NHC Healthcare, Franklin
216 Fairground St., Franklin, TN 37064 · Williamson County · (615) 790-0154
80 certified beds, about 71 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1980
CMS Care Compare ratings, data as of September 1, 2026 · CCN 445127 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on September 29, 2022, inspectors cited 6 health deficiencies (the Tennessee average is 4.4, the national average 9.2).
Of 9 health citations since December 2018, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists 1 fine totaling $62,491 in the last three years; the largest was $62,491, and the latest is dated October 24, 2025.
Nurses and nurse aides worked 3.49 hours per resident per day, against 3.80 across Tennessee and 3.86 nationally. Registered nurses accounted for 0.60 of those hours.
55.3% of nursing staff left within the year CMS measured (Tennessee average 48.9%).
CMS links it to National Healthcare Corporation, an affiliated group of 71 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.
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 9 health citations on file.
October 24, 2025Complaint inspection · 1 citation
- J Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Inspectors wroteBased on Facility Assessment Tool review, policy review, Falls Management Process Resource review, medical record review, Emergency Medical System (EMS) report review, Hospital record review, observation, and interview, the facility failed to ensure all nursing staff possessed the competencies and skill sets necessary to provide nursing and related services to safely meet the residents' needs for 2 of 7 (Resident #3 and Resident #6) sampled residents reviewed. On 5/28/2025, Resident #3 had an unwitnessed fall and was found on the floor lying next to her bed on her right side with her arm under her back. Resident #3 was unable to move her right arm. Licensed Practical Nurse (LPN) F moved Resident #3's arm from behind the resident's body and the LPN felt/heard Resident #3's bones popping/grinding together. Resident #3 stated, My arm is broken! several times. [...]
September 29, 2022Standard inspection · 6 citations
- D Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Inspectors wroteBased on policy review, medical record review, and interview, the facility failed to ensure Care Plan conference meetings were held at least quarterly for 1 of 21 (Resident #33) sampled residents reviewed for care plan meetings.
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on policy review, medical record review, and interview the facility failed to notify the resident representative of a skin tear for 1 of 2 sampled residents (Resident # 29) reviewed for non pressure related skin conditions.
- D Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Inspectors wroteBased on review of the facility's contracted housekeeping proposal, Maintenance Supervisor's Job Description review, Housekeeping Supervisor Job Description review, policy review, observation, and interview, the facility failed to provide effective housekeeping services and maintenance services to maintain a sanitary, orderly, and comfortable environment as evidenced by trash and debris lying on the floors, sticky floors with a buildup of dirt and grime, dust and cobwebs in the corner behind a door, exposed wires, dirty fall mats and overbed table bases, telephones lying on the floor, dirty bathroom floors and toilet, missing privacy curtains, and a fan covered in thick gray dust in 7 of 46 resident rooms (room [ROOM NUMBER], #410, #411, #503, #507, #508, and #510) observed.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on policy review, medical record review, observation, and interview, the facility failed to ensure interventions were implemented to maintain nutritional status for 2 or 2 residents (Resident #29 and #65) reviewed for nutrition and failed to ensure skin assessment documentation was not completed for 1 of 2 residents (Resident #49) reviewed for non-pressure related skin conditions.
- D Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Inspectors wroteBased on facility policy review, medical record review, observation, and interview, the facility failed to provide care and services to maintain an indwelling urinary catheter when nursing staff failed to obtain a physician's order, provide catheter care, and record urinary output for the use of an indwelling urinary catheter (a plastic tube inserted into the bladder used to drain urine into a plastic bag) for 1 of 2 sampled residents (Resident #58) reviewed for the use of an indwelling urinary catheter.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on policy review, medical record review, observation, and interview, the facility failed to monitor oxygen administration and oxygen tubing maintenance for 1 of 3 residents (Resident #56) reviewed for respiratory services.
October 30, 2019Standard inspection · 0 citations
December 20, 2018Standard inspection · 2 citations
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on policy review, observation, and interview, the facility failed to ensure practices were maintained to prevent the potential spread of infection when 1 of 3 (Registered Nurse (RN) #1) nurses failed to properly clean the nebulizer equipment after use during medication administration, 2 of 16 (Certified Nursing Assistant (CNA) #1) and (Licensed Practical Nurse (LPN) #2) staff members touched the residents' food during dining, and Respiratory Therapist (RT) #1 failed to perform appropriate infection control practice during tracheostomy care.
- 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, review of fall investigation reports, and interview, the facility failed to ensure that fall investigations were completed for 1 of 18 (Resident #57) sampled residents reviewed for falls.
Fire safety inspections
20 fire safety citations on file: 9 on September 29, 2022, 9 on October 30, 2019, 2 on December 20, 2018.
Every fire safety citation20 citations
- F Ensure proper usage of power strips and extension cords.
- D Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D Install emergency lighting that can last at least 1 1/2 hours.
- D Provide properly protected cooking facilities.
- D Have approved installation, maintenance and testing program for fire alarm systems.
- D Install an approved automatic sprinkler system.
- D Inspect, test, and maintain automatic sprinkler systems.
- D Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- D To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- D Conduct risk assessment and an All-Hazards approach.
- D Address subsistence needs for staff and patients.
- D Provide primary/alternate means for communication.
- D Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D Construct fire resistant interior walls.
- D Install an approved automatic sprinkler system.
- D Have restrictions on the use of portable space heaters.
- D Have proper medical gas storage and administration areas.
- D Ensure proper usage of power strips and extension cords.
