Elder Care Record

Tennessee › Williamson County › Franklin

Nhc Healthcare, Franklin

216 Fairground St, Franklin, TN 37064

CCN 445127 · For-profit, limited liability company · 80 certified beds · chain National Healthcare Corporation

No standard inspection in 2+ years
Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

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.

Nhc Healthcare, Franklin is a For-profit, limited liability company nursing home in Franklin, Tennessee, certified for 80 beds and caring for about 71 residents a day.

CMS gives it 2 of 5 stars overall, below the Tennessee median of 3; the health inspection rating is 2, staffing 3 and quality measures 4.

Inspectors recorded 9 health deficiencies across the three most recent survey cycles (7, 0, 2 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 11.3 per 100 beds, about the same as the state median of 12.2.

CMS lists 1 penalty in the period covered: fines totalling $62K.

Reported nurse staffing is 3.5 hours per resident per day (0.6 RN), close to the Tennessee median of 3.6; nursing staff turnover is 55.3%.

CMS flags that the facility has not had a standard health inspection in more than two years.

9health deficiencies, 3 survey cycles1 at actual harm or worse
$62Kfines listed by CMS1 penalty in period
3.5nurse hours per resident per daystate median 3.6
89%occupancy (residents ÷ beds)71 residents a day

Compared with county, state and nation

MeasureThis facilityWilliamson Co. medianTennessee medianUS average
Overall star rating2233.0
Health citations, 3 cycles991328.7
Citations per 100 beds11.311.312.226.8
Total nurse hours per resident day3.53.83.63.9
RN hours per resident day0.61.00.50.7
Nursing staff turnover55.3%55.3%50.0%45.8%
Fines listed$62,491$0$0—

County and state figures are medians across facilities (5 in the county, 303 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)7
Cycle 20
Cycle 32

Dark bar: this facility. Grey bar: Tennessee average per facility for the same cycle, as published by CMS. Standard health survey dates: 29 Sep 2022, 30 Oct 2019.

Severity mix: J ×1 D ×7 E ×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)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
24 Oct 2025F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.JComplaint investigation18 Nov 2025
29 Sep 2022F0553Allow resident to participate in the development and implementation of his or her person-centered plan of care.DStandard survey13 Nov 2022
29 Sep 2022F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard survey13 Nov 2022
29 Sep 2022F0584Honor 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.DStandard survey13 Nov 2022
29 Sep 2022F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey13 Nov 2022
29 Sep 2022F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey13 Nov 2022
29 Sep 2022F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey13 Nov 2022
20 Dec 2018F0880Provide and implement an infection prevention and control program.EStandard survey31 Jan 2019
20 Dec 2018F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey31 Jan 2019

Penalties

DateTypeAmountDetail
24 Oct 2025Fine$62,491

Staffing

Total nursing3.49 h
Nurse aides1.76 h
LPN1.13 h
RN0.6 h
Weekend total2.99 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Tennessee average. Turnover: nursing staff 55.3%, RNs 46.7%; 0 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityTennessee medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay11.5%12.3%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay1.3%0.3%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.4%1.5%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay6.3%3.1%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.9%1.2%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay14.1%15.4%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay3.2%4.3%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay16.7%15.6%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: for-profit, limited liability company. Legal business name: Nhc Healthcare-Franklin Llc. Chain: National Healthcare Corporation (69 facilities).

OrganisationRole in the CMS recordInterestSince
Morgan Stanley Institutional Advisors LLCIndirect ownership interestNOT APPLICABLE11/08/2024
Nhc/Delaware IncIndirect ownership interestNOT APPLICABLE07/01/2000
National Healthcare CorporationOperational/managerial controlNOT APPLICABLE07/01/2000
Nhc-Op LPOperational/managerial controlNOT APPLICABLE07/01/2000
Blackrock IncAdp of the snfNOT APPLICABLE01/20/2010
National Health CorporationAdp of the snfNOT APPLICABLE06/11/2025
National Healthcare CorporationAdp of the snfNOT APPLICABLE06/11/2025
Vanguard Group IncAdp of the snfNOT APPLICABLE11/30/2006

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 Williamson County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Somerfield At the HeritageBrentwood6655569.1—20 Apr 2022
Nhc Place At Cool SpringsFranklin12144486.6—14 Sep 2022
Franklin Wellness and Rehabilitation CenterFranklin882131618.2$44K9 Jun 2025
Mulberry Health & RehabilitationSFF CandidateFranklin1571123522.3—27 Oct 2023

All 5 facilities in Williamson County

Questions and answers

How many deficiencies has Nhc Healthcare, Franklin been cited for?

9 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Tennessee median is 13 per facility.

Has Nhc Healthcare, Franklin been fined?

Yes. CMS lists fines totalling $62K in the period covered.

How does staffing at Nhc Healthcare, Franklin compare?

Reported total nurse staffing is 3.5 hours per resident per day against a Tennessee median of 3.6 and a national average of 3.9.

Who operates Nhc Healthcare, Franklin?

It is part of the National Healthcare Corporation chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Morgan Stanley Institutional Advisors LLC, Nhc/Delaware Inc and National Healthcare Corporation. Individual owners and managers are not listed on this site.

When was Nhc Healthcare, Franklin last inspected?

The most recent survey or investigation in the CMS record is dated 24 Oct 2025; the most recent standard health survey was 29 Sep 2022.

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.