The 10 Worst Nursing Homes in Tennessee

Updated as of January 01, 2024

A list of the ten worst skilled nursing homes in Tennessee. Based on the Weighted Health Inspection Score developed by the Centers for Medicare and Medicaid Services.

Click here to see the best skilled nursing facilities in Tennessee.

Compare the Worst Nursing Homes in Tennessee

Every year, thousands of seniors, their families, and friends are faced with the difficult decision of choosing a skilled nursing facility, either because someone is recuperating after a hospital visit or for end-of-life care. This is usually an issue that arises suddenly, and the decision makers are not equipped with the right knowledge and information to make a good decision. Not knowing how to decide, they turn to others for recommendations. Word of mouth, along with geography, are constantly cited as the most important factors in choosing a skilled nursing facility. Choosing a facility with such limited information can lead to significant problems. Not all skilled nursing facilities are the same and the people that you trust to recommend a facility may not know enough about the facility and the alternatives to be a competent guide.

Providing the type of care that residents of skilled nursing facilities require is very difficult. The range of issues that are being treated is vast and the needs cover both people recuperating and recovering as well as those facing end-of-life issues. Residents require significant help with basic daily activities as well as supplemental needs like oxygen and 24/7 monitoring.

To help people who are facing this difficult situation, we have compiled a list of the worst Tennessee skilled nursing facilities and the the best skilled nursing facilities. (We have also compiled the best and worst nursing homes by city for most cities in the United States, links are shown at the bottom on this page.) The lists are based on data provided by The Centers for Medicare & Medicaid (“CMS”) and include information gathered from detailed annual inspections, monthly reporting, complaint histories, deficiency reports and much more.

The list below calls out the worst skilled nursing facilities in Tennessee. For the most part these facilities should be avoided. All the facilities have issues with cleanliness and safety and a large number of the facilities have been flagged by CMS as locations where abuse has either occurred or is highly likely.

Avoiding these facilities may not always be an option either because of geographic, monetary, or occupancy constraints. However, being in a bad nursing home does not mean that the resident will not improve. If you have a loved one in one of these facilities, we encourage you to visit often and to ask that friends and other family visit too. It is well documented that positive outcomes for skilled nursing residents is highly correlated with the number and diversity of people visiting the resident. Being there, getting to know the staff, showing the staff that the resident has people that care about him or her is critical. There may not always be a better option, but your direct involvement can make a difference.

To see a more detailed analysis of the performance on skilled nursing facilities in Tennessee, including staffing, COVID-19 infections, historical occupancy levels and recent trends, look at our detailed analysis page.

Nursing Home 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.

How We Compile Nursing Home Ratings in Tennessee

Every month, we rank all of the skilled nursing facilities in Tennessee. These rankings are based on data provided by The Centers for Medicare & Medicaid measures ("CMS"), including the CMS 5-Star Rating System and the Health Inspection Scores. The list of the Worst Skilled Nursing Facilities in Tennessee is based on the weighted overall health inspection score which is a composite of CMS's three most recent skilled nursing home inspection scores weighted to give the most recent inspection more importance.

The CMS 5-Star Rating System rates skilled nursing facilities from one to five stars, with one star being the lowest and five stars being the highest. The rating system also rates Tennessee nursing homes across five different dimensions including overall rating, health inspection rating, quality measures rating, overall staffing rating, and RN staffing rating (RN is an acronym for Registered Nurse).

