nursing home in Franklin, TN
Mulberry Health & Rehabilitation
200 Strahl Street, Franklin, TN 37064 · (615) 791-1103
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
| Measure | This facility | Tennessee avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 1 / 5 | 3 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 1 / 5 | 3 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 2 / 5 | 2.5 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 3 / 5 | 3.6 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 4 / 5 | 3.6 / 5 | 3.8 / 5 | Average |
| Short-stay (rehab) quality rating (higher is better) | 1 / 5 | 3.4 / 5 | 3.3 / 5 | Worse |
Staffing
| Measure | This facility | Tennessee avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.81 hrs | 3.80 hrs | 3.86 hrs | Average |
| Registered nurse hours per resident per day (higher is better) | 0.32 hrs | 0.60 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.30 hrs | 2.12 hrs | 2.32 hrs | Average |
| Weekend nurse staff hours per resident per day (higher is better) | 3.42 hrs | 3.31 hrs | 3.42 hrs | Average |
| 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) | 1 | 1 | 1 | Worse |
Inspections
| Measure | This facility | Tennessee avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 12 | 4 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 1 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 191.5 | 47.9 | 80.6 | Worse |
Penalties
| Measure | This facility | Tennessee avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $22,907 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
Size
| Measure | This facility | Tennessee avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 157 | 114 | 107 | |
| Average residents per day | 86 | 84 | 86 | |
| Occupancy | 54.7% | 74.8% | 80.9% |
Long-stay residents
| Measure | This facility | Tennessee 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
| Measure | This facility | Tennessee 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".
| Date | Citation | Severity | Status |
|---|---|---|---|
| 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.
| Name | Role | Share | Since |
|---|---|---|---|
| ownership data not available |
Other nursing homes near Mulberry Health & Rehabilitation
Franklin Wellness and Rehabilitation Center
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★★★★★2Below averageNhc Healthcare, Franklin
216 Fairground St, Franklin, TN 37064 · under 1 mi
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★★★★★2Below averageNhc Place at Cool Springs
211 Cool Springs Blvd, Franklin, TN 37067 · 2.9 mi
For-profit · 121 beds · Part of National Healthcare Corporation
★★★★★4Above averageSomerfield at the Heritage
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For-profit · 66 beds · Part of Life Care Services
★★★★★3AverageNhc Place at the Trace
8353 Highway 100, Nashville, TN 37221 · 9.7 mi
For-profit · 90 beds · Part of National Healthcare Corporation
★★★★★5Much above averageWest Meade Place
1000 St Luke Drive, Nashville, TN 37205 · 12 mi
For-profit · 120 beds · Part of National Healthcare Corporation
★★★★★5Much above average
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.