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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.
Situated in Franklin, Nhc Place Cool Springs is an exceptional residence in Tennessee, providing not only short-term care and skilled nursing but also rehabilitation services to cater to the needs of seniors. Beyond these essential services, they extend their care offerings to assisted living, long-term care, and memory care, emphasizing the importance of fostering independence while ensuring reliable support. The facility, known for its positive environment and commitment to quality food, offers a broad range of healthcare services, making it a comprehensive destination for senior care.
Nhc Place Cool Springs boasts a large facility with an outstanding healthcare team, including specialized physicians, nurses, therapists, nurse practitioners, dietitians, and chefs dedicated to providing top-notch care. The on-site rehabilitation facility enhances convenience, while specialty services like IV therapy, podiatry care, diabetes management, psychological services, and more contribute to the holistic approach to senior well-being. This establishment excels in nursing home care, embodying qualifications and standards that prioritize the health and comfort of its residents.
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 11th out of 134 homes in Tennessee.| Staff type | Hours / day | 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.
| 1h 19m per day | ▲ 114% State avg: 37m per day · National avg: 41m per day |
|
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 13m per day | ▲ 11% 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 36m per day | ▲ 21% State avg: 2h 9m per day · National avg: 2h 21m per day |
|
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.
| 4h 8m per day | ▲ 23% 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.
| 25m per day | ▲ 400% State avg: 5m per day · National avg: 4m per day |
|
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.
| 1h 8m per day | ▲ 172% State avg: 25m per day · National avg: 29m per day |
Most residents typically stay for a few weeks or months before returning home or moving on.
81% of new residents, usually for short-term rehab.
19% of new residents, often for short stays.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #23 / 139Payroll — state benchmarkedThis home is ranked 23rd 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.
Lower than the Tennessee average: 71.6%NHC Place Cool Springs is legally operated by NHC Healthcare/Cool Springs, LLC, and administrated by Anthony Todd Moore.
In Tennessee, the Department of Health, Division of Health Care Facilities performs unannounced inspections and investigations to ensure facilities provide high-quality resident care.
The data displayed corresponds to the last 9 years.
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 September 14, 2022, found deficiencies related to failure to ensure all staff with medical and religious exemptions completed required twice-weekly COVID-19 testing. Earlier inspections identified issues with resident care, including inadequate pressure ulcer management, mouth and nail care, medication monitoring, and food handling sanitation, as well as safety concerns involving accident hazards and medication storage. A complaint investigation in 2019 substantiated deficiencies in wound care, medication oversight, and sanitary food practices. Enforcement actions such as fines or license suspensions were not listed in the available reports. The facility’s inspection history shows recurring themes in resident care and safety, with no clear pattern of improvement or worsening over time.
Tennessee average 3.5
Last Health inspection on Sep 2022
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.
All 8 citations resulted from standard inspections.
100% better than Tennessee averageTennessee average: 1.1
2
233% worse than Tennessee averageTennessee average: 0.6
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Sep 14, 2022
Corrected
Issues related to food quality, meal service, and resident's nutritional needs.
Aug 22, 2019
Corrected
Issues related to medication management, including how drugs are stored, administered, and monitored.
Aug 22, 2019
Corrected
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Aug 22, 2019
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.
NHC Place Cool Springs is located in Franklin, Tennessee.
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3.1 miles from city center
Estimated distance in miles from Franklin's city center to NHC Place Cool Springs's address, calculated via Google Maps.
— 1.85 miles to nearest hospital (Vanderbilt Children's Gastroenterology Franklin)
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This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
223% better than Tennessee averageTennessee average ratio: 1.79:1
0% compared with Tennessee averageTennessee 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.
9.4 hoursThis 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.
9.4 hoursThis 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.
9.2 hoursThis role is partially covered by contractors.
