All 13 Medicare-certified nursing homes in Knoxville,
side by side on the things that separate them: how many nursing hours each resident gets, how much of the
staff leaves each year, and what inspectors found on their last visit.
Fort Sanders Tcu is a small nonprofit unit, 24 beds, with a clean inspection record and no deficiencies at any level, including nothing abuse-related. That's rare, and the June 2025 survey is recent enough to mean something. The staffing picture is more mixed than it first looks. Total nurse hours run 5.18 per resident day, roughly a third above the national average, but weekend coverage drops about 13% below the home's own weekday level, and CMS still scores staffing at 1 out of 5 stars. Quality measures and health inspections both come in at 5. So the care delivered looks strong on paper; the question a family should ask is who's actually on the floor on a Saturday.
Nhc Healthcare, Farragut sits in Knoxville with 106 certified beds and a for-profit corporate owner. The inspection history is the strong part: a recent survey in February 2026, 14 deficiencies on record, and none of them tied to harm, jeopardy, or abuse. Quality measures also score well. Staffing is where this home separates from the pack in the wrong direction, a one-star staffing rating, meaning nurse hours per resident fall well below what CMS expects. Turnover runs 46.2%, just above the national average of 45.8%, so the people who do show up don't tend to stay long. A clean inspection record doesn't fix thin coverage on the floor, especially when aides and nurses are cycling through.
Holston Health & Rehabilitation Center runs 94 certified beds in Knoxville under for-profit LLC ownership, and its inspection record is the strongest part of the story: six total deficiencies with none at the harm or jeopardy level, and the most recent inspection came in December 2024. Three of those six deficiencies are abuse-related, which is worth asking about directly. Staffing sits at 3.76 nurse hours per resident day, slightly under the national average, and weekends run about 11% thinner than weekdays. Annual turnover of 41.7% is a bit better than the national rate. Quality measures score well. The weak spot is consistent coverage, not care problems on paper.
Senator Ben Atchley State Veterans' Home runs on 4.51 nursing hours per resident day, roughly 17% above the national average, and its weekend staffing dips about 11% below its own weekday level, a real gap if your family visits or calls on Saturdays. The state-run home in Knoxville holds a clean inspection record: five deficiencies total, none at harm or jeopardy level, though one is abuse-related. Turnover sits at 42.4%, slightly better than the 45.8% national figure, and its last inspection came in March 2026. The quality measure score of 2 out of 5 is the number worth asking about directly, staffing looks strong, but clinical outcomes tell a different story.
Nhc Healthcare, Ft Sanders runs 160 certified beds as a for-profit corporation, and its nurse staffing sits just above the national average, 3.98 hours per resident day against 3.86. That edge softens on weekends, when coverage drops about 7% below its own weekday level. Staff turnover is the number worth pausing on: 50.4% a year, higher than the national 45.8%. The current record carries 21 deficiencies, including one at the harm or jeopardy level and one abuse-related, with a single fine of $9,770. Health inspections earned 2 out of 5 stars, while quality measures scored 5 and staffing 4, a split that suggests the day-to-day care metrics look better than the inspection history does. The last survey was January 22, 2026.
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.
Wellpark is a small for-profit home in Knox County, 32 beds, run by a limited liability company. Its quality scores look great, but that's where the shine fades. Nurse staffing sits just under the national average, and weekends run about 9% thinner than weekdays, so the care you'd want on a Saturday isn't quite the care you'd get on a Tuesday. Inspectors cited 17 deficiencies, including one tied to abuse, though none rose to actual harm or jeopardy. The last inspection was in January 2025, so the record is recent. The state's two-star health inspection rating tells you compliance has been uneven even if no single finding was severe. Ask about weekend coverage and that abuse citation before you decide.
Island Home Park runs 3.37 nurse hours per resident day, roughly 13 percent under the national average, and weekends drop about 15 percent below its own weekday staffing. That thin coverage shows up in its staffing star rating, which is the weak spot on an otherwise solid record. Turnover sits at 39.1 percent, better than the national 45.8 percent, and its most recent inspection in May 2026 found eight deficiencies with none at the harm level. Two abuse-related citations are still worth asking about directly. As a nonprofit with 95 beds, the home has stable hands but not enough of them on any given shift.
Beverly Park Place runs 271 certified beds as a nonprofit, and its biggest problem shows up in the staffing numbers. At 3.13 nurse hours per resident day, it sits about 19% under the national average, and weekends drop roughly 11% below its own weekday level. Turnover is 66.7%, well above the 45.8% national figure, so the aides and nurses your family would see are cycling through fast. Inspections tell a similar story: 14 deficiencies on record, six related to abuse, none rising to harm or jeopardy, and the last full look was in October 2022. Quality measures score well; staffing doesn't.
Creekview runs about 3.37 nurse hours per resident each day, roughly 13 percent under the national average, and weekend staffing drops another 16 percent below its own weekday levels, so the thinnest coverage lands when families tend to visit. Turnover sits at 66.7 percent against a national 45.8 percent, meaning most of the people charting care this year likely won't be there next year. The current record shows 23 deficiencies, none at harm or jeopardy level and none abuse-related, but the two-star inspection rating suggests the pattern, not just the count, is what inspectors noticed. Quality measures score well at four stars; that's real, though it rests on a workforce that keeps changing.
Legacy Park runs 176 certified beds in Knox County under for-profit LLC ownership, and the staffing numbers are the first thing I'd want you to see. At 3.33 nurse hours per resident day, it sits about 14% under the national average of 3.86, and weekends drop another 13% below its own weekday level. That thin coverage helps explain a 63.6% annual turnover rate, well above the 45.8% national figure, and a CMS staffing rating of 1 out of 5. The health inspection record shows 32 deficiencies, one serious enough to reach harm or jeopardy level, plus a $74,633 fine. Its last inspection was August 2025, so the record is current. Quality measures score well, but consistent hands-on care is the weaker spot here.
Lyonsview runs 222 certified beds in Knox County, and the numbers there deserve a hard look before you sign anything. Nurse staffing sits at 3.55 hours per resident per day, roughly 8% under the national figure, and weekends drop about 9% below what the home manages on weekdays, so the thinnest coverage lands exactly when families tend to visit. Staff turnover is 59.4% against a 45.8% national average, which means more than half the caregivers you'd meet are likely gone within a year. The current record shows 18 deficiencies, 8 serious enough to involve harm or jeopardy, 4 tied to abuse, and CMS has placed the home in its Special Focus Facility program.
West Hills runs a nonprofit home with 194 beds, and its inspection record is genuinely good, 4 out of 5 stars, last surveyed in November 2024, with 10 deficiencies on file, only 2 of them serious enough to cause harm. The problem sits elsewhere. Nurse staffing comes in around 3.41 hours per resident day, roughly 12% under the national average, and weekends run about 11% lighter than weekdays. Staff turnover is the number that should worry you most: 77%, against a national average near 46%. That's a lot of unfamiliar faces coming through the door. Quality measures score 2 out of 5, which suggests the day-to-day care isn't matching the clean inspection sheet.