The 10 Worst Nursing Homes in Tennessee

  Worst Nursing Homes in Tennessee By City

Every city in Tennessee has its own set of challenges and standards when it comes to nursing home care. To help you find the information most relevant to your location, we've compiled city-specific rankings of the worst-rated nursing homes. Click on the links below to explore the detailed lists for each city.

Worst Nursing Homes in Nashville

• Green Hills Center For Rehabilitation and Healing (294)
• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (2024-03-05)
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (2024-03-05)
• Friendship Manor Health Care (227.5)
• Inspect, test, and maintain automatic sprinkler systems. (2025-02-18)
• 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. (2025-01-22)
• The Health Center at Richland Place (103.167)
• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (2024-04-23)
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (2024-04-23)
• Bethany Center For Rehabilitation and Healing LLC (68.667)
• 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)
• Heartland (58.667)
• Provide appropriate treatment and care according to orders, resident?s preferences and goals. (2023-11-10)
• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (2023-11-10)
• Nashville Center For Rehabilitation and Healing Ll (50.667)
• 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)
• Nashville Nursing and Rehab Services of Arkansas (50.667)
• Properly provide smoke detection systems in areas open to corridors. (2024-12-03)
• Install a fire alarm system that can be heard throughout the facility. (2024-12-03)
• Ahc Cumberland (48.667)
• Include a process for Emergency Preparedness collaboration. (2023-10-12)
• Conduct risk assessment and an All-Hazards approach. (2023-10-12)
• The Meadows (36)
• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (2022-11-04)
• PASARR screening for Mental disorders or Intellectual Disabilities (2022-11-04)
• The Springs of Mine Creek (35.333)
• Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (2024-09-05)
• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (2024-09-05)

Worst Nursing Homes in Memphis

• Graceland Rehabilitation and Nursing Care Center (521.167)
• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (2024-10-23)
• 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. (2024-10-23)
• Majestic Gardens at Memphis Rehab and Snc (510.833)
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (2024-09-17)
• Keep all essential equipment working safely. (2024-07-31)
• Midtown Center For Health and Rehabilitation (404.833)
• 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. (2024-09-24)
• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (2024-09-24)
• Parkway Health and Rehabilitation Center (324.667)
• Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. (2024-11-02)
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (2024-09-28)
• Spring Gate Rehab and Healthcare Center (195.833)
• 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)
• Quince Nursing and Rehabilitation Center, LLC (164.833)
• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (2021-11-12)
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (2021-11-12)
• Memphis Convalescent Center (155.667)
• Install a fire alarm system that can be heard throughout the facility. (2024-09-13)
• Provide activities to meet all resident's needs. (2024-08-07)
• Waters of Memphis A Rehabilitation and Nursing Ctr (126.333)
• 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)
• Highlands Health and Rehabilitation Center (69)
• 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)
• 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)
• Ahc Harbor View (65.333)
• Provide care and assistance to perform activities of daily living for any resident who is unable. (2023-03-15)
• 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)

Worst Nursing Homes in Knoxville

• Westmoreland Health and Rehabilitation Center (365.333)
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (2024-08-12)
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (2024-07-24)
• Shannondale Health Care Center (78)
• Ensure each resident receives an accurate assessment. (2024-06-19)
• 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. (2024-06-19)
• Creekview Health and Rehabilitation (57.333)
• 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)
• Accura Healthcare of Knoxville, LLC (52)
• Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. (2024-04-29)
• Use approved construction type or materials. (2024-04-29)
• Nhc Healthcare, Knoxville (42.667)
• 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)
• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (2023-04-13)
• Nhc Healthcare, Ft Sanders (38.667)
• Have properly installed electrical wiring and gas equipment. (2024-03-17)
• Provide safe, appropriate dialysis care/services for a resident who requires such services. (2024-03-02)
• Beverly Park Place Health and Rehab (33.333)
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (2024-08-02)
• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (2024-01-09)
• West Ridge Specialty Care (32.5)
• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (2024-08-31)
• Have generator or other power source capable of supplying service within 10 seconds. (2024-08-10)
• Nhc Healthcare, Farragut (32)
• 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 (19.333)
• Inspect, test, and maintain automatic sprinkler systems. (2024-10-21)
• Have exits that are accessible at all times. (2024-10-21)

