Texas › Robertson County › Franklin
Franklin Nursing Home
700 Hearne St, Franklin, TX 77856
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 90 beds, Franklin Nursing Home serves Franklin in Robertson County, Texas and has taken Medicare and Medicaid residents since 2001.
CMS gives it 3 of 5 stars overall, equal to the Texas median; the health inspection rating is 4, staffing 1 and quality measures 4.
Inspectors recorded 19 health deficiencies across the three most recent survey cycles (6, 6, 7 by cycle, most recent first), none at the actual-harm level. That is 21.1 per 100 beds, about the same as the state median of 22.5.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 3.1 hours per resident per day (0.4 RN), close to the Texas median of 3.3.
Compared with county, state and nation
| Measure | This facility | Robertson Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 3 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 19 | 26 | 25 | 28.7 |
| Citations per 100 beds | 21.1 | 31.7 | 22.5 | 26.8 |
| Total nurse hours per resident day | 3.1 | 3.1 | 3.3 | 3.9 |
| RN hours per resident day | 0.4 | 0.4 | 0.4 | 0.7 |
| Nursing staff turnover | — | 75.0% | 52.1% | 45.8% |
| Fines listed | $0 | $0 | $16,801 | — |
County and state figures are medians across facilities (3 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 11 Sep 2025, 15 Aug 2024.
Severity mix: D ×13 E ×5 F ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 3 Dec 2025 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E | Complaint investigation | 5 Dec 2025 |
| 11 Sep 2025 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | Standard survey | 12 Sep 2025 |
| 11 Sep 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 12 Sep 2025 |
| 11 Sep 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 12 Sep 2025 |
| 11 Sep 2025 | F0679 | Provide activities to meet all resident's needs. | D | Standard survey | 12 Sep 2025 |
| 11 Sep 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 12 Sep 2025 |
| 25 Mar 2025 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Complaint investigation | 18 Apr 2025 |
| 15 Aug 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 16 Aug 2024 |
| 15 Aug 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 16 Aug 2024 |
| 15 Aug 2024 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Standard survey | 16 Aug 2024 |
| 15 Aug 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 16 Aug 2024 |
| 15 Aug 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 16 Aug 2024 |
| 19 Dec 2023 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | E | Complaint investigation | 20 Dec 2023 |
| 14 Jul 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 17 Jul 2023 |
| 14 Jul 2023 | F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | E | Standard survey | 17 Jul 2023 |
| 14 Jul 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 17 Jul 2023 |
| 14 Jul 2023 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 17 Jul 2023 |
| 14 Jul 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 17 Jul 2023 |
| 14 Jul 2023 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 17 Jul 2023 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff —, RNs —; 1 administrator left in the reporting year.
Quality measures
| Measure | Residents | This facility | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 19.3% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.1% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.0% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 7.1% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 1.2% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 0.0% | 8.3% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: government, hospital district. Legal business name: West Wharton County Hospital District. Chain: Creative Solutions In Healthcare (149 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| West Wharton County Hospital District | 5% or greater direct ownership interest | 100% | 06/01/2022 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Robertson County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Crossroads Nursing & Rehabilitation | Hearne | 80 | 3 | 3 | 1 | 30 | 37.5 | — | 1 May 2026 |
| Bremond Nursing and Rehabilitation Center | Bremond | 82 | 2 | 2 | 2 | 26 | 31.7 | $24K | 18 Mar 2026 |
All 3 facilities in Robertson County
Questions and answers
How many deficiencies has Franklin Nursing Home been cited for?
19 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has Franklin Nursing Home been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Franklin Nursing Home compare?
Reported total nurse staffing is 3.1 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Franklin Nursing Home?
It is part of the Creative Solutions In Healthcare chain. Ownership type is government, hospital district. Organisations in the CMS ownership record include West Wharton County Hospital District. Individual owners and managers are not listed on this site.
When was Franklin Nursing Home last inspected?
The most recent survey or investigation in the CMS record is dated 3 Dec 2025; the most recent standard health survey was 11 Sep 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.