SNF
NHC PLACE AT COOL SPRINGS
CCN: 445475 · FRANKLIN, TN 37067 · Williamson County
Inspection > 2 years ago
Overview
- Address
- 211 COOL SPRINGS BLVD, FRANKLIN, TN 37067
- Phone
- 6157786800
- Certified beds
- 121
- Avg daily residents
- 68 (56% of beds filled)
- Ownership
- For-profit corporation
- Provider type
- Medicare
- Medicare/Medicaid since
- 2004-05-10
- Setting
- Urban
5 /5
★★★★★
CMS Overall Rating
CMS 5-Star Ratings
CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.
Staffing & Workforce
Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.
| Role | Reported | Case-mix expected | Adjusted | Federal floor | |
|---|---|---|---|---|---|
| Total nurse All nursing staff combined: RN + LPN + Aide | 5.12 | 4.03 | 4.90 | ≥ 3.48 | |
| Registered Nurse (RN) Licensed RN hours. Strongest driver of clinical outcomes. | 1.31 | 0.70 | 1.25 | ≥ 0.55 | |
| Licensed Practical Nurse (LPN) LPN/LVN hours. Often handles medication administration. | 1.21 | 0.89 | 1.16 | — | |
| Nurse aide CNA hours. Bulk of direct resident care — bathing, feeding, mobility. | 2.59 | 2.43 | 2.48 | — | |
| Licensed (RN + LPN) Combined licensed nurse coverage. | 2.52 | — | — | — | |
| Physical therapist Rehabilitation therapist hours — important for post-acute / rehab admissions. | 0.42 | — | — | — |
Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.
Weekend staffing
Total nurse (weekend)
4.25
hrs / resident / day
RN (weekend)
1.14
hrs / resident / day
Total nurse (adjusted, weekend)
4.07
hrs / resident / day
Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.
Staff turnover
Total nursing staff turnover
50.0%
annual
RN turnover
35.0%
annual
Administrators departed
1
last 12 months
Resident acuity
Nursing Case-Mix Index
1.43
higher acuity than avg
Case-Mix Index Ratio
1.04
facility / state ratio
Health Inspections
CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.
| Cycle | Date | Total defs. | Standard | Complaint | Deficiency score | Revisits | Total score |
|---|---|---|---|---|---|---|---|
| Cycle 1 (most recent) | 2022-09-14 | 1 | 1 | 0 | 8 | 1 | 8 |
| Cycle 2/3 (prior) | 2019-08-22 | 5 | 5 | 0 | 64 | 1 | 64 |
Total weighted health score
22.0
lower is better
Deficiencies (8)
Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).
6 D/E/F Actual harm — potential for minor
2 G/H/I Actual harm
| Tag | Description | Scope/Severity | Survey date | Corrected |
|---|---|---|---|---|
| 0886 | Perform COVID19 testing on residents and staff. | E | 2022-09-14 | 2022-10-29 |
| 0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | G | 2019-08-22 | 2019-10-04 |
| 0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2019-08-22 | 2019-10-04 |
| 0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | 2019-08-22 | 2019-10-04 |
| 0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | 2019-08-22 | 2019-10-04 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2019-08-22 | 2019-10-04 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2018-10-17 | 2018-11-17 |
| 0761 | 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. | D | 2018-10-17 | 2018-11-17 |
Financial Health (FY 2023)
Operating performance
Operating Margin
-4.6%
Total Margin
-2.5%
Occupancy Rate
69.2%
Cost per Resident Day
$67
Revenue & costs
Net Patient Revenue
$15.2M
Total Costs
$3.1M
Net Income
-$389K
Balance sheet
Total Assets
$5.5M
Total Liabilities
$1.6M
Fund Balance
$3.9M
Current Ratio
0.71
Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.
