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NHC HealthCare in Franklin
Nursing Home, Home Care, Hospice Care & Skilled Nursing · Franklin, TN
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.
Outdoor seating area with tables and chairs Exterior view of NHC Rehab facility entrance Pathway and seating in the garden area of the facility Cozy common area with seating and decor

NHC HealthCare in Franklin

Nursing Home, Home Care, Hospice Care & Skilled Nursing · Franklin, TN
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.
216 Fairground St, Franklin, TN 37064 View map
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NHC HealthCare in Franklin accepts Medicare, Medicaid, and private pay.
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NHC HealthCare in Franklin accepts Medicare, Medicaid, and private pay.

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.

Facility Direct Line (615) 790-0154

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.
▼ 4.3% Below TN avg. ▼ 4.3% Below TN avg.TN average: 3.1Click the badge to see the full State ranking.Click here to see the full State ranking.
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.
▼ 34.4% Below TN avg. ▼ 34.4% Below TN avg.TN average: 3.1Click the badge to see the full State ranking.Click here to see the full State ranking.
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.
▲ 59.5% Above TN avg. ▲ 59.5% Above TN avg.TN average: 2.5Click the badge to see the full State ranking.Click here to see the full State ranking.
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.
▲ 34.6% Above TN avg. ▲ 34.6% Above TN avg.TN average: 3.7Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing Info Data period: Q4 2025 (October 1 – December 31, 2025).
Nursing care per resident per day and state rankings: CMS Provider Information.
Headcount, shifts and contractors: CMS Payroll-Based Journal (PBJ).
Resident count: CMS Long-Term Care Facility Characteristics (data as of Jun 2026).

Total nursing care per resident / day Info This nursing home is ranked 55th out of 174 nursing homes we track 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.
↑ 7% · TN 3h 42mThis facility: 3h 57m per resident per day, 7% above the Tennessee average of 3h 42m (among Tennessee facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. Rank #55 / 174Nurse hours — State benchmarked This nursing home is ranked 55th out of 174 nursing homes we track in Tennessee for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the Tennessee average, with a ranking across 174 Tennessee facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Tennessee that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
3h 57m

Standout metric: Registered nurse (RN) is +49% above Tennessee average

3 of 6 metrics below Tennessee average

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 Assistant3703712,94292100%10
Licensed Practical Nurse200206,42492100%9.7
Registered Nurse100102,6179098%10.4
Speech Language Pathologist5051,0527177%6.6
Mental Health Service Worker3251,0247278%6.1
Physical Therapy Assistant7078427582%5.2
Respiratory Therapy Technician8087357986%5.4
Physical Therapy Aide4046907278%6.8
Clinical Nurse Specialist3035385661%8.6
Dietitian1014806065%8
Nurse Practitioner1014645863%8
Administrator1014525762%7.9
Other Dietary Services Staff1014496166%7.4
Respiratory Therapist1014385964%7.4
Occupational Therapy Aide2023647076%5
Qualified Activities Professional1011773033%5.9
Qualified Social Worker2021692932%5.8
RN Director of Nursing1011325863%2.3
Dental Services Staff101835155%1.6
Occupational Therapy Assistant0112633%8.5
Other Physician011122%0.3
Medical Director011011%0.3
37 Certified Nursing Assistant
Coverage 100%
20 Licensed Practical Nurse
Coverage 100%
10 Registered Nurse
Coverage 98%
5 Speech Language Pathologist
Coverage 77%
By The Numbers

Community insights.

Bed count Info A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions. 44 Rank #163 / 180Bed count — State benchmarked This nursing home is ranked 163rd out of 180 nursing homes we track in Tennessee for bed count. Shows this facility's certified or reported bed count compared to other Tennessee facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Tennessee that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.

Smaller home · May offer a more intimate, personalized care environment.

