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Tennessee

Nursing Home Staffing Profile — 2025Q3

301 facilities24,804 residents3.87 avg HPRD

vs National Average

-0.03 HPRD

National avg: 3.90 · Tennessee: 3.87

📋

Tennessee ranks among the lower-performing states for nursing home staffing, with an average of 3.87 HPRD — 0.03 hours below the national average. Only 74.4% of facilities meet the CMS staffing benchmark of 3.48 HPRD, compared to 65.8% nationally. RN staffing averages 0.62 HPRD, with 18.6% of facilities meeting the 0.75 research recommendation.

3.87

Average Total HPRD

All nursing staff combined

▼ 0.03 vs national

0.62

Average RN HPRD

Recommended: 0.75

▼ 0.07 vs national

74.4%

Meet CMS Benchmark

224 of 301 facilities

17.3%

Avg Weekend Drop-off

Staffing reduction on Sat/Sun

3.3%

Avg Agency Staff

Contractor/temp worker hours

—

Had Zero-RN Days

Data unavailable

3.69

Median HPRD

50th percentile (less skewed by outliers)

F-Rated Facilities

Under 2.5 HPRD — critically understaffed

Grade Distribution

How Tennessee's 301 facilities grade out

HPRD Distribution

Where facilities fall across the staffing spectrum

Staffing by Ownership Type

For-profit facilities consistently staff lower than non-profit and government-run homes

For-Profit

3.72

avg HPRD

246 facilities (82%)

Non-Profit

4.50

avg HPRD

43 facilities (14%)

Government

4.66

avg HPRD

12 facilities (4%)

💡 Non-profit facilities in Tennessee average 0.78 more HPRD than for-profit ones — about 21% higher staffing.

▲ Best Staffed in Tennessee

Top 5 by total nurse HPRD

SOUTHERN TENN MEDICAL CENTER SNF

ALLEN MORGAN HEALTH AND REHABILITATION CENTER

THE VILLAGE AT GERMANTOWN

GERMANTOWN

6.81 HPRD

RN: 1.07

▼ Most Understaffed in Tennessee

Bottom 5 by total nurse HPRD

301

FAIRPARK HEALTH AND REHABILITATION

DIVERSICARE OF OAK RIDGE

HILLVIEW COMMUNITY LIVING CENTER

RIVER GROVE HEALTH AND REHABILITATION

LOUDON

3.01 HPRD

RN: 0.34

⚖️

Compare Two Facilities Side by Side

Pick any two Tennessee nursing homes and see how they stack up across every metric

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County Breakdown

Staffing metrics by county in Tennessee — click a county to see individual facilities

Avg HPRD— total nurse hours per resident per day:≥ 3.48 meets federal benchmark,3.0–3.47 below benchmark,< 3.0 critically low

Meet Benchmark— share of facilities in the county at or above the 3.48 HPRD federal minimum:≥ 50%35–49%< 35%

