Franklin Wellness and Rehabilitation Center
1287 West Main Street, Franklin, TN 37064 · Williamson County · 88 certified beds · avg 61 residents/day · certified since Aug 10, 1981
Part of chain: AHAVA HEALTHCARE (16 facilities, chain avg rating 2.4★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 2/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · Jun 9, 2025 · F-0692
The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Why it matters: Malnutrition and dehydration can quickly weaken a resident and lead to serious complications.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Jun 11, 2025 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Jun 9, 2025 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: May 9, 2024 (Past Non-Compliance)
All citations in the current public record (16)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jun 9, 2025 | ▲ J · Immediate jeopardy, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. |
| Jun 9, 2025 | ▲ J · Immediate jeopardy, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Jun 9, 2025 | E · Potential for harm, repeated | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. |
| Jun 9, 2025 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Jun 9, 2025 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · from a complaint |
| Jun 9, 2025 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Jun 9, 2025 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · from a complaint |
| Jun 9, 2025 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint |
| Jan 9, 2020 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Jan 9, 2020 | D · Potential for harm, one-off | The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate. |
| Jan 9, 2020 | D · Potential for harm, one-off | The facility did not reassess a resident after a significant change in their condition, such as a sudden decline in health. A full new assessment is required when a resident's condition changes in a major way. |
| Feb 22, 2019 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Feb 22, 2019 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Feb 22, 2019 | D · Potential for harm, one-off | The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. |
| Feb 22, 2019 | D · Potential for harm, one-off | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. |
| Feb 22, 2019 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (3 → 5).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 5 | 0 | D |
| 2020 | 3 | 0 | F |
| 2025 | 8 | 2 | J ▲ |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
1 fine totaling $44,469.
| Date | Type | Amount / length |
|---|---|---|
| Jun 9, 2025 | Fine | $44,469 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Tennessee avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.80 | 3.62 | 3.95 | top 30% in Tennessee; top 49% in the U.S. |
| Registered Nurse hours | 1.08 | 0.57 | 0.69 | top 5% in Tennessee; top 13% in the U.S. |
| Weekend total nurse staffing | 3.39 | 3.15 | 3.50 | top 23% in Tennessee; top 48% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.64 | 0.39 | 0.48 | top 8% in Tennessee; top 20% in the U.S. |
| Total nursing staff turnover (%) | 83.3 | 48.9 | 45.8 | bottom 1% in Tennessee; bottom 2% in the U.S. |
| RN turnover (%) | 83.3 | 43.2 | 42.9 | bottom 3% in Tennessee; bottom 4% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.56, RN 1.01, weekend 3.18. Staffing rating: 3/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 5/5 · long-stay residents: 4/5 · short-stay residents: 5/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Ecm Holdings LLC | Organization | 5% or Greater Indirect Ownership Interest | 10% | 06/01/2019 |
| Franklin Holdco, LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 06/01/2019 |
| Beason, Pamela | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2024 |
| Beason, Pamela | Individual | ADP of the SNF | NOT APPLICABLE | 03/28/2025 |
| Eisen, Menashe | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 03/28/2025 |
| Niederman, Anshel | Individual | Managing Control - Governing Body | NOT APPLICABLE | 06/01/2019 |
| Niederman, Anshel | Individual | Corporate Director | NOT APPLICABLE | 06/01/2019 |
| Philipson, Bent | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 03/28/2025 |
| Philipson, Gabrielle | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 03/28/2025 |
| Philipson, Raquel | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 04/10/2025 |
| Randolph, Bonnie | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2025 |
| Randolph, Bonnie | Individual | ADP of the SNF | NOT APPLICABLE | 03/28/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "How do you coordinate and monitor care for residents who receive dialysis?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Mulberry Health & Rehabilitation | 0.3 mi | Franklin, TN | ★☆☆☆☆ | 1/5 | SFF |
| NHC Healthcare, Franklin | 0.5 mi | Franklin, TN | ★★☆☆☆ | 2/5 | |
| NHC Place at Cool Springs | 3.1 mi | Franklin, TN | ★★★★☆ | 4/5 | |
| Somerfield at the Heritage | 8.0 mi | Brentwood, TN | ★★★★★ | 5/5 | |
| NHC Place at the Trace | 9.6 mi | Nashville, TN | ★★★★★ | 4/5 | |
| The Meadows | 12.0 mi | Nashville, TN | ★★★☆☆ | 2/5 | |
| West Meade Place | 12.0 mi | Nashville, TN | ★★★★★ | 4/5 | |
| The Reserve at Spring Hill | 12.5 mi | Spring Hill, TN | ★★★★★ | 5/5 | |
| Woodcrest at Blakeford | 12.9 mi | Nashville, TN | ★★★★☆ | 3/5 | |
| Bethany Center for Rehabilitation and Healing LLC | 13.1 mi | Nashville, TN | ★☆☆☆☆ | 2/5 | |
| Green Hills Center for Rehabilitation and Healing | 13.5 mi | Nashville, TN | ★★★☆☆ | 2/5 | |
| The Health Center at Richland Place | 15.1 mi | Nashville, TN | ★★★☆☆ | 2/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 445146.