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Nursing Home in Franklin

CMS overall rating Info 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.

Claiborne and Hughes Health Center

Nursing Home in Franklin

CMS overall rating Info 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.

Claiborne and Hughes Health Center

200 Strahl St, Franklin, TN 37064 View map
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.

(615) 791-1103

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
1/5
Tennessee average: 3.1/5
Health Inspection Info 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.
1/5
Tennessee average: 2.9/5
Staffing Info 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.
1/5
Tennessee average: 2.5/5
Quality Measures Info 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.
3/5
Tennessee average: 3.7/5

Nursing care per resident

Info This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
3h 26m per day

This home provides 6% less nursing time per resident than the Tennessee average.

Tennessee average: 3h 40m per day

Capacity and availability

Medium-capacity home

Offers a balance of services and community atmosphere.

Total beds 157

This home usually has availability

Lower occupancy suggests more openings may be available.

Lower demand than the Tennessee average
Occupancy rate 59.6%
Residents per day (avg) 92
Occupancy rate
59.6%
Residents per day (avg)
92

Who this home usually serves

TYPE OF STAY

Mostly long-term care residents

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

Might be optimal for
Long-term daily care Ongoing support needs

Breakdown by payment type

Medicare

23% of new residents, usually for short-term rehab.

Typical stay 2 - 3 months

Private pay

51% of new residents, often for short stays.

Typical stay 4 - 5 months

Medicaid

26% of new residents, often for long-term daily care.

Typical stay 3 years

Finances and operations

Privately-owned community
Operated by a partnership between two or more business owners.
Home revenue
$11.0M
Operating loss
-$200.2K
Privately-owned community Operated by a partnership between two or more business owners.
Home revenue
$11,028,273.00
Operating loss
$-200,154.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$4.1M
37.1% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$7.1M
Total costs $11.2M
Years in operation
45 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
Walk Score
Walk Score: 72 / 100
Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
BBB Rating
BBB Rating: A+ (Not Accredited)
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
How BBB ratings work

Staffing

Key information about the people who lead and staff this community.

Leadership

ContactMs. Millicent Morley, Administrator

Types of Care at Claiborne and Hughes Health Center

Skilled Nursing Hospice Care Memory Care
Contact Claiborne and Hughes Health Center

Inspection History

In Tennessee, the Department of Health, Division of Health Care Facilities performs unannounced inspections and investigations to ensure facilities provide high-quality resident care.

4 visits/inspections

3 visits/inspections triggered by complaints

1 routine inspections

Results

4 with issues

0 without issues

Tennessee average: 9 complaint visits

Latest inspection

Date October 27, 2023
Complaint Investigation

35 deficiencies

Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.

Tennessee average: 17 deficiencies

Health Inspection History

Inspections
Total health inspections 4

Tennessee average 3.5


Last Health inspection on Oct 2023

Total health citations 35

Tennessee average 15.4

Citations per inspection
8.75

Tennessee average 4.39


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

29 of 35 citations resulted from standard inspections; 4 of 35 resulted from complaint investigations; and 2 of 35 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 3 years)
Critical Health citations More info 5
355% worse than Tennessee average

Tennessee average: 1.1


Serious Health citations More info 0
100% better than Tennessee average

Tennessee average: 0.6

5 critical citations More info Tennessee average: 1.1

0 serious citations More info Tennessee average: 0.6

30 moderate citations More info Tennessee average: 13.7

0 minor citations More info Tennessee average: 0.1
Citations history (last 3 years)
Abuse/Neglect moderate citation Info Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment. Oct 27, 2023
Corrected

Abuse/Neglect moderate citation Info Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment. Oct 27, 2023
Corrected

Abuse/Neglect moderate citation Info Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment. Oct 27, 2023
Corrected

Quality of Care moderate citation Info Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs. Oct 27, 2023
Corrected

Compare Nursing Homes around Franklin The information below is reported by the Tennessee Department of Health, Division of Health Care Facilities.

5 facilities compared · CMS & TN Dept. of Health data · Updated Apr 2026

Filter by care type
NHC HealthCare in Franklin
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.

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
80
20.5%
-72%
3.46
+38%
-5%
0
9
3.0
1
76
A+
47
Norris, Chelsey
$10.4M
$5.2M
49.8%
445127
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
-38%
-5%
0
35
8.8
5
92
A+
72
Claiborne Group Llc
$10.2M
$4.1M
40.1%
445157
Canterfield of Franklin LLC
-
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.

Franklin
99
-
-
-
-
-
-
-
-
0
0
0.0
0
-
-
-
-
-
-
-
-
Fountains of 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.

Franklin
68
-
-
-
-
-
-
-
-
0
0
0.0
0
-
-
-
-
-
-
-
-
Franklin Manor Nursing 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.

Franklin
47
-
-
-
-
-
-
-
-
0
0
0.0
0
-
-
-
-
-
-
-
-

Places of interest near Claiborne and Hughes Health Center

Address 1 mile from city center — 0.29 miles to nearest hospital (GracePointe Healthcare)

Address 200 Strahl St, Franklin, TN 37064

Calculate Travel Distance to Claiborne and Hughes Health Center

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Address

Staffing Data (Q2 2025)

This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.

Total staff 298
Employees 108
Contractors 190
Staff to resident ratio 3.27:1
83% better than Tennessee average

Tennessee average ratio: 1.79:1

Avg staff/day 39
Average shift 8.6 hours
0% compared with Tennessee average

Tennessee average: 8.3 hours

Total staff hours (quarter) 30,670
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 16
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.5 hours

This role is partially covered by contractors.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 86
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.9 hours

This role is partially covered by contractors.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 156
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.4 hours

This role is partially covered by contractors.

Contractor staffing

Total hours from contractors

16.6%

5,089 contractor hours this quarter

Certified Nursing Assistant: 108 Licensed Practical Nurse: 73 Registered Nurse: 8 Medication Aide/Technician: 1
Staff by category
Certified Nursing Assistant4810815617,50691100%9.4
Licensed Practical Nurse1373865,87791100%8.9
RN Director of Nursing5052,3188088%7.9
Respiratory Therapy Technician4046086774%6.9
Nurse Practitioner2025446369%8
Dietitian3035156167%7.9
Administrator2025046369%8
Registered Nurse88164855156%7.5
Other Dietary Services Staff5054555358%7.6
Mental Health Service Worker1014475459%8.3
Qualified Activities Professional1014325459%8
Clinical Nurse Specialist3034074549%7.8
Physical Therapy Aide6062475965%3.7
Occupational Therapy Aide1011482426%6.2
Physical Therapy Assistant303891719%5.3
Speech Language Pathologist101661921%3.5
Qualified Social Worker2021367%2.2
Medication Aide/Technician011811%7.6
156 Certified Nursing Assistant
% of Days 100%
86 Licensed Practical Nurse
% of Days 100%
5 RN Director of Nursing
% of Days 88%
4 Respiratory Therapy Technician
% of Days 74%
2 Nurse Practitioner
% of Days 69%
3 Dietitian
% of Days 67%
2 Administrator
% of Days 69%
16 Registered Nurse
% of Days 56%
5 Other Dietary Services Staff
% of Days 58%
1 Mental Health Service Worker
% of Days 59%
1 Qualified Activities Professional
% of Days 59%
3 Clinical Nurse Specialist
% of Days 49%
6 Physical Therapy Aide
% of Days 65%
1 Occupational Therapy Aide
% of Days 26%
3 Physical Therapy Assistant
% of Days 19%
1 Speech Language Pathologist
% of Days 21%
2 Qualified Social Worker
% of Days 7%
1 Medication Aide/Technician
% of Days 1%

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total census
91 residents
Residents by payment source
Medicare
12 residents (13.2%)
Medicaid
61 residents (67%)
Private pay or other
18 residents (19.8%)
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.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 9.8
6% better than Tennessee average

Tennessee average: 10.5

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 14.0
28% better than Tennessee average

Tennessee average: 19.5

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 11.9%
26% better than Tennessee average

Tennessee average: 16.0%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 14.7%
32% better than Tennessee average

Tennessee average: 21.7%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 15.5%
25% better than Tennessee average

Tennessee average: 20.7%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 6.1%
68% worse than Tennessee average

Tennessee average: 3.7%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 5.4%
In line with Tennessee average

Tennessee average: 5.4%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.3%
85% better than Tennessee average

Tennessee average: 2.1%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 11.0%
74% worse than Tennessee average

Tennessee average: 6.3%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 1.0%
91% better than Tennessee average

Tennessee average: 11.0%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 29.8%
80% worse than Tennessee average

Tennessee average: 16.5%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 34.2%
62% worse than Tennessee average

Tennessee average: 89.9%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 89.3%
6% worse than Tennessee average

Tennessee average: 94.5%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 49.8%
37% worse than Tennessee average

Tennessee average: 79.7%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 1.0%
39% better than Tennessee average

Tennessee average: 1.7%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 62.9%
21% worse than Tennessee average

Tennessee average: 79.8%

Guides for Better Senior Living

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CHOICES Program

TN Medicaid CHOICES

Age 65+ or disabled, Tennessee resident, Medicaid-eligible, nursing home-level care need.

~$2,829/month (300% FBR, individual).

$2,000 (individual), $3,000 (couple).

Managed care model; high rural demand.

Tennessee Options for Community Living

TN Options

Age 60+, Tennessee resident, at risk of nursing home.

~$2,000/month (individual, varies).

$5,000 (individual).

Limited funding; rural/urban balance.

Medicare Savings Program (MSP)

Tennessee Medicare Savings Program

Age 65+ or disabled, TN resident, Medicare Part A/B.

~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

$9,430 (individual), $14,130 (couple).

Three tiers; includes Extra Help for Part D; no waitlist.

Low-Income Home Energy Assistance Program (LIHEAP)

Tennessee LIHEAP

Age 60+ prioritized, TN resident, low-income household.

~$3,970/month (individual, 185% FPL).

Not assessed; income-focused.

Covers gas, electric, propane; emergency aid available.

Family Caregiver Support Program (FCSP)

Tennessee Family Caregiver Support Program

Caregivers of 60+ needing care or 55+ caregivers of others; TN resident; functional needs (2+ ADLs).

No strict cap; prioritizes low-income (~$24,980/year).

Not assessed; need-based.

Includes grandparent caregivers; high rural demand.

Senior Community Service Employment Program (SCSEP)

Tennessee SCSEP

Age 55+, unemployed, low-income, TN resident.

~$1,983/month (125% FPL).

Not specified; income-focused.

Priority for veterans, rural residents; AARP/Goodwill partnership.

VA Aid and Attendance (A&A) and Housebound Benefits

Tennessee VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse, TN resident, wartime service, need for ADL help (A&A) or homebound.

Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

~$155,356 (net worth limit).

High veteran population; supports rural/urban care needs.

Elderly Nutrition Program

Tennessee Elderly Nutrition Program

Age 60+, TN resident; no income limit but prioritizes low-income.

None; donations encouraged.

Not assessed.

Serves ~50,000 annually; 200+ congregate sites plus Meals on Wheels.

Property Tax Relief Program

Tennessee Property Tax Relief Program

Age 65+, TN resident, homeowner/renter (or widow/er 50+, disabled 18+).

~$45,000/year (household, excludes half of Social Security).

Not assessed; income-focused.

Rebates up to $1,000; serves ~100,000 annually.