County	Facilities ↓	Avg HPRD	RN HPRD	Meet Benchmark	Grades
▸Shelby	25	4.33	0.72	68.0%	Mixed C/B
▸Davidson	18	3.93	0.70	88.9%	Mixed C/B
▸Knox	13	4.03	0.87	69.2%	Mixed B/C
▸Hamilton	11	4.00	0.77	81.8%	Mixed C/B
▸Washington	8	3.65	0.66	62.5%	Mixed C/D
▸Rutherford	8	4.42	0.81	100.0%	Mixed B/A+
▸Sullivan	7	3.82	0.62	71.4%	Mostly C
▸Blount	6	3.91	0.74	66.7%	Mixed B/C
▸Sumner	6	3.66	0.62	66.7%	Mixed C/D
▸Carter	6	3.83	0.61	66.7%	Mixed C/B
▸Maury	6	4.06	0.48	83.3%	Mostly C
▸Madison	6	3.86	0.50	83.3%	Mixed D/A
▸Gibson	6	4.06	0.55	83.3%	Mostly C
▸Anderson	5	3.34	0.60	40.0%	Mixed B/C
▸Montgomery	5	4.13	0.49	80.0%	Mostly C
▸Hardin	5	4.63	0.39	100.0%	Mixed C/D
▸Williamson	5	4.01	0.77	80.0%	Mixed A+/A
▸Wilson	4	3.95	0.49	100.0%	Mixed C/B
▸Putnam	4	3.74	0.53	100.0%	Mostly C
▸Jefferson	4	4.46	0.50	75.0%	Mixed C/B
▸Mc Minn	4	3.64	0.76	100.0%	Mostly B
▸Coffee	4	3.90	0.54	100.0%	Mixed B/D
▸Weakley	4	3.46	0.54	50.0%	Mixed B/C
▸Cumberland	4	4.05	0.59	100.0%	Mixed D/A
▸Bradley	4	3.95	0.54	100.0%	Mixed B/C
▸Greene	4	3.79	0.71	75.0%	Mixed B/A
▸Carroll	4	3.56	0.43	50.0%	Mostly C
▸Giles	3	3.78	0.59	100.0%	Mostly B
▸Dyer	3	3.48	0.55	33.3%	Mostly C
▸Rhea	3	3.72	0.61	100.0%	Mostly C
▸Lawrence	3	3.84	0.64	100.0%	Mostly B
▸Claiborne	3	3.78	0.86	100.0%	Mostly B
▸Monroe	3	3.45	0.53	66.7%	Mostly C
▸Robertson	3	3.99	0.71	100.0%	Mostly B
▸Henry	3	3.94	0.55	66.7%	Mostly C
▸Unicoi	3	3.97	0.69	100.0%	Mostly B
▸Obion	3	3.53	0.62	66.7%	Mostly B
▸Franklin	3	5.19	1.11	100.0%	Mixed A+/C
▸Campbell	3	3.58	0.64	66.7%	Mostly B
▸Tipton	2	3.30	0.46	0.0%	Mostly C
▸Cheatham	2	3.81	0.48	100.0%	Mixed B/D
▸Cocke	2	3.55	0.71	50.0%	Mostly C
▸Crockett	2	4.57	0.41	100.0%	Mixed C/D
▸Decatur	2	3.70	0.61	100.0%	Mixed B/C
▸Dickson	2	3.50	0.46	50.0%	Mixed B/D
▸Fayette	2	3.61	0.60	50.0%	Mixed B/C
▸Hamblen	2	3.46	0.67	50.0%	Mixed B/C
▸Hardeman	2	3.59	0.58	100.0%	Mixed B/C
▸Hawkins	2	3.57	0.50	50.0%	Mostly C
▸Henderson	2	3.23	0.61	0.0%	Mostly C
▸Humphreys	2	4.10	0.62	100.0%	Mostly B
▸Lake	2	3.48	0.57	50.0%	Mixed B/C
▸Lauderdale	2	3.65	0.44	50.0%	Mostly C
▸Lincoln	2	3.74	0.41	100.0%	Mostly C
▸Mc Nairy	2	3.96	0.47	100.0%	Mostly C
▸Macon	2	3.32	0.39	0.0%	Mixed C/D
▸Marshall	2	3.70	0.73	50.0%	Mixed B/C
▸Roane	2	3.29	0.65	50.0%	Mixed B/D
▸Scott	2	3.26	0.54	0.0%	Mostly C
▸Sevier	2	3.54	0.58	50.0%	Mixed B/C
▸Warren	2	3.55	0.46	50.0%	Mixed C/D
▸White	2	3.59	0.55	100.0%	Mixed B/D
▸Jackson	1	3.46	0.33	0.0%	Mostly D
▸Moore	1	3.71	0.42	100.0%	Mostly C
▸Morgan	1	3.61	0.60	100.0%	Mostly B
▸Houston	1	3.63	0.26	100.0%	Mostly D
▸Overton	1	3.92	0.30	100.0%	Mostly D
▸Perry	1	3.88	0.24	100.0%	Mostly F
▸Pickett	1	3.79	0.60	100.0%	Mostly B
▸Polk	1	3.68	0.86	100.0%	Mostly B
▸Hickman	1	3.77	0.44	100.0%	Mostly C
▸Haywood	1	3.55	0.29	100.0%	Mostly D
▸Wayne	1	3.70	0.39	100.0%	Mostly D
▸Hancock	1	4.27	0.39	100.0%	Mostly D
▸Grundy	1	3.37	0.24	0.0%	Mostly F
▸Bledsoe	1	3.60	0.39	100.0%	Mostly D
▸Sequatchie	1	3.81	0.34	100.0%	Mostly D
▸Bedford	1	3.24	0.32	0.0%	Mostly D
▸Grainger	1	3.50	0.74	100.0%	Mostly B
▸Smith	1	3.48	0.31	0.0%	Mostly D
▸Stewart	1	3.50	0.88	100.0%	Mostly B
▸Fentress	1	3.61	0.47	100.0%	Mostly C
▸De Kalb	1	3.83	0.51	100.0%	Mostly C
▸Clay	1	3.16	0.51	0.0%	Mostly C
▸Trousdale	1	4.01	0.31	100.0%	Mostly D
▸Chester	1	3.64	0.37	100.0%	Mostly D
▸Union	1	3.15	0.78	0.0%	Mostly C
▸Van Buren	1	3.41	0.47	0.0%	Mostly C
▸Benton	1	3.34	0.62	0.0%	Mostly C
▸Loudon	1	3.01	0.34	0.0%	Mostly D
▸Marion	1	3.20	0.73	0.0%	Mostly C
▸Cannon	1	3.61	0.36	100.0%	Mostly D
▸Lewis	1	3.98	0.34	100.0%	Mostly D
▸Meigs	1	3.93	0.37	100.0%	Mostly D
▸Johnson	1	3.25	0.63	0.0%	Mostly C

HPRD Range in Tennessee

The spread between best and worst staffed facilities

3.48

25th pctile

3.69

Median

4.00

75th pctile

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.