Franklin Wellness and Rehabilitation Center
1287 West Main Street, Franklin, TN 37064 · Williamson County · (615) 794-8417
88 certified beds, about 61 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1981
Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
1 of 5
Staffing
3 of 5
Quality measures
5 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 445146 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on June 9, 2025, inspectors cited 5 health deficiencies (the Tennessee average is 4.4, the national average 9.2).
Of 16 health citations since February 2019, 2 were rated as actual harm or immediate jeopardy to residents (2 immediate jeopardy).
CMS lists 1 fine totaling $44,469 in the last three years; the largest was $44,469, and the latest is dated June 9, 2025.
Nurses and nurse aides worked 3.56 hours per resident per day, against 3.80 across Tennessee and 3.86 nationally. Registered nurses accounted for 1.01 of those hours.
83.3% of nursing staff left within the year CMS measured (Tennessee average 48.9%).
CMS links it to Ahava Healthcare, an affiliated group of 16 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
502/19
301/20
806/25
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 16 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
2J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
11D
2E
1F
Potential for minimal harm
0A
0B
0C
June 9, 2025Standard inspection, Complaint inspection · 8 citations
- J Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on policy review, medical record review, observation, and interview, the facility failed to ensure residents maintained acceptable parameters of nutritional status, obtain admission weights, monitor weights, accurately assess residents for weight loss, and implement and monitor nutritional interventions for 7 of 11 (Resident #2, #15, #17, #32, #51, #52, and #158) sampled residents reviewed for nutritional status. The facility failed to accurately assess for weight loss and implement and monitor interventions to prevent severe weight loss for Resident #17, #32, and #52. The facility's failure to identify and address severe weight loss resulted in Immediate Jeopardy for Resident #17, #32, and #52. [...]
- E Provide safe, appropriate dialysis care/services for a resident who requires such services.
Inspectors wroteBased on facility policy review, medical record review, and interview, the facility failed to assess the residents' condition, monitor for complications, implement appropriate interventions, and maintain ongoing communication with the dialysis center for 2 of 2 (Resident #19 and #42) sampled residents reviewed for dialysis.
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on policy review, kitchen sanitation logs, observation, and interview, the facility failed to ensure food was stored, handled, prepared, and served under sanitary conditions when the facility failed to complete the food temperature log, dish washer temperatures, test the sanitizing solution level of the low temperature dishwasher three times a day, and when expired foods were found in the Emergency Food Supply. The facility had a census of 57 with 57 of those residents receiving a tray from the kitchen.
- D Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Inspectors wroteBased on facility policy review, medical record review, and interview, the facility failed to ensure medications were stored and administered safely when medications were left unattended in resident's room during medication administration for 1 of 6 (Resident #5) residents reviewed.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on facility policy review, medical record review, observation, and interview, the facility failed to provide a safe, sanitary, and comfortable environment to help prevent the development and transmission of communicable diseases and infections for 1 of 1 (Resident #258) resident on Transmission Based Precautions.
- J Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on facility policy review, medical record review, facility documentation review, and interview, the facility failed to ensure 1 of 3 (Resident #10) sampled residents reviewed for accident hazards received adequate supervision to prevent elopement (a situation where a resident leaves the premises or safe area without necessary supervision). On 4/27/2024, at approximately 1:00 PM, Resident #10, a vulnerable and cognitively impaired resident with a history of wandering behaviors, eloped from the facility when the receptionist unlocked the main entrance door for a vendor to exit the building. Resident #10 followed the vendor out of the main entrance. A staff member observed the Resident on the sidewalk across a 2-lane street and assisted the Resident inside the facility within 2-3 minutes of his elopement. [...]
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on review of the Resident Assessment Instrument (RAI) Manual 3.0, medical record review, and interview, the facility failed to accurately assess the use of antipsychotic medication for 1 of 6 (Residents #31) sampled residents reviewed.
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on facility policy review, record review, and interview, the facility failed to follow physician's orders and administer medications according to professional standards, as well as facility policy, for 1 of 6 (Resident #15) residents reviewed.
