Elizabethton, TN · Carter County
★★★★★CMS 5/570 bedsNon-profitMedicaid
- Nurse hours
- 3.63 /day
- Staff turnover
- 53%
- Serious cites
- 0
Hermitage Health Center runs a tight ship on inspections, a five-star health inspection rating with just five deficiencies on record, none of them causing harm or involving abuse, and the most recent survey was this past May. That's a real strength, and it's not easy to earn. Staffing is where the picture gets murkier: 3.63 nurse hours per resident day sits about 6% under the national average, weekends dip roughly 9% below the home's own weekday levels, and turnover runs 53.4% against a national 45.8%. So the care you'd see on a Tuesday may not match what's there on a Sunday. Quality measures land mid-range at three stars.
Fayetteville, TN · Lincoln County
★★★☆☆CMS 3/5168 bedsNon-profitMedicaid
- Nurse hours
- 3.74 /day
- Staff turnover
- 39%
- Serious cites
- 0
Donalson Care Center runs 168 certified beds as a nonprofit corporation, and its nurse staffing sits just under the national average at 3.74 hours per resident day. The bigger issue is consistency: weekend coverage drops roughly 15% below what the home staffs on weekdays, so a Saturday shift looks meaningfully thinner than a Tuesday. Turnover is 39.1%, which is actually better than the 45.8% national figure, that's a real strength here. Against that, the current record carries 24 deficiencies, five of them serious enough to involve harm or jeopardy, plus one abuse-related citation. The last inspection was March 2025, so the picture is fairly current.
Clarksville, TN · Montgomery County
★★☆☆☆CMS 2/5122 bedsFor-profitMedicaid
- Nurse hours
- 3.59 /day
- Staff turnover
- 55%
- Serious cites
- 0
Ahava Healthcare of Clarksville runs 122 beds under for-profit LLC ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.59 hours per resident day, about 7% under the national average, and weekends drop roughly 16% below the home's own weekday levels, so coverage thins out right when families tend to visit. Staff turnover hits 54.7% against a national 45.8%, which means caregivers are cycling through faster than average. The inspection record shows 11 deficiencies, two tied to abuse, though none rose to harm or jeopardy level, and the most recent inspection was in April 2026. Quality measures look decent; staffing is where the strain shows.
Smithville, TN · De Kalb County
★★★☆☆CMS 3/5114 bedsFor-profitMedicaid
- Nurse hours
- 3.82 /day
- Staff turnover
- 42%
- Serious cites
- 0
Nhc Healthcare, Smithville runs 114 certified beds under corporate for-profit ownership, and its staffing sits just under the national average at 3.82 nurse hours per resident day. That gap looks small, but weekends run about 12% thinner than weekdays, which matters when a resident needs help on a Sunday. Staff turnover is 42.2%, a bit better than the 45.8% national figure, not a crisis, but roughly two in five employees still leave each year. The inspection record is where the real weight sits: 10 deficiencies, three at harm or jeopardy level, two tied to abuse, and one fine of $228,511. The most recent inspection was February 2025. Quality measures score well, but quality scores and hands-on care aren't the same thing.
Cookeville, TN · Putnam County
★★☆☆☆CMS 2/5175 bedsFor-profitMedicaid
- Nurse hours
- 3.67 /day
- Staff turnover
- 41%
- Serious cites
- 0
Signature Healthcare of Putnam County runs 175 certified beds under for-profit LLC ownership, and its staffing sits at 3.67 nurse hours per resident day, about 5% under the national average of 3.86. Weekends drop roughly 15% below the home's own weekday levels, so coverage thins out exactly when families tend to visit. Turnover is 41.4%, a bit better than the 45.8% national figure, which matters for whether you see the same faces month to month. The bigger concern is the 1-out-of-5 health inspection rating, with 14 deficiencies on record, though none reached harm or jeopardy and none were abuse-related. The last inspection was May 2023.
