Franklin-Simpson Nursing and Rehabilitation Center
Nursing Home, Hospice Care, Memory Care, Palliative Care, Respite Care & Skilled Nursing · Franklin, KY
CMS overall rating Info 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.

Franklin-Simpson Nursing and Rehabilitation Center

Nursing Home, Hospice Care, Memory Care, Palliative Care, Respite Care & Skilled Nursing · Franklin, KY
CMS overall rating Info 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.
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Franklin-Simpson Nursing and Rehabilitation Center accepts Medicare, Medicaid, and private pay.

Inspection History

In Kentucky, the Cabinet for Health and Family Services, Office of Inspector General is the regulatory authority that conducts inspections and investigates complaints in all long-term care homes.

Since 2019 · 7 years of data 16 deficiencies 5 inspections

Inspection Scorecard Info This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Kentucky state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2019 vs. Kentucky state average
Overall vs. KY average 2 Worse Metrics worse than Kentucky average:
• Total deficiencies (167% above)
• Deficiencies per inspection (113% above)
0 Better No metrics in this bucket.

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

This FacilityKY Averagevs. KY Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 166 This facility has 167% more total deficiencies than a typical Kentucky nursing home (16 vs. KY avg 6).↑ 167% worse
Deficiencies per inspection Info Average deficiencies per inspection. 3.21.5 This facility has 113% more deficiencies per inspection than a typical Kentucky nursing home (3.2 vs. KY avg 1.5).↑ 113% worse

Inspections Info State inspections evaluate whether the facility meets health and safety standards.

This FacilityKY Averagevs. KY Avg
Total inspections Info Combined count of all inspections conducted at this facility. 54 This facility has had 25% more total inspections than the Kentucky average (5 vs. KY avg 4). More inspections can mean more regulatory scrutiny rather than worse care.↑ 25% more

Health Inspection History

Inspections since 2019
Total health inspections 3

State average 2.9


Last Health inspection on Jul 2025

Total health citations
15 Rank #117 / 191Health citations — State benchmarkedThis home is ranked 117th out of 191 homes in Kentucky for health citations. Shows this facility's total health deficiency citations benchmarked to the Kentucky State average, with a ranking across all 191 KY facilities. Lower citation counts earn a better rank.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Kentucky 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.

State average 13.5

Citations per inspection
5 Rank #125 / 191Citations per inspection — State benchmarkedThis home is ranked 125th out of 191 homes in Kentucky for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Kentucky mean across 191 facilities with citation data. Lower is better.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Kentucky 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.

State average 4.4


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

All 15 citations resulted from standard inspections.

Breakdown of citation severity (last 7 years)
Critical health citations
0
100% better than State average

State average: 1.1


Serious health citations
2
233% worse than State average

State average: 0.6

0 critical citations State average: 1.1

2 serious citations State average: 0.6

13 moderate citations State average: 11.6

0 minor citations State average: 0.1
Citations history (last 7 years)
Resident Rights moderate citation Jul 03, 2025
Corrected

Nutrition moderate citation May 20, 2021
Corrected

Pharmacy moderate citation May 20, 2021
Corrected

Care Planning moderate citation May 20, 2021
Corrected

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 117
Employees 87
Contractors 30
Staff to resident ratio 1.46 : 1
15% fewer staff per resident than Kentucky average
Kentucky average ratio: 1.72 : 1 Kentucky average ratio: 1.72 : 1See full Kentucky ranking
Avg staff/day 33
Average shift 8.6 hours
0% compared with Kentucky average
Kentucky average: 8.5 hours Kentucky average shift: 8.5 hoursSee full Kentucky ranking
Total staff hours (quarter) 25,967

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info 11 total: 7 full-time employees and 4 contractors. 11
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.5 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info 20 total: 16 full-time employees and 4 contractors. 20
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.9 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 43 CNA Staff are full-time employees. No contractors work on this role. 43
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.8 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

