226 Chain-Owned Nursing Homes in Tennessee

Nurse hours

3.54 /day

Staff turnover

53%

Serious cites

0

Life Care Center of Jefferson City runs 121 certified beds under corporate for-profit ownership, and its staffing is the number that stands out. At 3.54 nurse hours per resident day, it sits about 8% under the national average of 3.86, and weekends drop roughly 18% below its own weekday level, so the coverage your family member gets on a Saturday won't match a Tuesday. Staff turnover of 52.6% runs well above the 45.8% national figure, which means caregivers change often. Inspections in June 2025 turned up 12 deficiencies, none at the harm level and none abuse-related, and the health and quality ratings both land at three stars.

Nurse hours

3.32 /day

Staff turnover

26%

Serious cites

0

Cumberland Village Care runs 182 certified beds in Lafollette under for-profit LLC ownership, and its recent inspection history is genuinely solid, 16 deficiencies on record with none at the harm level, a four-star health inspection rating, and the last survey completed in January 2025. The staffing picture is where it gets thin: 3.32 nurse hours per resident day sits about 14% under the national average, weekends run roughly 16% lighter than weekdays, and that combination earned a two-star staffing rating. The turnover number is the interesting one, 26.1% against a national average of 45.8% means this home is holding onto its caregivers far better than most, so you'd want to ask where the staffing gap actually shows up: it's likely in daily coverage rather than retention.

Nurse hours

3.58 /day

Staff turnover

44%

Serious cites

0

Standing Stone runs a 115-bed for-profit operation in Monterey, and its staffing is the weak spot: 3.58 nurse hours per resident day, about 7% under the national average, with weekends roughly 12% thinner than weekdays. The 2-out-of-5 staffing rating reflects that, and turnover sits at 43.9%, actually a touch better than the national 45.8%, so retention isn't the problem; raw hours are. Inspections are the strong side: a 4-out-of-5 rating and a March 2025 visit, with 13 deficiencies on record, none at harm level, though four are abuse-related and worth asking about directly.

Nurse hours

3.35 /day

Staff turnover

41%

Serious cites

0

Woodbury Health And Rehabilitation Center runs on thinner nursing coverage than most homes, 3.35 nurse hours per resident day against a national average of 3.86, and weekends dip about 5% below its own weekday numbers. Turnover sits at 40.5%, a bit better than the 45.8% national figure, which matters for consistency even if the raw hours don't impress. The inspection record carries 14 deficiencies, two of them serious enough to involve harm or jeopardy, though none are abuse-related; the last state visit was April 2026, so the picture is current. Quality measures score well, but a two-star staffing rating and that deficiency count are the real story here.

Nurse hours

3.47 /day

Staff turnover

30%

Serious cites

0

Haywood Post Acute runs 115 beds in Brownsville under corporate for-profit ownership, and its staffing sits around 3.47 nurse hours per resident day, roughly 10% under the national average, with weekends dipping about 11% below its own weekday coverage. That thin margin is worth asking about directly, since aide coverage is what most affects daily care. Turnover at 30.3% is actually better than the national 45.8%, so the staff who are there tend to stay. Inspections in May 2025 turned up 16 deficiencies, including one at the harm level and two tied to abuse, plus a $10,033 fine. Ask the administrator how those abuse citations were resolved and who covers weekends.

Nurse hours

3.86 /day

Staff turnover

58%

Serious cites

0

Nhc Healthcare, Oak Ridge runs 128 certified beds as a for-profit corporation, and its health inspection record is the strongest part of the story: a 4-out-of-5 inspection rating with just nine deficiencies on file, none of them serious enough to cause harm and none tied to abuse. Staffing tells a more uneven story. Total nurse hours per resident day land at 3.86, essentially matching the national average, but weekends run roughly 18% thinner than weekdays, so coverage depends on when you visit. Annual turnover sits at 57.5% against a national 45.8%, meaning more than half the nursing staff leaves each year. The most recent inspection was in February 2026, so the picture is current.

Nurse hours

3.72 /day

Staff turnover

49%

Serious cites

0

Gallatin Center for Rehabilitation and Healing runs 207 certified beds under for-profit LLC ownership, and its staffing tells the main story: 3.72 nurse hours per resident day, about 4% under the national average, with weekends running roughly 19% below its own weekday level. Annual turnover sits at 48.7%, above the 45.8% national figure. The current record shows 25 deficiencies, two tied to abuse, though none reached harm or jeopardy level, and the last inspection was April 24, 2025. CMS rates quality measures 5 out of 5 but staffing just 2, a gap worth weighing against the recent inspection and the weekend coverage pattern.