Worst Nursing Homes in Chattanooga

• Siskin Subacute West (298.5)
• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (2023-11-28)
• Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (2023-11-28)
• Viviant Healthcare of Chattanooga (95.667)
• Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. (2024-07-06)
• Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (2024-07-06)
• Life Care Center of Red Bank (87.333)
• Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (2024-08-23)
• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (2024-08-23)
• Nhc Healthcare, Chattanooga (22.667)
• Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (2024-11-16)
• Ensure each resident receives an accurate assessment. (2024-11-15)
• Life Care Center of East Ridge (18)
• Ensure each resident receives an accurate assessment. (2024-07-12)
• Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. (2024-07-12)
• The Health Center at Standifer Place (16.667)
• 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)

Worst Nursing Homes in Clarksville

• Bedrockhc at Spring Meadows, LLC (153)
• Install emergency lighting that can last at least 1 1/2 hours. (2024-08-22)
• 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. (2024-08-10)
• Wedgewood Healthcare Center (109.667)
• Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. (2024-12-06)
• Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (2024-12-06)
• Focused Care at Clarksville (73.333)
• Ensure smoke barriers are constructed to a 1 hour fire resistance rating. (2025-01-03)
• Provide properly protected cooking facilities. (2025-01-03)
• American Health Communities of Clarksville (45.333)
• 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)
• Clarksville Health and Rehab Center (41.333)
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (2024-01-10)
• Ensure services provided by the nursing facility meet professional standards of quality. (2024-01-10)
• Clarksville Nursing Home (41.333)
• PASARR screening for Mental disorders or Intellectual Disabilities (2024-10-03)
• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (2024-10-03)
• Clark Rehabilitation and Skilled Nursing Center (39.333)
• Install an approved automatic sprinkler system. (2024-05-30)
• Have corridors or aisles that are unobstructed and are at least 8 feet in width. (2024-05-30)
• Westminster Village Kentuckiana (38.667)
• Have properly installed hallway dispensers for alcohol-based hand rub. (2025-02-03)
• Create arrangements with other facilities to receive patients. (2025-02-03)
• 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)
• Brigadier General Wendell H Gilbert Tn State Veter (26)
• Provide and implement an infection prevention and control program. (2022-05-03)
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (2022-05-03)

  Related Lists and Resources

While it's important to be aware of the lowest-rated facilities, we also provide resources to help you find the best care available. Check out our other lists to find top-rated nursing homes and facilities that excel in specific areas.

• Best Nursing Homes in Tennessee
• Analysis of Nursing Homes in Tennessee

  Making Informed Decisions

Understanding our rankings and how they are derived can empower you to make better choices for your loved ones. Remember, a low rating in one area doesn't necessarily mean a facility is entirely unsuitable; it's a starting point for further investigation.

  Tips for Evaluating Nursing Homes in Tennessee:

• Schedule visits to potential facilities
• Speak with staff and residents
• Review recent inspection reports
• Consider the specific needs of your loved one

Disclaimer: NursingHomeDatabase.com does not have a relationship, either commercial or otherwise, with any of the skilled nursing facilities referred to on this site. This is an independent resource that tries to make more and better information available to the public.

  More Resources for Families

Navigating the world of nursing home care can be overwhelming. Here are some resources to help you make the best decisions for your family:

• The Role of Family in Nursing Home Care
• Navigating Medicaid for Nursing Home Care
• How to Handle a Nursing Home Discharge
• Understanding Nursing Home Ratings and What They Mean
• Questions to Ask During a Nursing Home Visit

  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!