CLAIBORNE AND HUGHES HLTH CNTR

πŸ“ 200 STRAHL STREET, franklin, TN 37064 πŸ“ž 6157911103 πŸ›οΈ 157 beds

Overall Rating

⭐
1/5

Health Inspection

⭐
1/5

Staffing

⭐
1/5

Quality Measures

⭐⭐⭐⭐
4/5

Inspection History Overview

65
Total Violations
6 years of data
$148,758
Total Fines
3 penalties
4
Inspections
Since 2014
21
Quality Metrics
Tracked measures

Health Violations by Year

2023 16 violations

Tag 0600 D Oct 27, 2023

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

βœ“ Corrected: Dec 8, 2023
Tag 0609 D Oct 27, 2023

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

βœ“ Corrected: Dec 8, 2023
Tag 0610 D Oct 27, 2023

Respond appropriately to all alleged violations.

βœ“ Corrected: Dec 8, 2023
Tag 0689 D Oct 27, 2023

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

βœ“ Corrected: Dec 8, 2023
Tag 0578 D Jun 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.

βœ“ Corrected: Jul 28, 2023
Tag 0609 E Jun 15, 2023

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

βœ“ Corrected: Jul 28, 2023
Tag 0640 D Jun 15, 2023

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

βœ“ Corrected: Jul 28, 2023
Tag 0641 D Jun 15, 2023

Ensure each resident receives an accurate assessment.

βœ“ Corrected: Jul 28, 2023
Tag 0657 D Jun 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.

βœ“ Corrected: Jul 28, 2023
Tag 0684 D Jun 15, 2023

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

βœ“ Corrected: Jul 28, 2023
Tag 0692 D Jun 15, 2023

Provide enough food/fluids to maintain a resident's health.

βœ“ Corrected: Jul 28, 2023
Tag 0695 D Jun 15, 2023

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

βœ“ Corrected: Jul 28, 2023
Tag 0757 D Jun 15, 2023

Ensure each resident’s drug regimen must be free from unnecessary drugs.

βœ“ Corrected: Jul 28, 2023
Tag 0761 D Jun 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.

βœ“ Corrected: Jul 28, 2023
Tag 0803 D Jun 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.

βœ“ Corrected: Jul 28, 2023
Tag 0880 D Jun 15, 2023

Provide and implement an infection prevention and control program.

βœ“ Corrected: Jul 28, 2023

2021 13 violations

Tag 0600 K Jul 19, 2021

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Tag 0636 D Jul 19, 2021

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Tag 0641 D Jul 19, 2021

Ensure each resident receives an accurate assessment.

Tag 0657 D Jul 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.

Tag 0686 E Jul 19, 2021

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Tag 0689 D Jul 19, 2021

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Tag 0693 D Jul 19, 2021

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Tag 0726 K Jul 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.

Tag 0744 K Jul 19, 2021

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

Tag 0812 E Jul 19, 2021

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

Tag 0835 K Jul 19, 2021

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Tag 0867 K Jul 19, 2021

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Tag 0880 E Jul 19, 2021

Provide and implement an infection prevention and control program.

2020 4 violations

Tag 0600 J Aug 29, 2020

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

βœ“ Corrected: Oct 7, 2020
Tag 0609 J Aug 29, 2020

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

βœ“ Corrected: Oct 7, 2020
Tag 0610 J Aug 29, 2020

Respond appropriately to all alleged violations.

βœ“ Corrected: Oct 7, 2020
Tag 0689 J Aug 29, 2020

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

βœ“ Corrected: Oct 7, 2020

2019 18 violations

Tag 0677 E Nov 19, 2019

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

βœ“ Corrected: Jan 3, 2020
Tag 0689 E Nov 19, 2019

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

βœ“ Corrected: Jan 3, 2020
Tag 0690 D Nov 19, 2019

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

βœ“ Corrected: Jan 3, 2020
Tag 0759 D Nov 19, 2019

Ensure medication error rates are not 5 percent or greater.

βœ“ Corrected: Jan 3, 2020
Tag 0761 D Nov 19, 2019

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.

