Who owns Tennessee nursing homes
Ownership shapes staffing and cost decisions. Here is how Tennessee nursing homes compare by ownership type, and which chains operate the most homes.
CMS data as of August 1, 2026. Nursing homes only; assisted living is not covered by Medicare ratings.
By ownership type
| Ownership | Homes | Average Medicare stars | Typical nursing hours | Share fined |
|---|---|---|---|---|
| For profit | 248 | 3.0 | 3.56 hrs | 36% |
| Non profit | 41 | 3.2 | 4.03 hrs | 29% |
| Government | 14 | 3.1 | 4.38 hrs | 36% |
Largest chains in Tennessee
74% of Tennessee nursing homes belong to a chain. Counts are homes we list in Tennessee.
- National healthcare corporation37 homes · average 4.1 of 5 Medicare stars
- Life care centers of america26 homes · average 3.3 of 5 Medicare stars
- Signature healthcare21 homes · average 3.4 of 5 Medicare stars
- Infinity healthcare consUlting17 homes · average 2.7 of 5 Medicare stars
- Ahava healthcare13 homes · average 2.4 of 5 Medicare stars
- Twin rivers health & rehabilitation11 homes · average 3.9 of 5 Medicare stars
- Simcha hyman & naftali zanziper10 homes · average 2.5 of 5 Medicare stars
- Carerite centers9 homes · average 3.0 of 5 Medicare stars
- The ensIgn group9 homes · average 2.9 of 5 Medicare stars
- PresTige adminisTrative sErvices8 homes · average 2.4 of 5 Medicare stars
- Plainview healthcare partners7 homes · average 2.3 of 5 Medicare stars
- Champion care7 homes · average 2.7 of 5 Medicare stars
- Links healthcare group7 homes · average 2.6 of 5 Medicare stars
- Pacs group5 homes · average 3.0 of 5 Medicare stars
- TennesSee sTate veterans' home5 homes · average 3.2 of 5 Medicare stars
Source: CMS Nursing Home Provider Information (ownership type, chain affiliation). Averages are simple averages of Medicare overall star ratings; they describe groups, not any single home. A ranking is a starting point for questions, not a verdict. Always check the current Medicare record and visit in person.