Every Medicare-certified nursing home in Tennessee, graded on inspections, staffing, turnover
and enforcement history.
12 homes in the state sit in the federal Special Focus programme.
The Waters of Springfield runs on thin nurse coverage, 2.90 hours per resident day against a national average of 3.86, and weekends dip about 11 percent below its own weekdays, so the thinnest shifts are the ones families visit. Staff turnover sits at 63 percent, well above the 45.8 percent national figure, which means the people caring for your relative are often new and still learning the building. Inspectors cited 20 deficiencies, including two at the harm level and four tied to abuse, with $35,552 in fines; the most recent inspection was in May 2025. The quality measure score looks strong on paper, but that reflects charted clinical data, not day-to-day staffing or the inspection record.
Mabry Health Care runs 80 certified beds in Gainesboro under for-profit LLC ownership, and its strongest card is inspections, a 4/5 health inspection rating with the most recent visit in February 2025 and no deficiencies at the harm or jeopardy level. The trouble sits elsewhere. Nurse staffing comes in at 3.15 hours per resident day against a national average of 3.86, roughly 19% below, and that thin coverage holds steady through the weekend rather than dipping further, which is small comfort when the baseline is already low. Staff turnover of 55.7% tops the 45.8% national figure, so the people providing that care keep changing. Quality measures land at 2/5. Clean inspections only mean so much without enough consistent hands on the floor.
The Waters of McKenzie is a 66-bed for-profit home in Carroll County, and its biggest soft spot is staffing. At 3.41 nurse hours per resident day, it runs about 12% under the national average, and weekends dip roughly 8% below its own weekday coverage. Turnover sits at 66% against a national 45.8%, which means a lot of unfamiliar faces moving through the building.
The inspection record is more mixed: 13 deficiencies on file, but none involving harm or abuse, and a survey as recent as April 2025. Quality measures land mid-pack. Nothing here screams danger, but the staffing numbers are the thing I'd keep asking about, who's actually on the floor at 2 a.m. on a Sunday.
Henderson Health and Rehabilitation Center runs 132 certified beds under corporate for-profit ownership, and the numbers behind its record are worth walking through. Nurse staffing sits at 3.73 hours per resident day, slightly under the national average, and weekends drop about 12% below what the home staffs on weekdays, which is when gaps tend to show up. Annual turnover is 54.8%, well above the 45.8% national figure, meaning more than half the nursing staff leaves each year. Its inspection history includes 16 deficiencies, three of them at the harm or jeopardy level, plus one fine totaling $81,328. The most recent inspection was November 19, 2025.
Huntingdon Health & Rehabilitation Center runs 120 certified beds under for-profit LLC ownership, and the staffing numbers are where I'd start. At 3.41 nurse hours per resident day, it sits about 12% under the national average of 3.86, and weekends drop roughly 20% below its own weekday levels, so coverage thins out exactly when families tend to visit. Annual turnover of 49.2% tops the national figure, which means the people caring for your relative are often new. The inspection record shows 18 deficiencies, four at harm or jeopardy level and one abuse-related, plus a $52,156 fine. The most recent inspection was January 2026, so the picture is current rather than stale.
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.
Dyersburg Health and Rehabilitation Center runs 123 certified beds under for-profit LLC ownership, and the staffing numbers are where you'll want to focus. Nurse hours come in at 3.53 per resident per day against a national average of 3.86, and weekends drop about 12% below the home's own weekday coverage, that's the kind of gap families notice when they visit on a Saturday. Turnover sits at 57.1% versus 45.8% nationally, so aides and nurses cycle through faster than average. The inspection record is recent, December 2025, with 18 deficiencies total, 8 at harm or jeopardy level and 2 abuse-related. Quality measures score 2 out of 5, staffing 2 out of 5, while inspections hold at 4.
Quality Center for Rehabilitation and Healing is a 280-bed for-profit home in Lebanon, and the numbers there deserve a careful look before you decide anything. Nurse staffing sits at 3.45 hours per resident day, roughly 11% under the national average, and weekend coverage drops about 17% below what the home staffs on weekdays, which matters because that's often when families visit and when problems surface. The inspection record shows 19 deficiencies, including one at the harm level and one tied to abuse, plus a $13,305 fine; the last full inspection was in August 2023. Staff turnover, at 45.3%, is essentially average.
Magnolia Healthcare is a for-profit LLC home with 181 certified beds in Columbia, and its staffing is the number that stands out. At 3.40 nurse hours per resident day, it runs about 12% under the national average, and weekends dip roughly 15% below its own weekday levels, so coverage thins out right when families tend to visit. Annual turnover of 72.5% is well above the 45.8% national figure, which means the people caring for your relative are likely to change often. The good news: 18 deficiencies on record, but none at harm or jeopardy level and none abuse-related, and the last inspection was April 2026.
Midtown Center runs 180 beds in Memphis under for-profit LLC ownership, and the staffing numbers are where the trouble shows. At 3.54 nurse hours per resident day, it sits roughly 8% under the national average, and weekends dip about 13% below its own weekday levels, so care gets thinnest exactly when families are most likely to visit. Annual turnover of 63.6% is well above the 45.8% national figure, meaning nearly two-thirds of the nursing staff leaves each year. On inspections, the record carries 18 deficiencies, including 2 at harm or jeopardy level and 2 tied to abuse, plus a $188,379 fine.
