Deficiencies (last 4 years)
Deficiencies (over 4 years)
2.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
48% better than Tennessee average
Tennessee average: 4.4 deficiencies/yearDeficiencies per year
8
6
4
2
0
Inspection Report
Deficiencies: 1
Date: Oct 24, 2025
Visit Reason
The inspection was conducted as a partial extended survey following identification of Immediate Jeopardy related to nursing staff competencies and wound care management.
Findings
The facility failed to ensure nursing staff possessed the necessary competencies to safely care for residents, resulting in an Immediate Jeopardy related to improper handling of a resident's fall injury and failure to adhere to physician wound care orders. The Immediate Jeopardy was removed after a validated Removal Plan, but ongoing noncompliance was noted at a lower severity level.
Deficiencies (1)
Failure to ensure nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Report Facts
Residents affected: 2
Pressure injury size: 2
Pressure injury size: 2.7
Pressure injury depth: 0.1
Syringe volume: 3
Medication doses: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN F | Licensed Practical Nurse | Moved Resident #3's arm after fall, felt/heard bones popping/grinding |
| RN D | Registered Nurse | Observed providing fluids through a 3-milliliter syringe to Resident #6 |
Inspection Report
Routine
Deficiencies: 6
Date: Sep 29, 2022
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to resident care, safety, and facility environment at Nhc Healthcare, Franklin.
Findings
The facility was found deficient in multiple areas including failure to hold quarterly care plan meetings, failure to notify resident representatives of significant changes, inadequate housekeeping and maintenance leading to unsanitary conditions, failure to implement nutritional interventions, incomplete skin assessment documentation, failure to provide appropriate catheter care and documentation, and failure to monitor oxygen administration and equipment maintenance.
Deficiencies (6)
Failure to ensure Care Plan conference meetings were held at least quarterly for 1 of 21 sampled residents.
Failure to notify resident representative of a skin tear for 1 of 2 sampled residents.
Failure to provide effective housekeeping and maintenance services resulting in unsanitary conditions in 7 of 46 resident rooms.
Failure to implement interventions to maintain nutritional status for 2 residents and failure to complete skin assessment documentation for 1 resident.
Failure to provide care and services to maintain an indwelling urinary catheter including lack of physician order, catheter care, and urinary output documentation for 1 resident.
Failure to monitor oxygen administration and maintain oxygen tubing for 1 resident receiving respiratory services.
Report Facts
Residents sampled for care plan meetings: 21
Residents sampled for non pressure related skin conditions: 2
Resident rooms observed for housekeeping deficiencies: 46
Resident rooms with housekeeping deficiencies: 7
Weight loss: 4
Weight of Resident #65: 199
Weight of Resident #65: 198.4
Missed weight measurements: 2
Bruise measurement: 31.5
Bruise measurement: 26
Missed urinary output recordings: 16
Oxygen flow rate: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse #1 | Confirmed failure to notify resident representative about skin tears for Resident #29 | |
| Director of Social Services | Confirmed no care plan meetings held with Resident #33 for quarterly MDS assessments | |
| Director of Nursing | DON | Confirmed staff should have notified family of skin tear, assisted Resident #29 with meals, confirmed missed weight measurements, confirmed catheter care requirements, and confirmed oxygen monitoring deficiencies |
| Certified Nursing Assistant #1 | CNA | Observed not assisting Resident #29 with breakfast meal and confirmed failure to notify family of skin tear |
| Housekeeping Supervisor | Confirmed unsanitary conditions and need for cleaning in multiple resident rooms | |
| Maintenance Supervisor | Confirmed exposed wires and need for cable cover replacement | |
| Registered Nurse #1 | RN | Measured bruise on Resident #49's left arm |
Inspection Report
Deficiencies: 0
Date: Oct 30, 2019
Visit Reason
The document is a statement of deficiencies and plan of correction related to a facility survey completed on 2019-10-30.
Findings
No health deficiencies were found during the survey.
Inspection Report
Routine
Deficiencies: 2
Date: Dec 20, 2018
Visit Reason
The inspection was conducted to assess compliance with nursing home regulations, focusing on fall prevention and infection control practices.
Findings
The facility failed to complete fall investigations for one resident and did not maintain proper infection prevention practices, including improper cleaning of nebulizer equipment, staff touching residents' food with bare hands, and improper tracheostomy care procedures.
Deficiencies (2)
Failed to ensure that fall investigations were completed for 1 of 18 sampled residents reviewed for falls.
Failed to ensure practices were maintained to prevent the potential spread of infection including improper cleaning of nebulizer equipment, staff touching residents' food with bare hands, and improper tracheostomy care.
Report Facts
Residents sampled for falls: 18
Residents affected: 1
Staff involved in infection control issues: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Director of Nursing | Interviewed regarding incomplete fall investigations and infection control practices |
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