January 9, 2020Standard inspection · 3 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on policy review, observation, and interview, the facility failed to ensure food was stored, prepared, and served under sanitary conditions as evidenced by a burner stove with thick black carbon build up on the stove eyes, carbon build up in an oven, and 1 of 2 dietary staff (Cook #1) failed to perform hand hygiene with glove use and had facial hair exposed. The facility had a census of 57 residents with 57 of those residents receiving a tray from the kitchen.
- D Allow residents to self-administer drugs if determined clinically appropriate.
Inspectors wroteBased on policy review, medical record review, observation, and interview, the facility failed to ensure 1 of 4 nurses (Licensed Practical Nurse (LPN) #1) remained with a resident during an inhalation treatment for 1 of 10 sampled residents (Resident #32) observed during medication administration.
- D Assess the resident when there is a significant change in condition
Inspectors wroteBased on medical record review and interview, the facility failed to complete a Significant Change Minimum Data Set (MDS) assessment for 1 of 18 sampled residents (Resident #56) reviewed.
February 22, 2019Standard inspection · 5 citations
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on policy review, medical record review, and interview, the facility failed to prevent accidents related to falls for 1 of 12 (Resident #30) residents when fall interventions were not implemented.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on policy review, medical record review, and interview, the facility failed to ensure 1 of 12 (Resident #30) residents were free from accident hazards by not implementing the interventions for falls.
- D Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Inspectors wroteBased on policy review, observation, and interview the facility failed to ensure correct placement for the Percutaneous Endoscopic Gastrostomy (PEG) before administering medication when 1 of 6 (Licensed Practical Nurse (LPN)#1) failed to check placement.
- D Ensure that residents are free from significant medication errors.
Inspectors wroteBased on policy review, medical record review, observation, and interview, the facility failed to ensure that residents were free from significant medication error when 1 of 6 (Licensed Practical Nurse (LPN)#1) nurses failed to administer the correct dose of Tegretal, an anticonvulsant medication.
- D Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Inspectors wroteBased on policy review, observation, and interview, the facility failed to ensure medications were properly stored when 1 of 6 (Licensed Practical Nurse (LPN) #1) nurses left medication unattended during medication administration.
Fire safety inspections
6 fire safety citations on file: 4 on June 9, 2025, 1 on October 30, 2023, 1 on January 9, 2020.
Every fire safety citation6 citations
- D Conduct testing and exercise requirements.
- D Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D Have properly located and lighted "Exit" signs.
- D Have approved installation, maintenance and testing program for fire alarm systems.
- D Have approved installation, maintenance and testing program for fire alarm systems.
- D Inspect, test, and maintain automatic sprinkler systems.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| June 9, 2025 | Fine | $44,469 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Tennessee | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.56 | 3.80 | 3.86 |
| Registered nurses | 1.01 | 0.60 | 0.69 |
| All nursing staff on weekends | 3.18 | 3.31 | 3.42 |
| Nurse aides | 1.88 | ||
| Licensed practical nurses | 0.67 | ||
| Nursing staff turnover (share who left in a year) | 83.3% | 48.9% | 45.8% |
| Registered nurse turnover | 83.3% | 43.2% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.59 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.71 on weekdays and 3.18 on weekends, 14% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 3.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.79 in April to June 2025 to 3.56 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.56 | 1.01 | 3.71 | 3.18 | 3.0% | 0 of 90 | 61 |
| Oct to Dec 2025 | 3.71 | 0.65 | 3.80 | 3.48 | 3.7% | 0 of 92 | 60 |
| Jul to Sep 2025 | 3.76 | 0.48 | 3.96 | 3.25 | 13.2% | 0 of 92 | 62 |
| Apr to Jun 2025 | 3.79 | 0.56 | 4.02 | 3.21 | 39.6% | 0 of 91 | 57 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Tennessee, Jan to Mar 2026 | 3.75 | 0.56 | 3.95 | 3.27 | 4.0% | 0.7% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
Staff pay at this home
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
Official wage estimates for Tennessee
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Tennessee, all employers | |||