Union City, TN · Obion County
★★★★★CMS 5/580 bedsFor-profitMedicaid
- Nurse hours
- 3.32 /day
- Staff turnover
- 43%
- Serious cites
- 0
The Waters of Union City runs lean on nursing hours: 3.32 per resident day against a national average of 3.86, with weekends about 9 percent thinner than its own weekdays. Staff turnover sits at 42.6 percent, a bit better than the 45.8 percent national figure, so the people who are there tend to stay longer than average. The inspection record is the strongest part of the picture, a recent March 2026 survey, nine deficiencies with none rising to harm or jeopardy, and nothing abuse-related. This is a for-profit limited liability company with 80 beds. The tradeoff is straightforward: consistent care and clean surveys, but fewer hands per resident than most homes.
Franklin, TN · Williamson County
★★☆☆☆CMS 2/588 bedsFor-profitMedicaid
- Nurse hours
- 3.56 /day
- Staff turnover
- 83%
- Serious cites
- 0
Franklin Wellness and Rehabilitation Center runs 88 certified beds under for-profit LLC ownership, and its numbers split sharply. The health inspection side is the weak spot, 16 deficiencies on record, two of them serious enough to involve harm or jeopardy, and a single fine of $44,469. Staffing sits at 3.56 nurse hours per resident day, about 8% under the national average, with weekends running roughly 11% leaner than weekdays. The turnover figure is the one that should stop you: 83.3% annually against a national average of 45.8%, meaning most of the people caring for residents are new to the building. A recent June 2025 inspection is the one point in its favor.
Johnson City, TN · Washington County
★★★★☆CMS 4/584 bedsFor-profitMedicaid
- Nurse hours
- 3.18 /day
- Staff turnover
- 54%
- Serious cites
- 0
Agape Rehabilitation & Nursing Center runs on thinner staffing than most homes you'll compare it to, 3.18 nurse hours per resident day against a national average of 3.86, and weekends dip about 7% below its own weekdays. That's a real gap when you're thinking about how quickly someone answers a call light. Turnover sits at 54.4%, well above the 45.8% national figure, so the people caring for your family member are cycling through faster than average. On the other side, the home's quality measure score is strong and its last inspection was February 2024, with seven deficiencies on record, none at the harm level, though one is abuse-related. It's licensed for 84 beds and owned by an individual for profit.
Shelbyville, TN · Bedford County
★★★★☆CMS 4/596 bedsFor-profitMedicaid
- Nurse hours
- 3.14 /day
- Staff turnover
- 53%
- Serious cites
- 0
The Waters of Shelbyville is a for-profit LLC home with 96 beds, and its numbers pull in two directions. Inspections look solid, a 4/5 star rating, with the last visit in February 2026 and nine deficiencies on record, only one at the harm level and none tied to abuse. Quality measures also score 5/5. Staffing is the problem: 3.14 nurse hours per resident day sits about 19% under the national average, weekends run roughly 15% thinner than weekdays, and turnover hits 52.5% against a national 45.8%. That combination, good care when surveyed, thin coverage day to day, is what keeps this home in the middle of the pack rather than at the top.
Nashville, TN · Davidson County
★★★★★CMS 5/5120 bedsFor-profitMedicaid
- Nurse hours
- 3.98 /day
- Staff turnover
- 63%
- Serious cites
- 0
West Meade Place runs 120 certified beds as a for-profit partnership, and its overall nurse staffing sits at 3.98 hours per resident day, roughly 3% above the national average of 3.86. That headline number comes with a catch: weekend staffing drops about 12% below its own weekday level, and annual turnover is 62.6% against a national average of 45.8%, so the people providing that care change often. Inspections look steady, a 4/5 health inspection rating, most recently surveyed March 13, 2026, with 17 deficiencies on record, none at harm or jeopardy level but two tied to abuse. The 5/5 quality measure rating reflects resident outcomes; the 2/5 staffing rating reflects what CMS actually thinks of the hours and retention.
