Accura Healthcare of Franklin

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

Met the expected recovery: 38.1% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 21 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.13 therapist hours per resident per day in 2026Q1 — more than 9% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 8% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 42 beds and averages 33.0 residents a day — about 79% occupied, or roughly 9 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 2.75 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.58 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 1.62 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 2.39 hrs/resident/day on weekends vs 2.89 on weekdays — 17% thinner on weekends. RN hours go from 0.64 to 0.42 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 70% is well above the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

16 citations, most serious first. The 10 most serious are shown; the remaining 6 are one tap away and print in full.

• Potential for harm · Fcited before2025-03-20 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Licensure Reference Number 175 NAC 12-006.18(B) Based on interview and record review, the facility failed to ensure the low temperature (temp) dish machine reached the minimum required temperature of 120 degrees Fahrenheit (F) during the wash cycle to prevent foodborne illness. This had the potential to affect all of the residents in the facility. The facility census was 30. Findings are: A record review of the facility's Dishwasher Temperature Policy with a reviewed date of 03/2020 revealed for a low temp dishwasher (chemical sanitization), the wash temperature shall be 120 degrees F. The sanitizing solution shall be 50 parts per million (PPM) of chlorine on dish surfaces in the final rinse. Chemical solutions shall be maintained at the correct concentration, based on periodic testing, at least once per shift. Results shall be recorded. A record review of the facility's Dietary Sanitation Policy Statement with a reviewed date of 05/2021 revealed for a low temp dishwasher (chemical sanitization), the wash temperature shall be 120 degrees F. The final rinse should be 50 PPM…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-03-20 · tag F0726 — failed to have competent, trained nursing staff — pattern
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Licensure Reference Number 175 NAC 12-006.04(B)(i)(6) Based on interview and record review, the facility failed to ensure dementia care training was completed prior to nursing staff taking care of residents with a diagnosis of dementia. The facility census was 30. Findings are: A record review of the facility's Human Resources (HR)-Training policy dated 09/2024 revealed each employee should have received an initial orientation that included Alzheimer's care (brain disorder that causes a gradual decline in memory) and dementia (decline in mental ability) care. A record review of the facility's Employee Listing dated 03/14/2025 revealed: • Nursing Assistant (NA)-I started 12/23/2024 • NA-J started 09/30/2024 • NA-K started 10/03/2024 • NA-L started 03/04/2025 • Medication Aide (MA)-H started 03/04/2025 A record review of personnel and HR files for NA-I, NA-J, NA-K, NA-L, and MA-H did not reveal dementia care training had been completed. A record review of the facility's Training Hours dated 03/18/2025 for NA-I, NA-J, NA-K, NA-L, and MA-H did not reveal dementia care training had been…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-03-20 · tag F0880 — failed to prevent and control infections — pattern
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Licensure Reference Number 175 NAC 12-006.18(B) Based on observation, record review and interviews, the facility failed to complete a clean dressing change for Resident 2, wear gloves during blood glucose testing for Resident 5, ensure nebulizer kits were cleaned after treatments for Residents 13 and 27, ensure Resident 27's oxygen concentrator filter was clean, and failed to ensure Resident 27's wheelchair oxygen nasal cannula was stored to prevent cross contamination. The facility census was 30 at the time of survey. Findings are: A. Review of Resident 2's Quarterly Minimum Data Set (MDS - a comprehensive assessment of each resident's functional capabilities used to develop a resident's plan of care) dated 1/18/2025 revealed the following: -admission to the facility on [DATE] -diagnosis of sepsis -Stage 4 pressure ulcer (full thickness tissue loss) that was present on admission Record review of Resident 2's Comprehensive Care Plan (CCP - written instructions needed to provide effective and person centered care…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-03-20 · tag F0623 — isolated
  Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Licensure Reference Number 175 NAC 12-006.05 Based on record review and interview, the facility failed to provide a written notice of transfer to the resident/resident representative upon a transfer to a hospital for 1 resident (Resident 13) of 2 sampled residents for hospitalization. The facility census was 30. Findings are: In an interview on 03/17/25 at 3:24 PM Resident 13 stated that (gender) had to go to the hospital a while ago but didn't remember why (gender) went. Record review of Resident 13's Quarterly Minimum Data Set (MDS - a comprehensive assessment of each resident's functional capabilities used to develop a resident's plan of care) dated 1/2/25 revealed that the resident was admitted to facility on 11/21/23, and had a Brief Interview for Mental Status (BIMS - a test used to get a quick snapshot of a resident's cognitive function, scored from 0-15, the higher the score, the higher the cognitive function) score of 15 which indicated the resident is cognitively intact, and that behaviors were not exhibited and the resident did not reject cares. Record review of Resident…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-03-20 · tag F0641 — isolated