Ownership & Corporate Structure
Chain: NATIONAL HEALTHCARE CORPORATION
- Chain ID
364- Facilities in chain
- 65
- Legal business name
- NHC HEALTHCARE-COOL SPRINGS, LLC
Chain-average star ratings (for peer context)
Overall
3.9
Health
3.4
Staffing
3.3
QM
4.5
Owner / manager organizations (9)
| Organization | Role | Association |
|---|---|---|
| NHC-OP LP | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 03/08/2000 |
| BLACKROCK INC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 05/01/2004 |
| DIMENSIONAL FUND ADVISORS LP | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 05/01/2004 |
| MORGAN STANLEY | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 11/08/2024 |
| NATIONAL HEALTH CORPORATION | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 05/04/2004 |
| NATIONAL HEALTHCARE CORPORATION | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 05/01/2004 |
| VANGUARD GROUP INC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 03/27/2017 |
| NATIONAL HEALTHCARE CORPORATION | OPERATIONAL/MANAGERIAL CONTROL | since 05/01/2004 |
| NHC-OP LP | OPERATIONAL/MANAGERIAL CONTROL | since 05/01/2004 |
Owner / manager individuals (9)
| Name | Role | Association |
|---|---|---|
| DODSON, VICKI | OPERATIONAL/MANAGERIAL CONTROL | since 06/01/2019 |
| KIDD, BRIAN | OPERATIONAL/MANAGERIAL CONTROL | since 05/31/2023 |
| MOORE, ANTHONY | OPERATIONAL/MANAGERIAL CONTROL | since 07/01/2019 |
| SHELLY, TIMOTHY | OPERATIONAL/MANAGERIAL CONTROL | since 07/12/2024 |
| SLANDZICKI, ALEX | OPERATIONAL/MANAGERIAL CONTROL | since 05/01/2021 |
| USSERY, ROBERT | OPERATIONAL/MANAGERIAL CONTROL | since 07/01/2000 |
| VINCENT, BRANDON | OPERATIONAL/MANAGERIAL CONTROL | since 08/19/2024 |
| WILLIAMS, KARA | OPERATIONAL/MANAGERIAL CONTROL | since 11/28/2023 |
| VINCENT, BRANDON | CORPORATE OFFICER | since 08/19/2024 |
Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.
Facility Features
- CCRC
- No
- Hospital-based
- No
- Resident / family council
- Resident
- Sprinkler systems
- Yes
- Abuse citation flag
- No
Methodology & sources
- Nursing Home Provider Info (
nh-provider-info), vintage 2026, downloaded 2026-04-14 , 14,703 rows. - Nursing Home Health Deficiencies (
nh-deficiencies), vintage 2026, downloaded 2026-04-14 , 418,972 rows. - Nursing Home Ownership (
nh-ownership), vintage 2026, downloaded 2026-04-14 , 160,393 rows. - Skilled Nursing Facility Cost Report (
snf-cost-report), vintage 2023, downloaded 2026-04-14 , 14,120 rows.
All Data
Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.
Show 112 rows
| Source | Metric | Value | Raw key |
|---|---|---|---|
| Cost Report | Cost per Resident Day ($) | $67 | metrics.cost_per_resident_day |
| Cost Report | Current Ratio | 0.71 | metrics.current_ratio |
| Cost Report | fiscal_year | 2,023 | fiscal_year |
| Cost Report | Medicare Day Share (%) | 25.2% | metrics.medicare_day_share |
| Cost Report | Net Income ($) | $-389,253 | metrics.net_income |
| Cost Report | Net Patient Revenue ($) | $15,214,036 | metrics.net_patient_revenue |
| Cost Report | Occupancy Rate (%) | 69.2% | metrics.occupancy_rate |
| Cost Report | Operating Margin (%) | -4.6% | metrics.operating_margin |
| Cost Report | Total Assets ($) | $5,494,936 | metrics.total_assets |
| Cost Report | Total Costs ($) | $3,064,864 | metrics.total_costs |
| Cost Report | Total Fund Balances ($) | $3,909,180 | metrics.fund_balance |
| Cost Report | Total Liabilities ($) | $1,585,756 | metrics.total_liabilities |
| Cost Report | Total Margin (%) | -2.5% | metrics.total_margin |
| Provider Information | Abuse Icon | N | Abuse Icon |
| Provider Information | Adjusted LPN Staffing Hours per Resident per Day | 1.16364 | Adjusted LPN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Nurse Aide Staffing Hours per Resident per Day | 2.48331 | Adjusted Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Adjusted RN Staffing Hours per Resident per Day | 1.25419 | Adjusted RN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Total Nurse Staffing Hours per Resident per Day | 4.90114 | Adjusted Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day | 4.06762 | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Administrator turnover footnote | — | Administrator turnover footnote |
| Provider Information | Automatic Sprinkler Systems in All Required Areas | Yes | Automatic Sprinkler Systems in All Required Areas |
| Provider Information | Average Number of Residents per Day | 68.0 | Average Number of Residents per Day |
