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The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Nhc Healthcare in Franklin is an 80-bed, 24-hour skilled nursing healthcare center known for its reliability and expert team. With specialized physicians, nurse practitioners, therapists, and dedicated nursing staff, they ensure comprehensive care for residents. The facility boasts chef-approved meals curated by a dietitian and provides on-site rehabilitation and therapy services to enhance residents’ well-being. Daily assistance with personal living activities is a key offering, providing seniors with the support they need.
This community goes beyond the basics, offering a range of amenities and activities to enrich the lives of residents. From religious services and gardening areas to a beauty and barbershop, entertainment, housekeeping, and laundry services, NHC HealthCare strives to create a vibrant and comfortable environment for seniors. With a focus on both skilled nursing and the overall senior living experience, this facility stands as a reliable choice for those seeking quality care and an engaging community.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 69th out of 172 homes in Tennessee. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| 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.
| 43m per day | ▲ 16% State avg: 37m 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.
| 53m per day | ▼ 20% State avg: 1h 6m 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.
| 2h 6m per day | ■ Avg State avg: 2h 9m per day · National avg: 2h 21m 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.
| 3h 11m per day | ▼ 5% State avg: 3h 21m 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.
| 5m per day | ■ Avg State avg: 5m 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.
| 29m per day | ▲ 16% State avg: 25m per day · National avg: 29m per day |
Lower than the Tennessee average: 71.6%NHC HealthCare in Franklin is legally operated by NHC HealthCare/Franklin, LLC, and administrated by Chelsey Foster Norris.
Key information about the people who lead and staff this community.
In Tennessee, the Department of Health, Division of Health Care Facilities performs unannounced inspections and investigations to ensure facilities provide high-quality resident care.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Tennessee state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Citations
| This Facility | TN Average | vs. TN Avg |
|---|---|---|---|
|
Total citations
Formal regulatory issues recorded by inspectors across all inspection types.
| 9 | 4 | This facility has 125% more total citations than a typical Tennessee nursing home (9 vs. TN avg 4).↑ 125% worse |
|
Citations per year
Average citations per year since 2018.
| 1.1 | 0.5 | This facility has 120% more citations per year than a typical Tennessee nursing home (1.1 vs. TN avg 0.5).↑ 120% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on October 24, 2025, identified deficiencies related to nursing staff competencies and wound care management, including an Immediate Jeopardy that was later removed after a validated removal plan. Earlier inspections showed a range of issues such as care plan meeting lapses, notification failures, unsanitary conditions, incomplete documentation, and infection control problems. Inspectors cited main themes involving resident care practices, staff competency, and environmental maintenance. There were no fines, license suspensions, or enforcement actions listed in the available reports, and no complaint investigations were noted. The pattern suggests ongoing challenges with nursing care and documentation, with some improvement following corrective actions on the most recent survey.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsTennessee average 3.5
Last Health inspection on Oct 2025
Tennessee average 15.4
Tennessee average 4.39
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
8 of 9 citations resulted from standard inspections; and 1 of 9 resulted from complaint investigations.
9% better than Tennessee averageTennessee average: 1.1
100% better than Tennessee averageTennessee average: 0.6
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
12% worse than Tennessee average
0% compared with Tennessee average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.4 hoursNo contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.7 hoursNo contractors work on this role.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10 hoursNo contractors work on this role.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
95 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 37 | 0 | 37 | 12,942 | 92 | 100% | 10 |
| Licensed Practical Nurse | 20 | 0 | 20 | 6,424 | 92 | 100% | 9.7 |
| Registered Nurse | 10 | 0 | 10 | 2,617 | 90 | 98% | 10.4 |
| Speech Language Pathologist | 5 | 0 | 5 | 1,052 | 71 | 77% | 6.6 |
| Mental Health Service Worker | 3 | 2 | 5 | 1,024 | 72 | 78% | 6.1 |
| Physical Therapy Assistant | 7 | 0 | 7 | 842 | 75 | 82% | 5.2 |
| Respiratory Therapy Technician | 8 | 0 | 8 | 735 | 79 | 86% | 5.4 |
| Physical Therapy Aide | 4 | 0 | 4 | 690 | 72 | 78% | 6.8 |
| Clinical Nurse Specialist | 3 | 0 | 3 | 538 | 56 | 61% | 8.6 |
| Dietitian | 1 | 0 | 1 | 480 | 60 | 65% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 464 | 58 | 63% | 8 |
| Administrator | 1 | 0 | 1 | 452 | 57 | 62% | 7.9 |
| Other Dietary Services Staff | 1 | 0 | 1 | 449 | 61 | 66% | 7.4 |
| Respiratory Therapist | 1 | 0 | 1 | 438 | 59 | 64% | 7.4 |
| Occupational Therapy Aide | 2 | 0 | 2 | 364 | 70 | 76% | 5 |
| Qualified Activities Professional | 1 | 0 | 1 | 177 | 30 | 33% | 5.9 |
| Qualified Social Worker | 2 | 0 | 2 | 169 | 29 | 32% | 5.8 |