In addition to the 5-Star Rating System, CMS provides numerical metrics that summarize:

  • Health Inspection Domain. The health inspection rating is based on the three most recent standard surveys for each nursing home, results from any complaint investigations during the most recent three-year period, and any repeat revisits needed to verify that required corrections have brought the facility back into compliance. CMS calculates a weighted deficiency score based on points assigned to health deficiencies identified in each active provider’s current health inspection survey and the two prior surveys (including revisits), as well as deficiency findings from the most recent three years of complaint investigations. More recent surveys are weighted more heavily than older surveys: the most recent period (cycle 1) is assigned a weighting factor of 1/2, the previous period (cycle 2) has a weighting factor of 1/3, and the second prior survey (cycle 3) has a weighting factor of 1/6. The weighted time period scores are then summed to create the survey score for each facility.
  • Staffing Domain. Using multiple reporting methods, CMS calculates the amount of time that the nursing staff spends with residents. This is measured across multiple dimensions, one each for three different levels of nursing, including Registered Nurses (“RNs”), Licensed Practical Nurses (“LPNs”), and Certified Nursing Assistants (“CNAs”), plus one metric that totals all contributions. These metrics are expressed in hours per resident per day. CMS also provides state-level and national averages for the metrics to allow for additional comparisons.
  • Quality Measures Domain. A set of quality measures (QMs) has been developed from MDS-based indicators to describe the quality of care provided in nursing homes. These measures address a broad range of functioning and health status in multiple care areas. The facility rating for the QM domain is based on performance on a subset of 11 (out of 18) of the QMs. Ratings for the QM domain are calculated using the three most recent quarters for which data are available. This time period specification was selected to increase the number of assessments available for calculating the QM rating, increasing the stability of estimates and reducing the number of facilities that do not have enough data to report QM ratings.
  • Abuse Flag. Abuse is always a concern in skilled nursing facilities. To highlight the issue, CMS has extracted this feature as its own flag. Facilities with an actual abuse event or where the potential for abuse has been shown for the past two years are flagged. The Health Inspection Score is capped at 2-stars for nursing homes that have been flagged for abuse.

Skilled nursing facilities that are new and do not have at least two surveys completed are not rated by CMS. These facilities may have health inspection scores that can be used to evaluate the facility.

One complication in Tennessee nursing home inspections is the COVID-19 pandemic. Although inspections should be performed every 12 months, COVID has decreased this frequency. While CMS admits that only in “rare cases” do these inspections increase to 15 months, our analysis suggests that this time frame may be even longer. This report shows that the time between inspections is now just under 500 days (more than sixteen months). There are now hundreds of skilled nursing homes in the United States that have not been inspected in more than 24 months. This list shows the skilled nursing homes with the longest period since being inspected. According to the CMS data, these homes have not been inspected since 2018!

Skilled Nursing Home Abuse in Tennessee

Abuse is always going to be an issue with skilled nursing facilities. Skilled nursing facility residents need help with so many basic things and they are suffering, confused, and frustrated. If you are the friend or relative of a nursing home resident, we guarantee that you will be constantly fretting about whether your loved one is receiving proper and timely care. Abuse feels like a violation of your trust, but it happens. CMS actively monitors nursing homes not just for actual abuse but also for indicators that suggest that abuse might be occurring. Homes where abuse has either occurred or might be occurring are flagged. A very high percentage of the worst skilled nursing facilities in Tennessee have been flagged for abuse. We have marked these facilities both on the list of the worst skilled nursing facilities and on the detailed page for each of the facilities.

How to Report a Nursing Homes in Tennessee

If you run into an issue at a Tennessee nursing home, there are a few steps you can take to make sure the issue is reported. First, speak with the immediate staff. If the problem is not solved, speak with a director or administrator, doctor, or any other employee of a high level.

As required by Medicare and Medicaid, reports and complaints must go through a grievance procedure. Per the Center for Medicare & Medicaid Services, a grievance is “an expression of dissatisfaction (other than an organization determination) with any aspect of the operations, activities, or behavior of a Medicare health plan, or its providers, regardless of whether remedial action is requested”. All grievances must be filed in writing or verbally within 60 days of the event prompting the grievance.

To report a Tennessee nursing home for quality of care, go through a grievance procedure through your Medicare or Medicaid plan. You can also go through the Beneficiary and Family Centered Care-Quality Improvement Organizations (BFCC-QIO). These groups serve to help with complaints made regarding the quality of care by Medicare providers. You can also choose to go through both Medicare and a BFCC-QIO.

