ElderGrade Check a home before you move a parent in Compare
Nursing homes Best graded Watchlist Home health Hospice Costs Medicaid Guides How we grade Ownership Compare homes

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 141 to 160 of 226, best-graded first.

C

69.5/100

Erwin Health Care Center

Erwin, TN · Unicoi County

CMS 2/5125 bedsFor-profitMedicaid
Nurse hours
3.40 /day
Staff turnover
n/a
Serious cites
0

Erwin Health Care Center runs 125 certified beds under individual for-profit ownership, and its nurse staffing sits at 3.40 hours per resident day, roughly 12% under the national average of 3.86. Weekend coverage drops about 13% below what the home staffs on weekdays, so the thinnest shifts land when families are most likely to visit. The inspection record shows 22 deficiencies, including two at the harm or jeopardy level and two tied to abuse, with $10,024 in fines across two penalties. Its last inspection was March 19, 2025. With a 2/5 inspection rating and 2/5 on staffing, the numbers point to a home where care is present but stretched thin.

C

69.5/100

Applingwood Post Acute

Cordova, TN · Shelby County

CMS 2/578 bedsFor-profitMedicaid
Nurse hours
3.65 /day
Staff turnover
52%
Serious cites
0

Applingwood Post Acute runs 78 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.65 hours per resident day, roughly 5% under the national average of 3.86. Weekends thin out further, landing about 17% below the home's own weekday coverage, and annual turnover hits 51.8% against a national 45.8%. The inspection record shows 10 deficiencies, one serious enough to reach harm or jeopardy level, plus a single $63,999 fine; the last survey was August 2025. CMS gives it 2 of 5 stars on health inspections but 4 of 5 on quality measures, so the clinical metrics look better than the survey history and the staffing pattern behind them.

C

69/100

Trevecca Center For Rehabilitation And Healing Llc

Nashville, TN · Davidson County

CMS 3/5240 bedsFor-profitMedicaid
Nurse hours
3.47 /day
Staff turnover
49%
Serious cites
0

Trevecca Center runs 240 beds in Nashville under for-profit LLC ownership, and its staffing is the weak spot: 3.47 nurse hours per resident day sits about 10% under the national average of 3.86, and weekends drop roughly 13% below its own weekday coverage. Turnover lands at 48.7%, a bit above the 45.8% national figure. The good news is that its 14 deficiencies include nothing at the harm or jeopardy level and nothing abuse-related, and the last inspection was in June 2023. Quality measures score well; staffing is where families should ask hard questions about who's actually on the floor on a Saturday.

C

69/100

The Waters Of Gallatin

Gallatin, TN · Sumner County

CMS 2/5124 bedsFor-profitMedicaid
Nurse hours
3.14 /day
Staff turnover
53%
Serious cites
0

The Waters of Gallatin runs 3.14 nurse hours per resident day, roughly 19% under the national average of 3.86, and it carries 12 deficiencies on its current record, two of them abuse-related, though none rose to harm or jeopardy level. Weekend staffing dips about 9% below its own weekday level, and turnover sits at 53.2% against a national 45.8%, meaning more than half the nursing staff leaves each year. The for-profit LLC ownership and that 1-out-of-5 staffing rating explain the C, even with a 4-out-of-5 quality measure score and a recent April 2026 inspection. If you're considering this one, ask directly how they cover weekends and what those two abuse citations involved.

C

69/100

Green Hills Center For Rehabilitation And Healing

Nashville, TN · Davidson County

CMS 3/5150 bedsFor-profitMedicaid
Nurse hours
4.01 /day
Staff turnover
61%
Serious cites
0

Green Hills Center runs 4.01 nurse staffing hours per resident day, a bit above the 3.86 national average, but weekends drop roughly 10% below its own weekday coverage. The bigger concern is stability: 61.2% annual turnover against a 45.8% national rate means many of the people providing that care are new or on their way out. Its current record carries 39 deficiencies, including 7 at the harm or jeopardy level and 5 tied to abuse, with $16,801 in fines. The last inspection was February 2025, so this is a recent picture, and it's a for-profit corporate home where strong quality scores sit alongside weak inspection and staffing ratings.

