Nursing Homes in Tennessee- Monthly Analysis & Key Metrics

Data as of February 11, 2024

Reviewed by Richard Saunders

The State Level Skilled Nursing Home Analysis Report

Recently, the Biden administration announced a goal of improving nursing home care, as highlighted in several important announcements (see the initial announcement and a subsequent announcement). While this is a commendable goal, it is not entirely clear what the best approach is for achieving it. Proposing minimum staffing levels for all nursing homes simplifies a complicated issue. Nursing Homes address a wide range of resident needs, from short-term rehabilitation to long-term care to dementia and memory issues, that require different levels of care. It also fails to address a national staffing shortage that will likely only worsen.

At NursingHomeDatabase.com, we believe that one critical element of any improvement effort is to have access to good, clear data and analysis that can help everyone understand the current state of affairs, identify trends, and track progress over time. To this end, we have built this series of reports that will try to illuminate the key metrics of nursing home performance for each state. Our reports are designed to provide valuable insights and inform policymakers, healthcare providers, and families who are interested in nursing home care.

The analysis for the state level report cards of nursing home care is primarily derived from data that the Centers for Medicare and Medicaid ("CMS") provides. CMS publishes weekly data about nursing home occupancy and COVID-19 infections and publishes monthly reports with ratings, staffing levels, and deficiencies.

Summary Analysis of Nursing Homes in Tennessee- The 10,000 foot view

Updated on February 11, 2024

According to the latest data compiled by NursingHomeDatabase.com, Tennessee has a total of 308 active skilled nursing facilities and 33,113 beds. Based on the US Census estimates for the population of 7,051,339, the current total bed count represents one bed for every 212.95 persons in Tennessee. There were 24,945 residents as February 11, 2024 for a state wide occupancy level of 75.33 percent. (Note that the home count is based on monthly data provided by CMS and the number of beds and the occupancy numbers are based on weekly data. There is a minor number of homes that do not report their data weekly.)

According to the monthly data, Tennessee has added 225 new beds and lost 594 existing beds over the past year.

The Biden Administration has announced that it wants to regulate minimum nursing home staffing levels. They have proposed minimums of .55 hours of care per resident per day from registered nurses (RNs) and 2.45 hours of care per resident per day certified nursing aids (CNAs). These are the current level amount of hours per resident per day of care for Tennessee and a comparison to national averages.

Staffing Levels State National
Registered Nurse (RN) 0.58 0.65
Certified Nursing Assistants (CNA) 2.04 2.26
Licensed Practical Nurse (LPN) 1.11 0.88
All Staff 3.73 3.79

Detailed analysis pages for the largest cities in Tennessee:

COVID-19 Infections in Tennessee Nursing Homes

While COVID-19 infections and deaths are down significantly from late 2020 and 2021, the number of infections and deaths continues to be monitored. For nursing homes in Tennessee there were a total of 159 new cases and 159 new deaths among residents for the week ending February 11, 2024. The chart below shows COVID-19 activity for the past year.

New and Lost Nursing Homes in Tennessee

Tennessee added 4 new skilled nursing facilities and 225 beds over the past year. Below is list of the new facilities:

Facility Number of Beds
Advanced Health Care of Nashville 49
Christian Care Center of Medina 66
The Suites at Jordan River 60
Bledsoe County Nursing Home 50

Tennessee lost 8 skilled nursing facilities and 594 beds over the past year. Below is list of the lost facilities:

Facility Number of Beds
Signature Healthcare of Madison 102
Fort Sanders Sevier Nursing Home 54
Cloria Oaks Post-Acute and Rehabilitation 75
Whitehaven Community Living Center 88
Summit View of Farragut, LLC 113
Douglas Post-Acute and Rehabilitation Center 72
Bledsoe County Nursing Home 50
Hickman Community Nursing Home 40

This data is based on homes reported by CMS. Additional homes may have opened or closed but are not yet in the dataset.

Occupancy Percentages for Tennessee Nursing Homes

The chart below shows the overall occupancy for nursing home beds in Tennessee. Occupancies levels for individual facilities will differ and can be found on the detail page for the specific nursing home.

Best and Worst Nursing Homes in Tennessee

The list below shows the best skilled nursing facilities in Tennessee based on their most recent weighted average inspection score. Some nursing homes may have higher overall 5-star ratings than the homes on this list. We feel that the health inspection score is the best indicator of current operations. It changes quicker than the overall rating.

Facility Rating
Fort Sanders Tcu
1901 CLINCH AVE
KNOXVILLE, TN
0.00
The Waters of Roan Highlands,llc
146 BUCK CREEK ROAD
ROAN MOUNTAIN, TN
0.00
Senator Ben Atchley State Veterans' Home
ONE VETERANS WAY
KNOXVILLE, TN
1.33
Nhc Healthcare, Tullahoma
1321 CEDAR LANE
TULLAHOMA, TN
2.00
Nhc Healthcare, Smithville
825 FISHER AVE
SMITHVILLE, TN
2.67
Jefferson City Health and Rehab Center
283 W BROADWAY BLVD
JEFFERSON CITY, TN
2.67
Overton County Health and Rehab Center
318 BILBREY STREET
LIVINGSTON, TN
2.67
Signature Healthcare of Elizabethon Rehab and Wellne
1200 SPRUCE LANE
ELIZABETHTON, TN
3.33
Ahc Mckenzie
175 HOSPITAL DRIVE
MC KENZIE, TN
3.33
Wood Presbyterian Home
520 OLD HIGHWAY 68
SWEETWATER, TN
3.33

The list below shows the worst skilled nursing facilities in Tennessee based on their most recent weighted average inspection score.

