Grace Healthcare of Franklin
1287 West Main, Franklin TN 37064 · (615) 794-8417 · 66.25% estimated occupancy 1Updated: Aug 1, 2020 · By Sara Levinsohn
Grace Healthcare of Franklin is located in Franklin, Tennessee. We gave this nursing home an alarming overall rating based on the data we looked at. Franklin received a more impressive city grade of B, so there are far better options in the city worth considering. We wouldn't blame you if you are ready to stop reading and find another nursing home. However, if you want to learn more about this nursing home's category grades, inspection grades are discussed in the next section.
Additional Details:
Accepts Medicare 1 :
Accepts Medicaid 1 : 88 Beds
CCRC :
For profit - Limited Liability company
Resident Council:
Family Council:
Medical Staff Hours Per Patient (2019)
Facility Inspections
While this nursing home's overall grade was as bad as it gets, it actually didn't perform terribly in the area of inspections. In fact, we awarded it a B- for that category, which is one of our better scores. We believe that one of the most critical factors in evaluating an inspection report is deficiencies. We especially focus on the severity of the deficiencies. While this nursing home had a few minor dings on its report, it had no severe deficiencies. Severe deficiencies are found in categories G through L. This means the inspectors didn't deem any of the deficiencies on this facility's report to pose an imminent threat to patient safety or health. Lastly, this nursing home was cited by CMS for possible abuse or neglect. This is generally a really bad sign. We would never recommend this facility.
Short-term Care Quality
We awarded this facility a grade of just D for our short-term care rating and that actually turned out to be its second most respectable score. In computing these short-term care scores, we assess the nursing home's skilled nursing services, including those performed by registered nurses, occupational therapists, physical therapists and other types of skilled professionals. The purpose is to devise a scale for sizing up the rehabilitation services of different nursing homes. Considering its abysmal grade in this area, we weren't shocked to learn that this place provides significantly fewer registered nurse and physical therapist hours per patient than most nursing homes. The last area we looked at in this area is the number of residents who returned home from the nursing home. It fared better in this area, with 50.3 percent of its residents returning home. This was just about this nursing home's only redeeming quality in this category.
Nurse Quality
Unfortunately, this facility only received a grade of D for its nursing grade, which was actually one of its better category grades. Our nursing score analyzes the facility's level of nurse staffing. We weigh both the levels of skill of the nurses and the amount of time spent with patients. This nursing home provides 3.1 hours of nursing care per resident per day. This is a much lower figure than we are used to seeing. To go along with its subpar totals in the area of nursing hours per resident, this facility also didn't fare as well in the quality-based measures we looked at in determining our nursing grades. We looked at the percent of residents experiencing pressure ulcers and major falls. This facility had more pressure ulcers and falls than the average facility. This may be a bad sign when you consider that many falls and bed sores are preventable with better nursing care. These metrics hurt this nursing home's nursing grade significantly.
Long-term Care Quality
The last area we scored was long-term care, in which this nursing home received a very poor grade in this area also. Unfortunately, we gave it an abysmal F in this area, which is definitely a major disappointment. If you are looking for services other than rehabilitation, you should take a close look at long-term care scores. In addition to looking at the amount of care provided by nurses and other staff, we analyzed the number of residents vaccinated against pneumonia. This facility gave the vaccine to 99.03382 percent of its residents, which is better than the vast majority of nursing homes. To our surprise, this place was able to limit hospitalizations. With just 0.73 hospitalizations per 1,000 long-term resident days, this facility had fewer hospitalizations than many nursing homes. Sadly, a few of its other scores in the category were not as favorable as these.
Overall Rating Over Time
Compared to national and state averages across all facilities.
Grace Healthcare of Franklin Quality Metrics
Minimizes Pressure Ulcers
This indicates the percent of residents who have had a pressure ulcer. Pressure ulcers, which are also called bed sores, are often the result of residents staying in one position for too long. Better nursing care minimizes the percentage of residents in a nursing home who sustain pressure ulcers.
Percent of Patients with Pressure Ulcers
Lower is Better
Minimizes Serious Falls
This is the percentage of residents that suffered from a fall which caused severe injury.
Percent of Patients with Serious Falls
Lower is Better
Minimizes Urinary Tract Infections
This is the percent of residents that suffered from a urinary tract infection. These infections are sometimes linked to insufficient hygiene.
Percent of Patients with UTIs
Lower is Better
Appropriately Uses Anti-Psychotic Medication
This tells you the percentage of patients given antipsychotic medications. Antipsychotic drugs are prescribed to patients for many medical conditions, including cognitive disorders. Unfortunately, in limited situations, excessive reliance on these medications may suggest that a nursing home is using these medications to control patient behavior.
Percent of Patients
Lower is Better
Appropriately Uses Anti-Anxiety Medication
This indicates the percentage of patients prescribed antianxiety medications. Antianxiety drugs are administered to patients experiencing anxiety or depression.
Percent of Patients
Lower is Better
Managing Depression Among Residents
This indicates the percentage of patients demonstrating symptoms of depression. High rates of depression may be a sign a less hospitable environment.
Percent of Patients
Lower is Better
Appropriate Vaccine Usage
This metric is a measure of the percentage of long-term stay patients who were vaccinated against pneumonia and flu.
Percent of Patients
Higher is Better
Residents Maintain Autonomy
This indicates the percentage of residents who required increased assistance with activities of daily living over time. Higher levels of needing for assistance with activities of daily living could be a sign of erosion of a resident's medical condition.
Percentage of Patients
Lower is Better
Ability to Keep Residents Mobile
Measures the percent of long-term patients that maintained mobility. Some experts believe that mobility is important for patients health.
Percentage of Residents
Higher is Better
Hospitalizations
This metric measures the number of times residents are hospitalized per thousand days of patient care. Avoiding the hospital is key to preserving the physical well-being of nursing home residents.
Hospitalizations per 1,000 resident days
Lower is Better
Short-term Care: Rehospitalizations
This is a measure of the number of times residents are rehospitalized per 1,000 days of short-term care. Keeping residents out of the hospital during rehabilitation is key to restoring the physical abilities of patients.
Percentage of Residents Rehospitalized
Lower is Better
Short-term Care: ER Visits
This indicates the number of times residents are sent to the emergency room per thousand days of short-term care.
Percentage of Patients
Lower is Better
Short-term Care: Facilitates Functional Improvement
This indicates the percentage of short-term care patients that saw functional improvements, such as enhanced ability to perform activities of daily living. High levels of performance with ADL's often correlates with higher quality rehabilitation services.
Percentage of Resident
Higher is Better