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Nursing home report

NHC HEALTHCARE, FRANKLIN

FRANKLIN, TN · Medicare-certified · 80 beds

Needs attention
For-profitChain member
2 of 5 overall

NHC Healthcare, Franklin has a 2-star overall rating, with 2-star health inspection and staffing scores and a 4-star quality measures score. It reported nurse staffing below the federal benchmark (3.39 vs 4.1 hours per resident per day), $62,491 in fines over the last 24 months, and a recent federal penalty.

Facility ratings

Health inspections

Staffing

3.39 hrs/resident/day

Quality measures

Last inspection: October 24, 2025Penalties, last 24 months: $62,491recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.39.

Staffing detail

Registered nurses
0.53
Licensed practical nurses
0.96
Nurse aides
1.90
Weekend nursing
3.18

Hours per resident per day.

Total staff turnover: 64%
Registered nurse turnover: 53%

Resident outcomes

Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.

Negative outcomes

Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).

Long-stay residents on antipsychotic medication

17.8%13.9%Improving

Residents with a fall causing major injury

1.4%8.8%Worsening

Residents with pressure ulcers (bedsores)

6.5%3.8%Improving

Residents with a urinary tract infection

1.5%0%Improving

Residents who lost too much weight

0%2.2%Worsening

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

22.6%4.8%Improving

Residents whose ability to walk got worse

11.9%

Long-stay residents on antianxiety or sleep medication

18.6%17.4%Improving

Short-stay residents newly given an antipsychotic

0%0%No change

Residents with a long-term catheter

1.4%1.4%No change

Residents with new or worsening incontinence

23.1%14.2%Improving

Residents with depressive symptoms

1.8%2%No change

Positive outcomes

Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).

Long-stay residents given the seasonal flu vaccine

100%

Long-stay residents given the pneumonia vaccine

91.3%89.5%Worsening

Short-stay residents given the seasonal flu vaccine

90.1%

Short-stay residents given the pneumonia vaccine

82.9%57.4%Worsening

What the inspectors found

The home failed to ensure nurses and nurse aides had the needed skills to care for each resident and support their well-being. Cited October 2025 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 726 — 42 CFR §483.35 — S/S: J

The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited December 2018 — limited pattern, potential for harm.

View the original federal record

F-Tag 880 — 42 CFR §483.80(a) — S/S: E

The home failed to let the resident help develop and carry out their own care plan. Cited September 2022 — isolated incident, potential for harm.

View the original federal record

F-Tag 553 — 42 CFR §483.10 — S/S: D

The home failed to promptly tell the resident, doctor, and family about changes or problems affecting the resident. Cited September 2022 — isolated incident, potential for harm.

View the original federal record

F-Tag 580 — 42 CFR §483.10(g)(14) — S/S: D

The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited September 2022 — isolated incident, potential for harm.

View the original federal record

F-Tag 584 — 42 CFR §483.10 — S/S: D

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. PENALTY

    A federal fine of $62,491 was recorded.

  3. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  4. INSPECTION

    Health inspection found 6 health deficiencies.

    See what inspectors found
  5. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found

Penalties & enforcement

On record with Medicare: 1 fine · $62,491 in total fines.

  • Federal fine

    Oct 24, 2025

    $62,491

Operator & ownership

Ownership
For profit - Limited Liability company
Chain
Part of NATIONAL HEALTHCARE CORPORATION · 68 homes · 4 stars avg
Occupancy
74.1 residents on an average day (93% of 80 beds)
Resident voice
Resident council
Medicare history
Certified for 45 years

The most recent standard health inspection was more than two years ago.

Things at a nursing home change — inspections, staffing, ownership, news.

Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.