βœ“ Corrected: Jan 3, 2020
Tag 0924 D Nov 19, 2019

Put firmly secured handrails on each side of hallways.

βœ“ Corrected: Jan 3, 2020
Tag 0609 D Jul 11, 2019

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

βœ“ Corrected: Jul 12, 2019
Tag 0550 D Jan 10, 2019

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

βœ“ Corrected: Feb 18, 2019
Tag 0623 D Jan 10, 2019

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

βœ“ Corrected: Feb 18, 2019
Tag 0655 E Jan 10, 2019

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

βœ“ Corrected: Feb 18, 2019
Tag 0656 D Jan 10, 2019

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

βœ“ Corrected: Feb 18, 2019
Tag 0657 D Jan 10, 2019

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

βœ“ Corrected: Feb 18, 2019
Tag 0686 E Jan 10, 2019

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

βœ“ Corrected: Feb 18, 2019
Tag 0698 D Jan 10, 2019

Provide safe, appropriate dialysis care/services for a resident who requires such services.

βœ“ Corrected: Feb 18, 2019
Tag 0790 D Jan 10, 2019

Provide routine and 24-hour emergency dental care for each resident.

βœ“ Corrected: Feb 18, 2019
Tag 0812 F Jan 10, 2019

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

βœ“ Corrected: Feb 18, 2019
Tag 0838 D Jan 10, 2019

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies.

βœ“ Corrected: Feb 18, 2019
Tag 0880 D Jan 10, 2019

Provide and implement an infection prevention and control program.

βœ“ Corrected: Feb 18, 2019

2018 5 violations

Tag 0583 D Jan 31, 2018

Keep residents' personal and medical records private and confidential.

βœ“ Corrected: Mar 2, 2018
Tag 0584 D Jan 31, 2018

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.

βœ“ Corrected: Mar 2, 2018
Tag 0689 D Jan 31, 2018

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

βœ“ Corrected: Mar 2, 2018
Tag 0801 F Jan 31, 2018

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

βœ“ Corrected: Mar 2, 2018
Tag 0812 F Jan 31, 2018

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

βœ“ Corrected: Mar 2, 2018

2017 9 violations

Tag 0157 D May 10, 2017

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

βœ“ Corrected: Jun 23, 2017
Tag 0225 E May 10, 2017

1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.

βœ“ Corrected: Jun 23, 2017
Tag 0226 D May 10, 2017

Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.

βœ“ Corrected: Jun 23, 2017
Tag 0279 D May 10, 2017

Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

βœ“ Corrected: Jun 23, 2017
Tag 0280 D May 10, 2017

Allow residents the right to participate in the planning or revision of care and treatment.

βœ“ Corrected: Jun 23, 2017
Tag 0281 D May 10, 2017

Ensure services provided by the nursing facility meet professional standards of quality.

βœ“ Corrected: Jun 23, 2017
Tag 0323 D May 10, 2017

Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

βœ“ Corrected: Jun 23, 2017
Tag 0356 C May 10, 2017

Post nurse staffing information/data on a daily basis.

βœ“ Corrected: Jun 23, 2017
Tag 0520 E May 10, 2017

Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.

βœ“ Corrected: Jun 23, 2017

Detailed Inspection Reports

No detailed inspection reports available yet. Check back soon as we're processing new reports daily.

Fines and Penalties by Year

2021 2 penalties totaling $126,438

$125,788
Fine
July 19, 2021
$650
Fine
July 5, 2021
Average: $63,219 | Range: $650 - $125,788

2020 1 penalties totaling $22,320

$22,320
Fine
August 29, 2020
Average: $22,320 | Range: $22,320 - $22,320

Fire Safety Deficiencies

Unknown Date

No description available

Inspection Survey Reports

Health

October 27, 2023
0.00

Health

June 15, 2023
0.00

Health

July 19, 2021
0.00

Health

November 19, 2019
0.00

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Ownership Information

For profit - Limited Liability company
Independent (Not part of a chain)
445157
445157
6157911103
Williamson

Historical Ownership Records

August 25, 2025
Organization
August 25, 2025
Organization
August 25, 2025
Individual