nursing home in Franklin, TN

Mulberry Health & Rehabilitation

200 Strahl Street, Franklin, TN 37064 · (615) 791-1103

★★★★★1
Much below average
CMS overall star rating
  • Health inspections★★★★★1
  • Staffing★★★★★2
  • Quality measures★★★★★3
  • Special Focus candidate

Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data

Mulberry Health & Rehabilitation at a glance

Mulberry Health & Rehabilitation is a 157-bed for-profit nursing home in Franklin, Tennessee (Williamson County).

CMS gives it 1 out of 5 stars on its overall star rating, worse than the Tennessee average of 3.

Residents receive about 3.8 hours of nursing care per day (0.3 of them from registered nurses), close to the state average of 3.8 hours.

Its most recent standard health inspection (June 15, 2023) found 12 health citations. The Tennessee average is 4.4.

It has not received a federal fine in the past three years.

Nursing staff turnover is 67.9% per year (state average 48.9%).

Facility details

Type
Nursing home
Ownership
For Profit - Limited Liability Company
Beds
157
Certified for
Medicare and Medicaid
Medicare-certified since
June 23, 1983
Resident/family council
Resident
County
Williamson County
CMS Certification Number
445157

Ratings

MeasureThis facilityTennessee avg.U.S. avg.vs. U.S.
Overall star rating ⓘ (higher is better)1 / 53 / 53 / 5Worse
Health inspection rating ⓘ (higher is better)1 / 53 / 52.8 / 5Worse
Staffing rating ⓘ (higher is better)2 / 52.5 / 52.9 / 5Worse
Quality measures rating ⓘ (higher is better)3 / 53.6 / 53.6 / 5Worse
Long-stay quality rating (higher is better)4 / 53.6 / 53.8 / 5Average
Short-stay (rehab) quality rating (higher is better)1 / 53.4 / 53.3 / 5Worse

Staffing

This facility3.81 hrsTennessee average3.80 hrsU.S. average3.86 hrs
Total nurse staff hours per resident per day: this facility vs. Tennessee and U.S. averages
MeasureThis facilityTennessee avg.U.S. avg.vs. U.S.
Total nurse staff hours per resident per day ⓘ (higher is better)3.81 hrs3.80 hrs3.86 hrsAverage
Registered nurse hours per resident per day (higher is better)0.32 hrs0.60 hrs0.69 hrsWorse
Nurse aide hours per resident per day (higher is better)2.30 hrs2.12 hrs2.32 hrsAverage
Weekend nurse staff hours per resident per day (higher is better)3.42 hrs3.31 hrs3.42 hrsAverage
Nursing staff turnover (yearly) (lower is better)67.9%48.9%45.8%Worse
Registered nurse turnover (yearly) (lower is better)66.7%43.2%42.9%Worse
Administrators who left in the past year (lower is better)111Worse

Inspections

This facility12Tennessee average4U.S. average9
Health citations in the most recent inspection: this facility vs. Tennessee and U.S. averages
MeasureThis facilityTennessee avg.U.S. avg.vs. U.S.
Health citations in the most recent inspection (lower is better)1249Worse
Citations from complaint investigations (latest cycle) (lower is better)013Better
Weighted health inspection score ⓘ (lower is better)191.547.980.6Worse

Penalties

This facility0Tennessee average1U.S. average1
Fines in the past 3 years: this facility vs. Tennessee and U.S. averages
MeasureThis facilityTennessee avg.U.S. avg.vs. U.S.
Fines in the past 3 years (lower is better)011Better
Total fines in the past 3 years (lower is better)$0$22,907$30,972Better
All federal penalties in the past 3 years (lower is better)011Better

Size

MeasureThis facilityTennessee avg.U.S. avg.vs. U.S.
Certified beds157114107
Average residents per day868486
Occupancy54.7%74.8%80.9%

