Knoxville Senior AdvisorRoane County has about 57,395 residents in Kingston, the county seat, Harriman and Rockwood, with Watts Bar and Melton Hill lakes along its edges; part of Oak Ridge also lies inside the county.
Covenant Health Roane in Harriman is the county's hospital. Kingston has the county's two licensed ACLFs, while Harriman and Rockwood each have a nursing home.
How many older adults and licensed care options are in Roane County, Tennessee?
Roane County had about 14,126 residents aged 65 and older (24.6% of 57,395) and 1,507 aged 85 and older on July 1, 2025, with a median age of 46.0; the state licenses 2 ACLFs, 1 home for the aged and 2 nursing homes there.
| License type | Licenses | Licensed beds |
|---|---|---|
| Assisted-care living facilities | 2 | 116 |
| ACLF secured (memory care) beds | — | 0 |
| Homes for the aged | 1 | 21 |
| Nursing homes | 2 | 287 |
| Home health agencies (office here) | 6 | — |
| Hospices (office here) | 1 | — |
Population: U.S. Census Bureau, Vintage 2025 county population estimates by age (July 1, 2025).
Which towns in Roane County have licensed residential care?
Licensed ACLFs, homes for the aged and nursing homes in Roane County are in Kingston (2), Oak Ridge (1), Harriman (1), Rockwood (1); the county seat is Kingston.
| Town | ACLFs | Homes for the aged | Nursing homes |
|---|---|---|---|
| Kingston | 2 | 0 | 0 |
| Oak Ridge | 0 | 1 | 0 |
| Harriman | 0 | 0 | 1 |
| Rockwood | 0 | 0 | 1 |
How do Roane County nursing homes compare on CMS measures?
Across Roane County's 2 licensed nursing homes, CMS staffing data shows Renaissance Terrace at 3.07 nurse hours per resident day; Signature Healthcare of Rockwood Rehab and Wellness Center at 3.69 nurse hours per resident day, against a seven-county median of 3.49.
| Facility | City | CMS overall rating | Licensed beds | Latest CMS health inspection | Health deficiencies (latest cycle) |
|---|---|---|---|---|---|
| Renaissance Terrace 257 Patton Lane, 37748 | Harriman | 1 of 5 | 130 | July 8, 2026 | 5 |
| Signature Healthcare of Rockwood Rehab and Wellness Center 5580 Roane State Highway, 37854 | Rockwood | 5 of 5 | 157 | August 5, 2026 | 4 |
What assisted living is licensed in Roane County?
Roane County has 2 licensed ACLFs with 116 beds, 0 of them secured, plus 1 home for the aged.
| Facility | City | License type | Licensed beds | Secured / Alzheimer's beds | Last state survey |
|---|---|---|---|---|---|
| Jamestowne Assisted Living 851 Lawnville Road, 37763 | Kingston | ACLF | 65 | 0 | 07/09/2024 |
| Sycamore Trace 1098 Bradford Way, 37763 | Kingston | ACLF | 51 | 0 | 08/01/2022 |
| Patriot Assisted Living 209 Gum Hollow Road, 37830 | Oak Ridge | RHA | 21 | 21 | 06/26/2023 |
Which hospitals serve Roane County?
The state's hospital report lists Covenant Health Roane in Harriman in Roane County.
Short-term rehab after a hospital stay usually happens in a nursing home certified for Medicare; see each home's page for its certification and CMS record.
Who provides free help for older adults in Roane County?
Roane County residents call ETHRA's AAAD at 1-866-836-6678 for CHOICES screening, OPTIONS and local senior center services.
The East Tennessee District Long-Term Care Ombudsman at ETHRA (865-691-2551 ext. 4223) covers this county too, and TN SHIP (1-877-801-0044) gives free Medicare counseling.