Years of operating Info A longer operating history, which may indicate experience navigating regulations and delivering ongoing care. This is the number of years in operation under current management. Rank #2 / 156Years in operation — State benchmarked This nursing home is ranked 2nd out of 156 nursing homes we track in Tennessee for years in operation. Shows how long this facility has been in operation compared to other Tennessee facilities. Longer operating histories may benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Tennessee that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
55 years
Walk Score Info Car-dependent. A few nearby services may be reachable on foot, but most trips require transportation. Rank #65 / 189Walk Score — State benchmarked This nursing home is ranked 65th out of 189 nursing homes we track in Tennessee for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Tennessee facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Tennessee that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
47 / 100
Avg. Length of Stay Info Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
129 days
BBB Rating Info An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
A+ Not Accredited
How BBB ratings work

About This Community

License Details

Facility TypeNursing Home
IssuanceJanuary 7, 1992
ExpirationApril 6, 2027
CountyLawrence
License Number00000295
CMS Certification Number445127

Ownership & Operating Entity

NHC HealthCare in Franklin is legally operated by NHC HealthCare/Franklin, LLC, and administered by Chelsey Foster Norris.

Therapy & Rehabilitation

4 services
Short-Term Rehab
Physical Therapy
Occupational Therapy
Speech Therapy

Staffing & Medical

1 service
DietitianListed as: Dietitian and chef-approved meals

Additional Services

3 services
Respite CareRespite care provides families and unpaid caregivers with short-term relief from caregiving duties. Care can range from a few hours to a few weeks.
In-Home Care
Social Work & Case Management

Additional Policies & Features

Pets not allowed

Amenities & Lifestyle

Rehabilitation Center

Contact NHC HealthCare in Franklin

This profile shows two inspection records, and their totals often differ. Inspection History and the Inspection Scorecard below are state data — the figures the state publishes and the state inspection reports we hold on file — covering the entire facility. CMS Health Inspection History covers only this home's Medicare and Medicaid-certified nursing beds, from federal certification surveys.

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.

Since 2021 · 5 years of data These figures come from state-published data and the state inspection reports we hold on file. The period covered can vary depending on document availability.
Includes all inspection records for this property, which could include management/ownership changes. 5 citations 1 inspection

Inspection Scorecard Info 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.

Since 2021 vs. Tennessee state average
Overall vs. TN average 1 Worse Metrics worse than Tennessee average:
• Citations per inspection (127% above) 1 At Avg Metrics at Tennessee average:
• Total citations (at TN avg) 0 Better No metrics in this bucket.

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

This FacilityTN Averagevs. TN Avg
Total citations Info Formal regulatory issues recorded by inspectors across all inspection types. 55.0 This facility has total citations in line with the Tennessee average (5 vs. TN avg 5).— At avg
Citations per inspection Info Average citations per inspection. 5.02.2 This facility has 127% more citations per inspection than a typical Tennessee nursing home (5 vs. TN avg 2.2).↑ 127% worse

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

This FacilityTN Averagevs. TN Avg
Total inspections Info Combined count of all inspections conducted at this facility. 13.0 This facility has had 67% fewer total inspections than the Tennessee average (1 vs. TN avg 3). More inspections can mean more regulatory scrutiny rather than worse care.↓ 67% fewer
Show Inspection Reports

Residents information

Stay stats

Average length of stay
547 days
Total residents
43
Total admissions (2024)
20
Total discharges (2024)
8

Discharges

  • To Private Residence or Home 1
  • To Nursing Home 4

Demographics

GENDER

  • Female Residents 67.4%
  • Male Residents 32.6%

AGE DISTRIBUTION

  • 60-64 2.3%
  • 65-69 14%
  • 70-74 20.9%
  • 75-79 20.9%
  • 80-84 18.6%
  • 85-89 16.3%
  • 90 or more 7%

ETHNICITY

  • White Residents 100%
Inspections

CMS Health Inspection History

Since 2018 · 8 years of data · Last health inspection Oct 2025

Federal inspection data published by CMS, covering this home's Medicare and/or Medicaid-certified skilled-nursing/nursing beds only.