Signature Health of Portland runs 112 certified beds under corporate ownership, and the staffing numbers are where the trouble starts: 3.69 nurse hours per resident day sits below the national average of 3.86, and weekends drop roughly 15% below the home's own weekday coverage. Turnover tells a harder story than the hours alone, 67.9% of staff leaving annually against a 45.8% national rate means aides and nurses are cycling through constantly, which matters most for residents who need consistent hands. The inspection record backs that up: 24 deficiencies, including 9 at harm or jeopardy level and 3 abuse-related, with five fines totaling $171,234 and a health inspection rating of 1 out of 5. That combination, thin weekend coverage, high turnover, serious deficiencies, is what a family should weigh before choosing here.
Lauderdale Community Living Center runs on 2.99 nurse hours per resident day, roughly a fifth below the national average, and weekends dip another 12 percent below its own weekday staffing. That thin coverage shows up in the numbers: a one-star inspection rating, 30 deficiencies on record including two at the harm level and one tied to abuse, plus $43,644 in fines. Staff turnover sits at 52.8 percent against a national 45.8, so more than half the workforce leaves each year. It's a for-profit limited liability company with 71 certified beds, and its last inspection was August 2025.
Signature Healthcare of Erin runs 164 certified beds under a for-profit LLC, with nurse staffing at 3.70 hours per resident day, about 4% under the national average, and weekends roughly 14% thinner than weekdays, when families often visit. Turnover sits at 47.7%, a couple points above the national figure, so the aides and nurses caringly assigned here may not be the same faces from one month to the next.
The inspection record carries more weight than any single number: nine deficiencies, four serious enough to involve harm or jeopardy, plus one abuse-related finding, and a $147,898 fine. The most recent inspection was March 2026.
Elk River Health & Nursing Center runs about 3.70 nursing hours per resident per day, a bit under the national average, and weekends drop roughly 13% below its own weekday staffing. That thin weekend coverage matters more when you consider turnover: nearly 70% of staff left last year, against a national average near 46%, and CMS gives the home its lowest mark on staffing. Inspections look better, a four-star health inspection rating, with nine deficiencies on record and none at the harm level, though one is abuse-related. The last inspection was July 30, 2025. Quality measures sit at two stars. Nonprofit ownership doesn't change the arithmetic: consistent hands are the hard part here.
Northbrooke Post Acute runs on 3.54 nurse staffing hours per resident day, roughly 8% under the national average, and weekends dip about 10% below what the home itself does on weekdays. That thin coverage is hard to separate from a 73.9% annual turnover rate, well above the 45.8% national figure, meaning the aides and nurses at the bedside are frequently new. The current record carries 32 deficiencies, none flagged at the harm or jeopardy level and none abuse-related, and the last full inspection was in April 2025. Inspections, quality measures, and staffing each land at or below the middle of CMS's five-star scale, with staffing at the bottom. A for-profit corporation owns the 120 certified beds.
The numbers at Mt Pleasant Healthcare and Rehabilitation point to a staffing problem more than anything else. Nurses provide about 3.29 hours of care per resident each day, roughly 15 percent below the national average, and weekends get thinner still, about 15 percent below the home's own weekday coverage. That gap matters because turnover runs at 61 percent, well above the 45.8 percent national figure, meaning the staff who are there keep changing.
The inspection record is mixed: a March 2025 visit, a 3-star health inspection rating, but 10 deficiencies on file, including one at the harm level and two tied to abuse. A for-profit limited liability company owns the 72-bed home, and CMS has fined it once for $7,443.
Laurelwood runs 64 beds in Jackson under corporate ownership, and its staffing sits just under the national average at 3.82 nurse hours per resident day. That number hides a sharper problem: weekend coverage drops about 17% below what the home staffs on weekdays, and 60% of its staff turn over each year against a national rate near 46%. Twenty deficiencies sit on the current record, including two at the harm or jeopardy level and two tied to abuse, with $168,961 in fines across two penalties. The last inspection was January 22, 2026. A family weighing this one should ask directly how weekends are covered and what changed since those abuse findings.
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.
Mulberry Health & Rehabilitation runs 157 certified beds in Franklin, and its current record carries 35 deficiencies, five of them at the harm or jeopardy level and five tied to abuse. CMS has placed the home in its Special Focus Facility program, a designation reserved for the homes with the most persistent problems, and its health inspection rating sits at 1 out of 5. Nurse staffing runs slightly under the national average, and weekends dip about 10 percent below the home's own weekday levels. Annual turnover is 67.9 percent against a national average of 45.8 percent, meaning most of the people caring for residents are new to the building. The last inspection was June 15, 2023.
Antioch Tn Opco has a split record that's worth reading carefully. The clinical quality numbers look good on paper, but the staffing rating sits at the bottom of the federal scale, meaning residents are getting too few hours of direct care per day compared to what CMS expects. Inspectors have cited 28 deficiencies, ten of them serious enough to put residents in harm's way, and three tied to abuse. The federal government has placed this home in its Special Focus Facility program, a designation reserved for the small share of homes with a pattern of persistent problems, and fines totaling $293,189 back that up. Ownership is a for-profit corporation, and the last full inspection was in August 2023.