Total hours from contractors
1,334 contractor hours this quarter
| Certified Nursing Assistant | 64 | 53 | 117 | 15,136 | 91 | 100% | 9.2 |
| Licensed Practical Nurse | 21 | 32 | 53 | 7,937 | 91 | 100% | 9.4 |
| Registered Nurse | 30 | 2 | 32 | 6,307 | 91 | 100% | 9.4 |
| Respiratory Therapy Technician | 12 | 0 | 12 | 2,474 | 78 | 86% | 7.2 |
| Mental Health Service Worker | 5 | 1 | 6 | 2,373 | 76 | 84% | 7.8 |
| Qualified Social Worker | 10 | 0 | 10 | 1,897 | 91 | 100% | 6.7 |
| Speech Language Pathologist | 8 | 0 | 8 | 1,806 | 85 | 93% | 7 |
| Respiratory Therapist | 9 | 0 | 9 | 1,685 | 90 | 99% | 7.2 |
| Physical Therapy Aide | 8 | 0 | 8 | 1,650 | 69 | 76% | 6.4 |
| Physical Therapy Assistant | 8 | 0 | 8 | 1,332 | 80 | 88% | 7.3 |
| Dietitian | 3 | 0 | 3 | 830 | 66 | 73% | 8.7 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 774 | 62 | 68% | 8.2 |
| Nurse Aide in Training | 4 | 0 | 4 | 601 | 45 | 49% | 11.5 |
| Qualified Activities Professional | 4 | 0 | 4 | 581 | 64 | 70% | 7 |
| Occupational Therapy Aide | 4 | 0 | 4 | 485 | 61 | 67% | 7.4 |
| Nurse Practitioner | 1 | 0 | 1 | 448 | 57 | 63% | 7.9 |
| Administrator | 1 | 0 | 1 | 436 | 55 | 60% | 7.9 |
| Other Dietary Services Staff | 6 | 0 | 6 | 32 | 9 | 10% | 2.7 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 20 | 3 | 3% | 6.5 |
| Other Physician | 0 | 1 | 1 | 3 | 3 | 3% | 1 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
50Residents 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.
14.4
38% worse than Tennessee averageTennessee average: 10.5
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
25.1
29% worse than Tennessee averageTennessee 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
28.0%
75% worse than Tennessee averageTennessee average: 16.0%
Percent of long-stay residents whose ability to move independently worsened
27.9%
29% worse than Tennessee averageTennessee average: 21.7%
Percent of low risk long-stay residents who lose control of their bowels or bladder
19.4%
6% better than Tennessee averageTennessee average: 20.7%
Percent of long-stay residents experiencing one or more falls with major injury
8.6%
135% worse than Tennessee averageTennessee average: 3.7%
Percent of long-stay high risk residents with pressure ulcers
4.6%
15% better than Tennessee averageTennessee average: 5.4%
Percent of long-stay residents with a urinary tract infection
3.5%
70% worse than Tennessee averageTennessee average: 2.1%
Percent of long-stay residents who lose too much weight
2.9%
54% better than Tennessee averageTennessee average: 6.3%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Tennessee averageTennessee average: 11.0%
Percent of long-stay residents who received an antipsychotic medication
1.7%
90% better than Tennessee averageTennessee average: 16.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
91.4%
In line with Tennessee averageTennessee average: 89.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
85.3%
10% worse than Tennessee averageTennessee average: 94.5%
Number of hospitalizations per 1,000 long-stay resident days.
1.27
20% better than Tennessee averageTennessee average: 1.58
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.34
15% better than Tennessee averageTennessee 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
58.3%
27% worse than Tennessee averageTennessee average: 79.7%
Percent of short-stay residents who newly received an antipsychotic medication
1.9%
10% worse than Tennessee averageTennessee average: 1.7%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
62.3%
22% worse than Tennessee averageTennessee average: 79.8%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
21.1%
5% better than Tennessee averageTennessee average: 22.2%
Percentage of short-stay residents who had an outpatient emergency department visit.
10.7%
In line with Tennessee averageTennessee average: 11.2%
Percentage of SNF residents who experience falls with major injury during their stay.
1.4%
77% worse than Tennessee averageTennessee average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
68.6%
28% better than Tennessee averageTennessee average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
65.8%
30% better than Tennessee averageTennessee 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.
| NHC Place Cool Springs |
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.
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 (Cool Springs) | 108 | 67.6% | -7% | 4.86 | +26% | +34% | 0 | 8 | 2.7 | 2 | 69 | - | 34 | Moore, Anthony | $17.0M | $8.0M | 46.8% | 445475 | ||||
| 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 NHC Place Cool Springs based on CMS SNF Cost Reports.
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