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NHC Healthcare Franklin — Nursing Home Inspection History and Ratings

NHC Healthcare Franklin — Nursing Home Inspection History and Ratings

NHC Healthcare Franklin is a licensed nursing home located at 216 Fairground St, Franklin, Tennessee 37064. The facility can be reached at (615) 790-0154. It participates in both Medicare and Medicaid.

This page summarizes publicly available inspection data, CMS star ratings, and deficiency citations for NHC Healthcare Franklin based on records from the Centers for Medicare and Medicaid Services Care Compare database.

If your loved one has suffered a serious injury — including bedsores, infections, a significant fall, or a wrongful death — at NHC Healthcare Franklin, this information may be relevant to your legal situation.

CMS Star Ratings — NHC Healthcare Franklin

The Centers for Medicare and Medicaid Services rates every Medicare and Medicaid certified nursing home on a scale of one to five stars. Current ratings for NHC Healthcare Franklin as of April 2026:

  • Overall Rating: 2 out of 5 stars — Below Average
  • Health Inspections: 2 out of 5 stars — Below Average
  • Staffing: Below Average
  • Quality Measures: Below Average

NHC Healthcare Franklin’s overall 2-star rating places it below the majority of nursing homes in Tennessee. Its below-average ratings across all four components — health inspections, staffing, and quality measures — reflect a consistent pattern of underperformance rather than weakness in a single area.

Inspection data last verified: April 2026

Source: Medicare.gov Care Compare, CMS Provider ID 445127

Federal Enforcement Actions

NHC Healthcare Franklin has received the following federal enforcement action based on publicly available CMS records:

Federal Fine: $96,140 — imposed October 24, 2025

This fine was imposed in connection with an Immediate Jeopardy citation issued during a complaint investigation on October 24, 2025. Immediate Jeopardy is the most serious deficiency level available under federal nursing home regulations, indicating that the facility’s failure caused — or was likely to cause — serious injury, harm, or death to a resident.

A civil monetary penalty of this magnitude, tied to an Immediate Jeopardy finding, reflects one of the most serious regulatory outcomes a nursing home can receive.

Health Inspection History — NHC Healthcare Franklin

NHC Healthcare Franklin has been subject to standard annual surveys and complaint investigations conducted by the Tennessee Health Facilities Commission on behalf of the Centers for Medicare and Medicaid Services. The following summarizes significant inspection findings from the most recent three survey cycles based on publicly available Care Compare data.

Most Recent Survey: September 29, 2022 — 7 Deficiencies Cited

This survey identified seven deficiencies covering resident care, resident rights, and notification obligations.

Quality of Life: Appropriate treatment and care per orders, resident preferences and goals — Severity Level 2, Isolated.

Surveyors found the facility failed to ensure residents received treatment and care consistent with their documented orders and preferences.

Quality of Life: Appropriate care for continence, catheter care, and UTI prevention — Severity Level 2, Isolated.

The facility failed to provide appropriate care to manage incontinence and prevent urinary tract infections, which can escalate into serious systemic infections including sepsis.

Quality of Life: Provide safe and appropriate respiratory care — Severity Level 2, Isolated.

The facility failed to ensure residents requiring respiratory care received safe and appropriate services.

Resident Rights: Honor resident’s right to a safe, clean, comfortable, and homelike environment — Severity Level 2, Isolated.

Resident Rights: Allow resident to participate in person-centered plan of care — Severity Level 2, Isolated.

Residents have a federal right to be involved in decisions about their own care. This deficiency indicates that right was not being honored.

Resident Rights: Immediately notify resident, physician, and family of situations affecting the resident — Severity Level 2, Isolated.

Federal regulations require nursing homes to promptly inform residents, their doctors, and family members when significant changes occur. A citation in this category means families may not have been told what was happening with their loved ones in a timely manner.

Complaint Investigation: October 24, 2025 — Immediate Jeopardy Citation

Nursing and Physician Services: Nurses and nurse aides have appropriate competencies to care for every resident — Severity Level 4, Immediate Jeopardy, Isolated. Correction required by November 18, 2025.

This is the most significant finding in NHC Healthcare Franklin’s recent inspection history. A Level 4 Immediate Jeopardy citation means that state and federal surveyors determined the facility’s failure to ensure nursing staff had appropriate competencies posed an immediate risk of serious harm or death to residents. This finding directly triggered the $96,140 federal fine.

Prior Survey: October 30, 2019 — 0 Deficiencies Cited

Prior Survey: December 20, 2018 — 2 Deficiencies Cited

Quality of Life: Area free from accident hazards with adequate supervision to prevent accidents — Severity Level 2, Isolated.

Infection Control: Provide and implement an infection prevention and control program — Severity Level 2, Pattern.

A “Pattern” scope designation indicates the deficiency affected more than one resident or occurred on more than one occasion — broader than an isolated incident.