Total health inspections
3 ↓ 9% · TN 3.3This facility: 3, 9% below the Tennessee average of 3.3 (among Tennessee facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Total health citations
9 Rank #46 / 175Health citations — State benchmarked This nursing home is ranked 46th out of 175 nursing homes we track in Tennessee for health citations. Shows this facility's total health deficiency citations benchmarked to the Tennessee State average, with a ranking across all 175 TN facilities. Lower citation counts earn a better rank. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Tennessee that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↓ 38% · TN 14.5This facility: 9, 38% below the Tennessee average of 14.5 (among Tennessee facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citations per inspection
3 Rank #37 / 175Citations per inspection — State benchmarked This nursing home is ranked 37th out of 175 nursing homes we track in Tennessee for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Tennessee mean across 175 facilities with citation data. Lower is better. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Tennessee that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↓ 30% · TN 4.31This facility: 3, 30% below the Tennessee average of 4.31 (among Tennessee facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citation severity
100% corrected 9 of 9 citations corrected
Bar = mix of this home's 9 citations, not a state comparison

Lighter shade = corrected

Critical J–L
1 ↑ 25% · TN 0.8This facility: 1, 25% above the Tennessee average of 0.8 (among Tennessee facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Immediate jeopardy
Serious G–I
0 ↓ 100% · TN 0.5This facility: 0, 100% below the Tennessee average of 0.5 (among Tennessee facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Actual harm
Moderate D–F
8 ↓ 39% · TN 13.1This facility: 8, 39% below the Tennessee average of 13.1 (among Tennessee facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, more than minimal risk
Minor A–C
0 ↓ 100% · TN 0.1This facility: 0, 100% below the Tennessee average of 0.1 (among Tennessee facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, minimal risk

Latest inspection: Oct 24, 2025 · 1 citation (Nursing Services, critical), corrected

Most cited category: Quality of Life & Care, 4 of 9 citations · 4 categories in total

Citations history
Most recent first
Oct 24, 2025 1 citation
Nursing Services critical citation Corrected
Sep 29, 2022 6 citations
Quality of Care moderate citation Corrected
Quality of Care moderate citation Corrected
Quality of Care moderate citation Corrected
Resident Rights moderate citation Corrected
Resident Rights moderate citation Corrected
Resident Rights moderate citation Corrected
Dec 20, 2018 2 citations
Infection Control moderate citation Corrected
Quality of Care moderate citation Corrected
Top deficiency categories
Share of 9 citations
Quality of Life & Care 4 deficiencies (44%)
Resident Rights 3 deficiencies (33%)
Infection Control 1 deficiency (11%)
Nursing & Physician Services 1 deficiency (11%)
How citations are counted

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

8 of 9 citations resulted from standard inspections; and 1 of 9 resulted from complaint investigations.

Includes all CMS health inspection records for this property, which could include management/ownership changes.

Source

Data sourced from CMS Health Deficiencies reports, which cover the Medicare and/or Medicaid-certified skilled-nursing and nursing beds and no other part of the community. 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.

Enforcement

Penalties and fines About 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 · Data as of Aug 2026

1 penalty in the past 3 years

Latest: Oct 24, 2025 · $62,491 civil money penalty

1 fine
Oct 24, 2025 · $62,491 civil money penalty
Total fines
$62,491 ↓ 9% · TN $69KThis facility: $62,491, 9% below the Tennessee average of $68,994. Average among the 107 Tennessee facilities with a penalty on record.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US avg $67KUS average: $67,417, among the 6,775 US facilities with a penalty on record.Rank #150 / 175Federal fines — State benchmarked This nursing home is ranked 150th out of 175 nursing homes we track in Tennessee for federal fines. Shows this facility's cumulative CMS federal fine dollars versus the Tennessee average among facilities with fines, and where it ranks among 175 facilities in the pool. Lower total dollars mean a better rank. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Tennessee that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Number of fines
1 ↓ 34% · TN 1.52This facility: 1, 34% below the Tennessee average of 1.52. Average among the 107 Tennessee facilities with a penalty on record.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US avg 1.96US average: 1.96, among the 6,775 US facilities with a penalty on record.
Payment denials What is a payment denial? Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0 TN avg 0.3Tennessee average: 0.3. Average among the 107 Tennessee facilities with a penalty on record.US avg 0.36US average: 0.36, among the 6,775 US facilities with a penalty on record.
Health Outcomes

Quality of care over time

How residents at this home fare on health outcomes and preventive care, compared with the Tennessee average.

