CMS 4/5120 bedsFor-profitMedicaid
Nurse hours
4.27 /day
Staff turnover
53%
Serious cites
0

Manchester Center for Rehabilitation and Healing runs on a corporate for-profit model with 120 certified beds, and the staffing picture is more mixed than the headline number suggests. Total nurse coverage sits at 4.27 hours per resident day, roughly 11% above the national average, but weekends drop about 23% below weekday levels, and annual turnover hits 52.9% against a national 45.8%. The inspection record shows 10 deficiencies, none at harm or jeopardy level, though three are abuse-related, and the last full inspection dates to December 2022, a long gap. CMS quality measures score well, but the staffing star and three-year-old inspection give the stronger signal here.

B

75.5/100

Harborview Post Acute

Memphis, TN · Shelby County

CMS 3/5113 bedsFor-profitMedicaid
Nurse hours
3.78 /day
Staff turnover
50%
Serious cites
0

Harborview Post Acute runs 113 certified beds in Memphis under corporate for-profit ownership, and the staffing numbers are the first thing to notice. At 3.78 nurse hours per resident day, it sits just under the national average of 3.86, and weekends drop roughly 15% below its own weekday level, so the thinnest coverage lands when families tend to visit. Annual turnover of 50% runs above the 45.8% national figure, meaning aides and nurses cycle through often. The inspection record is the heavier concern: 23 deficiencies, including one at harm or jeopardy level and two abuse-related, with the last inspection back in April 2022. The quality measure stars look strong, but that's largely self-reported data.

B

75.5/100

Monroe Health And Rehabilitation Center

Madisonville, TN · Monroe County

CMS 3/585 bedsFor-profitMedicaid
Nurse hours
3.07 /day
Staff turnover
44%
Serious cites
0

Monroe Health And Rehabilitation Center runs on 3.07 nurse hours per resident day, roughly a fifth below the national average, and weekends drop about 16% below what the home staffs on weekdays. That thinner weekend coverage matters because the inspection record shows 16 deficiencies, three of them abuse-related, though none rose to actual harm or jeopardy. The last inspection was February 2026, so the picture is current. Turnover sits at 43.5%, slightly better than the national 45.8%, and resident quality measures score well even as the staffing and inspection ratings lag. For-profit, LLC-owned, 85 beds, ask about weekend coverage and those abuse-related findings directly.

B

75/100

Ascension Living Alexian Village Tennessee

Signal Mountain, TN · Hamilton County

CMS 1/5114 bedsNon-profitMedicaid
Nurse hours
4.05 /day
Staff turnover
49%
Serious cites
0

Ascension Living Alexian Village Tennessee sits in Signal Mountain with 114 certified beds, run by a nonprofit corporation. The staffing numbers look decent on paper, 4.05 nurse hours per resident day, slightly above the national average, but that advantage shrinks on weekends, when coverage drops about 7% below the home's own weekday level. Staff turnover runs 49%, a few points above the national rate of 45.8%. The real problem shows up in inspections. CMS gave this home 1 out of 5 stars for health inspections, with 28 deficiencies on the current record, including 6 at the harm or jeopardy level and 3 tied to abuse. Two fines total $233,543. The last inspection was December 10, 2025. Strong quality and staffing scores don't offset that inspection history.

B

75/100

Nhc Healthcare, Hendersonville

Hendersonville, TN · Sumner County

CMS 3/5122 bedsFor-profitMedicaid
Nurse hours
3.54 /day
Staff turnover
43%
Serious cites
0

Nhc Healthcare, Hendersonville runs 122 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.54 hours per resident day, roughly 8% under the national average of 3.86. Weekends drop about 9% below what the home staffs on weekdays, so coverage thins out right when families tend to visit. Annual turnover of 42.6% is slightly better than the 45.8% national figure, which matters given how often new faces cycle through. The current inspection record shows 16 deficiencies, one serious enough to reach harm or jeopardy level, though none involve abuse. Inspectors were last on site March 18, 2026. Quality measures score well; staffing and inspections are where the home gives ground.

