Mulberry Health & Rehabilitation
200 Strahl Street · Franklin, TN · 37064 · 6157911103
157 certified beds For profit - Limited Liability company Chain: Lyon Healthcare
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- No federal fines or payment denials in CMS’s 3-year window.
- Inspection results have improved across recent cycles.
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Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
5 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
RN staffing in the bottom 10% nationally
0.22 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
72% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
No standard inspection in over 2 years
The inspection record here is older than usual — conditions may have changed since.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.67 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.22 | 0.55–0.75 |
| Weekend hours / resident-day | 3.22 | ≈ weekday level |
| Nursing turnover / year | 72% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (35 in the current record)
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Potential for harm · D October 27, 2023 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected December 8, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D October 27, 2023 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected December 8, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D October 27, 2023 · found via complaint
Respond appropriately to all alleged violations.
Corrected December 8, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D October 27, 2023 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 8, 2023 · Quality of Life and Care
-
Potential for harm · D June 15, 2023
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.
Corrected July 28, 2023 · Resident Rights
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Potential for harm · D June 15, 2023
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected July 28, 2023 · Resident Assessment and Care Planning
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Potential for harm · D June 15, 2023
Ensure each resident receives an accurate assessment.
Corrected July 28, 2023 · Resident Assessment and Care Planning
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Potential for harm · D June 15, 2023
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected July 28, 2023 · Resident Assessment and Care Planning
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Potential for harm · D June 15, 2023
Provide enough food/fluids to maintain a resident's health.
Corrected July 28, 2023 · Quality of Life and Care
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Potential for harm · D June 15, 2023
Provide safe and appropriate respiratory care for a resident when needed.
Corrected July 28, 2023 · Quality of Life and Care
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Potential for harm · D June 15, 2023
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected July 28, 2023 · Pharmacy Service
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Potential for harm · D June 15, 2023
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.
Corrected July 28, 2023 · Pharmacy Service
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Potential for harm · D June 15, 2023
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.
Corrected July 28, 2023 · Nutrition and Dietary
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Potential for harm · D June 15, 2023
Provide and implement an infection prevention and control program.
Corrected July 28, 2023 · Infection Control
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Potential for harm · E June 15, 2023 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected July 28, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 15, 2023 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected July 28, 2023 · Quality of Life and Care
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Immediate jeopardy · K July 19, 2021
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected August 30, 2021 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · K July 19, 2021
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.
Corrected August 30, 2021 · Nursing and Physician Services
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Immediate jeopardy · K July 19, 2021
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected August 30, 2021 · Quality of Life and Care
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Immediate jeopardy · K July 19, 2021
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected August 30, 2021 · Administration
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Immediate jeopardy · K July 19, 2021
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected August 30, 2021 · Administration
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Potential for harm · D July 19, 2021
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected August 30, 2021 · Resident Assessment and Care Planning
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Potential for harm · D July 19, 2021
Ensure each resident receives an accurate assessment.
Corrected August 30, 2021 · Resident Assessment and Care Planning
-
Potential for harm · D July 19, 2021
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected August 30, 2021 · Resident Assessment and Care Planning
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Potential for harm · E July 19, 2021
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected August 30, 2021 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 445157 · certified since June 23, 1983. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.