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Tennessee's nursing homes have ranked in the bottom five for the nation for the second year in a row. Out of a rating system of one to five stars, five being the best, more than 60 percent of Tennessee's 319 nursing homes got low ratings. Tennessee has one of the lowest staffing requirements in the country - less than half of what Medicare recommends.
While Tennessee's nursing homes fared better than a year ago in quality of care, they received deficient marks in the level of staffing.
There were only two Nashville area nursing homes that earned top marks in the survey.
Only four states had ratings worse than Tennessee. They were West Virginia, Texas, Georgia and Louisiana.
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