Data as of Aug 2026 · CMS Care Compare

Long-stay quality rating Info CMS star rating for the care of long-stay residents, who live at the home for 100 days or more. It is built from the long-stay quality measures below. 5 stars is the best. 5 / 5 Significantly above average ↑ 37% · TN 3.7This facility: 5.0, 37% above the TN average of 3.7 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Short-stay quality rating Info CMS star rating for the care of short-stay residents, mostly people recovering after a hospital stay for under 100 days. It is built from the short-stay quality measures below. 5 stars is the best. 4 / 5 Above average ↑ 18% · TN 3.4This facility: 4.0, 18% above the TN average of 3.4 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
High-risk clinical events Info Average of five long-stay measures: pressure ulcers, falls with major injury, unplanned weight loss, worsening ability to walk, and needing more help with daily activities. Each is the % of residents affected, so lower is better. 7.8 Score · lower is better ↓ 14% · TN 9.1This facility: 7.8, 14% below the TN average of 9.1 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Functional decline Info Average of three long-stay measures: needing more help with daily activities, worsening ability to walk, and loss of bowel or bladder control. Each is the % of residents affected, so lower is better. 15.2 Score · lower is better ↓ 11% · TN 17.1This facility: 15.2, 11% below the TN average of 17.1 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.

13 long-stay measures: 10 better, 1 worse, 2 near TN average

8 short-stay measures: 3 better, 2 worse, 3 compared with US only

Breakdown by payment type

Medicare

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

Typical stay 1 - 2 months

Private pay

53% of new residents, often for short stays.

Typical stay 2 - 3 months

Medicaid

24% of new residents, often for long-term daily care.

Typical stay 11 - 12 months

Facility Characteristics

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

Total residents 74
Medicare
74
100% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Nurse Aide Training

State-approved Nurse Aide Training and Competency Evaluation Program on-site

Active Resident Council

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.

Financials

Money and staffing.

NHC HealthCare in Franklin’s finances from its CMS cost report for the fiscal year ending December 2024, compared with 169 Tennessee nursing homes that filed a recent report. Includes all financial data for this property, which could include management/ownership changes.

FY Dec 2024

Is it financially stable?

Losing money on care, but less than last year

−10.6% operating margin

+11.5 pts vs prior year

An operating loss in 8 of the last 8 reported years. Other income ($0.4M) trims the net loss to −$0.6M. Watch for cost-cutting that reaches staffing.

Does it invest in staff?

Spends more on payroll than most Tennessee homes

62.3% payroll share of revenue

TN average 53.2%Rank #25 / 169Payroll % of net patient revenue — State benchmarked This nursing home is ranked 25th out of 169 nursing homes we track in Tennessee for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the Tennessee average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Tennessee that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.

Payroll fell $0.2M while revenue rose $0.7M. Check hours per resident in the staffing section to confirm it reaches the floor.

This home is administered by Chelsey Foster Norris.

Certified by the Centers for Medicare & Medicaid Services authority — CMS Certification Number: 445127

Show certification details

Who this home usually serves

TYPE OF STAY

Mix of rehab and long-term care

This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.

Most new residents arrive under private pay (53% of admissions), and a typical private pay stay runs around 2 - 3 months.

Admissions
220 total

Coverage residents most often arrive under.

Medicare 23%
Private pay 53%
Medicaid 24%
Discharges
218 total

Coverage residents most often leave under.

Medicare 16%
Private pay 57%
Medicaid 27%

Admissions and discharges reflect care patterns over time — they are not used to rate this facility.

How we assess these insights

Places of interest near NHC HealthCare in Franklin

Address 1.6 miles from city center Info Estimated distance in miles from Franklin's city center to NHC HealthCare in Franklin's address, calculated via Google Maps.

