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Franklin-Simpson Nursing and Rehabilitation Center

Nursing Home, Hospice Care, Memory Care, Palliative Care, Respite Care & Skilled Nursing · Franklin, KY

CMS overall rating

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Nursing Home in Kentucky

Franklin-Simpson Nursing and Rehabilitation Center

Nursing Home, Hospice Care, Memory Care, Palliative Care, Respite Care & Skilled Nursing · Franklin, KY

CMS overall rating

414 Robey St, Franklin, KY 42135 View map

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Franklin-Simpson Nursing and Rehabilitation Center accepts Medicare, Medicaid, and private pay.

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Franklin-Simpson Nursing and Rehabilitation Center accepts Medicare, Medicaid, and private pay.

Overview of Franklin-Simpson Nursing and Rehabilitation Center

Owned by Gregory Muse, Franklin-Simpson Nursing and Rehabilitation Center is located on Robey Street in Franklin, Kentucky, and offers skilled nursing care and rehabilitation services. The center accepts Medicare, Medicaid, and private pay, offering families flexible coverage options for short-term rehabilitation and longer-term nursing care.

The 98-bed facility has an 82% occupancy rate, reflecting a community that is nearing its full capacity. Residents stay an average of 170 days, including post-acute rehabilitation residents and those needing ongoing skilled care. Nurse staffing averages 2 hours and 57 minutes per resident each day. The residents’ area is supported by a team of registered nurses, nurse aides, and licensed practical nurses on duty around the clock to support daily care needs.

State inspections show the facility generally and substantially complies with regulatory standards. The center is in a moderately walkable neighborhood with a Walk Score of 68, so it’s relatively accessible to visiting family members who prefer to handle some errands on foot.

Residents at Franklin-Simpson can join social gatherings and outings to stay engaged within the community. Amenities on-site include beauty and barber services, complimentary Wi-Fi, and family gathering rooms. Laundry services and cable television are also available, so residents can stay comfortable during their stay.

Facility Direct Line (270) 586-7141

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to state averages

Total nursing care / resident

2h 57m per day

vs avg

6 of 6 metrics below state avg

Staff type	Hours / Day / Resident	vs state avg
Registered Nurse (RN) RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.	25m per day	▼ 47% State avg: 46m per day · National avg: 41m per day
LPN / LVN Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.	46m per day	▼ 6% State avg: 49m per day · National avg: 52m per day
Nurse Aide Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.	1h 56m per day	▼ 21% State avg: 2h 26m per day · National avg: 2h 20m per day
Weekend Total Nursing Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.	2h 45m per day	▼ 21% State avg: 3h 30m per day · National avg: 3h 26m per day
Physical Therapist Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.	1m per day	▼ 82% State avg: 4m per day · National avg: 4m per day
Weekend RN Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.	14m per day	▼ 56% State avg: 31m per day · National avg: 28m per day

Capacity and availability

170 days

98-bed community

A larger shared setting that may offer more common spaces and organized community services.

1 year in operation

A newer community that may feature more recent facilities and programs.

Walk Score: 68 / 100

Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

About this community

Occupancy

Occupancy rate

82%

Similar to the Kentucky average: 81.3%

Occupied beds

80 / 98

Average occupied beds in Kentucky homes 80 beds

Facility TypeLong Term Care (nursing Facility)

StatusActive

IssuanceApril 1, 2025

CountySimpson

License Number100391

CMS Certification Number185331

Franklin-Simpson Nursing and Rehabilitation Center is administered by Crystal Patterson.

Owner NameFranklin Health Center, LLC

Rehabilitation Services

24-Hour Staffing

Pets Allowed

Social Gatherings

Social Outings

Beauty And Barber Services

Complimentary Wi-Fi

Family Gathering Rooms

Laundry Services

Television With Cable

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Since 2019 · 7 years of data 16 deficiencies

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Kentucky state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2019 vs. Kentucky state average

Overall vs. KY average

Latest Inspection July 3, 2025 Abbreviated Survey

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.	This Facility	KY Average	vs. KY Avg
Total deficiencies Formal regulatory issues recorded by inspectors across all inspection types.	16	6	This facility has 167% more total deficiencies than a typical Kentucky assisted living residence (16 vs. KY avg 6).↑ 167% worse
Deficiencies per year Average deficiencies per year since 2019.	2.3	0.9	This facility has 156% more deficiencies per year than a typical Kentucky assisted living residence (2.3 vs. KY avg 0.9).↑ 156% worse

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

May 1, 2025 abbreviated survey found the facility in substantial compliance with no deficiencies issued.
March 27, 2025 complaint investigation cleared multiple complaints with no deficiencies cited.
July 3, 2025 abbreviated survey cited one deficiency for failing to treat residents with respect and dignity, restricting outdoor access for four residents.

