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.
Red Boiling Springs Tn Opco runs 119 certified beds as a for-profit corporation, and its 3.09 nurse staffing hours per resident day sit roughly 20% under the national average of 3.86. Weekends dip about 14% below its own weekday levels, and annual turnover hits 55.6% against a 45.8% national figure, meaning the aides and nurses your family would see most are cycling through faster than average at a home already running lean.
Inspections look steadier: a 4-out-of-5 health inspection rating, 11 deficiencies with none at harm or jeopardy level and nothing abuse-related, and a survey as recent as March 2026. Quality measures also rate 4 out of 5. The gap is staffing, and it's the number that shapes daily life.
Oakwood Community Living Center sits in Dyersburg with 50 certified beds and a for-profit LLC owner, and the numbers pull in different directions. State inspectors gave it four stars and found 13 deficiencies with none at the harm level, which sounds steady until you notice one abuse-related citation and a quality measure score of just one star. Staffing works out to about 3.42 nurse hours per resident day, roughly 11 percent under the national average, with weekends running 12 percent thinner than weekdays. Annual turnover hits 59.1 percent against a 45.8 percent national norm, meaning most of the people caring for your family member will be new to the job.
Alta Heights Post Acute has 90 certified beds and a for-profit LLC owner. Its total nurse staffing of 4.44 hours per resident day sits about 15% above the national average of 3.86, and weekend staffing holds slightly above its own weekday level, that part looks steady. The problem is staff turnover, which runs at 66.3% against a national average of 45.8%; that many caregivers leaving each year makes it hard to keep care consistent. The current record shows 18 deficiencies, two of them at the harm or jeopardy level and one abuse-related, with a health inspection star rating of 2 out of 5.
Patriot Health and Rehabilitation Center runs 127 certified beds in Paris, and the numbers tell a mixed story. Nurse staffing sits at 3.80 hours per resident day, slightly under the national average, and it thins out on weekends, dropping about 14% below the home's own weekday coverage, which is when families tend to visit and notice. Staff turnover is 52.7%, well above the 45.8% national figure, so the people caring for residents change often. The current record shows 21 deficiencies, one serious enough to involve harm or jeopardy, plus a $30,150 fine. The last full inspection was in May 2022, so that record is getting old.
The Tennessee Veterans Home in Murfreesboro puts more nursing hours per resident than most places, 4.83 a day against a national average of 3.86, so there's real bedside coverage here. The problem is who's providing it and how long they stay: turnover runs 67.1%, well above the 45.8% national figure, and weekend staffing drops about 19% from weekday levels.
That instability shows up in the inspection record. Twenty-three deficiencies, five serious enough to put residents in harm's way, four tied to abuse, and one $193,155 fine, with the most recent inspection in May 2026 earning the lowest possible health inspection rating. State-run and well-staffed on paper, but the care itself has repeatedly fallen short.
Nhc Healthcare, Springfield runs 107 certified beds under for-profit LLC ownership, and its last inspection was December 3, 2025, recent enough that the record reflects current conditions. Those conditions include 14 deficiencies, three of them abuse-related and two at the harm or jeopardy level, plus a $122,070 federal fine. Nurse staffing sits at 3.50 hours per resident day, about 9% under the national average, weekends run roughly 9% leaner than weekdays, and annual turnover is 54.6% against a national 45.8%. The five-star quality measure rating stands out against a one-star inspection rating, but quality measures are self-reported resident data, not an outside surveyor's findings. Staffing earns three stars.
Highlands Health And Rehabilitation Center runs 180 beds in Memphis under corporate for-profit ownership, and its nurse staffing sits at 3.22 hours per resident day, roughly 17% under the national average of 3.86. Weekends run about 12% thinner than weekdays, and annual turnover is 53.6% against a national 45.8%. That combination shows up in the federal stars: 2 out of 5 for staffing and 2 for health inspections, with 16 deficiencies on the current record, one serious enough to reach harm or jeopardy level. No abuse citations, and quality measures score a middling 3. The last inspection was August 2022, so the record you're reading is more than a year old.