10.3%

2,668 contractor hours this quarter

Licensed Practical Nurse: 4 Registered Nurse: 4 Physical Therapy Aide: 4 Respiratory Therapy Technician: 4 Speech Language Pathologist: 3 Qualified Social Worker: 3 Physical Therapy Assistant: 3 Occupational Therapy Assistant: 2 Occupational Therapy Aide: 2 Medical Director: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant4304311,95492100%9.8
Licensed Practical Nurse164205,08492100%8.9
Clinical Nurse Specialist6061,4286975%7.8
Medication Aide/Technician7071,3358491%9.4
Registered Nurse74111,0277683%7.5
Speech Language Pathologist0336576571%6.8
Other Dietary Services Staff2025536166%7.8
Administrator1015126470%8
Mental Health Service Worker1014886166%8
Nurse Practitioner1014465762%7.8
Dietitian1014366065%7.3
Nurse Aide in Training1014324751%9.2
RN Director of Nursing1013434549%7.6
Physical Therapy Aide0443114650%6.8
Qualified Social Worker0332485863%4.3
Physical Therapy Assistant0332255257%4.1
Occupational Therapy Aide0222161415%8
Medical Director0111132527%4.5
Respiratory Therapy Technician044843437%2.3
Occupational Therapy Assistant0227678%6.3
43 Certified Nursing Assistant
% of Days 100%
20 Licensed Practical Nurse
% of Days 100%
6 Clinical Nurse Specialist
% of Days 75%
7 Medication Aide/Technician
% of Days 91%
11 Registered Nurse
% of Days 83%
3 Speech Language Pathologist
% of Days 71%
2 Other Dietary Services Staff
% of Days 66%
1 Administrator
% of Days 70%
1 Mental Health Service Worker
% of Days 66%
1 Nurse Practitioner
% of Days 62%
1 Dietitian
% of Days 65%
1 Nurse Aide in Training
% of Days 51%
1 RN Director of Nursing
% of Days 49%
4 Physical Therapy Aide
% of Days 50%
3 Qualified Social Worker
% of Days 63%
3 Physical Therapy Assistant
% of Days 57%
2 Occupational Therapy Aide
% of Days 15%
1 Medical Director
% of Days 27%
4 Respiratory Therapy Technician
% of Days 37%
2 Occupational Therapy Assistant
% of Days 8%

Penalties and fines

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.

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. 7.6
27% better than Kentucky average

Kentucky average: 10.5

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 12.5
34% better than Kentucky average

Kentucky average: 18.9

Long-stay resident measures
Below average Kentucky avg: 3.5 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 7.9%
53% better than Kentucky average

Kentucky average: 16.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 12.3%
37% better than Kentucky average

Kentucky average: 19.6%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 17.4%
15% better than Kentucky average

Kentucky average: 20.5%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 5.6%
48% worse than Kentucky average

Kentucky average: 3.8%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 7.5%
30% worse than Kentucky average

Kentucky average: 5.8%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 3.4%
82% worse than Kentucky average

Kentucky average: 1.9%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 4.9%
28% better than Kentucky average

Kentucky average: 6.8%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 0.0%
100% better than Kentucky average

Kentucky average: 14.3%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 28.4%
82% worse than Kentucky average

Kentucky average: 15.6%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 87.6%
7% worse than Kentucky average

Kentucky average: 93.9%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 95.1%
In line with Kentucky average

Kentucky average: 96.2%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 2.61
40% worse than Kentucky average

Kentucky average: 1.87

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 3.82
74% worse than Kentucky average

Kentucky average: 2.19

Short-stay resident measures
Significantly below average Kentucky avg: 2.2 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 76.2%
9% worse than Kentucky average

Kentucky average: 83.7%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 3.9%
99% worse than Kentucky average

Kentucky average: 1.9%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 91.4%
9% better than Kentucky average

Kentucky average: 83.6%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 25.8%
5% worse than Kentucky average

Kentucky average: 24.5%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 17.5%
26% worse than Kentucky average

Kentucky average: 13.9%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 3.6%
364% worse than Kentucky average

Kentucky average: 0.8%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 46.1%
9% worse than Kentucky average

Kentucky average: 50.6%

Breakdown by payment type

Medicare

15% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

22% of new residents, often for short stays.

Typical stay 2 months

Medicaid

64% of new residents, often for long-term daily care.