Paris, TN · Henry County
★★★★★CMS 5/5136 bedsFor-profitMedicaid
- Nurse hours
- 4.53 /day
- Staff turnover
- 48%
- Serious cites
- 0
Henry County Health And Rehabilitation runs 4.53 nurse hours per resident per day, roughly 17% above the national average, so there's more direct care time here than at most homes. The catch is weekends, when staffing drops about 13% below its own weekday level. The health inspection record is clean on the things that matter most: 9 deficiencies total, none at harm or jeopardy level, none abuse-related, and a survey as recent as November 2025. But the quality measure rating sits at 2 out of 5, meaning clinical outcomes like falls, infections, and medication management don't track with that inspection record. Turnover is 47.8%, slightly above the national 45.8%. Corporate-owned, 136 beds.
Johnson City, TN · Washington County
★★★☆☆CMS 3/5109 bedsFor-profitMedicaid
- Nurse hours
- 3.26 /day
- Staff turnover
- 42%
- Serious cites
- 0
Lakebridge runs on thinner nurse coverage than most homes, 3.26 hours per resident day against a national average of 3.86, and weekends dip about 10% below its own weekday levels, so the thinnest shifts come when families tend to visit. Turnover sits at 41.8%, a bit better than the 45.8% national figure, which matters because consistent caregivers tend to know residents' routines. The inspection record is genuinely clean: seven deficiencies, none at harm or jeopardy level, none abuse-related, and the most recent survey was July 2023. Owned by an individual for profit. The staffing number is the thing to press on when you tour, ask what a weekend afternoon actually looks like.
Union City, TN · Obion County
★☆☆☆☆CMS 1/5115 bedsFor-profitMedicaid
- Nurse hours
- 3.49 /day
- Staff turnover
- 22%
- Serious cites
- 0
Union City Health and Rehabilitation runs on thinner nursing coverage than most homes, about 3.49 nurse hours per resident each day, roughly 10% under the national average, and weekend shifts drop another 13% below its own weekday levels. That staffing picture is paired with a one-star health inspection rating from CMS and ten deficiencies on the current record, one of them serious enough to involve harm or jeopardy. On the other hand, turnover sits at 22.4%, well below the national 45.8%, meaning the aides and nurses who are there tend to stay. The one fine on record is modest at $10,348, and the most recent inspection was in August 2025, so the findings are current rather than stale.
Dyersburg, TN · Dyer County
★★★★☆CMS 4/5130 bedsFor-profitMedicaid
- Nurse hours
- 3.46 /day
- Staff turnover
- 53%
- Serious cites
- 0
Okeena runs lean on nursing hours, 3.46 per resident day against a national average of 3.86, and weekends dip roughly 4% below its own weekday coverage. Staff turnover sits at 52.8%, well above the 45.8% national figure, which means familiar faces cycle out faster than average. The inspection record is the brighter spot: 20 deficiencies on file, none at harm or jeopardy level, no abuse citations, and a survey completed in April 2026. The limited liability ownership and for-profit structure are worth knowing, since margins and staffing budgets often travel together. Families weighing this one should ask how the weekend shifts are actually covered, and who specifically will be on the floor overnight.
Sweetwater, TN · Monroe County
★★☆☆☆CMS 2/590 bedsFor-profitMedicaid
- Nurse hours
- 3.33 /day
- Staff turnover
- 53%
- Serious cites
- 0
Waters Of Sweetwater runs 90 certified beds under for-profit LLC ownership, and its staffing is the number to sit with: 3.33 nurse hours per resident day against a national average of 3.86, with weekends about 10% thinner than weekdays. Turnover sits at 53.1% versus 45.8% nationally, and CMS gives staffing a single star. The health inspection record carries 19 deficiencies, including two at harm or jeopardy level and one tied to abuse, though the most recent inspection was August 2025. Quality measures score high, but the staffing and inspection numbers are what a family should weigh.
