Free senior care advisor for Nashville metro families. No fees, ever.
Get matched free
VNashville Senior Advisor

American House Lebanon

Assisted Care Living Facility in Lebanon, Wilson County · ACLF #138 · 82 beds · Last verified: October 2026

Home›Directory›Assisted Living›American House Lebanon

What is American House Lebanon licensed for in Lebanon, TN?

American House Lebanon at 801 West Main Street, Lebanon, TN 37087 is an Assisted Care Living Facility licensed by the Tennessee Health Facilities Commission as ACLF #138, with 82 licensed beds, 36 of them secured memory-care beds. Its status in the Commission's October 2026 report is “Licensed”.

Facility nameAmerican House Lebanon
Address801 West Main Street, Lebanon, TN 37087
Phone(615) 257-0166 (operator website)
Licensing agencyTennessee Health Facilities Commission, Board for Licensing Health Care Facilities
License typeAssisted Care Living Facility (ACLF), Rule 1200-08-25
License numberACLF #138
StatusLicensed
Licensed beds82
Secured (dementia) beds36
Adult day care bedsNone reported
County / HFC regionWilson County / WT region
First licensedNot published in the state reports. Listed in every HFC quarterly report since October 2022 (the earliest edition checked).
Enforcement / disciplinary record1 action, January 2025 through September 2026
State recordHFC facility listings · ACLF bed report · survey records request

Does American House Lebanon have any state enforcement actions on record?

Yes. The Tennessee Health Facilities Commission's monthly Facility Action and Abuse Reports list 1 formal action against ACLF #138 between January 2025 and September 2026, most recently in May 2025.

  • May 2025: One (1) Civil Monetary Penalty of one thousand five hundred dollars ($1,500) and four (4) Civil Monetary Penalties of one thousand eight hundred seventy-five dollars ($1,875) each, for a total CMP assessment of nine thousand dollars ($9,000) (Commission report)

A civil monetary penalty (CMP) is a fine the Commission assesses for violations found during a survey or complaint investigation. The reports list the order, not the underlying findings, so ask American House Lebanon to show you the survey behind the action and its accepted plan of correction.

Does American House Lebanon offer memory care?

Yes. American House Lebanon reports 36 secured beds to the state, 44% of its 82 licensed beds. Secured beds are the dementia unit Tennessee counts within an ACLF license; there is no separate memory care license.

That is one of the larger secured units in the Lebanon area. On a visit, ask how the secured unit is staffed at night, what dementia training staff complete, and which behaviors or care needs would mean a move to a nursing home.

How does American House Lebanon compare with other assisted living in Lebanon?

By licensed beds, American House Lebanon is the largest of 5 licensed ACLFs in the Lebanon area and 47th of 98 across the Nashville metro.

ACLFCityBedsSecuredState actions 2025–26
American House LebanonLebanon82361
The Pavilion Assisted LivingLebanon74181
Viva Senior Living at Wilson ManorLebanon65—None
Hearthside at Castle HeightsLebanon49—None
Bellwood Assisted Living, LLCLebanon40—None

Sizes are licensed capacity from the October 2026 HFC report, not current occupancy. A larger community usually means more on-site services; a smaller one often means more consistent caregivers. See every metro ACLF.

How much licensed assisted living does Wilson County have?

Wilson County has 10 licensed ACLFs with 681 beds and 172 secured memory-care beds in the October 2026 HFC report, and American House Lebanon holds 12% of those beds.

3 of the county's 10 ACLFs appear in a Commission enforcement report between January 2025 and September 2026. Secured beds make up a sizable share of supply here, which gives families more than one memory care option to compare. See every licensed facility in the Lebanon area.

Where do American House Lebanon residents go if they need nursing home care?

An ACLF cannot provide 24-hour skilled nursing, so a resident who needs it moves to a nursing home. 3 CMS-certified nursing homes serve the Lebanon area, the largest being Quality Center For Rehabilitation And Healing Llc with 280 certified beds.

Ask American House Lebanon which of these it most often transfers residents to, whether it holds a resident's apartment during a short rehab stay, and how much notice it gives before a permanent move.

What level of care can American House Lebanon provide under its license?

