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.
Spring Gate runs 206 beds in Memphis under for-profit LLC ownership, and its last inspection was in October 2024. The raw staffing number looks fine, 3.95 nurse hours per resident day, just above the national average, but that figure hides two problems: weekend coverage drops about 13% below the home's own weekday level, and annual turnover sits at 67.5% against a national 45.8%, meaning most of the people providing that care are new or on their way out. The inspection record is where it gets serious: 37 deficiencies, three at harm or jeopardy level, two tied to abuse, and $128,974 in fines. Quality measures score well, but a 1-star inspection rating and 2-star staffing tell you where to look first.
Church Hill Post-Acute and Rehabilitation Center carries 35 deficiencies on its current record, and 12 of those rose to the level of actual harm or jeopardy, a count that should stop you before anything else. Six are abuse-related, and CMS has placed the home in its Special Focus Facility program, which is reserved for the homes with the most persistent problems. Nurse staffing sits at 3.51 hours per resident day, roughly 9% under the national average, and weekends run about 12% below the home's own weekday level. Staff turnover is 52.4%, well above the 45.8% national figure. One fine on record totals $250,780. The last inspection was February 12, 2026.
Rocky Top Care Center has the staffing most families hope for, 4.02 nurse hours per resident day, a bit above the national average, and its quality measure scores look strong on paper. But the inspection record tells a different story: 28 deficiencies, four of them serious enough to put residents in harm's way and five tied to abuse. Turnover sits at 45.7%, which sounds average until you realize that's roughly half the nursing staff leaving every year, and weekend coverage drops about 10% below weekday levels. CMS has placed this for-profit home in its Special Focus Facility program and fined it $86,768. Inspectors were last on site in March 2026.
Nursing aides and nurses here give each resident about 2.96 hours of care a day, and the national average is 3.86, so this home runs roughly a quarter leaner than most. That shortfall shows up worse on weekends, when staffing drops about 15% below its own weekday level, and nearly six in ten staff left over the past year against a national rate closer to 46%. The inspection record is the harder read: 35 deficiencies, seven serious enough to put residents in harm's way, three tied to abuse, and one $205,329 fine. CMS flags it as a Special Focus Facility, meaning it's on a watch list for homes with a pattern of poor care. Its last inspection was September 2023.
Eaton Creek Post Acute has more direct-care nursing hours than most homes, 5.04 per resident day against a national average of 3.86, and it holds that level through the weekend, which many places don't. The problems sit elsewhere. Thirty-five deficiencies are on the current record, twelve of them serious enough to put residents in harm's way and five tied to abuse, with $122,242 in federal fines across three cases. Staff turnover runs 52.9% a year, above the 45.8% norm, and CMS has placed the home in its Special Focus Facility program, a designation reserved for the most persistent poor performers. The last inspection was August 30, 2023.
Rainbow Rehab And Healthcare runs 115 certified beds in Bartlett under for-profit limited liability ownership. Nurse staffing sits at 3.41 hours per resident day, roughly 12 percent under the national average, and weekends drop about 17 percent below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is 43.7 percent, slightly better than the national 45.8 percent, and the current record shows seven deficiencies with none at harm or jeopardy level and no abuse findings. What stands out is timing: the last inspection was June 30, 2022, meaning the two-year-old findings behind that 2/5 inspection rating may not reflect how the building runs today.
Beech Tree runs 3.29 nursing hours per resident per day, roughly 15% under the national average, with weekends even thinner than weekdays. The inspection record is the harder problem: 23 deficiencies, eight of them at harm or jeopardy level and five tied to abuse, plus a $138,802 fine. That combination landed it in CMS's Special Focus Facility program, a designation reserved for the homes regulators watch most closely. Staff turnover, at 44.7%, is actually a hair better than average, so the trouble looks less like a retention crisis than a home that hasn't fixed the practices inspectors keep flagging since its April 2024 visit.
Cedar Creek Post Acute runs 4.95 nurse hours per resident day, roughly 28% above the national average of 3.86, and weekend staffing holds within about 1% of weekday coverage. That's the good news, and it's real. The rest of the picture is harder. Staff turnover sits at 67% against a national average of 45.8%, meaning most of the people providing that above-average coverage are new to the building. The current record shows 33 deficiencies, 11 of them at harm or jeopardy level and 4 abuse-related, plus a $211,244 fine. Federal inspectors gave one star for health inspections and two each for quality measures and staffing. The most recent inspection was July 30, 2025.
Holston Rehabilitation and Care Center runs 204 beds in Kingsport, and the staffing numbers are where I'd start. At 3.63 nurse hours per resident day, it sits about 6% under the national average, and weekends drop roughly 11% below its own weekday level, so coverage thins out exactly when families tend to visit. Annual turnover is 68.1%, well above the 45.8% national figure, which usually means less continuity for residents. The current record shows 23 deficiencies, including one at the harm level and two abuse-related, plus a $16,720 fine. Inspections were recent, in November 2025, and the health, quality, and staffing ratings all land at two stars or lower.
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.
The staffing numbers at Christian Care Center of Medina are the first thing that stands out: 3.35 nurse hours per resident day, roughly 13 percent under the national average, with weekends running about 12 percent thinner than weekdays. That shortfall shows up in the turnover figure too, 70.6 percent annually against a national rate near 46 percent, meaning most of the people caring for residents are relatively new to the building. Meanwhile, the current inspection record carries 28 deficiencies, four of them serious enough to involve harm or jeopardy and three tied to abuse. Three fines totaling $15,592 round out the picture. Nonprofit ownership doesn't change what those numbers say.
