Nursing Homes in Tennessee- Monthly Analysis & Key Metrics
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 October 29, 2023
According to the latest data compiled by NursingHomeDatabase.com, Tennessee has a total of 309 active skilled nursing facilities and 33,361 beds. Based on the US Census estimates for the population of 7,051,339, the current total bed count represents one bed for every 211.36 persons in Tennessee. There were 24,397 residents as October 29, 2023 for a state wide occupancy level of 73.13 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 674 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 | 0.66 |
| Certified Nursing Assistants (CNA) | 2.02 | 2.25 |
| Licensed Practical Nurse (LPN) | 1.12 | 0.88 |
| All Staff | 3.71 | 3.79 |
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 234 new cases and 234 new deaths among residents for the week ending October 29, 2023. 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 674 beds over the past year. Below is list of the lost facilities:
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 Texas based on their most recent weighted average inspection score. Some nursing homes may have higher overall 5-star ratings than those homes on this list. This is due to quirks with the rating system that tends to keep the overall rating from changing very quickly.
| Facility | Rating |
|---|---|
|
The Waters of Roan Highlands,llc 146 BUCK CREEK ROAD ROAN MOUNTAIN, TN |
0.00 |
|
Fort Sanders Tcu 1901 CLINCH AVE KNOXVILLE, TN |
0.00 |
|
The Kings Daughters and Sons 3568 APPLING ROAD BARTLETT, TN |
0.67 |
|
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 |
|
Overton County Health and Rehab Center 318 BILBREY STREET LIVINGSTON, TN |
2.67 |
|
Jefferson City Health and Rehab Center 283 W BROADWAY BLVD JEFFERSON CITY, TN |
3.33 |
|
Signature Healthcare of Elizabethon Rehab and Wellne 1200 SPRUCE LANE ELIZABETHTON, TN |
3.33 |
|
Wood Presbyterian Home 520 OLD HIGHWAY 68 SWEETWATER, TN |
3.33 |
The list below shows the worst skilled nursing facilities in Texas based on their most recent weighted average inspection score.
| Facility | Rating |
|---|---|
|
Parkway Health and Rehabilitation Center 200 SOUTH PARKWAY WEST MEMPHIS, TN |
1,239.17 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 |
590.00 |
|
Church Hill Post-Acute and Rehabilitation Center 701 WEST MAIN BLVD CHURCH HILL, TN |
514.00 / |
|
Graceland Rehabilitation and Nursing Care Center 1250 FARROW ROAD MEMPHIS, TN |
501.00 / |
|
Majestic Gardens at Memphis Rehab and Snc 131 N TUCKER MEMPHIS, TN |
482.50 |
|
Viviant Healthcare of Murfreesboro 1530 MIDDLE TENNESSEE BLVD MURFREESBORO, TN |
477.33 / |
|
Asbury Place at Maryville 2648 SEVIERVILLE RD MARYVILLE, TN |
427.00 |
|
Diversicare of Smyrna 200 MAYFIELD DRIVE SMYRNA, TN |
391.17 / |
|
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 | 2.20 | Lower |
| Cycle 2 Total Number Of Health Deficiencies | 4.10 | 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 | 3.30 | Lower |
| Average Number Of Residents Per Day | 79.80 | Lower |
| Reported Nurse Aide Staffing Hours Per Resident Per Day | 2.02 | Lower |
| Reported Lpn Staffing Hours Per Resident Per Day | 1.12 | 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 | 3.71 | Lower |
| Total Number Of Nurse Staff Hours Per Resident Per Day On The Weekend | 3.14 | Lower |
| Registered Nurse Hours Per Resident Per Day On The Weekend | 0.36 | Lower |
| Reported Physical Therapist Staffing Hours Per Resident Per Day | 0.07 | Lower |
| Total Nursing Staff Turnover | 53.40 | Higher |
| Registered Nurse Turnover | 47.20 | 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 | 1.30 | Lower |
| Fine Amount In Dollars | 30,177.00 | Lower |
| Percentage Of Long Stay Residents Whose Need For Help With Daily Activities Has Increased | 16.84 | Higher |
| Percentage Of Long Stay Residents Who Lose Too Much Weight | 7.38 | Higher |
| Percentage Of Low Risk Long Stay Residents Who Lose Control Of Their Bowels Or Bladder | 53.41 | Higher |
| Percentage Of Long Stay Residents With A Catheter Inserted And Left In Their Bladder | 1.57 | Higher |
| Percentage Of Long Stay Residents With A Urinary Tract Infection | 3.19 | Higher |
| Percentage Of Long Stay Residents Who Have Depressive Symptoms | 10.58 | Higher |
| Percentage Of Long Stay Residents Who Were Physically Restrained | 0.20 | Higher |
| Percentage Of Long Stay Residents Experiencing One Or More Falls With Major Injury | 3.44 | Higher |
| Percentage Of Long Stay Residents Assessed And Appropriately Given The Pneumococcal Vaccine | 88.56 | Lower |
| Percentage Of Long Stay Residents Who Received An Antipsychotic Medication | 16.56 | Higher |
| Percentage Of Short Stay Residents Assessed And Appropriately Given The Pneumococcal Vaccine | 76.56 | Lower |
| Percentage Of Short Stay Residents Who Newly Received An Antipsychotic Medication | 1.96 | Higher |
| Percentage Of Long Stay Residents Whose Ability To Move Independently Worsened | 21.15 | Higher |
| Percentage Of Long Stay Residents Who Received An Antianxiety Or Hypnotic Medication | 29.42 | Higher |
| Percentage Of High Risk Long Stay Residents With Pressure Ulcers | 8.71 | Higher |
| Percentage Of Long Stay Residents Assessed And Appropriately Given The Seasonal Influenza Vaccine | 92.90 | Lower |
| Percentage Of Short Stay Residents Who Made Improvements In Function | 75.76 | Lower |
| Percentage Of Short Stay Residents Who Were Assessed And Appropriately Given The Seasonal Influenza Vaccine | 74.46 | Lower |
| Percentage Of Short Stay Residents Who Were Rehospitalized After A Nursing Home Admission | 21.34 | Lower |
| Percentage Of Short Stay Residents Who Had An Outpatient Emergency Department Visit | 12.67 | Higher |
| Number Of Hospitalizations Per 1000 Long-stay Resident Days | 1.62 | Lower |
| Number Of Outpatient Emergency Department Visits Per 1000 Long-stay Resident Days | 1.14 | Lower |