Nurse hours

3.49 /day

Staff turnover

32%

Serious cites

0

Life Care Center of Morgan County runs 124 certified beds as a for-profit corporation, and its nurse staffing sits about 10 percent under the national average, 3.49 hours per resident day against 3.86, with weekends dropping roughly 19 percent below its own weekday coverage. That thinner weekend schedule matters when you're the one visiting on a Saturday. Turnover is the brighter spot: 31.5 percent, well below the 45.8 percent national figure, meaning the aides in the building are more likely to be people who know the residents. On the other side, the current record shows 14 deficiencies, including 2 at harm or jeopardy level and 3 tied to abuse, and the last inspection was November 2022, so the picture is a couple years old.

Nurse hours

3.40 /day

Staff turnover

44%

Serious cites

0

Signature Healthcare of Memphis runs a 140-bed for-profit home where the care record and the staffing numbers tell different stories. Inspectors gave it full marks on health inspections, with seven deficiencies on file and none at the harm or jeopardy level, though one is abuse-related, which is worth asking about directly. The catch is coverage: 3.40 nurse hours per resident day sits about 12% under the national average, and weekends drop roughly 16% below the home's own weekday staffing. Turnover at 44.3% is basically in line with the national figure, so the issue isn't retention so much as how many hands are on deck at a given hour.

Nurse hours

2.79 /day

Staff turnover

54%

Serious cites

0

A family looking at Fairpark will see two very different pictures depending on which numbers they check. The clinical quality measures look strong, but the staffing tells another story: 2.79 nurse hours per resident per day, roughly 28% under the national average, with weekend coverage dropping about 17% below its own weekday level. Turnover runs 53.8%. The inspection record backs that up, 15 deficiencies, two at harm or jeopardy level and one abuse-related, with a $27,771 fine, and the most recent inspection was July 2025. For-profit, limited liability ownership. The five-star quality rating reflects how residents are doing on paper. The one-star staffing rating reflects how thin the coverage is. Both are true.

Nurse hours

3.44 /day

Staff turnover

53%

Serious cites

0

Life Care Center of Elizabethton runs 158 certified beds under corporate ownership, and the numbers show a building leaning hard on its clinical scores while staffing lags behind. Nurses provide 3.44 hours per resident day, roughly 11% under the national average of 3.86, and weekend coverage drops about 18% below what the home staffs on weekdays. Annual turnover sits at 53.3%, well above the 45.8% national figure, so the people at the bedside keep changing. The inspection record is the sharper concern: 11 deficiencies, three serious enough to involve harm or jeopardy, and one tied to abuse. A single fine of $10,036 has been levied, and the last full inspection was November 2023. Strong quality-measure scores don't offset that pattern.

Nurse hours

3.49 /day

Staff turnover

42%

Serious cites

0

Signature Healthcare of Fentress County runs 140 beds in Jamestown under for-profit LLC ownership, and its nurse staffing sits at 3.49 hours per resident day, roughly 10% under the national average of 3.86. That shortfall gets worse on weekends, when coverage drops about 18% below the home's own weekday level, so the thinnest shifts land when families tend to visit. Staff turnover comes in at 41.8%, a bit better than the 45.8% national figure, which suggests some stability in the workforce. The current record shows 23 deficiencies, including two tied to abuse, though none rose to harm or jeopardy level. The most recent inspection was January 7, 2026.

Nurse hours

3.55 /day

Staff turnover

47%

Serious cites

0

Signature Healthcare of Cleveland runs 100 beds under a for-profit LLC, and its nurse staffing sits at 3.55 hours per resident day, roughly 8% under the national average of 3.86. Weekends dip about 15% below what the home staffs on weekdays, and annual turnover is 47.2%, a bit above the 45.8% national figure. CMS gives it 2 out of 5 stars for both staffing and health inspections, though its quality measure score is 5 out of 5. The current record shows 11 deficiencies, none at the harm level and none abuse-related, with the last inspection dated February 19, 2026. The quality scores look strong; the staffing and inspection numbers are what pull against them.

