Jonesborough, TN · Washington County
★★★★☆CMS 4/584 bedsFor-profitMedicaid
- 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.
Covington, TN · Tipton County
★☆☆☆☆CMS 1/5156 bedsFor-profitMedicaid
- 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.
Goodlettsville, TN · Davidson County
★★☆☆☆CMS 2/538 bedsFor-profitMedicaid
- Nurse hours
- 3.40 /day
- Staff turnover
- n/a
- Serious cites
- 0
Stoneridge runs 38 beds in Goodlettsville under for-profit limited liability ownership, and the staffing numbers are the first thing to notice: 3.40 nurse hours per resident day against a national average of 3.86, with weekends dropping roughly 18% below the home's own weekday coverage. Fifteen deficiencies sit on the current record, though none reached harm or jeopardy level and none involved abuse, and the last inspection was in March 2026. The split in CMS ratings tells the story, a 3 for health inspections but a 1 for quality measures, meaning the day-to-day care processes the government tracks aren't measuring up even where the inspection itself went reasonably.
Decatur, TN · Meigs County
★★★☆☆CMS 3/588 bedsFor-profitMedicaid
- 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.
Jefferson City, TN · Jefferson County
★★★☆☆CMS 3/5170 bedsFor-profitMedicaid
- 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.
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.
Savannah, TN · Hardin County
★★☆☆☆CMS 2/573 bedsGovernmentMedicaid
- Nurse hours
- 4.77 /day
- Staff turnover
- 44%
- Serious cites
- 0
Hardin County Nh runs 4.77 total nurse hours per resident per day, roughly a quarter more staffing than the national average, and its 44.2% turnover sits just under the national rate. Those are the positives. Against them: eleven deficiencies on the current record, three serious enough to involve harm or jeopardy, and $67,490 in fines across two events. The quality measure rating sits at 1 out of 5, weekend staffing drops about 17% below weekday levels, and the last inspection was February 2026. County ownership is stable, but stable isn't the same as clean. If you're considering this one, ask what specifically drove those three harm-level findings and how weekend coverage actually looks in practice.
Murfreesboro, TN · Rutherford County
★☆☆☆☆CMS 1/5131 bedsNon-profitMedicaid
- Nurse hours
- 3.81 /day
- Staff turnover
- n/a
- Serious cites
- 0
Community Care Of Rutherford runs 131 certified beds as a nonprofit, but the numbers behind its record are worth a close look. Nurse staffing sits at 3.81 hours per resident day, just under the national average, and weekends drop about 8% below its own weekday levels, so coverage thins out exactly when families tend to visit.
The bigger concerns are on the inspection side: 19 deficiencies on the current record, two of them serious enough to reach harm or jeopardy level, with no abuse citations. The last full inspection was in May 2022, meaning that record is getting stale. Low marks on both health inspections and staffing tell you where the problems cluster.
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.
Pleasant Hill, TN · Cumberland County
★☆☆☆☆CMS 1/562 bedsNon-profitMedicaid
- Nurse hours
- 4.20 /day
- Staff turnover
- n/a
- Serious cites
- 0
Wharton Nursing Home carries a heavier nurse staffing load than most places, 4.20 hours per resident day against a national average of 3.86, but weekends drop about 11% below its own weekday level, so the coverage families see on a Tuesday isn't what they get on a Sunday. The inspection record is the real problem: 18 deficiencies, four serious enough to put residents at harm or jeopardy, and two tied to abuse, with $69,885 in fines and the most recent inspection from February 2024. Nonprofit ownership hasn't kept the clinical side clean, and that staffing edge doesn't offset what inspectors found.
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.
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.
Waverly, TN · Humphreys County
★☆☆☆☆CMS 1/5100 bedsFor-profitMedicaid
- Nurse hours
- 4.36 /day
- Staff turnover
- 61%
- Serious cites
- 0
Waverly Hills Post Acute has 100 certified beds and is owned by a for-profit limited liability company. The raw staffing number looks decent, 4.36 nurse hours per resident day, about 13% above the national average, but the 2-out-of-5 staffing star rating and 61.3% annual turnover tell a different story. More than six in ten staff left over the year, well above the national 45.8%, and weekend coverage dips roughly 3% below weekdays. The inspection record is the bigger concern: 23 deficiencies, including two at harm or jeopardy level and one abuse-related, with a $48,110 fine attached. The most recent inspection was June 2025. Quality measures score well at 4/5, but high turnover plus that deficiency history is what pulls the overall picture down to a C.
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.
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.
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.
Hartsville, TN · Trousdale County
★☆☆☆☆CMS 1/595 bedsFor-profitMedicaid
- Nurse hours
- 5.64 /day
- Staff turnover
- 72%
- Serious cites
- 0
Hartsville Convalescent Center runs 95 certified beds under corporate ownership, and its nurse staffing averages 5.64 hours per resident day, roughly 46% above the national figure of 3.86. That sounds generous until you see the 1-out-of-5 staffing star rating and 72.3% annual turnover, well above the 45.8% national average, meaning the hours are there but the faces keep changing. Weekends run about 18% leaner than weekdays. Its current record carries 27 deficiencies, one at the harm level, plus $16,796 in fines, and the last inspection was July 2024. The state's routine visit and the quality measures each landed at 2 out of 5.
Spencer, TN · Van Buren County
★★★☆☆CMS 3/570 bedsNon-profitMedicaid
- Nurse hours
- 3.67 /day
- Staff turnover
- 39%
- Serious cites
- 0
Generations Center of Spencer runs 70 certified beds as a nonprofit corporation, and its staffing sits at 3.67 nurse hours per resident day, roughly 5% under the national average of 3.86. The bigger issue is consistency: weekend staffing drops about 23% below the home's own weekday levels, so coverage thins out exactly when families tend to visit. Turnover is 38.9%, better than the 45.8% national figure, which suggests some stability in the workforce. On the record, nine deficiencies, three of them abuse-related, though none rose to harm or jeopardy level. The last inspection was May 2026, and CMS gave middle-of-the-road marks on health inspections but weaker scores on quality measures and staffing.
Union City, TN · Obion County
★★☆☆☆CMS 2/556 bedsGovernmentMedicaid
- Nurse hours
- 3.78 /day
- Staff turnover
- 47%
- Serious cites
- 0
Obion County Nursing Home runs on a county government budget, and the numbers show where that leaves the floor: 22 deficiencies on its current record, including three tied to abuse and two serious enough to put a resident in harm's way. The last inspection was in February 2026, so that record is current, not stale, and it has drawn two fines totaling $23,963. Staffing is the one place it holds up, nurse hours per resident day come in just under the national average, and CMS gives it 4 of 5 stars there, but weekends drop about 15% below its own weekday coverage, and turnover sits at 47.1%. Roughly half the staff leaving each year makes consistent care hard.
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.