Complete inspection reports including all deficiency details and the facility’s plans of correction are available at Medicare.gov/care-compare using CMS Provider ID 445127.

What These Findings Mean for Families

The deficiency citations summarized above are drawn directly from government inspection records compiled by trained state and federal surveyors. They are not allegations — they are verified findings.

Several aspects of NHC Healthcare Franklin’s inspection history warrant particular attention for families:

The Immediate Jeopardy citation from October 2025 is the most serious regulatory outcome available under federal nursing home law. It indicates that surveyors found an active, unresolved threat to resident safety — not a paperwork deficiency or a minor procedural lapse.

The $96,140 federal fine tied to that citation is among the more significant penalties in the recent Tennessee NHC inspection record. Civil monetary penalties of this size are imposed when CMS determines that a facility’s violations were serious enough to warrant financial accountability.

The pattern of deficiencies across multiple survey cycles — covering resident rights, care quality, and care planning — suggests that challenges at this facility are not limited to a single event.

Families with loved ones currently residing at NHC Healthcare Franklin should be aware of these findings when monitoring the care their family member receives.

How to Use This Information

Inspection ratings and deficiency citations are one important tool for evaluating a nursing home — but they are not the complete picture. Ratings reflect periodic snapshots, not continuous monitoring. A facility’s current condition may differ from what its most recent inspection shows.

These findings should be used as a starting point: a basis for asking informed questions when visiting the facility, understanding what patterns of concern exist, and knowing what to watch for if a loved one is already in residence.

If you are evaluating NHC Healthcare Franklin for a loved one, we encourage you to visit in person, speak directly with the director of nursing, ask specifically about the Immediate Jeopardy citation from October 2025 and the $96,140 fine, and request the facility’s plan of correction and evidence of how those issues were resolved.

For a full explanation of how to read inspection reports, what deficiency severity levels mean, and what families should look for beyond star ratings, see our guide to Understanding Nursing Home Inspections and Ratings.

If Your Loved One Was Harmed at NHC Healthcare Franklin

If a family member suffered a serious injury or died while residing at NHC Healthcare Franklin, you may have legal options under Tennessee law. Families who bring successful nursing home neglect or abuse claims can recover compensation for medical expenses, pain and suffering, and in wrongful death cases, damages for the loss of their loved one.

Tennessee’s statute of limitations for nursing home negligence cases is one year from the date of injury or discovery. For wrongful death cases, it is one year from the date of death. Acting quickly is essential — this deadline does not pause while families are seeking answers.

The initial consultation is free. We handle nursing home cases on a contingency fee basis — no fee unless we recover compensation for your family.

Frequently Asked Questions — NHC Healthcare Franklin

What does the Immediate Jeopardy citation mean for NHC Healthcare Franklin?

An Immediate Jeopardy citation — Level 4 on the federal deficiency severity scale — means that government surveyors determined the facility’s failure to comply with federal requirements caused, or was likely to cause, serious injury, harm, or death to a resident. It is the most serious citation a nursing home can receive and requires immediate corrective action. NHC Healthcare Franklin received this citation in October 2025 in connection with a finding that nurses and nurse aides lacked appropriate competencies to care for residents.

Why was NHC Healthcare Franklin fined $96,140?

The $96,140 civil monetary penalty was imposed by CMS on October 24, 2025, in connection with the Immediate Jeopardy citation issued during a complaint investigation on the same date. CMS imposes civil monetary penalties when a facility’s deficiencies are serious enough to warrant financial accountability. Penalties of this size are among the more significant in the recent Tennessee nursing home enforcement record.

What is NHC Healthcare Franklin’s star rating?

As of April 2026, NHC Healthcare Franklin has an overall 2-star rating — below average — from the Centers for Medicare and Medicaid Services. Its health inspection, staffing, and quality measures component ratings are also below average. Complete and current ratings are available at Medicare.gov/care-compare.

What should I do if my loved one was harmed at NHC Healthcare Franklin?

Document what you observed — photographs of any injuries, written notes with dates and times, and names of staff involved. Seek medical attention if your loved one has signs of physical harm. You can file a complaint with the Tennessee Health Facilities Commission at 1-800-778-4504. Contact a nursing home abuse attorney as soon as possible — Tennessee’s one-year statute of limitations means time matters.

Does it cost anything to consult a lawyer about NHC Healthcare Franklin?

No. The initial consultation is free. If we take your case, we handle it on a contingency fee basis — our fee is a percentage of any recovery we obtain. Nothing is owed upfront, and nothing at all if we do not recover.

Related Pages

  • Franklin Nursing Home Abuse Lawyers
  • Tennessee Nursing Home Abuse Lawyers
  • Understanding Nursing Home Inspections and Ratings
  • NHC Healthcare Hendersonville — Inspection History
  • Nursing Home Wrongful Death
  • Bedsores and Pressure Ulcer Injuries

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