Starfile / Tennessee

MULBERRY HEALTH & REHABILITATION

200 STRAHL STREET, FRANKLIN, TN 37064 · CCN 445157

Inspection history vs Tennessee & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$0

Number of fines

0

Number of penalties

0

Payment denials

0

Chain

Chain

LYON HEALTHCARE

Facilities in chain

14

Chain avg overall

1.70 / 5

Inspection citations (35)5 immediate jeopardy

1. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-10-27 · Health · corrected 2023-12-08

   Potential for more than minimal harm

2. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-10-27 · Health · corrected 2023-12-08

   Potential for more than minimal harm

3. DF0610Respond appropriately to all alleged violations.2023-10-27 · Health · corrected 2023-12-08

   Potential for more than minimal harm

4. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-10-27 · Health · corrected 2023-12-08

   Potential for more than minimal harm

5. DF0578Honor 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.2023-06-15 · Health · corrected 2023-07-28

   Potential for more than minimal harm

6. EF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-06-15 · Health · corrected 2023-07-28

   Potential for more than minimal harm

7. DF0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.2023-06-15 · Health · corrected 2023-07-28

   Potential for more than minimal harm

8. DF0641Ensure each resident receives an accurate assessment.2023-06-15 · Health · corrected 2023-07-28

   Potential for more than minimal harm

9. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-06-15 · Health · corrected 2023-07-28

   Potential for more than minimal harm

10. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-06-15 · Health · corrected 2023-07-28

    Potential for more than minimal harm

11. DF0692Provide enough food/fluids to maintain a resident's health.2023-06-15 · Health · corrected 2023-07-28

    Potential for more than minimal harm

12. DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-06-15 · Health · corrected 2023-07-28

    Potential for more than minimal harm

13. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2023-06-15 · Health · corrected 2023-07-28

    Potential for more than minimal harm

14. DF0761Ensure 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.2023-06-15 · Health · corrected 2023-07-28

    Potential for more than minimal harm

15. DF0803Ensure 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.2023-06-15 · Health · corrected 2023-07-28

    Potential for more than minimal harm

16. DF0880Provide and implement an infection prevention and control program.2023-06-15 · Health · corrected 2023-07-28

    Potential for more than minimal harm

17. KF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2021-07-19 · Health · corrected 2021-08-30

    Immediate jeopardy

18. DF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.2021-07-19 · Health · corrected 2021-08-30

    Potential for more than minimal harm

19. DF0641Ensure each resident receives an accurate assessment.2021-07-19 · Health · corrected 2021-08-30

    Potential for more than minimal harm

20. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2021-07-19 · Health · corrected 2021-08-30

    Potential for more than minimal harm

21. EF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2021-07-19 · Health · corrected 2021-08-30

    Potential for more than minimal harm

22. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2021-07-19 · Health · corrected 2021-08-30

    Potential for more than minimal harm

23. DF0693Ensure 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.2021-07-19 · Health · corrected 2021-08-30

    Potential for more than minimal harm

24. KF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2021-07-19 · Health · corrected 2021-08-30

    Immediate jeopardy

25. KF0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.2021-07-19 · Health · corrected 2021-08-30

    Immediate jeopardy

26. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2021-07-19 · Health · corrected 2021-08-30

    Potential for more than minimal harm

27. KF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.2021-07-19 · Health · corrected 2021-08-30

    Immediate jeopardy

28. KF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2021-07-19 · Health · corrected 2021-08-30

    Immediate jeopardy

29. EF0880Provide and implement an infection prevention and control program.2021-07-19 · Health · corrected 2021-08-30

    Potential for more than minimal harm

30. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2019-11-19 · Health · corrected 2020-01-03

    Potential for more than minimal harm

31. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2019-11-19 · Health · corrected 2020-01-03

    Potential for more than minimal harm

32. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2019-11-19 · Health · corrected 2020-01-03

    Potential for more than minimal harm

33. DF0759Ensure medication error rates are not 5 percent or greater.2019-11-19 · Health · corrected 2020-01-03

    Potential for more than minimal harm

34. DF0761Ensure 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.2019-11-19 · Health · corrected 2020-01-03

    Potential for more than minimal harm

35. DF0924Put firmly secured handrails on each side of hallways.2019-11-19 · Health · corrected 2020-01-03

    Potential for more than minimal harm

Ownership

No ownership records.

Other facilities in FRANKLIN

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.