Nurse hours

3.61 /day

Staff turnover

44%

Serious cites

0

Cordova Wellness runs 240 beds under for-profit LLC ownership, and its nurse staffing sits at 3.61 hours per resident day, about 6% under the national average of 3.86, with weekends running roughly 15% thinner than weekdays. That pattern matters more than the raw number, since care doesn't pause on Saturdays. Turnover lands at 44.2%, slightly better than the 45.8% national figure, which is a small point in its favor. The 12 deficiencies on record include nothing flagged at harm or jeopardy level and nothing abuse-related, and the last inspection was recent, in April 2026. Quality and staffing both rate 2 out of 5 from CMS, so the decent inspection record is carrying more weight here than day-to-day care measures.

Nurse hours

3.33 /day

Staff turnover

51%

Serious cites

0

Foothills Transitional Care and Rehabilitation runs 185 certified beds in Maryville under corporate for-profit ownership, and its staffing numbers are the thing to look at first. At 3.33 nurse hours per resident day, it sits roughly 14% under the national average, weekend coverage drops about 13% below its own weekday level, and annual turnover hits 51.1% against a national 45.8%, that combination matters more than any single star rating. The inspection record shows 25 deficiencies, including two at the harm-or-jeopardy level and one tied to abuse, with $17,883 in fines and a last inspection in January 2024. Quality measures score well, but good numbers on paper don't staff a hallway on a Sunday.

Nurse hours

3.41 /day

Staff turnover

63%

Serious cites

0

Elk River Health & Rehabilitation Of Fayetteville runs 3.41 nurse hours per resident day, roughly 12% under the national average of 3.86, and weekend coverage dips about 5% below its own weekday level. Turnover sits at 63.2% against a national 45.8%, which is the number that most explains the 2/5 staffing rating even as inspections and quality measures both land at 4/5. The current record shows eight deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent inspection in September 2025. Nonprofit ownership and clean inspections are real strengths; the thin, churning direct-care hours are the tradeoff families should weigh.

Nurse hours

3.47 /day

Staff turnover

68%

Serious cites

0

Four Oaks runs lean on nursing staff, 3.47 hours per resident day against a national average of 3.86, and weekends drop about 15% below its own weekday coverage. That thin staffing shows up plainly in the turnover number: 68.1% of staff leaving annually, well above the 45.8% national rate, which is the kind of churn that makes consistent care hard to sustain. Inspections tell a different story. The home was surveyed recently, in December 2025, and its 10 deficiencies include none at the harm level and two tied to abuse. Corporate-owned and Medicare-certified at 84 beds, Four Oaks looks solid on quality measures and inspection history while running a staffing operation that's noticeably under the national benchmark.

Nurse hours

3.30 /day

Staff turnover

39%

Serious cites

0

Magnolia Creek runs 156 certified beds in Covington, and the numbers split in two directions. The clinical quality measures come in strong at 4 out of 5 stars, and turnover at 38.9% actually sits below the national average of 45.8%, a sign that the people who stay tend to stay. But staffing is 3.30 hours per resident day, roughly 15% under the national 3.86, and weekends run about 10% lighter than weekdays. Then there's the inspection record: 28 deficiencies, including three at harm or jeopardy level and three tied to abuse, plus one fine of $16,985 from a September 2025 survey. Individual for-profit ownership, one star on health inspections. That gap between good quality scores and a rough inspection history is what a family should weigh.

Nurse hours

3.52 /day

Staff turnover

59%

Serious cites

0

Decatur Wellness runs lean on nurses. At 3.52 hours per resident per day, it sits about 9% under the national average of 3.86, and weekends thin out further, dropping roughly 10% below its own weekday level. That's the number behind the staffing score, and it's worth asking how coverage looks on a Sunday. Turnover tells a related story: 58.6% annually, well above the 45.8% national figure, meaning more than half the nursing staff leaves each year. Inspections look better on paper, 9 deficiencies, none at harm or jeopardy level, though 3 are abuse-related, and the most recent visit was April 2026. Corporate-owned, 88 beds. The care quality and inspection marks are solid; the workforce stability is the open question.

Nurse hours

3.56 /day

Staff turnover

34%

Serious cites

0

Jefferson City Health and Rehab runs 170 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.56 hours per resident day, about 8% under the national average of 3.86. Weekends drop roughly 16% below the home's own weekday coverage, which matters if your family visits then. Staff turnover is 34.1%, notably better than the 45.8% national figure, so the people caring for residents tend to stick around. Against that, the home carries eight deficiencies from its last inspection in November 2023, one serious enough to reach harm or jeopardy level, plus a single fine of $8,788. No abuse deficiencies are on record.