As an ACLF, American House Lebanon may provide room, board, personal care, medication administration and limited intermittent nursing; its licensed mix is a 36-bed secured unit for residents with dementia, 46 general assisted living beds.

Tennessee's ACLF rule allows outside home health or hospice to serve residents, but a resident who needs continuous skilled nursing generally has to move to a nursing home. Residents can move from the general wing into the secured unit as dementia progresses, which avoids a second move for many families. Ask for the community's written admission and discharge criteria before signing.

What is the area around American House Lebanon like for seniors?

American House Lebanon sits in ZIP 37087, Lebanon, in Wilson County. Families usually shortlist communities within an easy drive of the people who visit most. Major hospitals serving the Lebanon area include Vanderbilt Wilson County Hospital, TriStar Summit Medical Center (Mt. Juliet, west), University Medical Center (Lebanon).

Lebanon is Wilson County's seat, a city of about 38,000 with a university community (Cumberland University), affordable housing, and a well-established senior population served by Vanderbilt's Wilson County hospital campus.

Anchored by Vanderbilt Wilson County Hospital, Lebanon is a practical, near-average-cost Wilson County market — solid assisted living, nursing care, and in-home options for east-metro families.

Neighborhoods families in this area ask about include Downtown Lebanon, Hartmann Drive corridor, South Lebanon, Castle Heights, Coles Ferry Pike area, Highway 231 North. See the Lebanon senior care guide for local resources.

What does assisted living near American House Lebanon cost in 2026?

Assisted living in the Lebanon area typically runs about $4,150–$5,000 a month in 2026, and memory care about $4,800–$5,950. These are this site's area estimates, not American House Lebanon's prices, which the community sets itself.

Ask for an itemized rate sheet: base rent, the care-level or points fee, medication management, and any one-time community fee. Compare the all-in monthly figure for your parent's actual needs, not the starting rate. TennCare CHOICES and VA Aid & Attendance can offset costs for those who qualify, so ask whether American House Lebanon participates. More on assisted living costs in Lebanon.

How should you evaluate American House Lebanon before signing?

Start with the license, then the paperwork, then the people. Confirm ACLF #138 is active in the Tennessee Health Facilities Commission listings, read its enforcement history above, and request its most recent survey before you sign an admission agreement.

  1. Verify the license and status in the HFC facility listings.
  2. Request the latest survey and plan of correction through the Commission's records portal.
  3. Ask what was corrected after the May 2025 action and how it is monitored now.
  4. Read the admission agreement for discharge terms, rate-increase notice and care-level pricing.
  5. Visit twice, once unannounced near a mealtime or shift change.
  6. Ask the regional long-term care ombudsman whether there are complaint patterns you should know about.

What should you ask on a tour of American House Lebanon?

Ask American House Lebanon about overnight staffing, who gives medications, what the monthly rate includes, and which changes in health would require a move out.

  • Do you accept TennCare CHOICES, VA Aid & Attendance or long-term care insurance?
  • How are falls and hospital transfers communicated to family, day and night?
  • How many caregivers are on duty overnight, and how many residents does each cover?
  • Who administers medications, and how are errors reported to families?
  • What is included in the base monthly rate, and how are care levels priced?
  • How many staff cover the 36-bed secured unit overnight?
Comparing American House Lebanon with other options? A free local advisor can check current openings and pricing here and at two or three similar communities. Get a free comparison.

Data source + refresh cadence

Assisted Care Living Facilities and Homes for the Aged come from the Tennessee Health Facilities Commission (Board for Licensing Health Care Facilities) ACLF and Home for the Aged quarterly licensure reports (October 2026 quarterly bed reports, retrieved 2026-10-23), filtered to active licenses in Davidson, Williamson, Rutherford, Sumner, Wilson, Maury, Robertson, Cheatham and Dickson counties. Enforcement history comes from the Commission's monthly Facility Action and Abuse Reports, January 2025 through September 2026 (no January 2026 report was posted). Nursing homes come from the CMS Provider Data Catalog. Phone numbers are not in the state reports; where shown they were checked on the operator's own website. We refresh when the Commission posts each quarterly report. Last verified: October 2026. Last updated: 2026-10-23.

Need help right now?

A free call, and no one will rush you. Our advisors are here for your family and your loved one — not for the communities we suggest.

Get matched free — no fees, ever