C

69/100

Life Care Center Of Bruceton-Hollow Rock

Bruceton, TN · Carroll County

CMS 5/5130 bedsFor-profitMedicaid
Nurse hours
3.69 /day
Staff turnover
36%
Serious cites
0

Life Care Center Of Bruceton-Hollow Rock runs 3.69 total nurse hours per resident day, roughly 4% under the national average of 3.86, and weekends dip about 11% below its own weekday coverage. Turnover sits at 35.5%, which is actually better than the 45.8% national figure, so the staffing ratings gap isn't mainly about retention. The inspection record is the strong point: a 5/5 health inspection star and 14 deficiencies, none at harm or jeopardy level, though three are abuse-related. What pulls the overall picture down is staffing volume and a mid-range 3/5 on quality measures.

C

69/100

Cypress Grove Post Acute

Jackson, TN · Madison County

CMS 4/5170 bedsFor-profitMedicaid
Nurse hours
3.72 /day
Staff turnover
47%
Serious cites
0

Cypress Grove runs a 170-bed building in Jackson under for-profit limited liability ownership, and the numbers land close to average without much cushion. Nurse staffing sits at 3.72 hours per resident day, about 4% under the national figure, and weekends dip roughly 8% below what the home staffs during the week, so the thinnest coverage comes when families tend to visit. Staff turnover is 47.4%, a bit above the national 45.8%. The record shows 24 deficiencies from its June 2025 inspection, three of them at harm or jeopardy level and one tied to abuse, with a single $17,355 fine. Three out of five stars across inspection, quality, and staffing describes a home that isn't failing outright but isn't standing out either.

C

68/100

Westwood Nursing And Rehabilitation

Decaturville, TN · Decatur County

CMS 4/590 bedsFor-profitMedicaid
Nurse hours
3.49 /day
Staff turnover
52%
Serious cites
0

Westwood runs about 3.49 nurse staffing hours per resident day, roughly 9% under the national average of 3.86, and weekends drop another 13% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Staff turnover sits at 52.1%, higher than the 45.8% national figure, which matters because unfamiliar caregivers mean less continuity for residents with dementia or complex needs. The inspection record is current (May 2025) and the health inspection rating is decent, but five deficiencies include one at the harm level and two tied to abuse, plus a $9,620 fine.

C

67/100

Nhc Healthcare, Franklin

Franklin, TN · Williamson County

CMS 2/580 bedsFor-profitMedicaid
Nurse hours
3.49 /day
Staff turnover
55%
Serious cites
0

Nhc Healthcare, Franklin runs 80 certified beds under for-profit limited liability ownership, and its nurse staffing sits at 3.49 hours per resident day, roughly 10% under the national average of 3.86. Weekends drop about 14% below its own weekday coverage, and annual turnover reaches 55.3% against a national 45.8%, so continuity of caregivers is a real question here. The inspection record shows 9 deficiencies, one serious enough to reach harm or jeopardy level, with one fine totaling $62,491 and nothing new since September 2022. Quality measures score well, but staffing and inspection results are where the gaps sit.

C

67/100

Heritage Place Care & Rehabilitation Llc

Winchester, TN · Franklin County

CMS 1/5132 bedsFor-profitMedicaid
Nurse hours
3.17 /day
Staff turnover
55%
Serious cites
0

Heritage Place in Winchester passed its last health inspection in July 2023 with just four deficiencies on record and none rise to harm or jeopardy level, which is a genuinely strong inspection result. The weaker spot is staffing: at 3.17 nurse hours per resident day, it runs about 18 percent under the national average, and weekends dip roughly 10 percent below its own weekday coverage. Annual turnover sits at 54.8 percent, nearly ten points above the national figure, so the people providing that care are cycling through faster than is typical. A for-profit limited liability company operates the 132-bed home. Inspections look good; the day-to-day staffing math is what pulls the overall picture down.

