All states › Tennessee › Franklin › NHC Healthcare, Franklin
216 Fairground St Franklin, TN 37064 · Williamson County
All 4 nursing homes in Franklin, TN (3 take Medicaid)
CMS certification number 445127 · See this home on Medicare Care Compare
Is NHC Healthcare, Franklin a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for NHC Healthcare, Franklin as of October 2026.
CMS rates it 3 out of 5 stars overall, about the same as the Tennessee average of 3.1.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.58 hours per resident per day at NHC Healthcare, Franklin, about the same as the Tennessee median of 3.66 (US median: 3.72). About 0.84 of those hours are from registered nurses. On weekends it falls to 3.15 hours, 12% below its all-week average. 56.6% of nursing staff left within a year (Tennessee median 48.7%).
About this nursing home
Paying for care at NHC Healthcare, Franklin: Medicare and Medicaid
NHC Healthcare, Franklin is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Tennessee's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on September 29, 2022 and found 6 deficiencies, plus 1 from complaint inspections in the same period. CMS notes that this home's most recent inspection was more than two years ago. In total, inspectors issued 9 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 9 citations at NHC Healthcare, Franklin across 3 inspection dates, 1 of them from complaint investigations. 1 was at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on October 24, 2025 (complaint inspection). The most common areas cited were quality of life and care (4) and resident rights (3). The most serious was cited under the CMS rule to "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" (tag F0726, level J, October 24, 2025).
October 24, 2025 · 1 citation · includes complaint inspection
JEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
September 29, 2022 · 6 citations
DAllow resident to participate in the development and implementation of his or her person-centered plan of care.
DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DHonor 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.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
DProvide safe and appropriate respiratory care for a resident when needed.
December 20, 2018 · 2 citations
EProvide and implement an infection prevention and control program.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Questions to ask on a tour of NHC Healthcare, Franklin
- Inspectors cited the home at the immediate-jeopardy level on October 24, 2025 under the rule on nursing and physician services. What changed afterwards, and can I see the plan of correction?
- The last standard inspection was more than two years ago. Can I see any recent complaint inspection results?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
1 penalty in the last three years, including $62,491 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Oct 24, 2025 | Fine | $62,491 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 3/5 | 2/5 | 4/5 | 5/5 |
| August 2026 | 2/5 | 2/5 | 3/5 | 4/5 |
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Location
Hospitals near NHC Healthcare, Franklin
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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3.3 mi
Williamson Medical Center FranklinEmergency room ★★★★★ Medicare overall 5 of 5Median ER visit 3h 10m for patients treated and sent home
- 3.5 mi
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14.4 mi
Southern Hills Medical Ctr NashvilleEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 1h 59m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near NHC Healthcare, Franklin › All nursing homes in Franklin ›
Compare NHC Healthcare, Franklin with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- NHC Place at Cool Springs · Franklin · 5 stars · 3.2 mi
Other National Healthcare Corporation nursing homes in Tennessee
- NHC Place at Cool Springs · Franklin · 5 stars
- NHC Healthcare, Kingsport · Kingsport · 5 stars
- Nhc-Maury Regional Transitional Care Center · Columbia · 5 stars
- NHC Healthcare, Cookeville · Cookeville · 5 stars
- NHC Healthcare, Sequatchie · Dunlap · 5 stars
- NHC Place at the Trace · Nashville · 5 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 72 National Healthcare Corporation nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.