Smyrna Care Center runs on thin staffing even by industry standards, 3.22 nurse hours per resident day against a national average of 3.86, with weekends dipping further below its own weekday numbers. That gap matters more when you look at turnover: 65% of staff leave each year, well above the 45.8% national figure. The inspection record is the harder read. Thirty deficiencies, six of them serious enough to put residents in harm's way, and one tied to abuse. The last full inspection was February 2020, more than five years ago. Corporate ownership, 125 beds. Families deserve to know all of this before deciding.
The Mckendree Post Acute & Rehabilitation is a 180-bed nonprofit home in Hermitage that CMS has placed in its Special Focus Facility program, a designation reserved for homes with a persistent record of poor inspections. The numbers explain why: 37 deficiencies on the current record, including four at the harm or jeopardy level and five tied to abuse, plus a single fine of $252,242. Staffing sits at 3.50 nurse hours per resident day, about 9% under the national average, and weekends run roughly 12% thinner than weekdays. Annual turnover is 58% against a national 45.8%. Its last inspection was October 2023. If you're considering this home, ask what's changed since then.
Orchardview runs on thin staffing. At 3.39 nurse hours per resident per day, it sits about 12% under the national average of 3.86, and the weekend numbers don't drop further, so there's no extra coverage cushion when census or acuity spikes. The bigger red flag is turnover: 70.8% annually, against a national average of 45.8%. That's a building where most of the people caring for your relative will be gone within a year.
The inspection record backs that up. Nineteen deficiencies on file, four of them serious enough to involve harm or jeopardy, five tied to abuse. Three fines totaling $94,905. The most recent inspection was January 2025, so the record is current, not stale. All three CMS star ratings, health inspections, quality measures, and staffing, land at 2 out of 5.
Shelby Oaks Post Acute runs on 3.51 nurse staffing hours per resident day, about 9% under the national average, and weekends drop roughly 17% below what the home staffs during the week. That thin coverage shows up in the numbers: 59.7% annual turnover, against a national average of 45.8%, meaning most of the people caring for residents weren't there a year ago. The inspection record is worse, 22 deficiencies, two at harm or jeopardy level, two tied to abuse, and $83,589 in fines. The last inspection was January 8, 2026, so the record is recent, not stale. This is a for-profit LLC with a one-star health inspection rating and a one-star staffing rating.
Nurse staffing at Chattanooga Health And Rehab Center runs about 3.22 hours per resident day, roughly 17% under the national average, and weekends dip another 16% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Staff turnover sits at 77.6%, well above the 45.8% national figure, which matters because aides who know residents are the ones who notice changes first. Inspectors cited 22 deficiencies on the current record, none at the harm level and none abuse-related, with one fine of $6,509 and a most recent inspection in August 2025. The limited liability, for-profit owner carries the license.
Graceland Rehabilitation and Nursing Care Center is a 240-bed for-profit home in Memphis, and the numbers behind its record are worth walking through carefully. Nurse staffing sits at 3.47 hours per resident per day, about 10 percent under the national average, and it thins out further on weekends. That shortfall matters given a 51.6 percent annual turnover rate, meaning the aides and nurses caring for residents are changing constantly. The inspection history is the harder part: 33 deficiencies on the current record, 10 of them at the level where harm or jeopardy to residents occurred, three tied to abuse, plus $342,603 in federal fines. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a persistent pattern of serious problems, and the most recent inspection was May 13, 2025.
Maplewood runs 160 beds in Jackson under for-profit LLC ownership, and its staffing sits right at the national average, 3.85 nurse hours per resident day against 3.86 nationally. That number looks fine until you see who's delivering it: turnover runs 66.7% a year, well above the 45.8% national figure, and weekends drop about 11% below the home's own weekday level. Inspections tell a harder story. The current record carries 26 deficiencies, five at harm or jeopardy level and three tied to abuse, with a $93,678 fine and a 2/5 health inspection rating. Quality measures score 1/5.
Smoky Mountain Health and Rehabilitation Center runs on thin staffing, 3.45 nurse hours per resident day, roughly 11% under the national average, and it gets noticeably thinner on weekends, dropping about 17% below its own weekday level. That matters most when a resident needs help on a Saturday. Staff turnover sits at 70.1%, well above the 45.8% national average, so the people caring for your relative are often new and still learning the building. The inspection record shows 16 deficiencies, four of them serious enough to put residents in harm's way and two tied to abuse, with $61,180 in fines and a survey from January 2024. A for-profit LLC operates it. Ask direct questions about weekend coverage and how they've addressed the abuse findings.
Majestic Gardens runs 169 beds under corporate ownership, and the staffing numbers are where the trouble starts. At 3.36 nurse hours per resident day, it sits about 13% under the national average, and weekends drop roughly 11% below its own weekday coverage. Staff turnover hits 68.5%, well above the 45.8% national figure, so caregivers are cycling through constantly.
The inspection record is worse: 37 deficiencies on file, including 4 at the harm or jeopardy level and 5 tied to abuse. CMS has levied 9 fines totaling $810,404 and placed the home in its Special Focus Facility program, a designation reserved for the country's most persistently troubled homes. The most recent inspection was September 11, 2025.