Lewisburg, TN · Marshall County
★★★☆☆CMS 3/5100 bedsFor-profitMedicaid
- Nurse hours
- 4.01 /day
- Staff turnover
- 53%
- Serious cites
- 0
Nhc Healthcare, Lewisburg runs 100 certified beds under for-profit LLC ownership, and its nurse staffing sits slightly above the national average at 4.01 hours per resident day. But weekends drop about 11% below its own weekday coverage, and annual turnover runs 52.8% against a 45.8% national average, so the people on shift are often new. The inspection record is the heavier issue: 25 deficiencies, seven at harm or jeopardy level, three tied to abuse, and a $217,240 fine. With a February 2026 inspection and a one-star health inspection rating against five-star quality measures, the care results and the oversight history tell different stories.
Carthage, TN · Smith County
★★★★★CMS 5/5128 bedsFor-profitMedicaid
- Nurse hours
- 3.60 /day
- Staff turnover
- 52%
- Serious cites
- 0
Smith County Health and Rehabilitation runs 128 certified beds in Carthage under for-profit LLC ownership, and its inspection record is genuinely strong, a five-star health inspection rating with just six deficiencies on file, though two of those reached the harm or jeopardy level and one was abuse-related, so the record isn't spotless. Staffing is where the picture weakens. At 3.60 nurse hours per resident day, it sits about 7% under the national average, weekends run roughly 10% lighter than weekdays, and annual turnover of 51.7% edges past the 45.8% national figure. The most recent inspection was September 2025. Ask about weekend coverage and how quickly aides cycle through.
Collierville, TN · Shelby County
★★☆☆☆CMS 2/5114 bedsFor-profitMedicaid
- Nurse hours
- 3.39 /day
- Staff turnover
- 50%
- Serious cites
- 0
The staffing numbers are the real story here. At 3.39 nurse hours per resident day, Collierville runs about 12 percent below the national average, and weekends dip another 11 percent below its own weekday level, so the thinnest coverage lands when families tend to visit. A 50 percent annual turnover rate, above the 45.8 percent national figure, means the aides and nurses who remain are often the newest ones. Ownership is for-profit, through a limited liability company.
On the record side, there are 27 deficiencies, three of them abuse-related, though none rose to the harm or jeopardy level. The last inspection was February 2022, so that picture is dated. The 4/5 quality measure score reflects reported clinical outcomes, but quality measures and daily staffing are different things, and here they point in opposite directions.
Milan, TN · Gibson County
★★★★☆CMS 4/5117 bedsFor-profitMedicaid
- Nurse hours
- 3.85 /day
- Staff turnover
- 62%
- Serious cites
- 0
Nhc Healthcare, Milan runs 117 certified beds in Gibson County under for-profit LLC ownership, and its inspection record shows 14 deficiencies, none at the harm or jeopardy level but one tied to abuse. A state surveyor was last in the building in August 2025, so the record is fresh, worth weighing against that single abuse citation. Nurse staffing sits at 3.85 hours per resident day, right on the national average of 3.86, though weekends drop roughly 18% below what the home staffs on weekdays. The number that stands out most is turnover: 62.2% of staff left over the year, against a national average of 45.8%. High churn can make it hard to keep consistent caregivers on the floor, especially on weekends.
Lawrenceburg, TN · Lawrence County
★★★★★CMS 5/549 bedsFor-profitMedicaid
- Nurse hours
- 3.98 /day
- Staff turnover
- 60%
- Serious cites
- 0
Nhc Healthcare, Scott runs a tight ship on inspections, a five-star health inspection rating and a recent April 2026 survey with just four deficiencies on record, none of them causing harm. That matters. Where the picture gets less comfortable is staff retention: turnover sits near 60%, well above the national figure of roughly 46%, and weekend nurse hours drop about 17% below the home's own weekday coverage. Overall nurse staffing, at 3.98 hours per resident day, is only slightly ahead of the national average. So you have a place that passes its inspections cleanly but cycles through caregivers quickly, which is worth asking about directly when you visit, who actually knows the residents on a Sunday.
Morristown, TN · Hamblen County
★★★☆☆CMS 3/5197 bedsFor-profitMedicaid
- Nurse hours
- 3.64 /day
- Staff turnover
- 37%
- Serious cites
- 0
Heritage Center runs 197 beds in Morristown under corporate for-profit ownership, and the staffing picture is mixed. At 3.64 nurse hours per resident day, it sits about 6% under the national average of 3.86, and weekends drop roughly 15% below its own weekday levels, so coverage thins out exactly when families tend to visit. Turnover, though, is genuinely better than most: 37.4% against a national 45.8%, which suggests the staff who are there tend to stay. Inspections tell the other story: 20 deficiencies on record, none at harm or jeopardy level and none abuse-related, with the most recent visit in June 2025. Quality measures score well; staffing and health inspection results are where the weakness sits.