Calculate Travel Distance to NHC HealthCare in Franklin

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Address

Compare Nursing Homes around Franklin

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-ranked to lowest-ranked based on our 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: 53.2% 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 105
Rank #82 / 180
67.6%
Facility 67.6%
TN AVG 73.9%
Rank #89 / 134
-8%
4.99
Facility 4.99
TN AVG 3.70
Rank #18 / 174
 ★ ★ ★ ★ ☆ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ +30%+35%
$0
Facility $0
TN AVG $69.0k
Rank #1 / 175
8
Facility 8
TN AVG 14.5
Rank #34 / 175
2.7
Facility 2.7
TN AVG 4.3
Rank #32 / 175
273-
34
Facility 34
TN AVG 38
Rank #108 / 189
Nhc Healthcare/Cool Springs, LLC
$18.1MFiscal year ending 12/2024
Facility $18.1MFiscal year ending 12/2024
TN AVG $12.0M
Rank #25 / 169
$11.6MFiscal year ending 12/2024
Facility $11.6MFiscal year ending 12/2024
TN AVG $6.3M
Rank #13 / 169
64.4%Fiscal year ending 12/2024
Facility 64.4%Fiscal year ending 12/2024
TN AVG 53.2%
Rank #15 / 169
445475
Franklin Wellness and Rehabilitation Center ★ ★ ☆ ☆ ☆
NH
SNF
Franklin (West Meade =)
88
Facility 88
TN AVG 105
Rank #114 / 180
69.8%
Facility 69.8%
TN AVG 73.9%
Rank #96 / 134
-6%
3.73
Facility 3.73
TN AVG 3.70
Rank #55 / 174
 ★ ☆ ☆ ☆ ☆ ★ ★ ★ ☆ ☆ ★ ★ ★ ★ ★ +82%+1%
$44.5k
Facility $44.5k
TN AVG $69.0k
Rank #143 / 175
16
Facility 16
TN AVG 14.5
Rank #101 / 175
5.3
Facility 5.3
TN AVG 4.3
Rank #127 / 175
261-
69
Facility 69
TN AVG 38
Rank #18 / 189
Franklin Operating Group LLC
$6.0MFiscal year ending 12/2024
Facility $6.0MFiscal year ending 12/2024
TN AVG $12.0M
Rank #151 / 169
$3.2MFiscal year ending 12/2024
Facility $3.2MFiscal year ending 12/2024
TN AVG $6.3M
Rank #149 / 169
52.9%Fiscal year ending 12/2024
Facility 52.9%Fiscal year ending 12/2024
TN AVG 53.2%
Rank #66 / 169
445146
NHC HealthCare in Franklin ★ ★ ★ ☆ ☆
NH
HC
HOS
SNF
Franklin
44
Facility 44
TN AVG 105
Rank #163 / 180
--
3.95
Facility 3.95
TN AVG 3.70
Rank #55 / 174
 ★ ★ ☆ ☆ ☆ ★ ★ ★ ★ ☆ ★ ★ ★ ★ ★ 0%+7%
$62.5k
Facility $62.5k
TN AVG $69.0k
Rank #150 / 175
9
Facility 9
TN AVG 14.5
Rank #46 / 175
3.0
Facility 3.0
TN AVG 4.3
Rank #37 / 175
172A+
47
Facility 47
TN AVG 38
Rank #65 / 189
Nhc Healthcare/Franklin, LLC
$9.3MFiscal year ending 12/2024
Facility $9.3MFiscal year ending 12/2024
TN AVG $12.0M
Rank #115 / 169
$5.8MFiscal year ending 12/2024
Facility $5.8MFiscal year ending 12/2024
TN AVG $6.3M
Rank #74 / 169
62.3%Fiscal year ending 12/2024
Facility 62.3%Fiscal year ending 12/2024
TN AVG 53.2%
Rank #25 / 169
445127
Claiborne and Hughes Health Center ★ ☆ ☆ ☆ ☆
NH
MC
SNF
Franklin
157
Facility 157
TN AVG 105
Rank #26 / 180
55.2%
Facility 55.2%
TN AVG 73.9%
Rank #114 / 134
-25%
3.72
Facility 3.72
TN AVG 3.70
Rank #41 / 174
 ★ ☆ ☆ ☆ ☆ ★ ★ ☆ ☆ ☆ ★ ★ ★ ☆ ☆ -11%+1%
$0
Facility $0
TN AVG $69.0k
Rank #1 / 175
35
Facility 35
TN AVG 14.5
Rank #170 / 175
8.8
Facility 8.8
TN AVG 4.3
Rank #170 / 175
587-
72
Facility 72
TN AVG 38
Rank #15 / 189
Claiborne Group LLC
$10.3MFiscal year ending 12/2024
Facility $10.3MFiscal year ending 12/2024
TN AVG $12.0M
Rank #87 / 169
$5.2MFiscal year ending 12/2024
Facility $5.2MFiscal year ending 12/2024
TN AVG $6.3M
Rank #85 / 169
50.8%Fiscal year ending 12/2024
Facility 50.8%Fiscal year ending 12/2024
TN AVG 53.2%
Rank #81 / 169
445157