C

67/100

Greystone Health Care Center

Blountville, TN · Sullivan County

CMS 1/5160 bedsFor-profitMedicaid
Nurse hours
4.17 /day
Staff turnover
55%
Serious cites
0

Greystone runs 4.17 nurse hours per resident day, roughly 8% above the national average, so the raw staffing number looks better than most. Look closer and the picture shifts: weekend coverage drops about 11% below its own weekday level, and annual turnover sits at 54.6% against a national 45.8%, meaning more than half the nursing staff leaves each year. The inspection record is where things get serious, 25 deficiencies, including one at the harm or jeopardy level and one abuse-related citation, with a $15,041 fine and a one-star health inspection rating from CMS. The last inspection was October 30, 2024, so it's fairly recent. For-profit LLC ownership rounds out the profile.

C

67/100

Signature Healthcare Of Greeneville

Greeneville, TN · Greene County

CMS 4/5154 bedsFor-profitMedicaid
Nurse hours
3.71 /day
Staff turnover
38%
Serious cites
0

Signature Healthcare of Greeneville runs 154 certified beds under for-profit LLC ownership, and its staffing sits at 3.71 nurse hours per resident day, roughly 4% under the national average, with weekends about 12% thinner than its own weekdays. Turnover is 37.6%, better than the 45.8% national figure, which matters for continuity. What pulls the record down is the inspection history: 10 deficiencies on file, including one at the harm level and three tied to abuse, plus a $9,419 fine. The most recent inspection was March 18, 2026. If you're weighing this one, ask directly how the abuse-related findings were resolved and how weekend coverage is filled.

C

67/100

Stone River Post Acute

Murfreesboro, TN · Rutherford County

CMS 3/568 bedsFor-profitMedicaid
Nurse hours
5.15 /day
Staff turnover
57%
Serious cites
0

Stone River Post Acute runs 68 beds in Murfreesboro under corporate ownership, and the staffing picture is genuinely better than most: 5.15 nurse hours per resident day against a national average of 3.86, with weekends dipping only about 5% below weekdays. That's real coverage. The trouble shows up elsewhere. Staff turnover sits at 57.4%, well above the 45.8% national rate, so residents see a lot of new faces. The current inspection record carries 16 deficiencies, including one at the harm level and two tied to abuse, and the quality measure rating comes in at 2 out of 5. High hours help, but they don't offset a record like that on their own.

C

66.5/100

Iris Cove Health & Rehabilitation

Memphis, TN · Shelby County

CMS 2/5188 bedsFor-profitMedicaid
Nurse hours
3.44 /day
Staff turnover
57%
Serious cites
0

Quince Nursing runs 3.44 nurse hours per resident day, about 11% under the national figure, and staffing thins further on weekends, dropping roughly 16% below its own weekday level. Annual turnover sits at 56.7% against a national 45.8%, so aides and nurses are cycling through steadily. The inspection record carries 19 deficiencies, five at harm or jeopardy level and three tied to abuse, along with a $71,822 fine; the last survey was March 2026. Ownership is for-profit, through a limited liability company. Its quality measure stars look strong on paper, but those come from resident assessments, not from how the place is actually staffed or surveyed, and the staffing and inspection scores sit at the bottom.

C

66.5/100

Creekside Center For Rehabilitation And Healing

Madison, TN · Davidson County

CMS 4/5139 bedsFor-profitMedicaid
Nurse hours
3.73 /day
Staff turnover
65%
Serious cites
0

Creekside Center runs 139 beds in Madison under for-profit LLC ownership, and the numbers pull in two directions. Nurse staffing sits at 3.73 hours per resident day, slightly under the national figure of 3.86, but weekends drop about 18% below the home's own weekday coverage, that's the gap families notice when they visit on a Sunday. Staff turnover is the harder fact: 64.9% a year against a national average of 45.8%, meaning roughly two-thirds of the nursing staff leaves annually. Inspections look solid (4 of 5 stars, 8 deficiencies, none at harm level, last visit July 2023), and quality measures score high, but steady caregivers matter more than a good survey day.