Blountville, TN · Sullivan County
★★★★☆CMS 4/5120 bedsFor-profitMedicaid
- Nurse hours
- 3.01 /day
- Staff turnover
- 32%
- Serious cites
- 0
Waters Of Bristol runs on a lean crew. At 3.01 nurse hours per resident per day, it sits about 22% under the national average, and weekends drop roughly 11% below its own weekday coverage, a gap families tend to notice on Saturday afternoons. The tradeoff looks favorable elsewhere: staff turnover of 32.4% is well below the national 45.8%, and the home's last inspection, in August 2025, left just three deficiencies on record, none at the harm level and none abuse-related. Ownership is for-profit, through a limited liability company. So you're looking at a place that inspects clean and keeps its people, but asks them to cover more residents per shift than most. Whether that tradeoff works depends on your family member's care needs.
Spring City, TN · Rhea County
★★★★☆CMS 4/5138 bedsFor-profitMedicaid
- Nurse hours
- 3.69 /day
- Staff turnover
- 41%
- Serious cites
- 0
Spring City Care and Rehabilitation Center runs 138 certified beds as a for-profit LLC, and its nurse staffing sits at 3.69 hours per resident day, about 4% under the national average of 3.86. Weekends drop roughly 17% below its own weekday level, so coverage thins exactly when families tend to visit. The inspection record is the bigger concern: 16 deficiencies, including one at the harm or jeopardy level and six tied to abuse, with the last health inspection dated March 1, 2023. Staff turnover, at 40.5%, is actually better than the 45.8% national figure. Quality measures score well; the staffing and inspection stars do not.
Camden, TN · Benton County
★☆☆☆☆CMS 1/5120 bedsFor-profitMedicaid
- Nurse hours
- 3.91 /day
- Staff turnover
- 45%
- Serious cites
- 0
Camden Healthcare & Rehab Center runs 120 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.91 hours per resident day, barely above the national average of 3.86, with weekends running about 20% thinner than weekdays. Annual turnover of 44.8% is roughly in line with the national figure, so that's not the problem here. The inspection record is: 13 deficiencies on file, including three at the harm or jeopardy level and three tied to abuse, plus a single $105,447 fine. The most recent inspection was May 1, 2025, so the findings are current, not stale. Strong quality measure scores don't offset that inspection history.
Jefferson City, TN · Jefferson County
★★★☆☆CMS 3/5121 bedsFor-profitMedicaid
- Nurse hours
- 3.54 /day
- Staff turnover
- 53%
- Serious cites
- 0
Life Care Center of Jefferson City runs 121 certified beds under corporate for-profit ownership, and its staffing is the number that stands out. At 3.54 nurse hours per resident day, it sits about 8% under the national average of 3.86, and weekends drop roughly 18% below its own weekday level, so the coverage your family member gets on a Saturday won't match a Tuesday. Staff turnover of 52.6% runs well above the 45.8% national figure, which means caregivers change often. Inspections in June 2025 turned up 12 deficiencies, none at the harm level and none abuse-related, and the health and quality ratings both land at three stars.
Lafollette, TN · Campbell County
★★★★☆CMS 4/5182 bedsFor-profitMedicaid
- Nurse hours
- 3.32 /day
- Staff turnover
- 26%
- Serious cites
- 0
Cumberland Village Care runs 182 certified beds in Lafollette under for-profit LLC ownership, and its recent inspection history is genuinely solid, 16 deficiencies on record with none at the harm level, a four-star health inspection rating, and the last survey completed in January 2025. The staffing picture is where it gets thin: 3.32 nurse hours per resident day sits about 14% under the national average, weekends run roughly 16% lighter than weekdays, and that combination earned a two-star staffing rating. The turnover number is the interesting one, 26.1% against a national average of 45.8% means this home is holding onto its caregivers far better than most, so you'd want to ask where the staffing gap actually shows up: it's likely in daily coverage rather than retention.