Bolivar, TN · Hardeman County
★★★★★CMS 5/5134 bedsFor-profitMedicaid
- Nurse hours
- 3.22 /day
- Staff turnover
- 36%
- Serious cites
- 0
Pine Meadows runs lean on direct care. At 3.22 nurse hours per resident day, it sits about 17 percent under the national average, and weekend coverage drops roughly another 16 percent below its own weekday level, so the stretches with the least staff are also the ones with the fewest people watching. Turnover is where it looks steadier: 36.1 percent versus a national 45.8 percent.
Its survey history is clean on paper, six deficiencies with none at harm or jeopardy level, but one is abuse-related and the last full inspection was June 2021, long enough ago that the record may not reflect current conditions. A family should ask directly how many aides are on the floor on a Saturday night.
Tullahoma, TN · Coffee County
★★☆☆☆CMS 2/5169 bedsFor-profitMedicaid
- Nurse hours
- 3.56 /day
- Staff turnover
- 44%
- Serious cites
- 0
Life Care Center of Tullahoma runs 169 certified beds and sits at 3.56 nurse staffing hours per resident day, roughly 8 percent under the national average of 3.86, and weekends drop about 18 percent below its own weekday levels, which is when families tend to visit and notice. Turnover runs 44.4 percent, close to the national 45.8 percent, so the churn here looks typical rather than alarming. What stands out is the inspection record: seven deficiencies, two tied to abuse, none rising to harm or jeopardy, with the last full inspection back in September 2022, nearly three years without a fresh look. State surveyors haven't revisited recently, so the picture rests on older findings.
Lebanon, TN · Wilson County
★★★★★CMS 5/560 bedsFor-profitMedicaid
- Nurse hours
- 4.23 /day
- Staff turnover
- 59%
- Serious cites
- 0
Lebanon Center runs a 60-bed for-profit operation where the clinical numbers look better than the workforce numbers. Total nurse staffing sits at 4.23 hours per resident day, roughly 9% above the national average, but weekends drop about 21% below the home's own weekday level, and annual turnover hits 59.1% against a national 45.8%. On paper, care quality scores are strong, and the four deficiencies on record include nothing at the harm or abuse level, though the last full inspection was in August 2022, so that picture is getting old. What you're really weighing is steady clinical performance against a staff that keeps changing.
Ardmore, TN · Giles County
★★★★☆CMS 4/579 bedsNon-profitMedicaid
- Nurse hours
- 3.89 /day
- Staff turnover
- 62%
- Serious cites
- 0
Elk River Health and Nursing Center in Ardmore runs a nonprofit operation with 79 certified beds, and its overall nurse staffing sits just a hair above the national average, 3.89 hours per resident day against 3.86. That margin is thin enough to disappear on weekends, when coverage drops about 16% below the home's own weekday level. The bigger number to sit with is turnover: 62.1% of staff leaving annually, well above the 45.8% national figure. Inspections look solid, with a four-star health inspection rating and no deficiencies at the harm level, though one of the eight cited is abuse-related.
Dresden, TN · Weakley County
★★★★☆CMS 4/570 bedsFor-profitMedicaid
- Nurse hours
- 3.58 /day
- Staff turnover
- 44%
- Serious cites
- 0
Hillview runs leaner on nursing hours than the typical home, 3.58 per resident day against a national average of 3.86. That gap widens on weekends, when staffing drops roughly 15% below its own weekday level, so a Saturday or Sunday shift has noticeably fewer hands than a Tuesday. Turnover sits at 44.4%, essentially in line with the national 45.8%, and the home carries 11 deficiencies, none involving harm or abuse. The recent inspection, from December 2025, came back at 4 stars, though the quality measure side scored only 2. For-profit, LLC-owned, 70 beds.
Monteagle, TN · Grundy County
★★★☆☆CMS 3/5150 bedsFor-profitMedicaid
- Nurse hours
- 3.54 /day
- Staff turnover
- 53%
- Serious cites
- 0
Signature Healthcare of Monteagle runs 150 certified beds in Grundy County under for-profit LLC ownership, and its nurse staffing sits at 3.54 hours per resident day, about 8% under the national average of 3.86. That shortfall gets worse on weekends, when coverage drops roughly 15% below the home's own weekday level, and annual turnover of 53.2% runs well above the 45.8% national figure. On inspections, the record shows a 2-out-of-5 rating and 21 deficiencies, including two at the harm or jeopardy level and two tied to abuse, plus $39,507 in fines across two penalties. The last inspection was September 17, 2025. Quality measures score a perfect 5, but the staffing and inspection numbers are what families should weigh.
Hohenwald, TN · Lewis County
★☆☆☆☆CMS 1/5131 bedsFor-profitMedicaid
- Nurse hours
- 3.57 /day
- Staff turnover
- 35%
- Serious cites
- 0
Lewis Park Post Acute runs 131 certified beds in Hohenwald under for-profit LLC ownership, and its staffing sits at 3.57 nurse hours per resident day, roughly 8% under the national average, with weekends about 16% thinner than weekdays. Turnover is 34.6%, which is actually better than the 45.8% national figure, so the problem isn't retention; it's how few hours reach the floor. The inspection record is the harder read: 28 deficiencies, 9 at harm or jeopardy level, 5 involving abuse, and a 1-out-of-5 health inspection rating despite a 4-out-of-5 on quality measures. The most recent inspection was August 2025, so the record is current.