| Provider Information | Average Number of Residents per Day Footnote | — | Average Number of Residents per Day Footnote |
| Provider Information | Case-Mix LPN Staffing Hours per Resident per Day | 0.89433 | Case-Mix LPN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Nurse Aide Staffing Hours per Resident per Day | 2.43058 | Case-Mix Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Case-Mix RN Staffing Hours per Resident per Day | 0.70493 | Case-Mix RN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Total Nurse Staffing Hours per Resident per Day | 4.02983 | Case-Mix Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day | 3.55187 | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Chain Average Health Inspection Rating | 3.4 | Chain Average Health Inspection Rating |
| Provider Information | Chain Average Overall 5-star Rating | 3.9 | Chain Average Overall 5-star Rating |
| Provider Information | Chain Average QM Rating | 4.5 | Chain Average QM Rating |
| Provider Information | Chain Average Staffing Rating | 3.3 | Chain Average Staffing Rating |
| Provider Information | Chain ID | 364 | Chain ID |
| Provider Information | Chain Name | NATIONAL HEALTHCARE CORPORATION | Chain Name |
| Provider Information | City/Town | FRANKLIN | City/Town |
| Provider Information | CMS Certification Number (CCN) | 445475 | CMS Certification Number (CCN) |
| Provider Information | Continuing Care Retirement Community | N | Continuing Care Retirement Community |
| Provider Information | County/Parish | Williamson | County/Parish |
| Provider Information | Date First Approved to Provide Medicare and Medicaid Services | 2004-05-10 | Date First Approved to Provide Medicare and Medicaid Services |
| Provider Information | Geocoding Footnote | — | Geocoding Footnote |
| Provider Information | Health Inspection Rating | 4 | Health Inspection Rating |
| Provider Information | Health Inspection Rating Footnote | — | Health Inspection Rating Footnote |
| Provider Information | Latitude | 35.9412 | Latitude |
| Provider Information | Legal Business Name | NHC HEALTHCARE-COOL SPRINGS, LLC | Legal Business Name |
| Provider Information | Location | 211 COOL SPRINGS BLVD,FRANKLIN,TN,37067 | Location |
| Provider Information | Long-Stay QM Rating | 4 | Long-Stay QM Rating |
| Provider Information | Long-Stay QM Rating Footnote | — | Long-Stay QM Rating Footnote |
| Provider Information | Longitude | -86.836 | Longitude |
| Provider Information | Most Recent Health Inspection More Than 2 Years Ago | Y | Most Recent Health Inspection More Than 2 Years Ago |
| Provider Information | Number of administrators who have left the nursing home | 1 | Number of administrators who have left the nursing home |
| Provider Information | Number of Certified Beds | 121 | Number of Certified Beds |
| Provider Information | Number of Citations from Infection Control Inspections | — | Number of Citations from Infection Control Inspections |
| Provider Information | Number of Facilities in Chain | 65 | Number of Facilities in Chain |
| Provider Information | Number of Fines | 0 | Number of Fines |
| Provider Information | Number of Payment Denials | 0 | Number of Payment Denials |
| Provider Information | Nursing Case-Mix Index | 1.42759 | Nursing Case-Mix Index |
| Provider Information | Nursing Case-Mix Index Ratio | 1.03625 | Nursing Case-Mix Index Ratio |
| Provider Information | Overall Rating | 5 | Overall Rating |
| Provider Information | Overall Rating Footnote | — | Overall Rating Footnote |
| Provider Information | Ownership Type | For profit - Corporation | Ownership Type |
| Provider Information | Physical Therapist Staffing Footnote | — | Physical Therapist Staffing Footnote |
| Provider Information | Processing Date | 2026-03-01 | Processing Date |
| Provider Information | Provider Address | 211 COOL SPRINGS BLVD | Provider Address |
| Provider Information | Provider Changed Ownership in Last 12 Months | N | Provider Changed Ownership in Last 12 Months |
| Provider Information | Provider Name | NHC PLACE AT COOL SPRINGS | Provider Name |
| Provider Information | Provider Resides in Hospital | N | Provider Resides in Hospital |
| Provider Information | Provider SSA County Code | 930 | Provider SSA County Code |
| Provider Information | Provider Type | Medicare | Provider Type |
| Provider Information | QM Rating | 4 | QM Rating |
| Provider Information | QM Rating Footnote | — | QM Rating Footnote |
| Provider Information | Rating Cycle 1 Health Deficiency Score | 8 | Rating Cycle 1 Health Deficiency Score |
