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Best Nursing Homes in Franklin, TN

Why trust this guide? Our editorial team analyzed 5 nursing homes in Franklin, TN using CMS data, inspection records, complaints, amenities, and facility-level details. How we rank nursing homes in TN
Reviewed by
Jordan Weiss, PhD
Last updated
We analyzed These are the facilities in Franklin, TN our team has analyzed — not a count of every nursing home provider in Franklin, TN.
5 homes
Other senior care options in Franklin:
Assisted Living Memory Care Independent Living
Avg Overall CMS Rating: 2.3/ 5The average Overall CMS Rating for all CMS-certified nursing homes in Franklin, TN. Ratings combine health inspections, staffing, and quality measures, with inspections weighted most. Individual facilities can vary widely from this average.
National Average: 3.2/ 5
Avg Staffing Rating: 3.0/ 5The average Staffing Rating across all CMS-certified nursing homes in Franklin, TN. Reflects nursing staff hours per resident per day (including RNs), adjusted for residents' care needs. Individual facilities can vary widely from this average.
National Average: 3.4/ 5
Avg Health Insp. Rating: 2.0/ 5The average Health Inspection Rating across all CMS-certified nursing homes in Franklin, TN. Based on each facility's recent inspections and complaint investigations, weighing the number, scope, and severity of deficiencies. Individual facilities can vary widely from this average.
National Average: 3.0/ 5

Compare Nursing Homes around Franklin (Metro Area)

Info below is compiled from CMS reports & the TN Dept. of Health (TDH), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest to lowest based on our ranking methodology.

The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. HC (Home Care): Professional care delivered in the person's own home, from companionship to skilled nursing. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Tennessee average is: 54.1% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
NHC Place Cool Springs ★ ★ ★ ★ ☆
NH
AL
HOS
MC
SNF
Franklin
108
Facility 108
TN AVG 88
Rank #123 / 425
67.6%
Facility 67.6%
TN AVG 73.1
Rank #175 / 268
-8%
4.50
Facility 4.50
TN AVG 3.63
Rank #19 / 179
 ★ ★ ★ ★ ☆ ★ ★ ★ ★ ☆ ★ ★ ★ ★ ☆ +30%+24%
$0
Facility $0
TN AVG $90.9k
Rank #1 / 181
8
Facility 8
TN AVG 15.4
Rank #41 / 180
2.7
Facility 2.7
TN AVG 4.4
Rank #36 / 180
273-
34
Facility 34
TN AVG 36
Rank #279 / 520
Anthony Moore
$15.2MFiscal year ending 12/2023
Facility $15.2MFiscal year ending 12/2023
TN AVG $11.1M
Rank #33 / 174
$9.4MFiscal year ending 12/2023
Facility $9.4MFiscal year ending 12/2023
TN AVG $5.9M
Rank #21 / 174
61.9%Fiscal year ending 12/2023
Facility 61.9%Fiscal year ending 12/2023
TN AVG 54.1%
Rank #33 / 174
445475
NHC HealthCare in Franklin ★ ★ ☆ ☆ ☆
NH
HC
HOS
SNF
Franklin
44
Facility 44
TN AVG 88
Rank #376 / 425
20.5%
Facility 20.5%
TN AVG 73.1
Rank #268 / 268
-72%
3.76
Facility 3.76
TN AVG 3.63
Rank #55 / 179
 ★ ★ ☆ ☆ ☆ ★ ★ ★ ☆ ☆ ★ ★ ★ ★ ☆ 0%+4%
$62.5k
Facility $62.5k
TN AVG $90.9k
Rank #155 / 181
9
Facility 9
TN AVG 15.4
Rank #51 / 180
3.0
Facility 3.0
TN AVG 4.4
Rank #44 / 180
19A+
47
Facility 47
TN AVG 36
Rank #166 / 520
Chelsey Norris
$8.5MFiscal year ending 12/2023
Facility $8.5MFiscal year ending 12/2023
TN AVG $11.1M
Rank #114 / 174
$6.0MFiscal year ending 12/2023
Facility $6.0MFiscal year ending 12/2023
TN AVG $5.9M
Rank #67 / 174
70%Fiscal year ending 12/2023
Facility 70%Fiscal year ending 12/2023
TN AVG 54.1%
Rank #11 / 174
445127
Franklin Wellness and Rehabilitation Center ★ ★ ☆ ☆ ☆
NH
SNF
Franklin (West Meade =)
88
Facility 88
TN AVG 88
Rank #186 / 425
64.8%
Facility 64.8%
TN AVG 73.1
Rank #189 / 268
-11%
3.80
Facility 3.80
TN AVG 3.63
Rank #55 / 179
 ★ ☆ ☆ ☆ ☆ ★ ★ ★ ☆ ☆ ★ ★ ★ ★ ★ +82%+5%
$41.2k
Facility $41.2k
TN AVG $90.9k
Rank #148 / 181
16
Facility 16
TN AVG 15.4
Rank #98 / 180
5.3
Facility 5.3
TN AVG 4.4
Rank #131 / 180
257-
69
Facility 69
TN AVG 36
Rank #34 / 520
Franklin Operating Group LLC
$6.0MFiscal year ending 12/2023
Facility $6.0MFiscal year ending 12/2023
TN AVG $11.1M
Rank #153 / 174
$2.6MFiscal year ending 12/2023
Facility $2.6MFiscal year ending 12/2023
TN AVG $5.9M
Rank #161 / 174
43.3%Fiscal year ending 12/2023
Facility 43.3%Fiscal year ending 12/2023
TN AVG 54.1%
Rank #138 / 174
445146
Claiborne and Hughes Health Center ★ ☆ ☆ ☆ ☆
NH
MC
SNF
Franklin
157
Facility 157
TN AVG 88
Rank #31 / 425
54.7%
Facility 54.7%
TN AVG 73.1
Rank #222 / 268
-25%
3.85
Facility 3.85
TN AVG 3.63
Rank #41 / 179
 ★ ☆ ☆ ☆ ☆ ★ ★ ☆ ☆ ☆ ★ ★ ★ ☆ ☆ -11%+6%
$0
Facility $0
TN AVG $90.9k
Rank #1 / 181
35
Facility 35
TN AVG 15.4
Rank #170 / 180
8.8
Facility 8.8
TN AVG 4.4
Rank #175 / 180
586-
72
Facility 72
TN AVG 36
Rank #30 / 520
Claiborne Group LLC
$9.7MFiscal year ending 12/2023
Facility $9.7MFiscal year ending 12/2023
TN AVG $11.1M
Rank #87 / 174
$4.5MFiscal year ending 12/2023
Facility $4.5MFiscal year ending 12/2023
TN AVG $5.9M
Rank #103 / 174
45.7%Fiscal year ending 12/2023
Facility 45.7%Fiscal year ending 12/2023
TN AVG 54.1%
Rank #125 / 174
445157