| RN Director of Nursing | 1 | 0 | 1 | 132 | 58 | 63% | 2.3 |
| Dental Services Staff | 1 | 0 | 1 | 83 | 51 | 55% | 1.6 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 26 | 3 | 3% | 8.5 |
| Other Physician | 0 | 1 | 1 | 1 | 2 | 2% | 0.3 |
| Medical Director | 0 | 1 | 1 | 0 | 1 | 1% | 0.3 |
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
12.1
15% worse than Tennessee averageTennessee average: 10.5
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
25.1
29% worse than Tennessee averageTennessee average: 19.5
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
27.1%
69% worse than Tennessee averageTennessee average: 16.0%
Percent of long-stay residents whose ability to move independently worsened
26.4%
22% worse than Tennessee averageTennessee average: 21.7%
Percent of low risk long-stay residents who lose control of their bowels or bladder
22.0%
6% worse than Tennessee averageTennessee average: 20.7%
Percent of long-stay residents experiencing one or more falls with major injury
0.7%
80% better than Tennessee averageTennessee average: 3.7%
Percent of long-stay high risk residents with pressure ulcers
3.1%
43% better than Tennessee averageTennessee average: 5.4%
Percent of long-stay residents with a urinary tract infection
0.4%
82% better than Tennessee averageTennessee average: 2.1%
Percent of long-stay residents who lose too much weight
3.1%
51% better than Tennessee averageTennessee average: 6.3%
Percent of long-stay residents who have depressive symptoms
0.5%
96% better than Tennessee averageTennessee average: 11.0%
Percent of long-stay residents who received an antipsychotic medication
19.3%
17% worse than Tennessee averageTennessee average: 16.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
93.7%
In line with Tennessee averageTennessee average: 89.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
6% better than Tennessee averageTennessee average: 94.5%
Number of hospitalizations per 1,000 long-stay resident days.
0.16
90% better than Tennessee averageTennessee average: 1.58
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.37
13% better than Tennessee averageTennessee average: 1.57
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
80.6%
In line with Tennessee averageTennessee average: 79.7%
Percent of short-stay residents who newly received an antipsychotic medication
2.8%
62% worse than Tennessee averageTennessee average: 1.7%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
90.1%
13% better than Tennessee averageTennessee average: 79.8%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
17.2%
23% better than Tennessee averageTennessee average: 22.2%
Percentage of short-stay residents who had an outpatient emergency department visit.
12.2%
9% worse than Tennessee averageTennessee average: 11.2%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Tennessee averageTennessee average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
54.6%
In line with Tennessee averageTennessee average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
51.9%
In line with Tennessee averageTennessee average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
27% of new residents, usually for short-term rehab.
66% of new residents, often for short stays.
7% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
74Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for NHC HealthCare in Franklin based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #82 / 176Payroll — State benchmarkedThis home is ranked 82nd out of 176 homes in Tennessee. Shows total annual staff payroll benchmarked to the Tennessee average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
1.6 miles from city center
Estimated distance in miles from Franklin's city center to NHC HealthCare in Franklin's address, calculated via Google Maps.
— 0.31 miles to nearest hospital (GracePointe Healthcare)
Add your location
NHC HealthCare in Franklin is located in Franklin, Tennessee.
Here are the financial assistance programs available to residents in Tennessee.
The information below is reported by the Tennessee Department of Health, Division of Health Care Facilities.
| NHC Place Cool Springs |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Franklin (Cool Springs) | 108 | 67.6% | -7% | 4.86 | +30% | +34% | $0 | 8 | 2.7 | 2 | 69 | - | 34 | Anthony Moore | $17.0M | $10.9M | 63.8% | 445475 | ||||
| NHC HealthCare in Franklin |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Franklin | 44 | 20.5% | -72% | 3.46 | 0% | -5% | $0 | 9 | 3.0 | 1 | 76 | A+ | 47 | Chelsey Norris | $11.0M | $6.0M | 54.5% | 445127 | ||||
| Franklin Wellness and Rehabilitation Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Franklin (West Meade =) | 88 | 64.8% | -11% | 3.79 | +82% | +5% | $63.3k | 16 | 5.3 | 2 | 57 | - | 69 | Franklin Operating Group LLC | $7.3M | $4.0M | 55% | 445146 | ||||
| Claiborne and Hughes Health Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Franklin | 157 | 59.6% | -18% | 3.44 | -11% | -5% | $0 | 35 | 8.8 | 5 | 92 | A+ | 72 | Claiborne Group LLC | $11.0M | $6.1M | 55% | 445157 |
The legal owner and operator of NHC HealthCare in Franklin is NHC HealthCare/Franklin, LLC.
NHC HealthCare in Franklin has a walk score of 47. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
According to TN state health department records, NHC HealthCare in Franklin's license number is 00000295.
According to TN state health department records, NHC HealthCare in Franklin's license expires on January 8, 2026.
NHC HealthCare in Franklin's occupancy is 21%.
Chelsey Foster Norris is the administrator of NHC HealthCare in Franklin.
NHC HealthCare in Franklin has 44 beds.
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