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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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.

Score breakdown

Inspection record 30% of score 27
Serious harm & abuse 20% 70
Staffing 20% 49
Federal penalties 15% 100
Trend 10% 92
Context 5% 60

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-day3.673.48 min · 4.1 strong
RN hours / resident-day0.220.55–0.75
Weekend hours / resident-day3.22≈ weekday level
Nursing turnover / year72%median 45%
Fines (3-yr window)none

Inspection citations (35 in the current record)

  • 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

  • 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

  • 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

  • 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

  • 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

  • Potential for harm · D June 15, 2023

    Ensure each resident receives an accurate assessment.

    Corrected July 28, 2023 · Resident Assessment and Care Planning

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • Potential for harm · D June 15, 2023

    Provide and implement an infection prevention and control program.

    Corrected July 28, 2023 · Infection Control

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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.