Long-stay residents

This facility6%Tennessee average3.4%U.S. average3.2%
Long-stay residents with a fall causing major injury: this facility vs. Tennessee and U.S. averages
MeasureThis facilityTennessee avg.U.S. avg.vs. U.S.
Long-stay residents with a fall causing major injury (lower is better)6%3.4%3.2%Worse
Long-stay residents with pressure ulcers (lower is better)7.6%5%4.6%Worse
Long-stay residents given antipsychotic medication (lower is better)33.2%16.8%15.4%Worse
Long-stay residents with a urinary tract infection (lower is better)0.3%1.8%1.6%Better
Long-stay residents with a catheter left in the bladder (lower is better)0.2%0.7%0.8%Better
Long-stay residents needing more help with daily activities (lower is better)8.2%14%13.9%Better
Long-stay residents whose walking worsened (lower is better)7.7%17.2%14.1%Better
Long-stay residents who lose too much weight (lower is better)6.6%6.1%5.2%Worse
Long-stay residents with depressive symptoms (lower is better)2.3%13.8%12.8%Better
Long-stay residents who were physically restrained (lower is better)0%0.1%0.1%Better
Long-stay residents given anti-anxiety or sleep medication (lower is better)11.1%31.7%19.5%Better
Long-stay residents with new or worse incontinence (lower is better)21.8%20%19%Worse
Long-stay residents given a flu vaccine (higher is better)89.2%94.5%95.5%Worse
Long-stay residents given a pneumonia vaccine (higher is better)84.8%89.4%93.6%Worse

Short-stay residents

This facility5.1%Tennessee average1.7%U.S. average1.6%
Short-stay residents newly given antipsychotic medication: this facility vs. Tennessee and U.S. averages
MeasureThis facilityTennessee avg.U.S. avg.vs. U.S.
Short-stay residents newly given antipsychotic medication (lower is better)5.1%1.7%1.6%Worse
Short-stay residents given a flu vaccine (higher is better)62.9%79.8%79.8%Worse
Short-stay residents given a pneumonia vaccine (higher is better)39.8%79.3%82%Worse

Inspection citations

State inspectors cited this home for 35 health deficiencies and 24 fire safety deficiencies in the inspection records CMS currently publishes. 5 citations involved actual harm, including 5 rated "immediate jeopardy".

