Homes where the federal record contains at least one of the following: a CMS abuse icon, Special Focus
Facility status or candidacy, or a citation scored at actual harm or immediate jeopardy. Ordered with
Special Focus homes first.
Read this as a prompt, not a verdict. A citation can be years old and the management
responsible may have gone. It means you ask what happened and what changed, and you get a specific answer
before you sign anything.
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.
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.
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.
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.
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.
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.
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.
Asbury Place At Maryville runs 181 certified beds under for-profit, limited-liability ownership, and its staffing numbers are the first thing worth knowing: 3.55 nurse hours per resident day against a national average of 3.86, with weekends about 8% thinner than weekdays. That gap shows up in the federal staffing rating, which sits at 1 out of 5. Annual turnover of 60%, well above the 45.8% national figure, means the people caring for residents are frequently new. On the record: 23 deficiencies, including one at harm level and two abuse-related, plus a $16,720 fine. The most recent inspection was January 14, 2026, so the picture is current. Quality measures score better than inspections do.
Nhc Healthcare, Springfield runs 107 certified beds under for-profit LLC ownership, and its last inspection was December 3, 2025, recent enough that the record reflects current conditions. Those conditions include 14 deficiencies, three of them abuse-related and two at the harm or jeopardy level, plus a $122,070 federal fine. Nurse staffing sits at 3.50 hours per resident day, about 9% under the national average, weekends run roughly 9% leaner than weekdays, and annual turnover is 54.6% against a national 45.8%. The five-star quality measure rating stands out against a one-star inspection rating, but quality measures are self-reported resident data, not an outside surveyor's findings. Staffing earns three stars.
Tri State Health and Rehabilitation Center runs 116 certified beds as a for-profit corporation, and its current inspection record carries 15 deficiencies, five of them serious enough to involve harm or jeopardy, plus two tied to abuse. The health inspection rating sits at 1 out of 5, and two fines totaling $14,852 are on file, with the most recent inspection dated December 2025. Nurse staffing comes in at 3.44 hours per resident day, roughly 11% under the national average, and weekends run about 15% thinner than weekdays. Staff turnover is 38.5%, which is lower than the 45.8% national figure, a genuine bright spot. If you're weighing this one, ask hard questions about how those harm-level findings were resolved.
Life Care Center of Athens runs on a corporate for-profit model with 128 certified beds, and the numbers tell a mixed story. Nurse staffing sits at 3.54 hours per resident day, about 8 percent under the national average, and weekends drop roughly another 10 percent below the home's own weekday levels, so the thinnest coverage lands when families tend to visit. Turnover is genuinely better than most, at 29.4 percent against a national 45.8 percent, which suggests some stability in who's actually at the bedside. What pulls the record down is inspections: a one-star health inspection rating, 16 deficiencies on file including one at harm level and three tied to abuse. The last inspection was March 28, 2026.
The ownership is a for-profit limited liability company, and its 165 beds are staffed at 3.36 nurse hours per resident day, roughly 13 percent under the national average, with weekends dropping about 18 percent below its own weekday coverage. That thinner weekend schedule matters because the inspection record shows 14 deficiencies, including two at the harm or jeopardy level and four tied to abuse, plus $20,050 in fines. The quality measure score is strong and turnover sits well below the national rate, so there are real strengths here, but the recent October 2024 inspection and the harm-level findings are what a family should ask about directly before deciding.
Waynesboro Post Acute & Rehabilitation runs 109 certified beds as a nonprofit corporation, and its staffing sits at 3.53 nurse hours per resident day, about 9% under the national average of 3.86. Weekends dip roughly 13% below its own weekday coverage, so the hours aren't evenly spread. The inspection record is where the real weight is: 15 deficiencies, 7 of them serious enough to involve harm or jeopardy, 3 tied to abuse, and the last full inspection was back in January 2022. One fine of $8,788 is on file. Turnover at 26.1% is genuinely better than the 45.8% national figure, which matters for continuity of care.
Tennessee State Veterans Home in Cleveland runs five hours of nursing care per resident per day, about 30% above the national average, and its last inspection in January 2026 came back clean enough to earn a top federal rating. The tradeoff is consistency: weekend staffing drops roughly 14% below weekday levels, and 56.1% of staff turned over in a year, well above the 45.8% national figure, that churn matters more in a home where five deficiencies sit on record, including one tied to harm or jeopardy and one abuse-related. As a state-run facility, it answers to public oversight rather than a private operator. Strong numbers overall, but ask how weekends and new hires are actually handled.