Worst Nursing Homes in the Largest Tennessee Cities

All of the following nursing homes have been given a Weighted Health Inspection Score by the Centers for Medicare and Medicaid Services. Every year, nursing homes in Tennessee go through an unannounced inspection performed by independent state examiners. These examiners look at factors such as cleanliness, hazards, and safety to perform the inspection. Points are given to nursing homes based on their deficiency in a certain category. Thus, a higher Weighted All Cycles Score means more problems and lower quality of care.

The list below ranks the homes with the highest (worst) weighted scores. The score is shown next to the facility name. The list also shows the two most recent deficiencies for each of the nursing homes.

Worst Nursing Homes in Nashville

  • Green Hills Center For Rehabilitation and Healing (177.333)
    • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (2021-08-09)
    • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (2021-04-12)
  • Bethany Center For Rehabilitation and Healing LLC (71.333)
    • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (2023-09-16)
    • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (2022-02-22)
  • Nashville Center For Rehabilitation and Healing Ll (58.667)
    • Provide large enough exits. (2023-05-13)
    • Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. (2023-05-13)
  • Heartland (58.667)
    • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (2023-07-05)
    • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (2023-07-05)
  • Ahc Cumberland (52.667)
    • Include a process for Emergency Preparedness collaboration. (2023-10-12)
    • Conduct risk assessment and an All-Hazards approach. (2023-10-12)
  • Friendship Manor Health Care (52)
    • Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. (2023-11-22)
    • Protect each resident from the wrongful use of the resident's belongings or money. (2023-10-13)
  • The Springs of Mine Creek (46.667)
    • Allow residents to self-administer drugs if determined clinically appropriate. (2023-11-20)
    • Provide safe and appropriate respiratory care for a resident when needed. (2023-11-20)
  • West Meade Place (42)
    • Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. (2022-11-17)
    • Keep aisles, corridors, and exits free of obstruction in case of emergency. (2022-11-17)
  • Trevecca Center For Rehabilitation and Healing LLC (41.333)
    • Keep aisles, corridors, and exits free of obstruction in case of emergency. (2023-08-01)
    • List the names and contact information of those in the facility. (2023-08-01)
  • Brown County Health and Living Community (39.667)
    • Have simulated fire drills held at unexpected times. (2023-09-28)
    • Post nurse staffing information every day. (2023-09-19)

Worst Nursing Homes in Memphis

  • Parkway Health and Rehabilitation Center (866.833)
    • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (2023-08-31)
    • Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. (2023-08-31)
  • Midtown Center For Health and Rehabilitation (747)
    • Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. (2023-06-12)
    • Ensure each resident must receive and the facility must provide necessary behavioral health care and services. (2023-06-12)
  • Majestic Gardens at Memphis Rehab and Snc (482.5)
    • Have approved installation, maintenance and testing program for fire alarm systems. (2023-08-10)
    • Provide appropriate treatment and care according to orders, resident?s preferences and goals. (2023-04-26)
  • Graceland Rehabilitation and Nursing Care Center (372.667)
    • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (2023-01-04)
    • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (2023-01-04)
  • Waters of Memphis A Rehabilitation and Nursing Ctr (219.333)
    • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (2023-10-29)
    • Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. (2023-10-29)
  • Quince Nursing and Rehabilitation Center, LLC (168.833)
    • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (2021-11-12)
    • Provide safe and appropriate respiratory care for a resident when needed. (2021-11-12)
  • Spring Gate Rehab and Healthcare Center (105.333)
    • Provide appropriate treatment and care according to orders, resident?s preferences and goals. (2023-01-06)
    • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (2023-01-06)
  • Ahc Harbor View (103.667)
    • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (2023-03-15)
    • Provide care and assistance to perform activities of daily living for any resident who is unable. (2023-03-15)
  • Ahc Bright Glade (61)
    • Post nurse staffing information every day. (2023-03-10)
    • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (2023-03-10)
  • Highlands Health and Rehabilitation Center (58)
    • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (2023-06-27)
    • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (2023-06-27)