C

66/100

Celina Health And Rehabilitation Center

Celina, TN · Clay County

CMS 4/578 bedsFor-profitMedicaid
Nurse hours
2.94 /day
Staff turnover
49%
Serious cites
0

Celina Health and Rehabilitation Center runs about 2.94 nurse hours per resident day, roughly a quarter below the national average of 3.86, and weekends dip another 8% below its own weekday levels. That thin coverage shows up in its staffing rating of 2 out of 5, while its health inspection record is stronger, 4 out of 5, with seven deficiencies on file, none involving harm, jeopardy, or abuse, and a clean inspection as recent as September 2025. Annual turnover sits at 49.1%, above the 45.8% national figure. For-profit, LLC-owned, 78 beds. The pattern here is a home that inspects well but may leave your family member waiting on aide time.

C

66/100

Delta Blues Health & Rehabilitation

Memphis, TN · Shelby County

CMS 2/5180 bedsFor-profitMedicaid
Nurse hours
2.92 /day
Staff turnover
56%
Serious cites
0

Delta Blues Health & Rehabilitation runs 180 certified beds in Memphis under for-profit LLC ownership, and its nurse staffing sits at 2.92 hours per resident day, roughly a quarter below the national average of 3.86. Weekends drop about 11% under the home's own weekday levels, and annual turnover hits 55.8% against a national 45.8%, so the people available to residents change often. The current record shows 8 deficiencies, one serious enough to involve harm or jeopardy, plus a single $8,281 fine. What's striking is the split: the home scores 5/5 on quality measures but 1/5 on staffing and 2/5 on health inspections, with the last inspection dated October 2025. Strong clinical numbers can coexist with thin coverage, ask how it feels on a Sunday.

C

65.5/100

Nashville Center For Rehabilitation And Healing Ll

Nashville, TN · Davidson County

CMS 2/5142 bedsFor-profitMedicaid
Nurse hours
4.07 /day
Staff turnover
73%
Serious cites
0

Nashville Center for Rehabilitation and Healing runs 142 beds under for-profit LLC ownership, and its nurse staffing averages 4.07 hours per resident day, slightly above the national figure of 3.86. That headline number hides a catch: weekends run about 20% leaner than weekdays, and annual turnover sits at 72.8% against a national average of 45.8%, so the people providing care change often. The current inspection record carries 30 deficiencies, one tied to abuse, though none reached the harm or jeopardy level; the last inspection was March 2023. CMS rates its quality measures 5 out of 5 but staffing 1 out of 5, a split worth asking about directly.

C

65/100

Laughlin Health Care Center

Greeneville, TN · Greene County

CMS 1/590 bedsGovernmentMedicaid
Nurse hours
3.46 /day
Staff turnover
63%
Serious cites
0

Laughlin Health Care Center runs on thinner staffing than most homes its size. At 3.46 nurse hours per resident day, it sits about 10% under the national average of 3.86, and weekends drop roughly 14% below its own weekday levels, so the coverage gap widens exactly when families tend to visit. Annual turnover of 63.3% is well above the 45.8% national figure, meaning most of the aides and nurses working with residents are relatively new. Its inspection record is the harder problem: 16 deficiencies, two at harm or jeopardy level, one abuse-related, and a one-star health inspection rating, with the last survey dating to October 2023. Two fines totaling $9,770.

C

65/100

Whites Creek Wellness And Rehabilitation Center

Whites Creek, TN · Davidson County

CMS 3/5127 bedsFor-profitMedicaid
Nurse hours
3.21 /day
Staff turnover
66%
Serious cites
0

Whites Creek Wellness runs 127 beds under corporate for-profit ownership, and its staffing is the number that stands out, 3.21 nurse hours per resident day against a national average of 3.86, with weekends running about 12% thinner than weekdays. That shortfall shows up in the federal staffing rating of 1 out of 5, and annual turnover of 66.1% means well over half the nursing staff leaves every year, compared with 45.8% nationally. The inspection record carries 18 deficiencies, four tied to abuse, though none at the harm or jeopardy level; the last survey was March 2026. Quality measures score 5 out of 5, so ask how that squares with so few hands on deck.

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