Worth Considering
1
Facilities graded B or better with zero fines
Best Nursing Homes in Franklin, Tennessee
1 of 4 nursing homes in Franklin (25%) meet our strict criteria. The Tennessee statewide average is 29%.
1 recommended · 1 caution · 2 avoid · data
City Average
2.5
★
+0.00 vs state
Total Beds
446
across 4 facilities
High Risk Facilities
2
2 Grade F
$63,325 in combined fines
Zero Fines
3
/4
passed all inspections
Nurse Availability
0 min
RN time per resident daily
Below CMS recommendation
Why This One?
The nursing home market in Franklin, Tennessee, is limited, with only 4 facilities and just 1 recommended option. Families should be aware that 2 facilities have incurred a total of $63,325 in fines, highlighting the importance of thorough research when considering care options.
Qualified (Grade B, Trust Score 70-79)
- 1 NHC HEALTHCARE, FRANKLIN (75) — NHC Healthcare, Franklin stands out with its solid CMS 4-star rating and a respectable Trust Score of 75/100. With a Grade B and no fines, this for-profit facility prioritizes quality care in a comfortable environment, making it a reliable choice for residents.
The other 3 Franklin facilities didn't qualify — 2 carry Grade D or F ratings and 1 has fines totaling $63K.
Recommended
NHC Healthcare, Franklin stands out with its solid CMS 4-star rating and a respectable Trust Score of 75/100. With a Grade B and no fines, this for-profit facility prioritizes quality care in a comfortable environment, making it a reliable choice for residents.
Proceed with Caution
These facilities don't meet our recommendation criteria but may still be viable options.
Best Available Alternative
Staffing Comparison
Staffing levels are the strongest predictor of care quality
| Metric | Top Facility | Franklin Avg | CMS Minimum |
|---|---|---|---|
| RN Hours / Resident / Day | 0.00 | 0.00 | 0.75 |
| CMS Star Rating | 4 stars | 2.5 stars | — |
| Deficiencies / Inspection | 0 | 0.0 | — |
Facilities to Avoid
These facilities have significant quality concerns.
What Disqualified the Other 3?
Our criteria: Trust Grade B or better (score 70+) AND zero fines in 3 years
- Grade F facilities
- 2 Grade F — critical inspection failures
- Facilities with fines
- 1 Have fines totaling $63,325
- Low-scoring facilities
- 1 Scored below B — Trust Scores under 70
- Caution group
- 1 Had good grades but fines disqualified them
Questions Franklin Families Should Ask
Based on what we found in local inspection data
-
1
"What is your current CMS star rating and Trust Score?"
Franklin's city average is 2.5 stars
-
2
"Have you received any fines in the past 3 years?"
1 of 4 Franklin facilities have fines
-
3
"How many RN hours per resident do you provide daily?"
CMS recommends 45 min; Franklin avg is 0 min
-
4
"What were your most recent inspection findings?"
Franklin facilities average 0.0 deficiencies per inspection
Explore Nearby Cities
Houston has strong options, but nearby cities add even more choices
Houston at a Glance
Good News
- 12 facilities meet our strict criteria—20% of the market
- 3 exceptional A-grade facilities with 5-star CMS ratings
- 24 facilities with zero fines in the past 3 years
Be Aware
- 30 facilities carry Grade F—nearly half the market
- $3.2M+ in total fines across 37 facilities
- Worst facility has $448,216 in fines alone
Key Numbers
- Average Trust Score: 48.6 (dragged down by 30 F-grades)
- 82% for-profit, 13% non-profit, 5% government
- 9.4 average deficiencies per facility
Frequently Asked Questions
How many nursing homes in Franklin, TN are recommended?
1 of 4 nursing homes in Franklin (25%) meet our strict criteria of excellent inspection results and a clean record with no fines.
What makes a nursing home in Franklin "recommended"?
A facility earns our recommendation when it achieves a Trust Grade of B or better (score of 70+) AND has zero fines in the past three years. This combination indicates consistent quality care and regulatory compliance.
How should I evaluate nursing homes in Franklin?
Look beyond star ratings. Check for recent fines, abuse citations, staffing levels (especially RN hours), and inspection deficiencies. Visit in person during different times of day to observe care quality firsthand.