Wexford House runs 174 beds in Kingsport, and its nurse staffing sits at 3.04 hours per resident day, roughly 21% under the national average of 3.86. Weekends drop about 11% below the home's own weekday numbers, and annual turnover hits 65% against a national 45.8%, so the aides and nurses you'd see most often are changing faster than average. The current record lists 15 deficiencies, including two tied to abuse, though none rose to the harm or jeopardy level, and the last inspection was in June 2025. Quality measures score mid-range while staffing lands at the bottom of CMS's scale, which is where the C comes from.
Tri State Health and Rehabilitation Center runs 116 certified beds as a for-profit corporation, and its current inspection record carries 15 deficiencies, five of them serious enough to involve harm or jeopardy, plus two tied to abuse. The health inspection rating sits at 1 out of 5, and two fines totaling $14,852 are on file, with the most recent inspection dated December 2025. Nurse staffing comes in at 3.44 hours per resident day, roughly 11% under the national average, and weekends run about 15% thinner than weekdays. Staff turnover is 38.5%, which is lower than the 45.8% national figure, a genuine bright spot. If you're weighing this one, ask hard questions about how those harm-level findings were resolved.
Life Care Center of Athens runs on a corporate for-profit model with 128 certified beds, and the numbers tell a mixed story. Nurse staffing sits at 3.54 hours per resident day, about 8 percent under the national average, and weekends drop roughly another 10 percent below the home's own weekday levels, so the thinnest coverage lands when families tend to visit. Turnover is genuinely better than most, at 29.4 percent against a national 45.8 percent, which suggests some stability in who's actually at the bedside. What pulls the record down is inspections: a one-star health inspection rating, 16 deficiencies on file including one at harm level and three tied to abuse. The last inspection was March 28, 2026.
The ownership is a for-profit limited liability company, and its 165 beds are staffed at 3.36 nurse hours per resident day, roughly 13 percent under the national average, with weekends dropping about 18 percent below its own weekday coverage. That thinner weekend schedule matters because the inspection record shows 14 deficiencies, including two at the harm or jeopardy level and four tied to abuse, plus $20,050 in fines. The quality measure score is strong and turnover sits well below the national rate, so there are real strengths here, but the recent October 2024 inspection and the harm-level findings are what a family should ask about directly before deciding.
Grandview Post Acute runs 120 certified beds in Cookeville under corporate ownership, and its staffing numbers are genuinely above average, 4.42 nurse hours per resident day against a national 3.86. That's worth something. But turnover sits at 54.4% versus 45.8% nationally, and weekend coverage drops about 8% below its own weekday level, so the people providing that care keep changing.
The inspection record is where things get harder to explain away: 37 deficiencies, including one at the harm level and two tied to abuse, with the most recent inspection in May 2025. CMS rated health inspections and quality measures both 1 out of 5, staffing 2 out of 5. Above-average hours don't offset that pattern on their own.
Waynesboro Post Acute & Rehabilitation runs 109 certified beds as a nonprofit corporation, and its staffing sits at 3.53 nurse hours per resident day, about 9% under the national average of 3.86. Weekends dip roughly 13% below its own weekday coverage, so the hours aren't evenly spread. The inspection record is where the real weight is: 15 deficiencies, 7 of them serious enough to involve harm or jeopardy, 3 tied to abuse, and the last full inspection was back in January 2022. One fine of $8,788 is on file. Turnover at 26.1% is genuinely better than the 45.8% national figure, which matters for continuity of care.