Show Inspection Reports

Inspections since 2019

Total health inspections 3

State average N/A

Last Health inspection on Jul 2025

Total health citations

State average N/A

Citations per inspection

State average N/A

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

All 15 citations resulted from standard inspections.

Breakdown of citation severity (last 7 years)

Critical health citations

In line with State average

State average: N/A

Serious health citations

In line with State average

State average: N/A

0 critical citations State average: N/A

2 serious citations State average: N/A

13 moderate citations State average: N/A

0 minor citations State average: N/A

Citations history (last 7 years)

Resident Rights moderate citation Jul 03, 2025

Corrected

Nutrition moderate citation May 20, 2021

Corrected

Pharmacy moderate citation May 20, 2021

Corrected

Care Planning moderate citation May 20, 2021

Corrected

Top deficiency categories

Resident Rights 4 deficiencies (27%)

Quality of Life & Care 3 deficiencies (20%)

Abuse, Neglect & Exploitation 2 deficiencies (13%)

Pharmacy Services 1 deficiency (7%)

Total staff 117

Employees 87

Contractors 30

Staff to resident ratio 1.46 : 1

0% compared with State average

State average ratio: 0 : 0

Avg staff/day 33

Average shift 8.6 hours

0% compared with State average

State average: 0 hours

Total staff hours (quarter) 25,967

Nursing staff breakdown

7.5 hours

8.9 hours

9.8 hours

Contractor staffing

2,668 contractor hours this quarter

Licensed Practical Nurse: 4 Registered Nurse: 4 Physical Therapy Aide: 4 Respiratory Therapy Technician: 4 Speech Language Pathologist: 3 Qualified Social Worker: 3 Physical Therapy Assistant: 3 Occupational Therapy Assistant: 2 Occupational Therapy Aide: 2 Medical Director: 1

Staff by category


Certified Nursing Assistant	43	0	43	11,954	92	100%	9.8
Licensed Practical Nurse	16	4	20	5,084	92	100%	8.9
Clinical Nurse Specialist	6	0	6	1,428	69	75%	7.8
Medication Aide/Technician	7	0	7	1,335	84	91%	9.4
Registered Nurse	7	4	11	1,027	76	83%	7.5
Speech Language Pathologist	0	3	3	657	65	71%	6.8
Other Dietary Services Staff	2	0	2	553	61	66%	7.8
Administrator	1	0	1	512	64	70%	8
Mental Health Service Worker	1	0	1	488	61	66%	8
Nurse Practitioner	1	0	1	446	57	62%	7.8
Dietitian	1	0	1	436	60	65%	7.3
Nurse Aide in Training	1	0	1	432	47	51%	9.2
RN Director of Nursing	1	0	1	343	45	49%	7.6
Physical Therapy Aide	0	4	4	311	46	50%	6.8
Qualified Social Worker	0	3	3	248	58	63%	4.3
Physical Therapy Assistant	0	3	3	225	52	57%	4.1
Occupational Therapy Aide	0	2	2	216	14	15%	8
Medical Director	0	1	1	113	25	27%	4.5
Respiratory Therapy Technician	0	4	4	84	34	37%	2.3
Occupational Therapy Assistant	0	2	2	76	7	8%	6.3