  Ensure each resident receives an accurate assessment.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Licensure Reference Number 175 NAC 12-006.09B Based on record review and interview, the facility failed to ensure the Minimum Data Set (MDS- a comprehensive assessment of each resident's functional capabilities used to develop a resident's plan of care) reflected insulin injections for 1 (Resident 5) of 4 sampled residents. The facility census was 30. Findings are: Review of the Centers for Medicare and Medicaid Services (CMS) Resident Assessment Instrument (RAI) Manual Version 3.0, dated October 2024, revealed the following: -Enter the number of days that injections of any type were received in the last 7 days Review of Resident 5's Quarterly Minimum Data Set (MDS - a comprehensive assessment of each resident's functional capabilities used to develop a resident's plan of care) dated 2/13/2025 revealed the following: -admission to the facility on 1/7/2024 -diagnosis of Diabetes Mellitus -Brief Interview for Mental Status (BIMS - a test used to get a quick snapshot of a resident's cognitive function, scored from…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-03-20 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Licensure Reference Number 175 NAC 12-006.09(H)(iv)(5) Based on record review and interview, the facility failed to assess a resident's skin condition and provide treatment for impaired skin conditions for 1 (Resident 6) of 4 sampled residents for skin conditions. The facility census was 30. Findings are: An observation on 3/17/25 at 2:38 PM of Resident 6 revealed multiple open areas and scabs to the resident's arms and legs. Areas were small and did not have any signs of infection. During an interview on 03/17/25 at 2:39 PM Resident 6 reveled that both of (gender) legs and arms were itchy and stated (gender) scratched the areas. Record review of Resident 6's weekly skin assessments dated from 2/27/2025-3/13/2025, revealed no open areas, scratches or scabbed areas. Record review of Resident 6's progress notes dated from 2/1/2/-3/19/25 did not reveal any documentation regarding the resident's skin condition. Record review of Resident 6's undated admission Record revealed the resident was admitted to the facility…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2024-02-29 · tag F0623 — pattern
  Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Licensure Reference 175 NAC 12-006.05(5) Based on record review and interviews, the facility failed to provide written notice of transfer to the resident or resident representative upon transfer to the hospital for 3 (Residents 11, 2, and 25) of 3 sampled residents. The facility census was 27. Findings are: A review of the facility policy Transfer and Discharge (including AMA) dated September 2022 revealed: 4. The facility's transfer/discharge notice will be provided to the resident and the resident's representative in a language and manner in which they can understand. The notice will include all of the following at the time it is provided: a. The specific reason and basis for transfer or discharge. b. The effective date of transfer or discharge. c. The specific location (such as the name of the new provider or description and/or address if the location is a residence) to which the resident is to be transferred or discharged . d. An explanation of the right to appeal the transfer or discharge to the State. e.…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-02-29 · tag F0661 — isolated
  Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
  What the surveyor found here — the official record, unedited, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Licensure Reference 175 NAC 12-006.09C3a Based on record review and interviews, the facility failed to ensure a discharge summary was completed for 1 (Resident 26) of 1 sampled residents. The facility census was 27. Findings are: A review of the admission Record for Resident 26 revealed, the Resident was admitted to the facility on [DATE] with a primary diagnosis of acute posthemorrhagic anemia (a condition that develops when a large amount of blood is lost quickly). A review of the Progress Notes for Resident 26 revealed, the Resident went home with their spouse on 01/11/2024. A review of the Electronic Health Record for Resident 26 revealed, no Discharge Summary. During an interview on 02/28/2024 at 3:25 PM the Director of Nursing (DON) confirmed, that no Discharge Summary was completed for Resident 26.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-02-29 · tag F0812 — failed to store, cook, and serve food safely — isolated
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Licensure Reference Number 175 NAC 12-006 11E Based on record review, observation, and interview; the facility failed to ensure that hair restraints fully covered all hair during food preparation to prevent potential food contamination. This had the potential to affect all residents. The facility census was 27. Findings are: A record review of the facility policy Dietary Employee Personal Hygiene dated 2019 under Policy Explanation and Compliance Guidelines, #4 Hair Restraints: a. all dietary staff must wear hair restraints (e.g., hairnet, hat and/or beard restraint to prevent hair from contacting food. An observation on 2/28/2024 at 10:30 AM revealed, the Dietary Aide (DA) entered the kitchen with a hair net covering the head area but had no beard net on. The DA did have a beard. The DA proceeded to prepare protein shakes and poured drinks for the lunch meal. Further observation revealed the DA walked throughout the kitchen during this time. An interview with the Regional Dietician (RD) on 2/28/2024 at 2:10 PM confirmed, that employees with beards should have a beard covering and…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2023-03-30 · tag F0801 — widespread
  Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
  What the surveyor found here — the official record, unedited, may be distressing

  Licensure Reference Number 175 NAC 12-006.0402a Based on record review and interviews, the facility failed to ensure the dietary manager had the required credentials to meet the regulatory guidelines for the position. This had the potential to affect food service provided to 27 residents who are served food from the kitchen. The facility identified a census of 27. Findings are: Record review of personnel files revealed that the Dietary Manager (DM) (M) did not have a certificate for the dietary manager position. Interview with DM (M) on 3/27/23 at 3:12 PM revealed that DM [M]'s employment began in September as Kitchen lead and then training for the Dietary Manager Position began at the end of October 2022. The DM is currently enrolled in classes for certification, but the class has not started, and the DM confirmed that (gender) is not a Certified Dietary Manager. Interview with Corporate Dietician on 3/28/23 at 3:30 PM confirmed that the DM does not have the required credentials and is listed as the Dietary Manager for the facility.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to ACCURA HEALTHCARE — 41 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 31 rows in the source record cover these 22 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

14 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2024. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2024). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in NE