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Nursing home · Top rated by CMS

Franklin Nursing Home

700 Hearne St, Franklin, TX 77856 · Map
Government - Hospital district · Part of Creative Solutions In Healthcare (149 facilities) · 90 certified beds

Medicare and Medicaid certified
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Franklin Nursing Home is a Medicare-certified nursing home in Franklin, Texas. CMS rates it 5 out of 5 stars overall (2/5 for staffing, 4/5 for health inspections). Nurse staffing is 2.94 hours per resident per day, below the Texas average of 3.40. Its most recent inspection on Sep 11, 2025 cited 7 deficiencies.

5 out of 5Overall CMS rating
4 out of 5Health inspections
2 out of 5Staffing
90 bedsCertified beds

CMS quality ratings

Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.

Overall rating5/5
Health inspections4/5
Staffing2/5
Quality measures5/5
Long-stay quality5/5
Short-stay quality4/5

How Franklin Nursing Home compares

This facility vs. the Texas and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.

MetricThis facilityTexas avgNational avgCompared with the state
Total nurse staffing (hrs/resident/day)2.943.403.89below avg
RN staffing (hrs/resident/day)0.360.440.68below avg
Aide staffing (hrs/resident/day)1.742.012.34below avg
Nursing staff turnover39.5%51.5%46.4%below avg
Deficiencies cited, last inspection7.09.19.5below avg

Staffing

Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.

2.94Total nurse hrs/resident/day
0.36RN hrs/resident/day
0.84LPN hrs/resident/day
1.74Aide hrs/resident/day
2.40Weekend nurse hrs/resident/day

Staff turnover

Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.

Total nursing staff39.5%
Registered nurses—
Administrator changes0 in last year

Recent health inspection

CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.

Sep 11, 2025Most recent inspection
7Deficiencies found
32Health inspection score
0Fines
  • Every deficiency from the December 3, 2025 inspection was corrected by December 5, 2025

What inspectors found at Franklin Nursing Home

Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.

  • Potential for harm

    Make sure that a working call system is available in each resident's bathroom and bathing area.

    Environmental Deficiencies · Dec 3, 2025 · Full report (PDF)
  • Potential for harm

    Provide safe and appropriate respiratory care for a resident when needed.

    Quality of Life and Care Deficiencies · Sep 11, 2025 · Full report (PDF)
  • Potential for harm

    Provide activities to meet all resident's needs.

    Quality of Life and Care Deficiencies · Sep 11, 2025 · Full report (PDF)
  • Potential for harm

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Quality of Life and Care Deficiencies · Sep 11, 2025 · Full report (PDF)
  • Potential for harm

    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 · Sep 11, 2025 · Full report (PDF)
Show all 12 deficiencies
  • Potential for harm

    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.

    Resident Rights Deficiencies · Sep 11, 2025 · Full report (PDF)
  • Potential for harm

    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 · Mar 25, 2025 · Full report (PDF)
  • Potential for harm

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Quality of Life and Care Deficiencies · Aug 15, 2024 · Full report (PDF)
  • Potential for harm

    Provide and implement an infection prevention and control program.

    Infection Control Deficiencies · Aug 15, 2024 · Full report (PDF)
  • Potential for harm

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Nutrition and Dietary Deficiencies · Aug 15, 2024 · Full report (PDF)
  • Potential for harm

    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 · Aug 15, 2024 · Full report (PDF)
  • Potential for harm

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Resident Rights Deficiencies · Aug 15, 2024 · Full report (PDF)

Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.

About this facility

Address
700 Hearne St
Franklin, TX 77856
CMS certification #
675897
Ownership
Government - Hospital district
Certified beds
90
Avg residents/day
52.7
Provider type
Medicare and Medicaid
First certified
2001-04-18
Chain
Creative Solutions In Healthcare (149 facilities)
Setting
Urban

Part of Creative Solutions In Healthcare

Creative Solutions In Healthcare operates 149 nursing facilities across the United States. View all Creative Solutions In Healthcare facilities →

Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →

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Location and nearby

Explore the area around Franklin Nursing Home using Google Maps.

Other public records

Full public records, with dates and sources

Location and nearby care

Nearest hospital with an emergency room
Chi St Joseph Health Regional Hospital, Bryan. 27.1 miles away, straight line. CMS overall hospital rating: 2 of 5 stars.
Nearest Medicare nursing home
Crossroads Nursing & Rehabilitation, Hearne. 12.7 miles away, straight line.
Nearest home health agency office
Guardian Healthcare, Bryan. 27.3 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
Nearest pharmacy
Brookshire Brothers Pharmacy. 12.2 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
Area
USDA classes ZIP code 77856 as rural (rural area).
Hospice
13 Medicare hospices tell CMS they serve ZIP code 77856.
Nearest geriatric medicine practice
Scott And White Clinic, Cameron. 30.5 miles away, straight line. 1 geriatric medicine doctor listed there.

Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.

Emergency and natural hazard risk

Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.

Flood zone
Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
FEMA National Risk Index
Overall: relatively low. By hazard: hurricane relatively moderate, inland flooding relatively moderate, wildfire relatively low, tornado relatively high, heat wave relatively moderate, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)

A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.

What we checked

Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.

SourceData as ofWhat we found
U.S. Department of Labor wage and hour casesOct 15, 2026Nothing on record
OSHA workplace safety inspections since 2016Oct 15, 2026Nothing on record
Hurricane evacuation zone mapsNot in a mapped zone
FEMA flood mapSee above
USDA wildfire riskApr 15, 2026Not shown: FEMA rates wildfire risk here relatively low
FEMA National Risk IndexSee above
CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmaciesSee above
HUD Multifamily Properties - AssistedJul 6, 2026Nothing on record
State Veterans Homes (NASVH directory)Sep 20, 2026Nothing on record
CMS Hospice - General InformationAug 19, 2026Nothing on record
CMS Home Health Care AgenciesMay 27, 2026Nothing on record
The community’s own websiteNo plain statements of services found

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Frequently asked questions

Is Franklin Nursing Home a good nursing home?

CMS gives Franklin Nursing Home an overall rating of 5 out of 5 stars, including 2/5 for staffing and 4/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.

How is Franklin Nursing Home staffed?

Franklin Nursing Home reports 2.94 total nurse hours per resident per day, compared with the Texas average of 3.40.

Has Franklin Nursing Home had inspection problems?

Its most recent CMS inspection cited 7 deficiencies.

How many beds does Franklin Nursing Home have?

Franklin Nursing Home is certified for 90 beds.