Worst Nursing Homes in Knoxville

  • Serene Manor Medical Ctr. (586)
    • Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. (2023-06-23)
    • Keep aisles, corridors, and exits free of obstruction in case of emergency. (2023-05-22)
  • Westmoreland Health and Rehabilitation Center (354.667)
    • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (2023-05-26)
    • Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. (2023-05-26)
  • Accura Healthcare of Knoxville, LLC (116.333)
    • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (2023-05-23)
    • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (2023-05-23)
  • Shannondale Health Care Center (78)
    • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (2023-07-11)
    • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (2023-07-11)
  • Creekview Health and Rehabilitation (58.667)
    • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (2023-03-01)
    • Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. (2022-07-25)
  • West Ridge Specialty Care (56.333)
    • Ensure that smoke control systems are tested and documented in accordance with established engineering principles. (2023-09-29)
    • Provide safe, appropriate pain management for a resident who requires such services. (2023-05-30)
  • Nhc Healthcare, Knoxville (45.333)
    • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (2023-04-13)
    • Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. (2023-04-13)
  • Beverly Park Place Health and Rehab (36)
    • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (2022-11-23)
    • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (2022-11-23)
  • Nhc Healthcare, Farragut (35.333)
    • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (2023-10-31)
    • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (2023-10-31)
  • Knox County Nursing Home (28)
    • Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. (2023-07-28)
    • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. (2023-07-28)

Worst Nursing Homes in Chattanooga

  • Viviant Healthcare of Chattanooga (109.333)
    • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (2023-05-23)
    • Provide immediate access to any resident. (2022-04-02)
  • Life Care Center of Red Bank (46.667)
    • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (2023-02-24)
    • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (2023-02-24)
  • Nhc Healthcare, Chattanooga (24)
    • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (2022-02-25)
    • Ensure each resident receives an accurate assessment. (2022-02-25)
  • The Health Center at Standifer Place (17.333)
    • Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. (2023-05-10)
    • Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. (2022-07-24)
  • Life Care Center of East Ridge (16)
    • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (2022-12-06)
    • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (2022-08-26)
  • Siskin Subacute West (3.333)
    • The resident has the right to receive notices in a format and a language he or she understands. (2020-03-31)
    • Provide activities to meet all resident's needs. (2020-03-31)

Worst Nursing Homes in Clarksville

  • Bedrockhc at Spring Meadows, LLC (215.167)
    • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (2023-07-14)
    • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (2023-04-26)
  • Wedgewood Healthcare Center (155.5)
    • Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. (2023-09-19)
    • Honor the resident's right to organize and participate in resident/family groups in the facility. (2023-07-17)
  • Focused Care at Clarksville (79.333)
    • Provide and implement an infection prevention and control program. (2023-11-27)
    • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (2023-11-24)
  • Clark Rehabilitation and Skilled Nursing Center (60)
    • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (2023-04-10)
    • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (2023-04-10)
  • Clarksville Nursing Home (52)
    • Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. (2023-09-08)
    • Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. (2023-09-08)
  • American Health Communities of Clarksville (50)
    • Allow resident to participate in the development and implementation of his or her person-centered plan of care. (2022-05-19)
    • Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. (2022-05-19)
  • Westminster Village Kentuckiana (41.333)
    • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (2023-11-17)
    • Ensure each resident receives an accurate assessment. (2023-11-17)
  • Clarksville Health and Rehab Center (38.667)
    • Inspect, test, and maintain automatic sprinkler systems. (2023-03-27)
    • Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. (2023-03-27)
  • Signature Healthcare of Clarksville (30.667)
    • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (2023-06-16)
    • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (2023-06-16)
  • Ahava Healthcare of Clarksville (26)
    • Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. (2022-04-11)
    • Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. (2022-04-11)

Worst Skilled Nursing Homes in Other States

See the worst skilled nursing homes in other states: