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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.
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.
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 70th out of 134 homes in Tennessee.| Staff type | Hours / day | vs state avg |
|---|---|---|
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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.
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11m per day | ▼ 70% State avg: 37m per day · National avg: 41m per day |
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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.
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1h 1m per day | ▼ 8% State avg: 1h 6m per day · National avg: 52m per day |
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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.
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2h 1m per day | ▼ 6% State avg: 2h 9m per day · National avg: 2h 21m per day |
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Total Nursing (Weekend)
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.
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2h 53m per day | ▼ 14% State avg: 3h 21m per day · National avg: 3h 26m per day |
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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.
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4m per day | ▼ 20% State avg: 5m per day · National avg: 4m per day |
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RN (Weekend)
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.
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7m per day | ▼ 72% State avg: 25m per day · National avg: 29m per day |
Occupancy lower than 85% suggests more openings may be available.
Most residents stay for extended periods and receive ongoing daily care.
23% of new residents, usually for short-term rehab.
51% of new residents, often for short stays.
26% of new residents, often for long-term daily care.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #81 / 139Payroll — state benchmarkedThis home is ranked 81st out of 139 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.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
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.
Inspections are mandatory, regular evaluations conducted by state health departments or regulatory agencies. They ensure the community provides safe, compliant care, covering areas like resident health, staff and management.
Tennessee average: 9 complaint visits
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Tennessee average: 17 deficiencies
The most recent inspection on October 27, 2023, identified deficiencies related to verbal abuse by dietary staff, failure to timely report and investigate injuries of unknown origin, and improper transfer methods for a resident. Earlier inspections showed a pattern of issues with abuse reporting, resident care planning, monitoring of health conditions like blood glucose, and infection control. Prior complaint investigations substantiated failures in abuse reporting and supervision, including a 2021 investigation that found immediate jeopardy related to resident safety and staff training, though enforcement actions were not listed in the available reports. Most complaints were substantiated, particularly those involving abuse and inadequate investigation or reporting. The facility’s inspection history indicates ongoing challenges with abuse prevention and regulatory compliance, with no clear improvement trend evident.
Tennessee average 3.5
Last Health inspection on Oct 2023
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.
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).
355% worse than Tennessee average
Tennessee average: 1.1
0
100% better than Tennessee average
Tennessee average: 0.6
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Oct 27, 2023
Corrected
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Oct 27, 2023
Corrected
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Oct 27, 2023
Corrected
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Oct 27, 2023
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Claiborne and Hughes Health Center is located in Franklin, Tennessee.
Here are the financial assistance programs available to residents in Tennessee.
1 mile from city center
— 0.29 miles to nearest hospital (GracePointe Healthcare)
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This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
83% better than Tennessee average
Tennessee average ratio: 1.79:1
0% compared with Tennessee average
Tennessee average: 8.3 hours
Manages medical care and health needs.
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.
Assists with medical care and medications.
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.
Helps with daily care and mobility.
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.
Total hours from contractors
5,089 contractor hours this quarter
| Certified Nursing Assistant | 48 | 108 | 156 | 17,506 | 91 | 100% | 9.4 |
| Licensed Practical Nurse | 13 | 73 | 86 | 5,877 | 91 | 100% | 8.9 |
| RN Director of Nursing | 5 | 0 | 5 | 2,318 | 80 | 88% | 7.9 |
| Respiratory Therapy Technician | 4 | 0 | 4 | 608 | 67 | 74% | 6.9 |
| Nurse Practitioner | 2 | 0 | 2 | 544 | 63 | 69% | 8 |
| Dietitian | 3 | 0 | 3 | 515 | 61 | 67% | 7.9 |
| Administrator | 2 | 0 | 2 | 504 | 63 | 69% | 8 |
| Registered Nurse | 8 | 8 | 16 | 485 | 51 | 56% | 7.5 |
| Other Dietary Services Staff | 5 | 0 | 5 | 455 | 53 | 58% | 7.6 |
| Mental Health Service Worker | 1 | 0 | 1 | 447 | 54 | 59% | 8.3 |
| Qualified Activities Professional | 1 | 0 | 1 | 432 | 54 | 59% | 8 |
| Clinical Nurse Specialist | 3 | 0 | 3 | 407 | 45 | 49% | 7.8 |
| Physical Therapy Aide | 6 | 0 | 6 | 247 | 59 | 65% | 3.7 |
| Occupational Therapy Aide | 1 | 0 | 1 | 148 | 24 | 26% | 6.2 |
| Physical Therapy Assistant | 3 | 0 | 3 | 89 | 17 | 19% | 5.3 |
| Speech Language Pathologist | 1 | 0 | 1 | 66 | 19 | 21% | 3.5 |
| Qualified Social Worker | 2 | 0 | 2 | 13 | 6 | 7% | 2.2 |
| Medication Aide/Technician | 0 | 1 | 1 | 8 | 1 | 1% | 7.6 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
91
Residents meet regularly to discuss policies, care quality, and activities
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.
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.
9.8
6% better than Tennessee average
Tennessee average: 10.5
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
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
11.9%
26% better than Tennessee average
Tennessee average: 16.0%
Percent of long-stay residents whose ability to move independently worsened
14.7%
32% better than Tennessee average
Tennessee average: 21.7%
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%
Percent of long-stay residents experiencing one or more falls with major injury
6.1%
68% worse than Tennessee average
Tennessee average: 3.7%
Percent of long-stay high risk residents with pressure ulcers
5.4%
In line with Tennessee average
Tennessee average: 5.4%
Percent of long-stay residents with a urinary tract infection
0.3%
85% better than Tennessee average
Tennessee average: 2.1%
Percent of long-stay residents who lose too much weight
11.0%
74% worse than Tennessee average
Tennessee average: 6.3%
Percent of long-stay residents who have depressive symptoms
1.0%
91% better than Tennessee average
Tennessee average: 11.0%
Percent of long-stay residents who received an antipsychotic medication
29.8%
80% worse than Tennessee average
Tennessee average: 16.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
34.2%
62% worse than Tennessee average
Tennessee average: 89.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
89.3%
6% worse than Tennessee average
Tennessee average: 94.5%
Number of hospitalizations per 1,000 long-stay resident days.
1.43
9% better than Tennessee average
Tennessee average: 1.58
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.85
18% worse than Tennessee average
Tennessee 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
49.8%
37% worse than Tennessee average
Tennessee average: 79.7%
Percent of short-stay residents who newly received an antipsychotic medication
1.0%
39% better than Tennessee average
Tennessee average: 1.7%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
62.9%
21% worse than Tennessee average
Tennessee average: 79.8%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
16.1%
27% better than Tennessee average
Tennessee average: 22.2%
Percentage of short-stay residents who had an outpatient emergency department visit.
13.6%
21% worse than Tennessee average
Tennessee average: 11.2%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Tennessee average
Tennessee average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
29.2%
46% worse than Tennessee average
Tennessee average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
33.7%
33% worse than Tennessee average
Tennessee average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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
Penalties are imposed by CMS for violations of federal nursing home regulations.
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
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| 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 | 44 | 20.5% | -72% | 3.46 | +38% | -5% | 0 | 9 | 3.0 | 1 | 76 | A+ | 47 | Norris, Chelsey | $11.0M | $5.2M | 47.2% | 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 | $11.0M | $4.1M | 37.1% | 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 | - | - | - | - | - | - | - | - |
Historical financial and operational data for Claiborne and Hughes Health Center based on CMS SNF Cost Reports.
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