Federal inspection record · CMS data as of October 1, 2026
Nhc Healthcare, Franklin
216 Fairground St, Franklin, TN · (615) 790-0154
- Certified beds
- 80
- Residents per day
- 72
- Ownership
- For-Profit
- Chain
- National Healthcare Corporation
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- July 14, 1980
1
How this home got 3 stars
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.
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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
★★★★★+1 star
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
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Tennessee homes
Nhc Healthcare, Franklin carries 55.5 inspection points. That is fewer than 21% 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
9 health citations on record since 2018. 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 (1)
-
J
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.
Everything else, by area of care
Quality of Life and Care4D
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- 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.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Resident Rights3D
- D
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
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.
Infection Control1E
- E
Provide and implement an infection prevention and control program.
Inspection history
2022-09-29
7 health deficiencies · 9 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2019-10-30
0 health deficiencies · 9 fire-safety deficiencies
No concentrated health issue counts in this cycle.
2018-12-20
2 health deficiencies · 2 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 3 h 35 min of nursing staff time a day, 50 min of it from a registered nurse.
This home
3 h 35 min
Tennessee average
3 h 49 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 57% of nursing staff and 57% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$62,491 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-10-24 | Fine | $62,491 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine6.2 pts better | 95.7% | 89.5% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.5 pts better | 98.3% | 93.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury4.5 pts worse | 7.8% | 3.3% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms13.9 pts better | 1.0% | 14.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight3.4 pts better | 2.6% | 6.0% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication13.3 pts better | 18.4% | 31.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication2.6 pts better | 14.4% | 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 worsened3 pts better | 12.4% | 15.4% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased5.6 pts better | 7.9% | 13.5% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.5 pts worse | 1.1% | 0.6% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.3 pts better | 0.4% | 1.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence1 pts worse | 20.0% | 19.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.1 pts better | 2.7% | 4.8% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine9.4 pts worse | 70.0% | 79.4% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit3.5 pts worse | 14.8% | 11.3% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.9 pts better | 0.8% | 1.7% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine4.2 pts worse | 75.0% | 79.2% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission2.9 pts better | 19.7% | 22.6% | 23.4% |
·
Who owns and runs it
22 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Blackrock Inc | Adp Of The SNF · Organization | 0% | 85 facilities |
| Bullock, Sally | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Bullock, Sally | Adp Of The SNF · Individual | 0% | 1 facilities |
| Dodson, Vicki | Operational/Managerial Control · Individual | 0% | 65 facilities |
| Dodson, Vicki | Adp Of The SNF · Individual | 0% | 65 facilities |
| Kidd, Brian | Operational/Managerial Control · Individual | 0% | 66 facilities |
| Kidd, Brian | Adp Of The SNF · Individual | 0% | 66 facilities |
| Morgan Stanley Institutional Advisors LLC | Indirect Ownership Interest · Organization | 0% | 41 facilities |
| National Health Corporation | Adp Of The SNF · Organization | 0% | 59 facilities |
| National Healthcare Corporation | Operational/Managerial Control · Organization | 0% | 61 facilities |
| National Healthcare Corporation | Adp Of The SNF · Organization | 0% | 61 facilities |
| Nhc-Op LP | Operational/Managerial Control · Organization | 0% | 62 facilities |
| Nhc/Delaware Inc | Indirect Ownership Interest · Organization | 0% | 46 facilities |
| Norris, Chelsey | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Norris, Chelsey | Adp Of The SNF · Individual | 0% | 1 facilities |
| Shelly, Timothy | Operational/Managerial Control · Individual | 0% | 34 facilities |
| Ussery, Robert | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 57 facilities |
| Vanguard Group Inc | Adp Of The SNF · Organization | 0% | 84 facilities |
| Vincent, Brandon | Managing Control - Governing Body · Individual | 0% | 11 facilities |
| Vincent, Brandon | Corporate Officer · Individual | 0% | 11 facilities |
| Vincent, Brandon | Operational/Managerial Control · Individual | 0% | 11 facilities |
| Wills, Savannah | Operational/Managerial Control · Individual | 0% | 1 facilities |
·
Fire safety
20 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke8D
- D
Provide properly protected cooking facilities.
- D
Have approved installation, maintenance and testing program for fire alarm systems.
- D
Install an approved automatic sprinkler system.
- D
Inspect, test, and maintain automatic sprinkler systems.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Construct fire resistant interior walls.
- D
Install an approved automatic sprinkler system.
- C
Inspect, test, and maintain automatic sprinkler systems.
Gas, Vacuum, and Electrical Systems3F
- F
Ensure proper usage of power strips and extension cords.
- D
Have proper medical gas storage and administration areas.
- D
Ensure proper usage of power strips and extension cords.
Egress3F
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D
Install emergency lighting that can last at least 1 1/2 hours.
- F
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.
Miscellaneous3D
- D
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- D
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- D
Have restrictions on the use of portable space heaters.
Emergency Preparedness3D
- D
Address subsistence needs for staff and patients.
- D
Provide primary/alternate means for communication.
- D
Conduct risk assessment and an All-Hazards approach.
·
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
-
Mulberry Health & Rehabilitation
Franklin, TN · Special Focus
★★★★★- Worst citation, 3 yrs
- D
- Nursing / resident / day
- 3 h 36 min
- Fines
- $0
-
Nhc Place At Cool Springs
Franklin, TN · National Healthcare Corporation
★★★★★- Worst citation, 3 yrs
- none
- Nursing / resident / day
- 5 h 7 min
- Fines
- $0