43 Certified Nursing Assistant

% of Days 100%

20 Licensed Practical Nurse

% of Days 100%

6 Clinical Nurse Specialist

% of Days 75%

7 Medication Aide/Technician

% of Days 91%

11 Registered Nurse

% of Days 83%

3 Speech Language Pathologist

% of Days 71%

2 Other Dietary Services Staff

% of Days 66%

1 Administrator

% of Days 70%

1 Mental Health Service Worker

% of Days 66%

1 Nurse Practitioner

% of Days 62%

1 Dietitian

% of Days 65%

1 Nurse Aide in Training

% of Days 51%

1 RN Director of Nursing

% of Days 49%

4 Physical Therapy Aide

% of Days 50%

3 Qualified Social Worker

% of Days 63%

3 Physical Therapy Assistant

% of Days 57%

2 Occupational Therapy Aide

% of Days 15%

1 Medical Director

% of Days 27%

4 Respiratory Therapy Technician

% of Days 37%

2 Occupational Therapy Assistant

% of Days 8%

View All Staffing Data

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

High-risk clinical events score 7.6

27% better than State average

State average: 10.5

Functional decline score 12.5

34% better than State average

State average: 18.9

Long-stay resident measures

Below average State avg: 3.5

Need for Help with Daily Activities Increased 7.9%

53% better than State average

State average: 16.8%

Walking Ability Worsened 12.3%

37% better than State average

State average: 19.6%

Low Risk Residents with Bowel/Bladder Incontinence 17.4%

15% better than State average

State average: 20.5%

Falls with Major Injury 5.6%

48% worse than State average

State average: 3.8%

High Risk Residents with Pressure Ulcers 7.5%

30% worse than State average

State average: 5.8%

Urinary Tract Infection 3.4%

82% worse than State average

State average: 1.9%

Lost Too Much Weight 4.9%

28% better than State average

State average: 6.8%

Depressive Symptoms 0.0%

100% better than State average

State average: 14.3%

Antipsychotic Use 28.4%

82% worse than State average

State average: 15.6%

Pneumococcal Vaccine 87.6%

7% worse than State average

State average: 93.9%

Influenza Vaccine 95.1%

In line with State average

State average: 96.2%

Hospitalizations per 1,000 days 2.61

40% worse than State average

State average: 1.87

ED visits per 1,000 days 3.82

74% worse than State average

State average: 2.19

Short-stay resident measures

Significantly below average State avg: 2.2

Pneumococcal Vaccine 76.2%

9% worse than State average

State average: 83.7%

Antipsychotic medication increase 3.9%

99% worse than State average

State average: 1.9%

Influenza Vaccine 91.4%

9% better than State average

State average: 83.6%

Re-hospitalized after SNF stay 25.8%

5% worse than State average

State average: 24.5%

Emergency department visits 17.5%

26% worse than State average

State average: 13.9%

Falls with major injury 3.6%

364% worse than State average

State average: 0.8%

Successful return to home or community 46.1%

9% worse than State average

State average: 50.6%

Breakdown by payment type

Medicare

15% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

22% of new residents, often for short stays.

Typical stay 2 months

Medicaid

64% of new residents, often for long-term daily care.

Typical stay 7 - 8 months

Total residents 80

Medicare

3.8% of residents

Medicaid

85% of residents

Private pay or other

11.3% of residents

Programs & Services

Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Financial Trends

Historical financial and operational data for Franklin-Simpson Nursing and Rehabilitation Center from 2011–2023, based on CMS SNF Cost Reports.

Key figures below are for fiscal year ending in 12/2023.

Occupancy Rate 69.3% ↓ 11.2pp vs 2022

Net Patient Income -$994.8K ↓ ~$375.2K vs 2022

Payroll Costs $3.6M ↑ ~$320.0K vs 2022

Operating Margin -15.9% ↓ 7.5pp vs 2022

Financial Performance

Net patient revenue Operating expenses Net patient income

Salaries Wage Costs Contract Labor

Medicare Medicaid Private Pay/Other

Metric	2011	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	86.1%	93.7%	86.4%	84.7%	82.2%	82.3%	86.4%	86.2%	85.1%	88.1%	77.1%	80.5%	69.3%
Beds	98	98	98	98	98	98	98	98	98	98	98	98	98
Net Income	$288,608	$233,997	$483,176	$422,757	$1,080,136	-$244,333	-$717,214	$35,502	-$353,608	$333,548	$618,833	-$452,528	-$746,486
Gross Revenue	$8,240,767	$5,677,223	$9,789,717	$10,351,666	$10,587,679	$10,126,175	$12,213,305	$4,332,490	$10,155,416	$8,839,905	$6,982,239	$7,539,083	$6,440,848
Operating Expenses	$6,461,189	$3,253,171	$6,072,477	$6,208,866	$6,191,193	$6,765,195	$8,112,768	$2,462,245	$7,725,477	$7,755,075	$7,041,770	$7,959,985	$7,247,673
Net Patient Income	$262,075	$228,978	$442,570	$443,585	$465,241	-$311,707	-$876,542	$35,495	-$355,573	$268,265	$172,779	-$619,601	-$994,751
Net Patient Revenue	$6,723,264	$3,482,149	$6,515,047	$6,652,451	$6,656,434	$6,453,488	$7,236,226	$2,497,740	$7,369,904	$8,023,340	$7,214,549	$7,340,384	$6,252,922
Payroll Costs	$2,646,642	$1,415,016	$2,664,245	$2,528,883	$2,372,605	$2,530,228	$2,622,022	$1,073,867	$3,400,767	$3,492,967	$3,344,225	$3,270,661	$3,590,660
Operating Margin %	3.9%	6.6%	6.8%	6.7%	7.0%	-4.8%	-12.1%	1.4%	-4.8%	3.3%	2.4%	-8.4%	-15.9%
Medicare %	15.8%	15.7%	14.9%	11.7%	12.9%	12.5%	13.7%	16.9%	11.8%	14.3%	9.9%	4.5%	3.7%
Medicaid %	0.0%	70.0%	79.9%	84.4%	81.9%	85.1%	80.2%	169.3%	0.0%	0.0%	0.0%	86.1%	88.4%
Private %	84.2%	14.3%	5.2%	3.9%	5.2%	2.4%	6.1%	83.1%	88.2%	85.7%	90.1%	9.4%	7.9%
Net Patient Revenue/Day	$218	$206	$211	$220	$226	$219	$234	$242	$242	$254	$262	$255	$252
Cost/Day	$210	$192	$196	$205	$211	$229	$263	$239	$254	$245	$255	$276	$292
Avg Length of Stay	141.3 days	136.3 days	128.8 days	131.2 days	131.3 days	137.9 days	109.2 days	141.2 days	307.5 days	173.7 days	191.5 days	169.4 days	169.9 days