Rank badges are statewide and care-type specific: each nursing home is ranked against every other TN nursing home we track that reports that metric, not just the 4 on this page. See how we rank facilities

Nursing Home Explorer

Financial Assistance for
Nursing Home in Tennessee

NHC HealthCare in Franklin is located in Franklin, Tennessee.
Here are the financial assistance programs available to residents in Tennessee.

Get Financial aid guidance

CHOICES Program

TN Medicaid CHOICES

Age 65+ or disabled
General Tennessee resident, Medicaid-eligible, nursing home-level care need.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple).
TN

Managed care model; high rural demand.

Benefits
Personal care (5-7 hours/day) Respite (240 hours/year) Adult day care ($65/day) Home modifications ($1,500 avg.)

Tennessee Options for Community Living

TN Options

Age 60+
General Tennessee resident, at risk of nursing home.
Income Limits ~$2,000/month individual, varies
Asset Limits $5,000 individual
TN

Limited funding; rural/urban balance.

Benefits
In-home care (3-5 hours/week) Respite (up to 10 days/year) Transportation (~5 trips/month)

Medicare Savings Program (MSP)

Tennessee Medicare Savings Program

Age 65+ or disabled
General TN resident, Medicare Part A/B.
Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
Asset Limits $9,430 (individual), $14,130 (couple).
TN

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

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

Family Caregiver Support Program (FCSP)

Tennessee Family Caregiver Support Program

Age —
General Caregivers of 60+ needing care or 55+ caregivers of others; TN resident; functional needs (2+ ADLs).
Income Limits (2025) No strict cap; prioritizes low-income ~$24,980/year
Asset Limits Not assessed; need-based.
TN

Includes grandparent caregivers; high rural demand.

Benefits
Respite (4-6 hours/week or 5 days/year) Adult day care ($60/day) Training Supplies (~$500/year)

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

Tennessee VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse
General TN resident, wartime service, need for ADL help (A&A) or homebound.
Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits ~$155,356 net worth limit
TN

High veteran population; supports rural/urban care needs.

Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living)

Elderly Nutrition Program

Tennessee Elderly Nutrition Program

Age 60+
General TN resident; no income limit but prioritizes low-income.
Income Limits (2025) None; donations encouraged.
Asset Limits Not assessed.
TN

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

Benefits
Congregate meals ($5-$7/meal value) at senior centers Home-delivered meals ($5-$7/meal)

Property Tax Relief Program

Tennessee Property Tax Relief Program

Age 65+
General TN resident, homeowner/renter (or widow/er 50+, disabled 18+).
Income Limits (2025) ~$45,000/year household, excludes half of Social Security
Asset Limits Not assessed; income-focused.
TN

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

Benefits
Tax rebates (~$250-$1,000 based on income; e.g., $1,000 if income < $8,000)

Frequently Asked Questions about NHC HealthCare in Franklin

Who is the owner of NHC HealthCare in Franklin?

NHC HealthCare in Franklin is legally operated by NHC HealthCare/Franklin, LLC, and administered by Chelsey Foster Norris.

Is NHC HealthCare in Franklin in a walkable area?

NHC HealthCare in Franklin has a walk score of 47. Car-dependent. A few nearby services may be reachable on foot, but most trips require transportation.

What is the license number of NHC HealthCare in Franklin?

According to TN state health department records, NHC HealthCare in Franklin's license number is 00000295.

When does NHC HealthCare in Franklin's license expire?

According to TN state health department records, NHC HealthCare in Franklin's license expires on April 6, 2027.

How long has NHC HealthCare in Franklin been in business?

NHC HealthCare in Franklin has been operating for approximately 55 years, based on available licensing and registration records.

Are pets allowed at NHC HealthCare in Franklin?

No, NHC HealthCare in Franklin has a no-pet policy.

Does NHC HealthCare in Franklin operate as a for-profit or non-profit?

NHC HealthCare in Franklin is registered as a for-profit in TN.

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