Nursing Homes in Tennessee: Staffing, Turnover, and Penalties
Tennessee has 303 Medicare- or Medicaid-certified nursing homes in 159 cities. On CMS's August 2026 figures, nurse aides there log 2.12 hours per resident per day, 9% below the US average of 2.32, and 48.9% of nursing staff leave in a year (US 45.8%).
Tennessee averages
Aide hours per resident per day is the nurse aide time a home logged for each resident across a whole day, from the payroll records every home submits to CMS. More hours per resident means more hands on the floor for the same number of residents. Turnover is the share of nursing staff who left over a year. Fines and payment denials are CMS penalties from the last three years.
CMS Care Compare State and US Averages, August 2026 release
Nursing homes by city
The most nursing homes are in Memphis (15), Knoxville (13), Nashville (12). Each city page compares every home on staffing, turnover, CMS stars, and fines.
- Adamsville (1)
- Alamo (1)
- Andersonville (1)
- Antioch (2)
- Ardmore (1)
- Ashland City (2)
- Athens (2)
- Bartlett (3)
- Bells (1)
- Blountville (2)
- Bolivar (2)
- Brentwood (1)
- Brownsville (1)
- Bruceton (1)
- Byrdstown (1)
- Camden (1)
- Carthage (1)
- Celina (1)
- Centerville (1)
- Chattanooga (6)
- Chuckey (1)
- Church Hill (1)
- Clarksville (5)
- Cleveland (4)
- Clinton (1)
- Collegedale (1)
- Collierville (2)
- Columbia (4)
- Cookeville (3)
- Copperhill (1)
- Cordova (3)
- Covington (2)
- Crossville (3)
- Dandridge (1)
- Dayton (2)
- Decatur (1)
- Decaturville (1)
- Dickson (2)
- Dover (1)
- Dresden (2)
- Dunlap (1)
- Dyer (1)
- Dyersburg (3)
- Elizabethton (5)
- Erin (1)
- Erwin (3)
- Etowah (2)
- Fayetteville (2)
- Franklin (4)
- Gainesboro (1)
- Gallatin (3)
- Gallaway (1)
- Germantown (1)
- Goodlettsville (2)
- Gray (1)
- Greeneville (3)
- Harriman (1)
- Harrogate (1)
- Hartsville (1)
- Henderson (1)
- Hendersonville (1)
- Hermitage (1)
- Hixson (1)
- Hohenwald (1)
- Humboldt (2)
- Huntingdon (1)
- Huntsville (1)
- Jackson (6)
- Jamestown (1)
- Jefferson City (2)
- Jellico (1)
- Johnson City (6)
- Jonesborough (1)
- Kingsport (5)
- Knoxville (13)
- Lafayette (1)
- Lafollette (2)
- Lawrenceburg (3)
- Lebanon (3)
- Lewisburg (2)
- Lexington (2)
- Linden (1)
- Livingston (1)
- Loudon (1)
- Louisville (1)
- Lynchburg (1)
- Madison (1)
- Madisonville (1)
- Manchester (2)
- Martin (2)
- Maryville (5)
- Maynardville (1)
- MC Kenzie (2)
- McMinnville (2)
- Medina (1)
- Memphis (15)
- Milan (1)
- Millington (1)
- Monteagle (1)
- Monterey (1)
- Morristown (2)
- Mountain City (1)
- Mount Juliet (1)
- Mount Pleasant (1)
- Murfreesboro (6)
- Nashville (12)
- Newport (2)
- New Tazewell (1)
- Oak Ridge (2)
- Old Hickory (1)
- Oneida (1)
- Ooltewah (1)
- Paris (2)
- Parsons (1)
- Pigeon Forge (1)
- Pikeville (1)
- Pleasant Hill (1)
- Portland (1)
- Pulaski (2)
- Puryear (1)
- Red Boiling Springs (1)
- Ridgely (1)
- Ripley (2)
- Roan Mountain (1)
- Rockwood (1)
- Rocky Top (1)
- Rogersville (1)
- Rutledge (1)
- Savannah (5)
- Selmer (1)
- Sevierville (1)
- Shelbyville (1)
- Signal Mountain (1)
- Smithville (1)
- Smyrna (2)
- Sneedville (1)
- Soddy-Daisy (1)
- Somerville (1)
- South Pittsburg (1)
- Sparta (2)
- Spencer (1)
- Spring City (1)
- Springfield (2)
- Spring Hill (1)
- Sweetwater (2)
- Tazewell (1)
- Tiptonville (1)
- Trenton (1)
- Tullahoma (2)
- Union City (3)
- Wartburg (1)
- Waverly (2)
- Waynesboro (1)
- Westmoreland (1)
- White House (1)
- White Pine (1)
- Whites Creek (1)
- Winchester (3)
- Woodbury (1)
Largest nursing home chains in Tennessee
CMS links 192 of Tennessee's homes to these 15 chains. A chain is a group of homes under common ownership or management, as CMS records it.
| Chain | Homes in TN | Homes nationwide |
|---|---|---|
| National Healthcare Corporation | 37 | 69 |
| Life Care Centers of America | 26 | 194 |
| Signature Healthcare | 21 | 67 |
| Infinity Healthcare Consulting | 17 | 69 |
| Ahava Healthcare | 13 | 16 |
| Twin Rivers Health & Rehabilitation | 11 | 11 |
| Simcha Hyman & Naftali Zanziper | 10 | 79 |
| Carerite Centers | 9 | 34 |
| The Ensign Group | 9 | 342 |
| Prestige Administrative Services | 8 | 9 |
| Champion Care | 7 | 22 |
| Links Healthcare Group | 7 | 32 |
| Plainview Healthcare Partners | 7 | 9 |
| Community Eldercare Services | 5 | 17 |
| Pacs Group | 5 | 274 |
Chain as recorded in the CMS Provider Information file, August 2026 release