- C Inspect, test, and maintain automatic sprinkler systems.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| October 24, 2025 | Fine | $62,491 |
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) | 3.49 | 3.80 | 3.86 |
| Registered nurses | 0.60 | 0.60 | 0.69 |
| All nursing staff on weekends | 2.99 | 3.31 | 3.42 |
| Nurse aides | 1.76 | ||
| Licensed practical nurses | 1.13 | ||
| Nursing staff turnover (share who left in a year) | 55.3% | 48.9% | 45.8% |
| Registered nurse turnover | 46.7% | 43.2% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.56 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 3.70 on weekdays and 2.99 on weekends, 19% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.51 in April to June 2025 to 3.49 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 | 3.49 | 0.60 | 3.70 | 2.99 | 0.0% | 2 of 90 | 71 |
| Oct to Dec 2025 | 3.39 | 0.53 | 3.47 | 3.18 | 0.0% | 0 of 92 | 74 |
| Jul to Sep 2025 | 3.69 | 0.72 | 3.86 | 3.25 | 0.0% | 0 of 92 | 73 |
| Apr to Jun 2025 | 3.51 | 0.65 | 3.64 | 3.18 | 0.0% | 1 of 91 | 76 |
| 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 | 11.5 | 14.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.3 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.4 | 1.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 6.3 | 3.4 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.9 | 1.7 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 14.1 | 17.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.2 | 5.0 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 16.7 | 16.9 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 23.7 | 22.6 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 15.6 | 11.2 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.5 | 1.7 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.2 | 1.6 | 1.8 |
Owners and operators
Legal business name: NHC HEALTHCARE-FRANKLIN LLC. CMS links this home to National Healthcare Corporation, a group of 71 nursing homes averaging 4 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Morgan Stanley Institutional Advisors LLC | Indirect ownership interest | Organization | 11/08/2024 | |
| NHC/Delaware Inc | Indirect ownership interest | Organization | 07/01/2000 | |
| Vincent, Brandon | Managing control - governing body | Individual | 08/19/2024 | |
| Vincent, Brandon | Corporate officer | Individual | 08/19/2024 | |
| National Healthcare Corporation | Operational/managerial control | Organization | 07/01/2000 | |
| NHC-Op LP | Operational/managerial control | Organization | 07/01/2000 | |
| Bullock, Sally | Operational/managerial control | Individual | 05/01/2021 | |
| Dodson, Vicki | Operational/managerial control | Individual | 06/01/2019 | |
| Kidd, Brian | Operational/managerial control | Individual | 05/31/2023 | |
| Norris, Chelsey | Operational/managerial control | Individual | 10/12/2018 | |
| Shelly, Timothy | Operational/managerial control | Individual | 07/12/2024 | |
| Vincent, Brandon | Operational/managerial control | Individual | 08/19/2024 | |
| Wills, Savannah | Operational/managerial control | Individual | 01/31/2019 | |
| Ussery, Robert | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 03/18/2025 | |
| Blackrock Inc | Adp of the SNF | Organization | 01/20/2010 | |
| National Health Corporation | Adp of the SNF | Organization | 06/11/2025 | |
| National Healthcare Corporation | Adp of the SNF | Organization | 06/11/2025 | |
| Vanguard Group Inc | Adp of the SNF | Organization | 11/30/2006 | |
| Bullock, Sally | Adp of the SNF | Individual | 06/11/2025 | |
| Dodson, Vicki | Adp of the SNF | Individual | 06/01/2019 | |
| Kidd, Brian | Adp of the SNF | Individual | 05/31/2023 | |
| Norris, Chelsey | Adp of the SNF | Individual | 03/18/2025 |
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 4 problems in this area, most recently on September 29, 2022: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 3 problems in this area, most recently on September 29, 2022: "Allow resident to participate in the development and implementation of his or her person-centered plan of care."
- How many nurses and aides work each shift, nights and weekends included?Inspectors cited 1 problem in this area, most recently on October 24, 2025: "Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on December 20, 2018: "Provide and implement an infection prevention and control program."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.99 hours per resident per day, below the Tennessee average of 3.31.
Other nursing homes nearby
- Franklin Wellness and Rehabilitation Center Franklin, 0.5 mi · 2 of 5 stars · 16 citations
- Mulberry Health & Rehabilitation Franklin, 0.5 mi · 1 of 5 stars · 35 citations
- NHC Place at Cool Springs Franklin, 3.2 mi · 4 of 5 stars · 8 citations
- Somerfield at the Heritage Brentwood, 8.2 mi · 3 of 5 stars · 8 citations
- NHC Place at the Trace Nashville, 10 mi · 5 of 5 stars · 13 citations
- The Reserve at Spring Hill Spring Hill, 12.1 mi · 5 of 5 stars · 9 citations
- West Meade Place Nashville, 12.4 mi · 5 of 5 stars · 17 citations
- The Meadows Nashville, 12.5 mi · 4 of 5 stars · 13 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 NHC Healthcare, Franklin's Medicare star rating?
- CMS rates NHC Healthcare, Franklin 2 out of 5 stars overall, with 2 for health inspections, 3 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did NHC Healthcare, Franklin get at its last inspection?
- 6 health deficiencies at the standard inspection on September 29, 2022. The Tennessee average is 4.4.
- Has NHC Healthcare, Franklin been fined?
- Yes. CMS lists 1 fine totaling $62,491 in the last three years.
- Does NHC Healthcare, Franklin 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 NHC Healthcare, Franklin?
- CMS lists 22 owners and managers, and links the home to National Healthcare Corporation. Legal business name: NHC HEALTHCARE-FRANKLIN 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.