| Provider Information | Rating Cycle 1 Health Revisit Score | 0 | Rating Cycle 1 Health Revisit Score |
| Provider Information | Rating Cycle 1 Number of Complaint Health Deficiencies | 0 | Rating Cycle 1 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 1 Number of Health Revisits | 1 | Rating Cycle 1 Number of Health Revisits |
| Provider Information | Rating Cycle 1 Number of Standard Health Deficiencies | 1 | Rating Cycle 1 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 1 Standard Survey Health Date | 2022-09-14 | Rating Cycle 1 Standard Survey Health Date |
| Provider Information | Rating Cycle 1 Total Health Score | 8 | Rating Cycle 1 Total Health Score |
| Provider Information | Rating Cycle 1 Total Number of Health Deficiencies | 1 | Rating Cycle 1 Total Number of Health Deficiencies |
| Provider Information | Rating Cycle 2 Number of Standard Health Deficiencies | 5 | Rating Cycle 2 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 2 Standard Health Survey Date | 2019-08-22 | Rating Cycle 2 Standard Health Survey Date |
| Provider Information | Rating Cycle 2/3 Health Deficiency Score | 64 | Rating Cycle 2/3 Health Deficiency Score |
| Provider Information | Rating Cycle 2/3 Health Revisit Score | 0 | Rating Cycle 2/3 Health Revisit Score |
| Provider Information | Rating Cycle 2/3 Number of Complaint Health Deficiencies | 0 | Rating Cycle 2/3 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 2/3 Number of Health Revisits | 1 | Rating Cycle 2/3 Number of Health Revisits |
| Provider Information | Rating Cycle 2/3 Total Health Score | 64 | Rating Cycle 2/3 Total Health Score |
| Provider Information | Rating Cycle 2/3 Total Number of Health Deficiencies | 5 | Rating Cycle 2/3 Total Number of Health Deficiencies |
| Provider Information | Registered Nurse hours per resident per day on the weekend | 1.13846 | Registered Nurse hours per resident per day on the weekend |
| Provider Information | Registered Nurse turnover | 35.0 | Registered Nurse turnover |
| Provider Information | Registered Nurse turnover footnote | — | Registered Nurse turnover footnote |
| Provider Information | Reported Licensed Staffing Hours per Resident per Day | 2.52360 | Reported Licensed Staffing Hours per Resident per Day |
| Provider Information | Reported LPN Staffing Hours per Resident per Day | 1.21455 | Reported LPN Staffing Hours per Resident per Day |
| Provider Information | Reported Nurse Aide Staffing Hours per Resident per Day | 2.59195 | Reported Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Reported Physical Therapist Staffing Hours per Resident Per Day | 0.41897 | Reported Physical Therapist Staffing Hours per Resident Per Day |
| Provider Information | Reported RN Staffing Hours per Resident per Day | 1.30905 | Reported RN Staffing Hours per Resident per Day |
| Provider Information | Reported Staffing Footnote | — | Reported Staffing Footnote |
| Provider Information | Reported Total Nurse Staffing Hours per Resident per Day | 5.11555 | Reported Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Short-Stay QM Rating | 5 | Short-Stay QM Rating |
| Provider Information | Short-Stay QM Rating Footnote | — | Short-Stay QM Rating Footnote |
| Provider Information | Special Focus Status | — | Special Focus Status |
| Provider Information | Staffing Rating | 5 | Staffing Rating |
| Provider Information | Staffing Rating Footnote | — | Staffing Rating Footnote |
| Provider Information | State | TN | State |
| Provider Information | Telephone Number | 6157786800 | Telephone Number |
| Provider Information | Total Amount of Fines in Dollars | 0.00 | Total Amount of Fines in Dollars |
| Provider Information | Total number of nurse staff hours per resident per day on the weekend | 4.24557 | Total number of nurse staff hours per resident per day on the weekend |
| Provider Information | Total Number of Penalties | 0 | Total Number of Penalties |
| Provider Information | Total nursing staff turnover | 50.0 | Total nursing staff turnover |
| Provider Information | Total nursing staff turnover footnote | — | Total nursing staff turnover footnote |
| Provider Information | Total Weighted Health Survey Score | 22.000 | Total Weighted Health Survey Score |
| Provider Information | Urban | Y | Urban |
| Provider Information | With a Resident and Family Council | Resident | With a Resident and Family Council |
| Provider Information | ZIP Code | 37067 | ZIP Code |