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Nursing HomeMedicaid

Franklin Nursing Home

Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.

700 Hearne Street, Franklin, TX 7785690 bedsLicensed & Active
3/5
Medicare
Inspection
Quality
Staffing
Google rating
4.4/5

based on 25 Google reviews

5
4
3
2
1
Franklin Nursing Home Nursing Home in Franklin, TX — Street View
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What this means for your family

This facility offers a highly praised, compassionate nursing staff and an engaging activities program. However, you should exercise extreme caution regarding administrative transparency and verify the current condition of resident rooms, as recent reviews have raised serious concerns about billing and living standards.

Google Reviews

Google Reviews

25 reviews analyzed
Families may find comfort in the facility's long-standing reputation for a warm, family-like atmosphere and a highly dedicated nursing staff. However, there are serious allegations regarding administrative transparency, billing practices, and specific instances of poor room conditions that require close investigation.

Quality Themes

FoodN/AStaff9.0CleanN/AActivities8.0MedsN/AMemoryN/AComms2.0Value2.0

Strengths

  • Warm and caring nursing staff
  • Engaging activities and community programs
  • Home-like, welcoming environment
  • Recent facility renovations

Concerns

  • Administrative transparency and billing disputes
  • Substandard room conditions and equipment

Rating Trends

Tap a year to see what changed

234'16(3)'19(1)'21(4)'24(2)'26(1)

Distribution

5
19
4
2
3
0
2
0
1
3

How They Respond to Reviews

12%response rate
Generic

The owner uses a standardized, templated response for all negative reviews. While the responses are polite, they fail to address the specific allegations or details mentioned in each review.

Questions for Your Tour

  • 1It’s wonderful to see the recent renovations; how have these updates improved the overall living experience for the residents?
  • 2We’ve heard such lovely things about the warmth of your nursing staff; how do you support your caregivers to ensure they can continue providing that high level of personal care?
  • 3Could you tell us more about the specific community programs and daily activities available to keep residents engaged and social?
  • 4What is your process for keeping families updated on medical changes or care plans to ensure we are always on the same page?
  • 5In the event of a medical emergency during the night, what is the immediate protocol for resident care and family notification?
  • 6How does the administration handle billing inquiries or any discrepancies to ensure everything remains transparent for families?

Personalized based on this facility's data


Key Review Excerpts

The staff at Franklin know their residents and their needs! They are truly a 5 star facility!

Long-term resident's family · 2025★★★★★

The amount of love and kindness that is put into this facility is remarkable, and I recommend this facility to anyone who is in need of rehabilitation services or long term care housing.

Rehab patient/visitor · 2020★★★★★

The care at this home is excellent. But dealing with administration was like dealing with the mafia.

Family member · 2024☆☆☆☆
Source: 25 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.37hrs
49%
Registered nurses for medical care
Total Nursing
3.05hrs
74%
All nurses + aides combined

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
4/ 5
Better Than Avg

14

measures

Mixed Results

3

measures

Long-Stay Residents
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
15.4%
TX
9.4%
Robertson
14.3%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility10.6%
Better than Avg
Here
10.6%
US
19.5%
TX
18.4%
Robertson
24.2%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
TX
2.5%
Robertson
11.2%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility6.3%
Better than Avg
Here
6.3%
US
15.3%
TX
14.9%
Robertson
7.3%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
TX
96.9%
Robertson
92.9%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility15.5%
Mixed vs Avgs
Here
15.5%
US
14.4%
TX
16.1%
Robertson
9.4%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
79.7%
TX
88.0%
Robertson
70.7%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility99.1%
Better than Avg
Here
99.1%
US
81.8%
TX
89.2%
Robertson
72.9%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
TX
1.5%
Robertson
1.5%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

6deficiencies
Near state avg (9.1)
3 complaint-triggered

Families have filed complaints about Franklin Nursing Home, including issues with bathroom emergency call systems, resident assessments, and medication management. The facility has recurring deficiencies in daily living assistance, fire safety systems, and infection control that persist across multiple surveys. While most issues have correction dates, two recent safety deficiencies from September 2025 show no correction plan, raising concerns about ongoing operational problems.

Dec 3, 2025Complaint
1
0919ModerateCorrected

Environmental Deficiencies

Make sure that a working call system is available in each resident's bathroom and bathing area.

Sep 11, 2025Routine
7
0923ModerateCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

0353ModerateCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0584MinorCorrected

Resident Rights Deficiencies

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.

0657MinorCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0677MinorCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0679MinorCorrected

Quality of Life and Care Deficiencies

Provide activities to meet all resident's needs.

0695MinorCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

Mar 25, 2025Complaint
1
0761MinorCorrected

Pharmacy Service Deficiencies

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.

Aug 15, 2024Routine
8
0677ModerateCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0521ModerateCorrected

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

0550MinorCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0761MinorCorrected

Pharmacy Service Deficiencies

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.

0812MinorCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0880MinorCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0353MinorCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0511MinorCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

Dec 19, 2023Complaint
1
0644ModerateCorrected

Resident Assessment and Care Planning Deficiencies

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Jul 14, 2023Routine
10
0812ModerateCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0211ModerateCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0324ModerateCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0918ModerateCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0577ModerateCorrected

Resident Rights Deficiencies

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

0677ModerateCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0353ModerateCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0558MinorCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0686MinorCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0880MinorCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Ownership & Operations

Who Operates This Facility

Owner / Operator

West Wharton County Hospital District

Organization Type

for profit

Management Company

FRANKLIN II ENTERPRISES, LLC

Administrator

CHARLES J HERNANDEZ

Chain Affiliation

Chain Name

Creative Solutions in Healthcare

Chain Size

149 facilities nationwide

Chain avg rating: 2.7/5 · Rank 14 of 148 (Best)

Ownership & Management

Owners

West Wharton County Hospital District

Owner · Organization

100%

Key personnel

Bowers, SeanManaging Control - Governing BodyCisneros, AlfredManaging Control - Governing BodyCobb, TravisManaging Control - Governing BodyCooper, StephenManaging Control - Governing BodyHardin, SherrieManaging Control - Governing Body
Source: Medicare provider data

Contact

Get in Touch

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References & Resources

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