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Nursing HomeMedicaid Investigative

Nhc Healthcare, Franklin

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

216 Fairground St, Franklin, TN 3706480 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
3.3/5

based on 25 Google reviews

5
4
3
2
1
Nhc Healthcare, Franklin Nursing Home in Franklin, TN — Street View
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3/ 10
moderate Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Above-median deficiencies (6 vs median 5.0)
  • High staff turnover (61%)
  • High RN turnover (53%)

Above average in TN · Below recommended RN staffing · $96,140 in fines

Source: Medicare data

What this means for your family

While some families report positive rehabilitation outcomes, the recent increase in reports regarding pest infestations and neglect is deeply concerning. We strongly advise you to conduct an unannounced visit, specifically checking the cleanliness of patient rooms and observing response times to call lights before making a decision.

Google Reviews

Google Reviews

25 reviews on Google
NHC Healthcare, Franklin receives highly polarized feedback, with some families praising the compassionate, home-like environment and effective rehabilitation, while others report severe neglect and unsanitary conditions. Recurring complaints highlight significant issues with response times for basic needs, hygiene, and the presence of pests. Families should be aware of the stark contrast between positive experiences and reports of serious lapses in patient care.

Quality Themes

Tap a score for details
Food6.0Staff4.0Clean2.0Activities7.0Meds3.0MemoryN/AComms4.0ValueN/A

Strengths

  • Effective rehabilitation therapy
  • Compassionate, personable staff
  • Home-like atmosphere
  • Responsive administrative team

Concerns

  • Unsanitary conditions and pest infestations (mentioned by 3 reviewers)
  • Neglect and slow response times for basic assistance (mentioned by 4 reviewers)
  • Poor night shift staffing and care quality (mentioned by 2 reviewers)
  • Inadequate hygiene and lack of bathing (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'16(4)'20(1)'22(1)'24(2)'26(4)

Distribution · 27 analyzed

5
13
4
1
3
2
2
2
1
9

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1We've heard great things about your rehabilitation therapy; could you tell us more about how that integrates into a resident's daily routine?
  • 2How does your team ensure that the facility stays consistently clean and well-maintained, especially in the resident living areas?
  • 3What specific protocols do you have in place to ensure that residents receive timely assistance with personal care and hygiene, particularly during the night shift?
  • 4How does the administrative team communicate updates to families regarding changes in a resident's medication or care plan?
  • 5What is your process for managing medical emergencies or sudden changes in health during the overnight hours?
  • 6Could you describe some of the daily social activities or outings available to help residents feel that 'home-like' atmosphere mentioned by others?

Personalized based on this facility's data


Key Review Excerpts

Don't let the older building fool you, the staff here is great and highly recommend for long term skilled nursing.

Long-term resident's family · 2023★★★★★

It has cockroaches in the rooms on the medical equipment. Majority of the Cna‘s are terrible. They’re very negligent.

Former patient · 2025☆☆☆☆

My mom had to wait 1-2 hours for them to take her to the restroom so she got an infection bc she retain fluids

Resident's family · 2025☆☆☆☆
Source: 25 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.53hrs
71%
Registered nurses for medical care
Total Nursing
3.39hrs
83%
All nurses + aides combined
Staff Turnover
64%
Lower is better (< 30% = good)
RN Turnover
53%
Lower is better (< 30% = good)

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

9

measures

Worse Than Avg

5

measures

Mixed Results

3

measures

Long-Stay Residents
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility18.8%
Mixed vs Avgs
Here
18.8%
US
19.5%
TN
31.9%
Williamson
16.3%
😔

Residents with depression symptoms

↓ Lower is better
This Facility1.0%
Better than Avg
Here
1.0%
US
12.1%
TN
12.9%
Williamson
4.4%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💉

Residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
95.5%
TN
94.5%
Williamson
93.9%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility13.6%
Better than Avg
Here
13.6%
US
15.3%
TN
18.5%
Williamson
19.6%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility17.4%
Worse than Avg
Here
17.4%
US
15.4%
TN
16.9%
Williamson
11.5%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility20.6%
Worse than Avg
Here
20.6%
US
19.4%
TN
20.1%
Williamson
15.5%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility68.9%
Worse than Avg
Here
68.9%
US
81.8%
TN
79.4%
Williamson
78.6%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility90.1%
Better than Avg
Here
90.1%
US
79.7%
TN
79.8%
Williamson
79.3%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.0%
Better than Avg
Here
1.0%
US
1.6%
TN
1.6%
Williamson
1.6%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

7deficiencies
1penalties
Above state avg (5.9)
1 complaint-triggered
$96,140 in fines

This facility has a concerning pattern with one recent complaint leading to a nursing staff competency deficiency in October 2025, indicating families have filed reports about care quality. The most recurring issues involve fire safety systems (sprinkler maintenance, fire doors, alarm systems), electrical safety (power strips and extension cords appearing multiple times), and resident rights violations. While all past deficiencies show correction dates, the recent complaint-triggered finding about nursing competency suggests ongoing care concerns that warrant careful evaluation during any visit.

Oct 24, 2025Complaint
1
0726Immediate jeopardy · IsolatedCorrected

Nursing and Physician Services Deficiencies

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.

Sep 29, 2022Routine
15
0920Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0553Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

0580Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

0584Potential for harm · IsolatedCorrected

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.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0690Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0211Potential for harm · IsolatedCorrected

Egress Deficiencies

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

0291Potential for harm · IsolatedCorrected

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

0324Potential for harm · IsolatedCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0345Potential for harm · IsolatedCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0351Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0741Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

0761Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Oct 30, 2019Routine
9
0222Potential for harm · WidespreadCorrected

Egress Deficiencies

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.

0006Potential for harm · IsolatedCorrected

Emergency Preparedness Deficiencies

Conduct risk assessment and an All-Hazards approach.

0015Potential for harm · IsolatedCorrected

Emergency Preparedness Deficiencies

Address subsistence needs for staff and patients.

0032Potential for harm · IsolatedCorrected

Emergency Preparedness Deficiencies

Provide primary/alternate means for communication.

0321Potential for harm · IsolatedCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0331Potential for harm · IsolatedCorrected

Smoke Deficiencies

Construct fire resistant interior walls.

0351Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0781Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Have restrictions on the use of portable space heaters.

0923Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

Dec 20, 2018Routine
4
0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0920Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0353Minimal · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

Federal Penalties

Fine

Oct 24, 2025

$62,491

Ownership & Operations

Who Operates This Facility

Owner / Operator

Nhc Healthcare, Franklin

Organization Type

for profit

Chain Affiliation

Chain Name

National Healthcare Corporation

Chain Size

68 facilities nationwide

Chain avg rating: 3.9/5 · Rank 41 of 65

Ownership & Management

Owners

Morgan Stanley Institutional Advisors LLC

Owner (parent company) · Organization

Nhc/delaware INC

Owner (parent company) · Organization

Ussery, Robert

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Key personnel

Vincent, BrandonManaging Control - Governing BodyVincent, BrandonOfficer / DirectorNational Healthcare CorporationManagerNhc-Op LpManagerBullock, SallyManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 5 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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