Rank badges are statewide: each community is ranked against every TN community we track that reports that metric, not just the 5 analyzed for Franklin.

Nursing Home Explorer
Exterior view of NHC Place sign and building area
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Overview of Nhc Place Cool Springs

Situated in Franklin, Nhc Place Cool Springs is an exceptional residence in Tennessee, providing not only short-term care and skilled nursing but also rehabilitation services to cater to the needs of seniors. Beyond these essential services, they extend their care offerings to assisted living, long-term care, and memory care, emphasizing the importance of fostering independence while ensuring reliable support. The facility, known for its positive environment and commitment to quality food, offers a broad range of healthcare services, making it a comprehensive destination for senior care.

Nhc Place Cool Springs boasts a large facility with an outstanding healthcare team, including specialized physicians, nurses, therapists, nurse practitioners, dietitians, and chefs dedicated to providing top-notch care. The on-site rehabilitation facility enhances convenience, while specialty services like IV therapy, podiatry care, diabetes management, psychological services, and more contribute to the holistic approach to senior well-being. This establishment excels in nursing home care, embodying qualifications and standards that prioritize the health and comfort of its residents.

Phone: (615) 778-6800

Contact NHC Place Cool Springs

Exterior view of NHC Rehab facility entrance
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Overview of Nhc HealthCare in Franklin

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.

Phone: (615) 790-0154

Contact NHC HealthCare in Franklin

Facility logo sign with flowers in front
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Overview of Franklin Wellness and Rehabilitation Center
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Situated just off West Main Street in Franklin, Tennessee, the Franklin Wellness & Rehabilitation Center is a dedicated skilled nursing facility, unwavering in its commitment to delivering exceptional care. Focused on fostering a loving, welcoming, and encouraging environment, their mission revolves around enabling residents to thrive physically, emotionally, and socially.

Accredited by the Joint Commission, Franklin Wellness & Rehabilitation Center seamlessly caters to short-term rehabilitation needs and long-term care services. Their unwavering dedication to excellence makes them a trusted choice for those seeking top-tier nursing care in the heart of Williamson County. With an emphasis on continuous quality improvement, the center aspires to be the premier nursing care provider in Williamson County. Residents at Franklin Wellness & Rehabilitation Center can engage in enriching activities, and the center’s patient-centered care programs are designed to prioritize individual well-being. Accommodations include private suites and semi-private rooms, complemented by amenities like satellite TV service and WiFi. 

Phone: (615) 794-8417

Contact Franklin Wellness and Rehabilitation Center

Claiborne and Hughes Health Center
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Overview of Claiborne and Hughes Health Center

Claiborne and Hughes Health Center, a prominent nursing and rehabilitation center in Franklin, offers a diverse range of care options designed to enhance the lives of seniors in the community. Renowned for its high-caliber skilled nursing and rehabilitation facilities, the center is a credible choice for individuals recovering from conditions like strokes, heart attacks, and other ailments requiring specialized care. With cutting-edge technology and a trusted team, this facility stands as a premier destination for those seeking skilled nursing care.

