This is a Smyrna-first guide to nursing homes: not national averages, but the providers licensed to operate here, current 2026 costs, and the local context that shapes a good decision. We currently track 2 CMS-certified skilled nursing facilities serving Smyrna.
What's below: the licensed providers, 2026 Smyrna cost ranges, the local hospital and neighborhood context, what to ask on a tour, and how to act fast if a hospital discharge is looming. Prefer to talk it through? Get matched with a free local advisor — no fees, ever.
What nursing homes means — and who it's for
A nursing home is for someone who needs 24-hour licensed nursing — complex medical conditions, advanced mobility loss, or recovery requiring skilled care that an ACLF cannot legally provide.
How Tennessee regulates it: Skilled nursing facilities in Tennessee are licensed by TDH under TCA Title 68, Chapter 11 and TDH Rule 1200-08-06, and most are also federally certified for Medicare and TennCare (Medicaid). They provide 24-hour licensed nursing — a different, higher level of care than assisted living. Check the facility's CMS Five-Star rating alongside its TDH inspection history.
In Smyrna specifically, that means weighing the licensed options against Smyrna's cost range and your family's timeline. The right choice balances care level, budget, location near TriStar StoneCrest Medical Center (nearby), and how quickly you need a spot.
Smyrna nursing homes: by the numbers
2 CMS-certified skilled nursing facilities in Smyrna; about 216 total licensed/certified beds; averaging 108 beds per facility; the largest at 125 beds. Skilled nursing facilities in Tennessee are both TDH-licensed under TCA Title 68, Chapter 11 and federally certified through CMS — this table reflects CMS certification data. Every figure here is drawn from live TDH or CMS records rather than guesswork.
Licensed nursing homes providers in Smyrna
CMS-certified skilled nursing facilities — selected from CMS Nursing Home Compare. Data: CMS Provider Data Catalog (2026). Verify current certification, star rating, and inspection history at medicare.gov/care-compare before you commit.
| Provider | City | CMS Star Rating | License / CCN |
|---|---|---|---|
| Smyrna Care Center | Smyrna | — | 445160 |
| The Waters Of Smyrna, Llc | Smyrna | — | 445502 |
Senior care in Smyrna, Rutherford County
Smyrna is a Rutherford County suburb of about 60,000 between Nashville and Murfreesboro along I-24, home to the Nissan manufacturing complex, with affordable newer housing and growing demand for senior services as the original residents age. With the Murfreesboro hospital complex minutes away and I-24 access to Nashville, Smyrna is an affordable value market — practical assisted living and in-home care for Rutherford County families on a budget.
Nearby hospitals: TriStar StoneCrest Medical Center (nearby), Saint Thomas Rutherford Hospital (Murfreesboro, nearby), TriStar Centennial (Nashville, north). Proximity to a hospital matters for rehab discharges, dementia emergencies, and ongoing specialist visits — families in Smyrna often shortlist providers a short drive from these.
Areas families ask about: Downtown Smyrna, Sam Ridley Pkwy, Almaville Road area, Nissan corridor, Rock Springs, Hazel Valley.
What nursing homes costs in Smyrna (2026)
Smyrna pricing runs $7,700–$8,850/month, below the metro average for the Nashville metro — a reflection of local real-estate costs and the mix of residential homes versus large communities.
- Assisted living (ACLF, standard): $4,000–$4,850/month
- Memory care (within ACLF): $4,650–$5,750/month
- Residential Home for the Aged (RHFA): $3,000–$4,450/month
- In-home care: $26–$35/hour
To trim cost in Smyrna, families commonly choose a companion suite, favor a small Residential Home for the Aged over a big campus, pay only for the care level actually needed, and tap VA Aid & Attendance or TennCare CHOICES where eligible.
How we vet Smyrna providers
- Verified active TDH licensure and enforcement status
- Recent survey and complaint history reviewed
- Candid references from families who live it daily
- Itemized monthly cost shared before any tour
- In-person walkthrough notes from our local team
Questions to ask on a tour
- How fast can staff respond to a call button at night?
- What would trigger a move to a higher care level?
- What's the true all-in monthly cost for our parent's needs?
- How are falls and med changes communicated to family?
- How long have caregivers worked here on average?
What's included — and what costs extra
Usually included: 24-hour skilled nursing, room and board, all meals, therapy access, medication administration, and personal care. Typically extra: private room upgrades, specialized rehab intensives, and certain therapies beyond the covered plan. Request a line-item rate sheet from each Smyrna provider — it's the only way to compare honestly.
How fast you can move in Smyrna
Plan on roughly 7–14 days for a Smyrna placement: assessment, deposit, physician's order, then move-in. Memory-care and post-hospital moves can happen same-day to 72 hours when a secured bed opens. A free local advisor can tell you which Smyrna providers have current openings.
A practical Smyrna reality: published prices and real all-in costs often differ once care levels and add-ons are counted. Before you commit to any nursing homes option in Smyrna, get an itemized rate sheet — a local advisor can pull these and compare them side by side so there are no surprises after move-in.