Tennessee State Veterans Home in Cleveland runs five hours of nursing care per resident per day, about 30% above the national average, and its last inspection in January 2026 came back clean enough to earn a top federal rating. The tradeoff is consistency: weekend staffing drops roughly 14% below weekday levels, and 56.1% of staff turned over in a year, well above the 45.8% national figure, that churn matters more in a home where five deficiencies sit on record, including one tied to harm or jeopardy and one abuse-related. As a state-run facility, it answers to public oversight rather than a private operator. Strong numbers overall, but ask how weekends and new hires are actually handled.
Bethany Center runs 3.49 nurse hours per resident day, about 10% under the national average, and the gap widens on weekends, staffing drops roughly 18% below its own weekday level. Annual turnover sits at 62.1%, well above the 45.8% national figure, so the people caring for residents are, more often than not, new to the building. That combination shows up in the staffing star rating: 1 out of 5.
The current inspection record lists 12 deficiencies, two serious enough to involve harm or jeopardy, one tied to abuse. The last inspection was April 2025, so the record is recent, not stale.
One bright spot: the quality measure rating is 4 out of 5, meaning the clinical numbers CMS tracks look better than the staffing does. For a for-profit LLC with 180 beds, the question worth asking on a tour is who's actually on the floor at 7 p.m. on a Saturday.
Life Care Center of Red Bank runs 148 certified beds in Chattanooga, and the numbers behind its record are worth sitting with. Nurse staffing sits at 3.59 hours per resident day against a national average of 3.86, and it thins out further on weekends, dropping about 18% below the home's own weekday level. Staff turnover is the bigger flag: 61.2% annually, well above the 45.8% national figure, which means many of the people caring for residents are still learning the building. The current inspection record carries 24 deficiencies, five of them at the harm or jeopardy level and three tied to abuse, with one fine of $8,512. The most recent inspection was July 2024.
Weakley Rehabilitation and Nursing Center runs 139 certified beds out of Dresden under for-profit LLC ownership, and the numbers that matter most here are the staffing ones. Nurses provide about 3.68 hours of care per resident each day, roughly 5% under the national average, and the gap widens on weekends, when coverage drops about 20% below the home's own weekday level. Staff turnover sits at 55.2%, nearly ten points above the national figure, which means CNAs and nurses are cycling through the building faster than most. The current inspection record shows 26 deficiencies, including three at the harm or jeopardy level and three tied to abuse, with two fines totaling $72,917. Quality measures score well, but that's a narrow bright spot against thin staffing and a troubled compliance history.
Newport Tn Opco runs 150 certified beds as a for-profit LLC, and the numbers on its current record give a mixed picture. Nurse staffing sits at 3.28 hours per resident day, about 15% under the national average, and weekends dip roughly 6% below its own weekday level, so coverage thins out when families often visit. Staff turnover hits 57% against a national 45.8%. Inspections in August 2025 turned up 17 deficiencies, two at harm or jeopardy level and one abuse-related, which is the part worth asking about directly. The quality measure rating is 2 out of 5.
Millington Healthcare Center runs 85 certified beds as a for-profit partnership, and its nurse staffing sits at 3.30 hours per resident day, roughly 15% under the national average of 3.86. Weekends are thinner still, about 18% below what the home staffs on weekdays, and turnover runs at 50% against a national 45.8%. The inspection record carries 21 deficiencies, three of them at the harm or jeopardy level and two tied to abuse, with two fines totaling $226,623. The most recent inspection was March 2024, so that record is fairly current. The quality measure score of 4 out of 5 is the bright spot here; staffing and health inspection scores sit lower.
Avondale runs on 3.31 nurse hours per resident day, roughly 14 percent under the national average, and weekends dip about 12 percent below its own weekday numbers. That staffing shortfall matters more than the quality measure score suggests, because 56.3 percent of staff left last year, well above the 45.8 percent national rate, meaning the people providing that thin coverage are often new. The January 2025 inspection found 18 deficiencies, one serious enough to reach harm or jeopardy level, though none involved abuse. This is a for-profit limited liability company, and the pattern across staffing, turnover, and inspection results is consistent rather than a one-time bad survey.
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?