Federal inspection record · CMS data as of October 1, 2026
Mulberry Health & Rehabilitation
200 Strahl Street, Franklin, TN · (615) 791-1103
- Special Focus Facility
- Certified beds
- 157
- Residents per day
- 87
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- June 23, 1983
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Tennessee.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Tennessee homes
Mulberry Health & Rehabilitation carries 191.5 inspection points. That is fewer than 2% of Tennessee's 300 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Tennessee: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–9 pts
- 4★ 9–17 pts
- 3★ 17–31 pts
- 2★ 31–61 pts
- 1★ over 61 pts
Bars show every rated home in Tennessee by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
35 health citations on record since 2019. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (5)
-
K
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
K
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
-
K
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
-
K
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
-
K
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Everything else, by area of care
Quality of Life and Care10E
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide enough food/fluids to maintain a resident's health.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- E
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Resident Assessment and Care Planning6D
- D
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
- D
Ensure each resident receives an accurate assessment.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
- D
Ensure each resident receives an accurate assessment.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Freedom from Abuse, Neglect, and Exploitation4E
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
- E
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Pharmacy Service4D
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- D
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
Ensure medication error rates are not 5 percent or greater.
- D
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.
Nutrition and Dietary2E
- D
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control2E
- D
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
Resident Rights1D
- D
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Environmental1D
- D
Put firmly secured handrails on each side of hallways.
Inspection history
2023-06-15
12 health deficiencies · 5 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2021-07-19
13 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
2019-11-19
10 health deficiencies · 18 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 36 min of nursing staff time a day, 20 min of it from a registered nurse.
This home
3 h 36 min
Tennessee average
3 h 49 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 63% of nursing staff and 40% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.5 pts better | 1.1 | 1.6 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.3 pts better | 1.2 | 1.5 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine4.5 pts better | 94.0% | 89.5% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine5.1 pts better | 98.9% | 93.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury3 pts worse | 6.3% | 3.3% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms12.2 pts better | 2.7% | 14.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.4 pts worse | 7.4% | 6.0% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication21 pts better | 10.7% | 31.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication16.8 pts worse | 33.8% | 17.0% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened8.7 pts better | 6.7% | 15.4% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased7.4 pts better | 6.1% | 13.5% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better | 0.3% | 0.6% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.4 pts better | 0.3% | 1.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence0.9 pts worse | 19.9% | 19.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.8 pts worse | 6.6% | 4.8% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine35.6 pts worse | 43.8% | 79.4% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit1.2 pts worse | 12.5% | 11.3% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication3.4 pts worse | 5.1% | 1.7% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine38.7 pts worse | 40.5% | 79.2% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission10.2 pts worse | 32.8% | 22.6% | 23.4% |
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Fire safety
23 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke9D
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Provide properly protected cooking facilities.
- D
Inspect, test, and maintain automatic sprinkler systems.
- D
Have an enclosure around a vertical opening shaft.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Provide properly protected cooking facilities.
- D
Have approved installation, maintenance and testing program for fire alarm systems.
- D
Inspect, test, and maintain automatic sprinkler systems.
- D
Properly select, install, inspect, or maintain portable fire extinguishes.
Egress6D
- D
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- D
Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements.
- D
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
- D
Have exits that are accessible at all times.
Emergency Preparedness4D
- D
Create arrangements with other facilities to receive patients.
- D
List the names and contact information of those in the facility.
- D
Provide primary/alternate means for communication.
- D
Conduct risk assessment and an All-Hazards approach.
Services2D
- D
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- D
Have properly installed electrical wiring and gas equipment.
Miscellaneous1D
- D
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Gas, Vacuum, and Electrical Systems1D
- D
Ensure proper usage of power strips and extension cords.
·
Other homes nearby
-
Franklin Wellness And Rehabilitation Center
Franklin, TN · Ahava Healthcare
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 33 min
- Fines
- $44,469
-
Nhc Healthcare, Franklin
Franklin, TN · National Healthcare Corporation
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 35 min
- Fines
- $62,491
-
Nhc Place At Cool Springs
Franklin, TN · National Healthcare Corporation
★★★★★- Worst citation, 3 yrs
- none
- Nursing / resident / day
- 5 h 7 min
- Fines
- $0