Hickory Creek at Franklin
Strong Medicare quality ratings; families often praise small, homelike environment. Still worth an in-person visit.
based on 44 Google reviews
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What this means for your family
While many families appreciate the intimate, homelike setting and dedicated therapy team, recent reports indicate a decline in organizational oversight and safety. We strongly recommend that you conduct an unannounced visit to check for cleanliness and ask management specifically about their current protocol for medication administration and fall prevention.
Google Reviews
Google Reviews
44 reviews on Google“Hickory Creek at Franklin is frequently praised for its small, homelike atmosphere and compassionate, attentive staff who build strong relationships with residents and families. However, recent reviews highlight significant concerns regarding organizational failures, cleanliness, and severe safety incidents, including falls and medication management errors. While many families report a positive, caring environment, others describe a decline in quality and responsiveness.”
Quality Themes
Tap a score for detailsStrengths
- Small, homelike environment
- Compassionate and caring direct-care staff
- Strong therapy department
- Effective leadership and administrative communication
Concerns
- Lack of organization and poor hygiene (smells, gnats, cleanliness) (mentioned by 2 reviewers)
- Understaffing and lack of responsiveness to basic resident needs (mentioned by 2 reviewers)
- Serious safety incidents including falls and medication management errors (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 45 analyzed
How They Respond to Reviews
This facility responds to some reviews.
Questions for Your Tour
- 1We've heard such wonderful things about the compassionate direct-care staff here; how do you ensure that same level of personal care is maintained during busy shifts?
- 2Since the facility has such a small, homelike feel, what kind of daily activities or social outings do the residents participate in together?
- 3What specific protocols do you have in place to ensure medication is administered accurately and on schedule every day?
- 4How does the leadership team communicate with families regarding any changes in a resident's care or any unexpected incidents like falls?
- 5Could you walk us through your daily cleaning and maintenance schedule to ensure the living areas and common spaces stay fresh and tidy?
- 6In the event of a medical emergency after hours, what is the immediate process for contacting doctors and notifying the family?
Personalized based on this facility's data
Key Review Excerpts
“The staff has been phenomenal in building relationships with him, the therapy department has tremendously helped him rehab post stroke, had open communication, and there is very frequent attention to his care.”
“The staff was very nice but this place is very unorganized!! Everyday my brother was in here I had to ask to get his shower, change his clothes, brush his teeth, get him ice, and water for his cup. Change his bed. Help him to the bathroom. It always smelled bad. Gnats all over.”
“Since they took over it has been a nightmare. Not enough staff and very unorganized. My mother had two falls due to them not getting her psychotic medications, one of which caused a fracture in her neck.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both 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
12
measures
5
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on anti-anxiety or sleep medication
Residents needing more daily help over time
Residents whose walking got worse
Residents vaccinated for pneumonia
Residents whose bladder or bowel control got worse
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility shows persistent safety and infrastructure problems across multiple surveys, with families having filed complaints leading to violations for inadequate abuse investigation response and infection control. The most recurring issues involve fire safety and emergency preparedness systems, electrical and power equipment, and dietary services. While all deficiencies show correction dates, the pattern of repeated violations in critical safety areas—including emergency power, fire barriers, and smoke detection systems—suggests ongoing maintenance and operational challenges that families should carefully consider.
Feb 13, 2026Routine6
Smoke Deficiencies
Install an approved automatic sprinkler system.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Egress Deficiencies
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
Resident Assessment and Care Planning Deficiencies
Provide care by qualified persons according to each resident's written plan of care.
Jan 13, 2025Routine10
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure that testing and maintenance of electrical equipment is performed.
Emergency Preparedness Deficiencies
Implement emergency and standby power systems.
Smoke Deficiencies
Install a fire alarm system that can be heard throughout the facility.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Emergency Preparedness Deficiencies
Develop and maintain an Emergency Preparedness Program (EP).
Emergency Preparedness Deficiencies
Develop Emergency Preparedness policies and procedures.
Emergency Preparedness Deficiencies
Develop a communication plan.
Emergency Preparedness Deficiencies
List the names and contact information of those in the facility.
Emergency Preparedness Deficiencies
Establish emergency prep training and testing.
Apr 5, 2024Routine5
Egress Deficiencies
Meet other general requirements that are deficient.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Dec 13, 2023Complaint1
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Sep 27, 2023Complaint1
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Ownership & Operations
Who Operates This Facility
Hickory Creek at Franklin
for profit
Chain Affiliation
American Senior Communities
91 facilities nationwide
Chain avg rating: 3.8/5 · Rank 25 of 91 (Best)
Ownership & Management
Owners
Henry County Memorial Hospital
Owner · Organization
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
44 reviews from families & visitors
Official Website
Visit asccare.com
Medicare data downloads
Original nursing home datasets
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