Below average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Nhc Healthcare, Franklin during CMS and state inspections, most recent first.
Two residents experienced significant lapses in care due to nursing staff lacking necessary competencies: one resident suffered a fracture after a fall when an LPN moved her injured arm despite clear signs of pain and injury, while another developed a worsening pressure ulcer when staff substituted Medihoney for Santyl without a physician's order and failed to address her hydration and swallowing needs appropriately. These incidents demonstrate failures in assessment, adherence to physician orders, and provision of care tailored to residents' conditions.
Failure to Ensure Nursing Staff Competency in Resident Care
Penalty
Summary
The facility failed to ensure that all nursing staff possessed the necessary competencies and skill sets to provide safe and appropriate care for residents, as evidenced by two specific incidents involving two residents. In the first case, a resident with a history of Parkinson's disease, falls, and other comorbidities experienced an unwitnessed fall and was found on the floor with her right arm under her back. The LPN on duty moved the resident's arm, despite the resident's complaints of severe pain and audible signs of bone injury, such as popping and grinding. The resident repeatedly stated that her arm was broken, and subsequent assessments confirmed a right shoulder fracture. Interviews with other nursing staff indicated that the standard practice should have been to avoid moving a resident with suspected fractures or significant pain until EMS arrived, highlighting a lack of competency in the immediate response to falls and injury assessment by the involved staff member. In the second case, another resident developed a facility-acquired stage 2 pressure ulcer on her sacrum, which progressed to an unstageable ulcer requiring debridement. The prescribed wound care treatment, Santyl ointment, was not available on multiple occasions, and nursing staff substituted Medihoney without obtaining a physician's order for the change in treatment. This substitution was not supported by facility policy or physician direction, and interviews with medical and pharmacy staff confirmed that such changes require a physician's order. The resident's wound continued to decline, with increasing size, depth, and signs of infection, including purulent drainage and odor, ultimately necessitating antibiotic therapy. Additionally, the same resident had a history of swallowing difficulties documented in hospital records prior to admission, but the facility's speech therapy screening did not reflect these concerns. The resident experienced ongoing poor oral intake, mouth pain, and required assistance with eating and hydration. An RN was observed providing fluids via syringe due to the resident's inability to drink from a straw, but there was no documentation of an appropriate assessment or care plan adjustment for her hydration needs. These events collectively demonstrate the facility's failure to ensure that nursing staff had the competencies required to assess, communicate, and provide care in accordance with residents' needs and physician orders.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 72 citations issued within 25 miles in the last 12 months — including the 4 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Franklin
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Franklin Wellness And Rehabilitation Center | 0.5 mi | ★★★★★ | 0 | 0 |
| Mulberry Health & Rehabilitation | 0.5 mi | ★★★★★ | 0 | 0 |
| Nhc Place At Cool Springs | 3.2 mi | ★★★★★ | 0 | 0 |
| Somerfield At The Heritage | 8.2 mi | ★★★★★ | 0 | 0 |
| Nhc Place At The Trace | 10 mi | ★★★★★ | 0 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Nhc Healthcare, Franklin.
100% money-back within 48 hours.
Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.