B

75/100

Willow Ridge Center

Maynardville, TN · Union County

CMS 2/577 bedsFor-profitMedicaid
Nurse hours
3.11 /day
Staff turnover
42%
Serious cites
0

Willow Ridge Center runs 77 certified beds under corporate ownership, and its nursing hours come in at 3.11 per resident day, roughly a fifth under the national average of 3.86. Weekends drop about 13% below the home's own weekday staffing, which matters when a fall or an infection doesn't wait for Monday. The inspection record shows 15 deficiencies, two of them serious enough to involve harm or jeopardy, though none tied to abuse. Staff turnover sits at 41.8%, a touch better than the 45.8% national figure, and the last full inspection was in mid-2023. Quality measures score well; staffing is where the weakness lives.

B

75/100

Ridgeview Terrace Of Life Care

Rutledge, TN · Grainger County

CMS 4/5132 bedsFor-profitMedicaid
Nurse hours
3.27 /day
Staff turnover
23%
Serious cites
0

Ridgeview Terrace runs leaner than most homes on daily nursing hours, about 3.27 per resident, roughly 15% under the national average, and weekends dip another 12% below its own weekday coverage. What stands out is retention: 23.3% annual turnover is less than half the national rate, so the people showing up are largely the same people, which matters more than raw headcount. The 11 deficiencies on record include one abuse-related citation, though none rose to harm or jeopardy, and the last inspection was recent, in May 2025. Quality measure scores sit at 2 of 5 stars while inspections hold at 4, an unusual split worth asking about directly.

B

75/100

Spring Meadows Health And Rehabilitation

Clarksville, TN · Montgomery County

CMS 2/5121 bedsFor-profitMedicaid
Nurse hours
3.43 /day
Staff turnover
39%
Serious cites
0

Spring Meadows runs 3.43 nurse hours per resident day, about 11% under the national average, and weekend coverage drops roughly 7% below its own weekday level, so the thinnest staffing tends to land when families visit. Turnover at 39.4% is better than the 45.8% national figure, which matters for continuity of care. The inspection record is the harder read: 21 deficiencies, five serious enough to reach harm or jeopardy, two tied to abuse, with the most recent inspection in July 2024. Good quality measure scores and steadier retention sit alongside real regulatory problems, and that mixed picture is what a B reflects.

B

75/100

Life Care Center Of Sparta

Sparta, TN · White County

CMS 5/5100 bedsFor-profitMedicaid
Nurse hours
3.77 /day
Staff turnover
39%
Serious cites
0

Life Care Center of Sparta runs about 100 certified beds under corporate for-profit ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.77 hours per resident day, slightly under the national average of 3.86, with weekends running roughly 10 percent thinner than weekdays, worth knowing if your visits fall on Saturdays or Sundays. Turnover is 38.6 percent, which is actually better than the national 45.8 percent, so the people who stay tend to stay. The inspection record is the strong point: five deficiencies on file, none at harm or jeopardy level and none abuse-related, with the most recent inspection in May 2025. The weaker spot is staffing, which CMS rates low.

B

75/100

Savannah Nursing And Rehabilitation

Savannah, TN · Hardin County

CMS 4/5120 bedsFor-profitMedicaid
Nurse hours
3.64 /day
Staff turnover
33%
Serious cites
0

Savannah Nursing and Rehabilitation runs 120 certified beds under corporate for-profit ownership, and its inspection record is genuinely solid, a 4 out of 5 health inspection rating, with eight deficiencies on file and none reaching the harm or jeopardy level. That said, there's one abuse-related citation in the record, which is worth asking about directly. Staffing sits at 3.64 nurse hours per resident day, about 6% under the national average, and weekends run roughly 11% lighter than weekdays, so coverage thins out when families tend to visit. Turnover at 33% beats the 45.8% national figure, which suggests the workforce is comparatively stable. Last inspected November 2024.

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