Franklin Nursing Home
700 HEARNE ST, Franklin, TX 77856
Franklin, Texas · CMS verdict
Franklin Nursing Home's CMS overall star rating stands at 5 of 5, above the Texas state average (2.8) and reflecting above-average quality by the federal five-star measure.
The rating and the PlainElderCare Index below summarize federal inspection, staffing, and outcome data, they measure specific, documented dimensions of this facility, not a holistic verdict on the care your family member would receive. Visit in person, talk with staff and current residents' families, and weigh your family member's specific needs before choosing.
Franklin Nursing Home in Franklin, Texas holds a CMS overall rating of 5 of 5 stars and a PlainElderCare Quality & Compliance Index of 66 of 100 (grade D). The 90-bed facility operates where a semi-private nursing-home room in Texas runs a median of $5,627 per month. Figures are from CMS Nursing Home Compare.
PlainElderCare Quality & Compliance Index
A transparent composite of this facility's CMS Care Compare sub-ratings and its federal inspection record. It complements, and does not replace, the official CMS overall rating of 5 of 5 stars. How this is calculated.
How the 66 is built
Each segment is a dimension's weighted points toward the score, summing to 66.
Weights: health inspections 30%, staffing 25%, quality measures 25%, inspection record 20%; any dimension CMS has not published drops out and its weight redistributes (no silent deflation). Inspection record is benchmarked against all rated US nursing homes. Source: CMS Nursing Home Compare.
Data insights
Quality ratings
On Care Compare (data as of April 2026), Franklin Nursing Home carries an overall CMS quality rating of 5 out of 5 stars. That figure rolls up three sub-ratings tracked separately: health inspection (4/5), staffing (2/5), and quality measures (5/5).
What each sub-rating measures
The health inspection rating reflects on-site surveyor findings from the last three cycles. The staffing rating compares case-mix-adjusted nurse hours per resident day to national benchmarks, and quality measures aggregate 15 clinical indicators including pressure ulcers, falls with injury, and long-stay antipsychotic use.
Size and setting
Located in Franklin, Texas, this facility operates 90 certified beds with an average daily census of roughly 53 residents - an occupancy rate of about 59%. The facility is classified under government - hospital district ownership, a designation that can influence staffing patterns, reinvestment decisions, and admissions policy. At roughly 59% occupancy, this facility has meaningful open capacity relative to its certified bed count.
Same-ownership peers
Within Texas, Franklin Nursing Home is one of 207 government - hospital district nursing homes CMS rates. Its 5-star overall rating sits above the government - hospital district-segment average of 2.8 stars, ahead of roughly 86% of same-ownership peers in the state. Same-segment comparisons like this one strip out the business-model factor, leaving a cleaner read on facility-level performance than a raw state average would give.
Inspection record
On the regulatory side, federal and state surveyors have documented multiple deficiencies at this facility (19 total). CMS has levied no enforcement penalties over the equivalent window. This is a high deficiency count relative to most facilities; requesting the full survey report directly is the only way to see whether these are concentrated in one area or spread across the facility's operations.
Where these figures come from
The figures above come directly from the U.S. Centers for Medicare \& Medicaid Services Nursing Home Compare dataset for federal quality ratings, combined with the CareScout 2025 Cost of Care Survey of more than 15,000 elder-care providers nationwide and U.S. Census American Community Survey income data. Cost figures are monthly medians, refreshed annually with each new CareScout release; quality ratings are refreshed quarterly from the CMS Provider Information File. Read these state and county medians as benchmarks, then verify current rates with individual providers and consult care managers before making placement decisions. See our methodology for source vintage.
How Franklin Nursing Home compares to Texas
CMS five-star sub-ratings (0–5) for this facility against the Texas facility-weighted average. Source: CMS Care Compare.
Bar = this facility's rating · vertical marker = Texas state average. Higher is better on all four CMS measures.
Where Franklin Nursing Home ranks in Texas
Among the 1,167 CMS-rated nursing homes in Texas, Franklin Nursing Home’s 5-star overall rating is higher than 87% of them. The bars show how all Texas homes spread across the CMS 1-to-5 scale; this facility’s band is highlighted.
155 Texas homes share this 5-star rating. Source: CMS Nursing Home Compare.
Facility details
| Attribute | Value |
|---|---|
| Beds | 90 |
| Residents | 53 |
| Ownership | Government - Hospital district |
| County | Robertson |
| Penalties | 0 |
| Deficiencies | 19 |
Source: CMS Care Compare Nursing Homes (data as of April 2026)
What do families ask most?
What is the quality rating for Franklin Nursing Home? ▾
5 out of 5 stars is Franklin Nursing Home's current CMS overall rating, built from a health inspection rating of 4/5, a staffing rating of 2/5, and a quality measures rating of 5/5.
How much does a nursing home cost per month in Texas? ▾
The median cost for a semi-private nursing home room in Texas is $5,627 per month ($67,525 annually). A private room averages $7,604 per month. Costs are from the CareScout 2025 survey.
What services does Franklin Nursing Home offer? ▾
Franklin Nursing Home operates as a skilled nursing facility (90 beds with approximately 53 current residents) under government - hospital district ownership. CMS inspections have recorded 19 deficiencies and 0 penalties there.
Does Franklin Nursing Home have any deficiencies or penalties? ▾
Franklin Nursing Home has multiple deficiencies (19 total) and 0 penalties recorded by CMS. A count this high is above what most facilities post; ask the facility directly for its plan of correction on the largest findings.
What are the alternatives to a nursing home in Texas? ▾
In Texas, alternatives include assisted living ($5,666/mo), home health aides ($5,720/mo), and adult day care ($1,950/mo).
Elder Care Guides
Explore PlainElderCare
Related Resources
Compare cost and CMS quality across the state on the Texas elder-care overview, or see how facilities rank nationwide in our highest-rated states ranking.
Weigh nursing care against assisted living, home health, and adult day care, with national median costs, on our care types comparison, and learn how to fund it in our paying for elder care guide.
Source: CMS Nursing Home Compare. Provider ID: 675897.
Read our methodology - how this data is sourced, computed, and verified.