Beyond the standard nursing care, Claiborne and Hughes Health Center provides on-site dialysis, hospice care, dementia care, and long-term care, ensuring a comprehensive approach to residents’ well-being. Far from being dull, life here is filled with opportunities for recreation and entertainment, catering to individuals with varying physical and cognitive abilities. The commitment to dining excellence further contributes to the exceptional experience residents can expect at this skilled nursing home, where activities are tailored to enhance the senior living journey.

Phone: (615) 791-1103

Contact Claiborne and Hughes Health Center

Front entrance of Franklin Manor Nursing Center
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Overview of Franklin Manor Nursing Center
Facebook
Franklin Manor Nursing Center is a skilled nursing facility located in Franklin, TN. It offers nursing care, rehabilitation services, and life enrichment activities to support residents' physical, emotional, and social well-being. The center is committed to providing a loving and encouraging environment for all residents.
Phone: (615) 794-2624

Contact Franklin Manor Nursing Center

Ranking Methodology

How we rank these nursing homes

Every nursing home above is evaluated across five weighted categories using CMS data including Care Compare, Payroll-Based Journal, and Medicare Cost Reports.

  • CMS data
  • 5 weighted categories
  • Updated quarterly
Full methodology

Weighting overview

  • 35%
    Care Quality
  • 20%
    Staffing
  • 20%
    Regulatory
  • 20%
    Operational
  • 5%
    Environment
01

Care Quality 35%

The largest single share of every ranking. CMS star ratings and quality measures that reflect actual care delivered to residents.

  • Includes
  • Overall Rating
  • Health Inspection
  • QM Rating
  • Long-Stay QM
  • Short-Stay QM
02

Staffing Adequacy 20%

The strongest predictor of resident outcomes. Volume and stability of nursing care, drawn from CMS Payroll-Based Journal.

  • Includes
  • Nurse Hrs/Res/Day
  • RN vs State
  • Total Nurse Staff Hrs vs State
  • RN Turnover
03

Regulatory & Safety Record 20%

Inspection patterns that star ratings can mask. We weight per-inspection rates more heavily than raw counts.

  • Includes
  • Citations
  • Citations/Inspection
  • Severe Citations
  • Fines
  • Accreditations
04

Operational & Financial Stability 20%

Stable operations and sound finances are leading indicators of consistent care over time.

  • Includes
  • Occupancy vs State
  • Avg Length of Stay
  • Revenue
  • Payroll %
  • Years in Operation
  • Admin Tenure
05

Environment & Accessibility 5%

Context that matters to families but doesn't directly measure clinical care. Weighted lower for nursing homes than for assisted or independent living.

  • Includes
  • Walk Score
  • BBB Rating
Full methodology →
No paid rankings Facilities cannot pay to influence placement.
Data source Centers for Medicare & Medicaid Services (CMS)
How we're paid: If we help you find a home and you move in, that home may pay us a referral fee. This never affects where they rank or what you pay. Learn more
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Frequently Asked Questions about Nursing Homes in Franklin, TN

What's the difference between assisted living and a nursing home in Tennessee?

Assisted living in Tennessee is a residential model focused on housing, hospitality, and help with daily activities. Nursing homes (skilled nursing facilities) provide 24/7 medical care from licensed nurses for residents with significant health needs, and are regulated more strictly under both state and federal CMS rules.

Does Tennessee Medicaid cover nursing home care?

Yes — Tennessee Medicaid covers nursing home care for residents who meet income, asset, and medical-need eligibility requirements. Most CMS-certified nursing homes accept Medicaid as a primary payer once long-term-care eligibility is established.

What is nursing home care?

Nursing homes (also called skilled nursing facilities) provide 24/7 medical care from licensed nurses, rehabilitation services, and long-term custodial care for residents with significant health or functional needs.

How many nursing homes are listed on this page?

This page features 5 nursing homes in Franklin, TN. Use the filters and comparison tools above to compare ratings, amenities, and pricing.

How do I choose the right nursing home in Franklin, TN?

Start by matching the level of care offered to the resident's current and anticipated needs, then compare licensing status, staff-to-resident ratios, recent inspection results, and pricing. Tour at least two or three communities in Franklin, TN, talk to current residents and families, and confirm what is included in the base rate versus billed as add-on services.

What should I look for when visiting nursing homes in Franklin, TN?

Pay attention to staff interactions with residents, cleanliness and odor, food quality at meal times, the activity calendar, and how questions about pricing and care plans are answered. Ask to see the most recent state inspection report, the move-out / level-of-care-change policy, and a sample monthly bill that lists every fee.

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