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

Net patient revenue

$6.3M

Net patient income

-$994.8K

For-profit Operated by a single business entity.

Net patient revenue

$6.3M

Net patient income

-$994.8K

Other income

$248.3K

Payroll costs

$3.6M 57.4% of net patient revenue

Other operating costs

$3.7M

Total costs

$7.2M

TYPE OF STAY

Mostly long-term care residents

Most residents stay for extended periods and receive ongoing daily care.

Most new residents arrive under Medicaid (64% of admissions), and a typical Medicaid stay runs around 7 - 8 months.

Coverage residents most often arrive under.

Medicare 15%

Private pay 22%

Medicaid 64%

Coverage residents most often leave under.

Medicare 6%

Private pay 21%

Medicaid 73%

0.1 miles from city center Estimated distance in miles from Franklin's city center to Franklin-Simpson Nursing and Rehabilitation Center's address, calculated via Google Maps.

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The information below is reported by the Kentucky Cabinet for Health and Family Services, Office of Inspector General.


Redbanks Colonial Terrace	NH IL MC SNF	Sebree	-	87	A+	41	-
Middlesboro Nursing and Rehabilitation Facility	NH SNF	Middlesboro	-	95	-	62	-
Rockcastle Regional Hospital and Respiratory Care	NH SNF	Mount Vernon	-	143	-	49	-
Lee County Care and Rehabilitation Center	NH HOS MC PC RC SNF	Beattyville	-	109	-	42	-
Franklin-Simpson Nursing and Rehabilitation Center	NH HOS MC PC RC SNF	Franklin	-	98	-	68	-

Nursing Home Explorer

Who is the owner of Franklin-Simpson Nursing and Rehabilitation Center?

Franklin-Simpson Nursing and Rehabilitation Center is legally operated by Franklin Health Center, LLC, and administered by Crystal Patterson.

Is Franklin-Simpson Nursing and Rehabilitation Center in a walkable area?

Franklin-Simpson Nursing and Rehabilitation Center has a walk score of 68. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

What is the license number of Franklin-Simpson Nursing and Rehabilitation Center?

According to KY state health department records, Franklin-Simpson Nursing and Rehabilitation Center's license number is 100391.

What is the occupancy rate at Franklin-Simpson Nursing and Rehabilitation Center?

Franklin-Simpson Nursing and Rehabilitation Center's occupancy is 82%.

Does Franklin-Simpson Nursing and Rehabilitation Center operate as a for-profit or non-profit?

Franklin-Simpson Nursing and Rehabilitation Center is registered as a for-profit in KY.

Who is the administrator of Franklin-Simpson Nursing and Rehabilitation Center?

Crystal Patterson is the administrator of Franklin-Simpson Nursing and Rehabilitation Center.

How many beds does Franklin-Simpson Nursing and Rehabilitation Center have?

Franklin-Simpson Nursing and Rehabilitation Center has 98 beds.

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Franklin-Simpson Nursing and Rehabilitation Center

Overview of Franklin-Simpson Nursing and Rehabilitation Center

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Therapy & Rehabilitation

Staffing & Medical

Additional Policies & Features

Amenities & Lifestyle

Contact Franklin-Simpson Nursing and Rehabilitation Center

Inspection History

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Kentucky state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

Health Inspection History

Inspections since 2019

Breakdown of citation severity (last 7 years)

Citations history (last 7 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

43 Certified Nursing Assistant

20 Licensed Practical Nurse

6 Clinical Nurse Specialist

7 Medication Aide/Technician

11 Registered Nurse

3 Speech Language Pathologist

2 Other Dietary Services Staff

1 Administrator

1 Mental Health Service Worker

1 Nurse Practitioner

1 Dietitian

1 Nurse Aide in Training

1 RN Director of Nursing

4 Physical Therapy Aide

3 Qualified Social Worker

3 Physical Therapy Assistant

2 Occupational Therapy Aide

1 Medical Director

4 Respiratory Therapy Technician

2 Occupational Therapy Assistant

Penalties and fines

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mostly long-term care residents

Admissions

Discharges

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