Typical stay 7 - 8 months

Facility Characteristics

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

Total residents 80
Medicare
3
3.8% of residents
Medicaid
68
85% of residents
Private pay or other
9
11.3% of residents
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.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

For-profit
Operated by a single business entity.
Net patient revenue Info 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."
$6.3M
Net patient income Info 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."
-$994.8K
For-profit Operated by a single business entity.
Net patient revenue Info 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."
$6.3M Rank #150 / 184Net patient revenue — State benchmarkedThis home is ranked 150th out of 184 homes in Kentucky. Shows this facility's net patient revenue compared to the Kentucky average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Kentucky that report data for that category. Facilities without available data are excluded from the ranking.
Net patient income Info 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."
-$994.8K
Other income Info 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.
$248.3K
Payroll costs Info 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 #117 / 184Payroll costs — State benchmarkedThis home is ranked 117th out of 184 homes in Kentucky. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Kentucky average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Kentucky that report data for that category. Facilities without available data are excluded from the ranking.
$3.6M 57.4% of net patient revenue Info 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 #33 / 184Payroll % of net patient revenue — State benchmarkedThis home is ranked 33rd out of 184 homes in Kentucky. Shows payroll as a percentage of net patient revenue versus the Kentucky average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Kentucky that report data for that category. Facilities without available data are excluded from the ranking.
Other operating costs Info 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).
$3.7M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$7.2M

Who this home usually serves

TYPE OF STAY

Mostly long-term care residents

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

Most new residents arrive under Medicaid (64% of admissions), and a typical Medicaid stay runs around 7 - 8 months.

Admissions
143 total

Coverage residents most often arrive under.

Medicare 15%
Private pay 22%
Medicaid 64%
Discharges
146 total

Coverage residents most often leave under.

Medicare 6%
Private pay 21%
Medicaid 73%

Places of interest near Franklin-Simpson Nursing and Rehabilitation Center

Address 0.1 miles from city center Info Estimated distance in miles from Franklin's city center to Franklin-Simpson Nursing and Rehabilitation Center's address, calculated via Google Maps.

Calculate Travel Distance to Franklin-Simpson Nursing and Rehabilitation Center

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Address

Compare Nursing Homes around the area

Info below is compiled from CMS reports & the KY Cabinet for Health & Family Services (CHFS), senior community websites & trusted data sources such as Walk Score & BBB.

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

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185291
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Middlesboro
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3.34
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Melissa Robbins
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Facility $4.6MFiscal year ending 12/2023
KY AVG $4.8M
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185240
Maysville Nursing and Rehabilitation Facility
NH
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Maysville
130
Facility 130
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----185157
Franklin-Simpson Nursing and Rehabilitation Center
NH
HOS
MC
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RC
SNF
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98
Facility 98
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Facility 81.6%
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2.95
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15
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68
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185331

Frequently Asked Questions about Franklin-Simpson Nursing and Rehabilitation Center

Who is the owner of Franklin-Simpson Nursing and Rehabilitation Center?

Franklin-Simpson Nursing and Rehabilitation Center is legally operated by Franklin Health Center, LLC, and administered by Crystal Patterson.

Is Franklin-Simpson Nursing and Rehabilitation Center in a walkable area?

Franklin-Simpson Nursing and Rehabilitation Center has a walk score of 68. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

What is the license number of Franklin-Simpson Nursing and Rehabilitation Center?

According to KY state health department records, Franklin-Simpson Nursing and Rehabilitation Center's license number is 100391.

What is the occupancy rate at Franklin-Simpson Nursing and Rehabilitation Center?

Franklin-Simpson Nursing and Rehabilitation Center's occupancy is 82%.

How long has Franklin-Simpson Nursing and Rehabilitation Center been in business?

Franklin-Simpson Nursing and Rehabilitation Center has been operating for approximately 1 year, based on available licensing and registration records.

Are pets allowed at Franklin-Simpson Nursing and Rehabilitation Center?

No, Franklin-Simpson Nursing and Rehabilitation Center has a no-pet policy.

Does Franklin-Simpson Nursing and Rehabilitation Center operate as a for-profit or non-profit?

Franklin-Simpson Nursing and Rehabilitation Center is registered as a for-profit in KY.

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