1/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
1/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
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 97th out of 192 homes in Tennessee for nurse hours. 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.
|
13m per day | ▼ 64% 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.
|
1h 12m per day | ▲ 9% 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 15m per day | ▲ 5% 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 13m per day | ▼ 4% 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.
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4m per day | ▼ 23% 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.
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10m per day | ▼ 62% State avg: 25m per day · National avg: 29m per day |
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.
|
35 | 4 | This facility has 775% more total citations than a typical Tennessee nursing home (35 vs. TN avg 4).↑ 775% worse |
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Citations per year
Average citations per year since 2019.
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5 | 0.6 | This facility has 733% more citations per year than a typical Tennessee nursing home (5 vs. TN avg 0.6).↑ 733% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
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
100% better than Tennessee average
Tennessee average: 0.6
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
61% more staff per resident than Tennessee average
7% better than Tennessee average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
20 total: 4 full-time employees and 16 contractors.
20
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10 hours
Assists with medical care and medications.
69 total: 7 full-time employees and 62 contractors.
69
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.2 hours
Helps with daily care and mobility.
130 total: 50 full-time employees and 80 contractors.
130
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
5,761 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 50 | 80 | 130 | 18,458 | 92 | 100% | 9.4 |
| Licensed Practical Nurse | 7 | 62 | 69 | 6,266 | 92 | 100% | 10.2 |
| RN Director of Nursing | 9 | 0 | 9 | 3,568 | 89 | 97% | 7.9 |
| Physical Therapist | 5 | 0 | 5 | 1,989 | 92 | 100% | 8 |
| Registered Nurse | 4 | 16 | 20 | 1,267 | 92 | 100% | 10 |
| Respiratory Therapy Technician | 3 | 0 | 3 | 525 | 68 | 74% | 7.5 |
| Mental Health Service Worker | 1 | 0 | 1 | 496 | 62 | 67% | 8 |
| Physical Therapy Aide | 2 | 0 | 2 | 494 | 65 | 71% | 7.4 |
| Qualified Social Worker | 3 | 0 | 3 | 460 | 68 | 74% | 6.8 |
| Speech Language Pathologist | 1 | 0 | 1 | 459 | 62 | 67% | 7.4 |
| Nurse Practitioner | 1 | 0 | 1 | 456 | 58 | 63% | 7.9 |
| Other Dietary Services Staff | 4 | 0 | 4 | 425 | 61 | 66% | 7 |
| Administrator | 1 | 0 | 1 | 416 | 52 | 57% | 8 |
| Dietitian | 1 | 0 | 1 | 408 | 51 | 55% | 8 |
| Occupational Therapy Aide | 1 | 0 | 1 | 244 | 35 | 38% | 7 |
| Clinical Nurse Specialist | 4 | 0 | 4 | 118 | 14 | 15% | 7.9 |
| Physical Therapy Assistant | 1 | 0 | 1 | 4 | 1 | 1% | 4 |
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.
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.
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.
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.
Historical financial and operational data for Claiborne and Hughes Health Center from 2011–2023, based on CMS SNF Cost Reports.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #88 / 196Payroll — State benchmarkedThis home is ranked 88th out of 196 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.Rankings are based only on facilities in Tennessee that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #29 / 196Payroll % — State benchmarkedThis home is ranked 29th out of 196 homes in Tennessee. Shows payroll as a percentage of revenue versus the Tennessee average. Well-run Tennessee facilities typically land around 50–60% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Tennessee that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Most residents stay for extended periods and receive ongoing daily care.
Most new residents arrive under private pay (51% of admissions), and a typical private pay stay runs around 4 - 5 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
0.8 miles from city center
Estimated distance in miles from Franklin's city center to Claiborne and Hughes Health Center's address, calculated via Google Maps.
Add your location
The information below is reported by the Tennessee Department of Health, Division of Health Care Facilities.