Facility Rating
Parkway Health and Rehabilitation Center
200 SOUTH PARKWAY WEST
MEMPHIS, TN
866.83
Rating Not Available
Midtown Center For Health and Rehabilitation
141 N MCLEAN BLVD
MEMPHIS, TN
747.00
/
Serene Manor Medical Ctr.
970 WRAY ST
KNOXVILLE, TN
586.00
Church Hill Post-Acute and Rehabilitation Center
701 WEST MAIN BLVD
CHURCH HILL, TN
514.00
/
Majestic Gardens at Memphis Rehab and Snc
131 N TUCKER
MEMPHIS, TN
482.50
Viviant Healthcare of Murfreesboro
1530 MIDDLE TENNESSEE BLVD
MURFREESBORO, TN
469.33
/
Ahc Lewis County
119 KITTRELL STREET
HOHENWALD, TN
435.67
/
Asbury Place at Maryville
2648 SEVIERVILLE RD
MARYVILLE, TN
426.00
Graceland Rehabilitation and Nursing Care Center
1250 FARROW ROAD
MEMPHIS, TN
372.67
Westmoreland Health and Rehabilitation Center
5837 LYONS VIEW PIKE
KNOXVILLE, TN
354.67
/

Nursing Homes with the warning icon () have been flagged by CMS for abuse.

Skilled Nursing Homes in Tennessee Compared to Nationwide

We have compared Tennessee nursing homes to the nationwide average on several metrics. Tennessee performed better than the national average on several metrics and worse on other metrics.

Cycle 1 Total Number Of Health Deficiencies 5.60 Lower
Cycle 1 Total Number Of Fire Safety Deficiencies 2.40 Lower
Cycle 2 Total Number Of Health Deficiencies 4.30 Lower
Cycle 2 Total Number Of Fire Safety Deficiencies 2.80 Lower
Cycle 3 Total Number Of Health Deficiencies 4.40 Lower
Cycle 3 Total Number Of Fire Safety Deficiencies 3.20 Lower
Average Number Of Residents Per Day 80.30 Lower
Reported Nurse Aide Staffing Hours Per Resident Per Day 2.04 Lower
Reported Lpn Staffing Hours Per Resident Per Day 1.11 Higher
Reported Rn Staffing Hours Per Resident Per Day 0.58 Lower
Reported Licensed Staffing Hours Per Resident Per Day 1.69 Higher
Reported Total Nurse Staffing Hours Per Resident Per Day 3.73 Lower
Total Number Of Nurse Staff Hours Per Resident Per Day On The Weekend 3.21 Lower
Registered Nurse Hours Per Resident Per Day On The Weekend 0.37 Lower
Reported Physical Therapist Staffing Hours Per Resident Per Day 0.07 Lower
Total Nursing Staff Turnover 53.40 Higher
Registered Nurse Turnover 47.30 Lower
Number Of Administrators Who Have Left The Nursing Home 0.50 Lower
Case-mix Rn Staffing Hours Per Resident Per Day 0.39 Higher
Case-mix Total Nurse Staffing Hours Per Resident Per Day 3.26 Higher
Number Of Fines 1.40 Lower
Fine Amount In Dollars 35,708.00 Lower
Percentage Of Long Stay Residents Whose Need For Help With Daily Activities Has Increased 16.75 Higher
Percentage Of Long Stay Residents Who Lose Too Much Weight 7.19 Higher
Percentage Of Low Risk Long Stay Residents Who Lose Control Of Their Bowels Or Bladder 53.93 Higher
Percentage Of Long Stay Residents With A Catheter Inserted And Left In Their Bladder 1.40 Higher
Percentage Of Long Stay Residents With A Urinary Tract Infection 2.93 Higher
Percentage Of Long Stay Residents Who Have Depressive Symptoms 11.06 Higher
Percentage Of Long Stay Residents Who Were Physically Restrained 0.18 Higher
Percentage Of Long Stay Residents Experiencing One Or More Falls With Major Injury 3.46 Higher
Percentage Of Long Stay Residents Assessed And Appropriately Given The Pneumococcal Vaccine 88.92 Lower
Percentage Of Long Stay Residents Who Received An Antipsychotic Medication 16.55 Higher
Percentage Of Short Stay Residents Assessed And Appropriately Given The Pneumococcal Vaccine 77.14 Lower
Percentage Of Short Stay Residents Who Newly Received An Antipsychotic Medication 1.90 Higher
Percentage Of Long Stay Residents Whose Ability To Move Independently Worsened 21.43 Higher
Percentage Of Long Stay Residents Who Received An Antianxiety Or Hypnotic Medication 29.40 Higher
Percentage Of High Risk Long Stay Residents With Pressure Ulcers 8.48 Higher
Percentage Of Long Stay Residents Assessed And Appropriately Given The Seasonal Influenza Vaccine 92.83 Lower
Percentage Of Short Stay Residents Who Made Improvements In Function 76.39 Lower
Percentage Of Short Stay Residents Who Were Assessed And Appropriately Given The Seasonal Influenza Vaccine 75.15 Lower
Percentage Of Short Stay Residents Who Were Rehospitalized After A Nursing Home Admission 21.85 Lower
Percentage Of Short Stay Residents Who Had An Outpatient Emergency Department Visit 12.78 Higher
Number Of Hospitalizations Per 1000 Long-stay Resident Days 1.63 Lower
Number Of Outpatient Emergency Department Visits Per 1000 Long-stay Resident Days 1.17 Lower