Government - Hospital district · 90 certified beds · CMS number 675897

Franklin Nursing Home, Franklin, TX

CMS records 19 health deficiencies at Franklin Nursing Home in Franklin, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Sep 11, 2025. The highest severity cited is F (no actual harm, potential for more than minimal harm). CMS lists no fines or payment denials in the last three years.

Inspections and deficiencies

CMS findings for Franklin Nursing Home as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Franklin Nursing Home may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare

Most recent cycle (6 deficiencies)

Standard inspection Sep 11, 2025. CMS counts 6 health deficiencies and 2 fire safety deficiencies in this cycle.

Dec 3, 2025 · Complaint inspection

1 deficiency, highest E

F919 · Working call system

Requirement cited (CMS): Make sure that a working call system is available in each resident's bathroom and bathing area.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Dec 5, 2025

Sep 11, 2025 · Standard inspection

5 deficiencies, highest D

F695 · Respiratory and oxygen care

Requirement cited (CMS): Provide safe and appropriate respiratory care for a resident when needed.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Sep 12, 2025

F679 · Activities program

Requirement cited (CMS): Provide activities to meet all resident's needs.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Sep 12, 2025

F677 · Help with daily care

Requirement cited (CMS): Provide care and assistance to perform activities of daily living for any resident who is unable.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Sep 12, 2025

F657 · Care plan timing and team review

Requirement cited (CMS): Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Sep 12, 2025

F584 · Safe, clean, homelike surroundings

Requirement cited (CMS): Honor 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.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Sep 12, 2025
Previous cycle: 6 deficiencies (standard inspection Aug 15, 2024)

Standard inspection Aug 15, 2024. CMS counts 6 health deficiencies and 3 fire safety deficiencies in this cycle.

Mar 25, 2025 · Complaint inspection

1 deficiency, highest D

F761 · Drug labeling and secure storage

Requirement cited (CMS): Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Apr 18, 2025

Aug 15, 2024 · Standard inspection

5 deficiencies, highest E

F880 · Infection prevention and control program

Requirement cited (CMS): Provide and implement an infection prevention and control program.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Aug 16, 2024

F812 · Food safety and sanitation

Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Aug 16, 2024

F761 · Drug labeling and secure storage

Requirement cited (CMS): Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Aug 16, 2024

F677 · Help with daily care

Requirement cited (CMS): Provide care and assistance to perform activities of daily living for any resident who is unable.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Aug 16, 2024

F550 · Dignity and the right to exercise rights

Requirement cited (CMS): Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Aug 16, 2024
Earlier cycle: 7 deficiencies (standard inspection Jul 14, 2023)

Standard inspection Jul 14, 2023. CMS counts 7 health deficiencies and 4 fire safety deficiencies in this cycle.

Dec 19, 2023 · Complaint inspection

1 deficiency, highest E

F644 · Coordinating with PASARR screening

Requirement cited (CMS): Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Dec 20, 2023

Jul 14, 2023 · Standard inspection

6 deficiencies, highest F

F880 · Infection prevention and control program

Requirement cited (CMS): Provide and implement an infection prevention and control program.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jul 17, 2023

F812 · Food safety and sanitation

Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Severity
F No actual harm, potential for more than minimal harm, widespread
Status
Correction date Jul 17, 2023

F686 · Pressure ulcer prevention and care

Requirement cited (CMS): Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jul 17, 2023

F677 · Help with daily care

Requirement cited (CMS): Provide care and assistance to perform activities of daily living for any resident who is unable.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Jul 17, 2023

F577 · Seeing inspection results

Requirement cited (CMS): Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Jul 17, 2023

F558 · Accommodating individual needs and preferences

Requirement cited (CMS): Reasonably accommodate the needs and preferences of each resident.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jul 17, 2023

Tags cited in more than one inspection

4 tags cited on more than one inspection date at Franklin Nursing Home; each date counts once and does not mean the same incident. PNC = past non-compliance.

TagInspectionsDates
F677 Help with daily care3Sep 11, 2025; Aug 15, 2024; Jul 14, 2023
F761 Drug labeling and secure storage2Mar 25, 2025; Aug 15, 2024
F812 Food safety and sanitation2Aug 15, 2024; Jul 14, 2023
F880 Infection prevention and control program2Aug 15, 2024; Jul 14, 2023

Fines and payment denials

CMS lists no fines or payment denials for this nursing home in the last three years.

Staffing and CMS ratings

Total nurse staff hours per resident per day
3.13 h (about the same as the Texas median of 3.27 h)
RN hours per resident per day
0.36 h (below the Texas median of 0.38 h)
Weekend nurse staff hours per resident per day
2.59 h
Nursing staff turnover
not reported
Administrators who left
1
CMS overall rating
3 of 5
Health inspection rating
4 of 5
Staffing rating
1 of 5
Quality measure rating
4 of 5

CMS figures for Franklin Nursing Home, copied as published; Texas medians are ours.

Facility details

Address
700 Hearne St, Franklin, TX 77856
Phone
(979) 828-5152
County
Robertson
Accepts
Medicare and Medicaid
Ownership
Government - Hospital district
Chain (CMS)
Creative Solutions in Healthcare
Certified beds
90
Average residents per day
53
In Medicare/Medicaid since
Apr 18, 2001
Inside a hospital
No
Continuing care retirement community
No
Resident and family council
Both
Sprinklers in all required areas
Yes

Questions to ask on a visit

Based on the tags cited most often here.

  • How often do residents who need help get assistance with bathing, grooming, and mouth care? (F677, cited 3 times)
  • How are medications stored and secured on each unit? (F761, cited 2 times)
  • When was the kitchen last inspected, and how are food temperatures checked? (F812, cited 2 times)
  • How do staff track and report infections among residents? (F880, cited 2 times)

Other nursing homes in Franklin and the same chain

Source

CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.

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