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| NHC Place Cool Springs |
NH
AL
HC
MC
|
Franklin (Cool Springs) |
108
Facility
108
TN AVG
88
Rank
#123 / 426
|
67.6%
Facility
67.6%
TN AVG
73%
Rank
#202 / 319
| -7% |
4.86
Facility
4.86
TN AVG
3.63
Rank
#13 / 192
| +30% | +34% |
$0
Facility
$0
TN AVG
$90.9k
Rank
#1 / 198
|
8
Facility
8
TN AVG
15.4
Rank
#43 / 196
|
2.7
Facility
2.7
TN AVG
4.4
Rank
#38 / 196
| 2 | 69 | - |
34
Facility
34
TN AVG
34
Rank
#279 / 553
| Anthony Moore |
$15.2M
Facility
$15.2M
TN AVG
$11.5M
Rank
#51 / 196
|
$9.4M
Facility
$9.4M
TN AVG
$4.6M
Rank
#19 / 196
|
61.9%
Facility
61.9%
TN AVG
41%
Rank
#16 / 196
| 445475 | ||||
| NHC HealthCare in Franklin |
NH
HC
NC
|
Franklin |
44
Facility
44
TN AVG
88
Rank
#377 / 426
|
20.5%
Facility
20.5%
TN AVG
73%
Rank
#60 / 319
| -72% |
3.46
Facility
3.46
TN AVG
3.63
Rank
#79 / 192
| 0% | -5% |
$62.5k
Facility
$62.5k
TN AVG
$90.9k
Rank
#171 / 198
|
9
Facility
9
TN AVG
15.4
Rank
#55 / 196
|
3.0
Facility
3.0
TN AVG
4.4
Rank
#48 / 196
| 1 | 74 | A+ |
47
Facility
47
TN AVG
34
Rank
#166 / 553
| Chelsey Norris |
$8.5M
Facility
$8.5M
TN AVG
$11.5M
Rank
#133 / 196
|
$6.0M
Facility
$6.0M
TN AVG
$4.6M
Rank
#91 / 196
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70%
Facility
70%
TN AVG
41%
Rank
#31 / 196
| 445127 | ||||
| Claiborne and Hughes Health Center |
NH
AL
HC
MC
|
Franklin |
157
Facility
157
TN AVG
88
Rank
#31 / 426
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59.6%
Facility
59.6%
TN AVG
73%
Rank
#246 / 319
| -18% |
3.44
Facility
3.44
TN AVG
3.63
Rank
#97 / 192
| -11% | -5% |
$0
Facility
$0
TN AVG
$90.9k
Rank
#1 / 198
|
35
Facility
35
TN AVG
15.4
Rank
#185 / 196
|
8.8
Facility
8.8
TN AVG
4.4
Rank
#191 / 196
| 5 | 89 | - |
72
Facility
72
TN AVG
34
Rank
#30 / 553
| Claiborne Group LLC |
$9.7M
Facility
$9.7M
TN AVG
$11.5M
Rank
#131 / 196
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$4.5M
Facility
$4.5M
TN AVG
$4.6M
Rank
#88 / 196
|
45.7%
Facility
45.7%
TN AVG
41%
Rank
#29 / 196
| 445157 |
Claiborne and Hughes Health Center is located in Franklin, Tennessee.
Here are the financial assistance programs available to residents in Tennessee.
Claiborne and Hughes Health Center has a walk score of 72. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
Claiborne and Hughes Health Center's occupancy is 59.6%.
Claiborne and Hughes Health Center is registered as a for-profit in TN.
Yes — there are 2 photos of Claiborne and Hughes Health Center in the photo gallery on this page.
Claiborne and Hughes Health Center is located at 200 Strahl St, Franklin, TN 37064.
(615) 791-1103 will put you in contact with the team at Claiborne and Hughes Health Center.
Yes — Claiborne and Hughes Health Center is a CMS-certified provider of Medicare and Medicaid.
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