DateCitationSeverityStatus
October 27, 2023
Complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
D
Potential harm, isolated
Corrected December 8, 2023
October 27, 2023
Complaint
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610
D
Potential harm, isolated
Corrected December 8, 2023
October 27, 2023
Complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609
D
Potential harm, isolated
Corrected December 8, 2023
October 27, 2023
Complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600
D
Potential harm, isolated
Corrected December 8, 2023
September 27, 2023
Fire safety
Have properly installed electrical wiring and gas equipment.
Services Deficiencies · Tag K0511
D
Potential harm, isolated
Corrected October 9, 2023
June 15, 2023
Fire safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Services Deficiencies · Tag K0521
D
Potential harm, isolated
Corrected July 28, 2023
June 15, 2023
Fire safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Egress Deficiencies · Tag K0222
D
Potential harm, isolated
Corrected July 28, 2023
June 15, 2023
Fire safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies · Tag K0321
D
Potential harm, isolated
Corrected July 28, 2023
June 15, 2023
Fire safety
Provide properly protected cooking facilities.
Smoke Deficiencies · Tag K0324
D
Potential harm, isolated
Corrected July 28, 2023
June 15, 2023
Fire safety
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies · Tag K0353
D
Potential harm, isolated
Corrected July 28, 2023
June 15, 2023
Standard
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609
E
Potential harm, pattern
Corrected July 28, 2023
June 15, 2023
Standard
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
D
Potential harm, isolated
Corrected July 28, 2023
June 15, 2023
Standard
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · Tag F0657
D
Potential harm, isolated
Corrected July 28, 2023
June 15, 2023
Standard
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Tag F0641
D
Potential harm, isolated
Corrected July 28, 2023
June 15, 2023
Standard
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Resident Assessment and Care Planning Deficiencies · Tag F0640
D
Potential harm, isolated
Corrected July 28, 2023
June 15, 2023
Standard
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Resident Rights Deficiencies · Tag F0578
D
Potential harm, isolated
Corrected July 28, 2023
June 15, 2023
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
D
Potential harm, isolated
Corrected July 28, 2023
June 15, 2023
Standard
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Nutrition and Dietary Deficiencies · Tag F0803
D
Potential harm, isolated
Corrected July 28, 2023
June 15, 2023
Standard
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.
Pharmacy Service Deficiencies · Tag F0761
D
Potential harm, isolated
Corrected July 28, 2023
June 15, 2023
Standard
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies · Tag F0757
D
Potential harm, isolated
Corrected July 28, 2023
June 15, 2023
Standard
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · Tag F0692
D
Potential harm, isolated
Corrected July 28, 2023
June 15, 2023
Standard
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Tag F0695
D
Potential harm, isolated
Corrected July 28, 2023
July 19, 2021
Standard
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600
K
Immediate jeopardy, pattern
Corrected August 30, 2021
July 19, 2021
Standard
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Administration Deficiencies · Tag F0835
K
Immediate jeopardy, pattern
Corrected August 30, 2021
July 19, 2021
Standard
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Quality of Life and Care Deficiencies · Tag F0744
K
Immediate jeopardy, pattern
Corrected August 30, 2021
July 19, 2021
Standard
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.
Nursing and Physician Services Deficiencies · Tag F0726
K
Immediate jeopardy, pattern
Corrected August 30, 2021
July 19, 2021
Standard
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration Deficiencies · Tag F0867
K
Immediate jeopardy, pattern
Corrected August 30, 2021
July 19, 2021
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
E
Potential harm, pattern
Corrected August 30, 2021
July 19, 2021
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
E
Potential harm, pattern
Corrected August 30, 2021
July 19, 2021
Standard
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Tag F0686
E
Potential harm, pattern
Corrected August 30, 2021
July 19, 2021
Standard
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Quality of Life and Care Deficiencies · Tag F0693
D
Potential harm, isolated
Corrected August 30, 2021
July 19, 2021
Standard
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Resident Assessment and Care Planning Deficiencies · Tag F0636
D
Potential harm, isolated
Corrected August 30, 2021
July 19, 2021
Standard
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Tag F0641
D
Potential harm, isolated
Corrected August 30, 2021
July 19, 2021
Standard
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · Tag F0657
D
Potential harm, isolated
Corrected August 30, 2021
July 19, 2021
Standard
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
D
Potential harm, isolated
Corrected August 30, 2021
November 19, 2019
Fire safety
Create arrangements with other facilities to receive patients.
Emergency Preparedness Deficiencies · Tag E0025
D
Potential harm, isolated
Corrected January 22, 2020
November 19, 2019
Fire safety
Conduct risk assessment and an All-Hazards approach.
Emergency Preparedness Deficiencies · Tag E0006
D
Potential harm, isolated
Corrected January 22, 2020
November 19, 2019
Fire safety
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
Egress Deficiencies · Tag K0232
D
Potential harm, isolated
Corrected January 22, 2020
November 19, 2019
Fire safety
Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements.
Egress Deficiencies · Tag K0227
D
Potential harm, isolated
Corrected January 22, 2020
November 19, 2019
Fire safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Egress Deficiencies · Tag K0222
D
Potential harm, isolated
Corrected January 22, 2020
November 19, 2019
Fire safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Egress Deficiencies · Tag K0211
D
Potential harm, isolated
Corrected January 22, 2020
November 19, 2019
Fire safety
Provide primary/alternate means for communication.
Emergency Preparedness Deficiencies · Tag E0032
D
Potential harm, isolated
Corrected January 22, 2020
November 19, 2019
Fire safety
List the names and contact information of those in the facility.
Emergency Preparedness Deficiencies · Tag E0030
D
Potential harm, isolated
Corrected January 22, 2020
November 19, 2019
Fire safety
Ensure proper usage of power strips and extension cords.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920
D
Potential harm, isolated
Corrected January 22, 2020
November 19, 2019
Fire safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Miscellaneous Deficiencies · Tag K0741
D
Potential harm, isolated
Corrected January 22, 2020
November 19, 2019
Fire safety
Have properly installed electrical wiring and gas equipment.
Services Deficiencies · Tag K0511
D
Potential harm, isolated
Corrected January 22, 2020
November 19, 2019
Fire safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Smoke Deficiencies · Tag K0355
D
Potential harm, isolated
Corrected January 22, 2020
November 19, 2019
Fire safety
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies · Tag K0353
D
Potential harm, isolated
Corrected January 22, 2020
November 19, 2019
Fire safety
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies · Tag K0345
D
Potential harm, isolated
Corrected January 22, 2020
November 19, 2019
Fire safety
Provide properly protected cooking facilities.
Smoke Deficiencies · Tag K0324
D
Potential harm, isolated
Corrected January 22, 2020
November 19, 2019
Fire safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies · Tag K0321
D
Potential harm, isolated
Corrected January 22, 2020
November 19, 2019
Fire safety
Have an enclosure around a vertical opening shaft.
Smoke Deficiencies · Tag K0311
D
Potential harm, isolated
Corrected January 22, 2020
November 19, 2019
Fire safety
Have exits that are accessible at all times.
Egress Deficiencies · Tag K0271
D
Potential harm, isolated
Corrected January 22, 2020
November 19, 2019
Standard
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
E
Potential harm, pattern
Corrected January 3, 2020
November 19, 2019
Standard
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Tag F0677
E
Potential harm, pattern
Corrected January 3, 2020
November 19, 2019
Standard
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.
Pharmacy Service Deficiencies · Tag F0761
D
Potential harm, isolated
Corrected January 3, 2020
November 19, 2019
Standard
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Tag F0759
D
Potential harm, isolated
Corrected January 3, 2020
November 19, 2019
Standard
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · Tag F0690
D
Potential harm, isolated
Corrected January 3, 2020
November 19, 2019
Standard
Put firmly secured handrails on each side of hallways.
Environmental Deficiencies · Tag F0924
D
Potential harm, isolated
Corrected January 3, 2020

Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with 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. How to read inspection citations.

Fines and payment denials

CMS reports no federal fines or payment denials in the past three years.

Owners and managers

Individuals and organizations reported to CMS as owning or operating this nursing home.

NameRoleShareSince

ownership data not available

Other nursing homes near Mulberry Health & Rehabilitation

  1. Franklin Wellness and Rehabilitation Center

    1287 West Main Street, Franklin, TN 37064 · under 1 mi

    For-profit · 88 beds · Part of Ahava Healthcare

    ★★★★★2Below average
  2. Nhc Healthcare, Franklin

    216 Fairground St, Franklin, TN 37064 · under 1 mi

    For-profit · 80 beds · Part of National Healthcare Corporation

    ★★★★★2Below average
  3. Nhc Place at Cool Springs

    211 Cool Springs Blvd, Franklin, TN 37067 · 2.9 mi

    For-profit · 121 beds · Part of National Healthcare Corporation

    ★★★★★4Above average
  4. Somerfield at the Heritage

    900 Heritage Way, Brentwood, TN 37027 · 7.8 mi

    For-profit · 66 beds · Part of Life Care Services

    ★★★★★3Average
  5. Nhc Place at the Trace

    8353 Highway 100, Nashville, TN 37221 · 9.7 mi

    For-profit · 90 beds · Part of National Healthcare Corporation

    ★★★★★5Much above average
  6. West Meade Place

    1000 St Luke Drive, Nashville, TN 37205 · 12 mi

    For-profit · 120 beds · Part of National Healthcare Corporation

    ★★★★★5Much above average

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Frequently asked questions

What is Mulberry Health & Rehabilitation's rating?

Mulberry Health & Rehabilitation has 1 out of 5 stars on the CMS overall star rating. The average for Tennessee nursing homes is 3 stars.

How many inspection citations did Mulberry Health & Rehabilitation receive?

Its most recent standard health inspection found 12 citations, compared with a Tennessee average of 4.4. Every citation is listed on this page with its severity.

Does Mulberry Health & Rehabilitation accept Medicare and Medicaid?

CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.

Who owns Mulberry Health & Rehabilitation?

It is for profit - limited liability company. The ownership section on this page lists the owners and managers reported to CMS.

Where is Mulberry Health & Rehabilitation and how do I contact it?

Mulberry Health & Rehabilitation is at 200 Strahl Street, Franklin, TN 37064. Phone: (615) 791-1103.

About this data

Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.