| CNAs (nursing assistants) | $18.27 | $17.09 to $19.66 | 27,040 |
| LPNs and LVNs | $28.31 | $23.64 to $30.12 | 20,830 |
| Registered nurses | $39.18 | $36.28 to $45.79 | 72,200 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Tennessee | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 17.3 | 14.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.3 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.1 | 1.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.7 | 3.4 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.5 | 1.7 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 15.2 | 17.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 11.0 | 5.0 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 9.2 | 16.9 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 15.0 | 22.6 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 6.7 | 11.2 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.0 | 1.7 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.8 | 1.6 | 1.8 |
Owners and operators
Legal business name: FRANKLIN OPERATING GROUP LLC. CMS links this home to Ahava Healthcare, a group of 16 nursing homes averaging 2.4 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Franklin Holdco, LLC | 5% or greater direct ownership interest | Organization | 100% | 06/01/2019 |
| Ecm Holdings LLC | 5% or greater indirect ownership interest | Organization | 10% | 06/01/2019 |
| Niederman, Anshel | Managing control - governing body | Individual | 06/01/2019 | |
| Niederman, Anshel | Corporate director | Individual | 06/01/2019 | |
| Beason, Pamela | Operational/managerial control | Individual | 04/01/2024 | |
| Randolph, Bonnie | Operational/managerial control | Individual | 01/01/2025 | |
| Eisen, Menashe | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 03/28/2025 | |
| Philipson, Bent | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 03/28/2025 | |
| Philipson, Gabrielle | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 03/28/2025 | |
| Philipson, Raquel | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 04/10/2025 | |
| Beason, Pamela | Adp of the SNF | Individual | 03/28/2025 | |
| Randolph, Bonnie | Adp of the SNF | Individual | 03/28/2025 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 5 problems in this area, most recently on June 9, 2025: "Provide enough food/fluids to maintain a resident's health."
- When is the care plan meeting, and can family attend it?Inspectors cited 4 problems in this area, most recently on June 9, 2025: "Ensure each resident receives an accurate assessment."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 3 problems in this area, most recently on June 9, 2025: "Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on June 9, 2025: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.18 hours per resident per day, below the Tennessee average of 3.31.
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- Mulberry Health & Rehabilitation Franklin, 0.3 mi · 1 of 5 stars · 35 citations
- NHC Healthcare, Franklin Franklin, 0.5 mi · 2 of 5 stars · 9 citations
- NHC Place at Cool Springs Franklin, 3.1 mi · 4 of 5 stars · 8 citations
- Somerfield at the Heritage Brentwood, 8 mi · 3 of 5 stars · 8 citations
- NHC Place at the Trace Nashville, 9.6 mi · 5 of 5 stars · 13 citations
- The Meadows Nashville, 12 mi · 4 of 5 stars · 13 citations
- West Meade Place Nashville, 12 mi · 5 of 5 stars · 17 citations
- The Reserve at Spring Hill Spring Hill, 12.5 mi · 5 of 5 stars · 9 citations
Tennessee contacts for a concern about a nursing home
These are the official offices in Tennessee. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Tennessee Health Facilities Commission, Division of Licensure and Regulation, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Tennessee Long-Term Care Ombudsman, Department of Disability and Aging, 877-236-0013. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
Common questions
- What is Franklin Wellness and Rehabilitation Center's Medicare star rating?
- CMS rates Franklin Wellness and Rehabilitation Center 2 out of 5 stars overall, with 1 for health inspections, 3 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Franklin Wellness and Rehabilitation Center get at its last inspection?
- 5 health deficiencies at the standard inspection on June 9, 2025. The Tennessee average is 4.4.
- Has Franklin Wellness and Rehabilitation Center been fined?
- Yes. CMS lists 1 fine totaling $44,469 in the last three years.
- Does Franklin Wellness and Rehabilitation Center accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Franklin Wellness and Rehabilitation Center?
- CMS lists 12 owners and managers, and links the home to Ahava Healthcare. Legal business name: FRANKLIN OPERATING GROUP LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.