Parsons, TN · Decatur County
★★★★★CMS 5/5125 bedsFor-profitMedicaid
- Nurse hours
- 3.47 /day
- Staff turnover
- 40%
- Serious cites
- 0
Decatur County Healthcare sits in Parsons with 125 certified beds, run by a for-profit corporation, and its record is a mixed bag worth understanding before you visit. The staffing numbers are the weak spot: 3.47 nurse hours per resident day, about 10% under the national average of 3.86, and weekends run roughly 17% below its own weekday level, so ask what coverage looks like on a Saturday. Turnover is 40%, a bit better than the 45.8% national figure, which matters for consistency of care. The inspection side looks stronger: a 4-star health inspection rating, 7 deficiencies on record with none at harm or jeopardy level and none abuse-related, and a recent inspection in December 2025. Quality measures earn 5 stars, but staffing earns 2.
Selmer, TN · Mc Nairy County
★★★★☆CMS 4/5126 bedsFor-profitMedicaid
- Nurse hours
- 3.34 /day
- Staff turnover
- 30%
- Serious cites
- 0
Selmer Post Acute runs lean on nursing hours, 3.34 per resident day, roughly 14 percent under the national average, and weekends drop about 15 percent below its own weekday staffing. That's the weak spot behind its low staffing rating, and it's worth asking how coverage looks on a Saturday. The rest of the picture is steadier: turnover sits at 30.4 percent, well below the 45.8 percent national figure, which suggests people tend to stay. Eleven deficiencies on record, none involving harm or abuse, and the last inspection was in July 2025. For-profit, LLC-owned, 126 beds.
Knoxville, TN · Knox County
★★★★☆CMS 4/595 bedsNon-profitMedicaid
- Nurse hours
- 3.37 /day
- Staff turnover
- 39%
- Serious cites
- 0
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.
Old Hickory, TN · Davidson County
★★★☆☆CMS 3/5124 bedsFor-profitMedicaid
- Nurse hours
- 3.53 /day
- Staff turnover
- 49%
- Serious cites
- 0
Life Care Center of Old Hickory Village runs 124 certified beds under for-profit LLC ownership, and the staffing numbers are the weak spot: 3.53 nurse hours per resident day sits about 9% under the national average, and weekends drop roughly 18% below the home's own weekday coverage. Turnover lands at 49.4%, above the 45.8% national figure, which matters when consistent caregivers know the residents. The health inspection record shows 16 deficiencies, including one at the harm or jeopardy level, and the last inspection was September 2022, so that record is getting old. Fines total $8,788 across one penalty. The 5/5 quality measure rating stands out against the 2/5 staffing and inspection marks; ask what's driving that quality score.
Harriman, TN · Roane County
★★☆☆☆CMS 2/5130 bedsFor-profitMedicaid
- Nurse hours
- 3.22 /day
- Staff turnover
- 43%
- Serious cites
- 0
Renaissance Terrace runs 130 certified beds in Harriman, and the staffing numbers are the first thing worth noticing. At 3.22 nurse hours per resident day, it sits about 17% under the national average of 3.86, and weekend coverage dips roughly 7% below its own weekday level, so the thinnest shifts land when families tend to visit. Turnover at 42.9% is close to the national figure of 45.8%, meaning the staff churn here isn't unusual, the shortfall is in how many hours are scheduled, not who stays. The inspection record is the bigger concern: 28 deficiencies, three tied to abuse, and a 1/5 health inspection rating with the last survey in September 2023.
Loudon, TN · Loudon County
★★☆☆☆CMS 2/5180 bedsFor-profitMedicaid
- Nurse hours
- 3.13 /day
- Staff turnover
- 40%
- Serious cites
- 0
River Grove runs 180 beds in Loudon under for-profit LLC ownership, and the staffing numbers are the first thing you'd notice. At 3.13 nurse hours per resident day, it sits roughly 19% under the national average, and weekends drop about 11% below its own weekday levels, so coverage thins out right when families tend to visit. The good news on the current record: 23 deficiencies but none at harm or jeopardy level and none abuse-related, with an inspection as recent as August 2025. Turnover at 40% is slightly better than the 45.8% national figure, and the 5/5 quality measure score suggests clinical outcomes look better than the staffing rating implies.
Westmoreland, TN · Sumner County
★★★☆☆CMS 3/5100 bedsFor-profitMedicaid
- Nurse hours
- 3.13 /day
- Staff turnover
- 39%
- Serious cites
- 0
Westmoreland Care & Rehab runs about 3.13 nurse hours per resident per day, roughly 19% under the national average of 3.86, and weekends dip another 12% below its own weekday numbers. That thin coverage shows up in the federal staffing rating, which sits at the low end. What keeps the picture from being worse: turnover is 38.7%, actually better than the 45.8% national rate, and the 11 deficiencies on record include none tied to harm, jeopardy, or abuse. The most recent inspection was in March 2026, so the findings are current. Quality measures score well; staffing is where the gaps are.