For Franklin families, nursing homes comes down to a handful of practical questions — who's licensed nearby, what it costs in 2026, and how fast a spot can open. We answer those here. We currently track 4 CMS-certified skilled nursing facilities serving Franklin.
What's below: the licensed providers, 2026 Franklin cost ranges, the local hospital and neighborhood context, what to ask on a tour, and how to act fast if a hospital discharge is looming. Prefer to talk it through? Get matched with a free local advisor — no fees, ever.
What nursing homes means — and who it's for
A nursing home is for someone who needs 24-hour licensed nursing — complex medical conditions, advanced mobility loss, or recovery requiring skilled care that an ACLF cannot legally provide.
How Tennessee regulates it: Skilled nursing facilities in Tennessee are licensed by TDH under TCA Title 68, Chapter 11 and TDH Rule 1200-08-06, and most are also federally certified for Medicare and TennCare (Medicaid). They provide 24-hour licensed nursing — a different, higher level of care than assisted living. Check the facility's CMS Five-Star rating alongside its TDH inspection history.
In Franklin specifically, that means weighing the licensed options against Franklin's cost range and your family's timeline. The right choice balances care level, budget, location near Williamson Medical Center, and how quickly you need a spot.
Franklin nursing homes: by the numbers
4 CMS-certified skilled nursing facilities in Franklin; about 446 total licensed/certified beds; averaging 112 beds per facility; the largest at 157 beds. Skilled nursing facilities in Tennessee are both TDH-licensed under TCA Title 68, Chapter 11 and federally certified through CMS — this table reflects CMS certification data. These numbers reflect actual licensed/certified providers on file, not modeled averages.
Licensed nursing homes providers in Franklin
CMS-certified skilled nursing facilities — selected from CMS Nursing Home Compare. Pulled from CMS Nursing Home Compare records (2026). We recommend re-checking each facility's current certification and survey history at medicare.gov/care-compare before signing anything.
| Provider | City | CMS Star Rating | License / CCN |
|---|---|---|---|
| Nhc Place At Cool Springs | Franklin | — | 445475 |
| Nhc Healthcare, Franklin | Franklin | — | 445127 |
| Mulberry Health & Rehabilitation | Franklin | — | 445157 |
| Franklin Wellness And Rehabilitation Center | Franklin | — | 445146 |
Senior care in Franklin, Williamson County
Franklin is Williamson County's seat and one of the fastest-growing cities in the U.S., with about 85,000 residents, high household incomes, nationally recognized schools, and a strong demand for premium senior living from long-tenured homeowners over 65. Anchored by Williamson Medical Center and surrounded by the metro's most affluent ZIP codes, Franklin is Nashville's second-highest-cost senior care market — a magnet for upscale assisted living, secured memory care, and life-plan communities.
Nearby hospitals: Williamson Medical Center, TriStar Southern Hills Medical Center (nearby), Vanderbilt University Medical Center (nearby), Ascension Saint Thomas West (nearby). Hospital nearness is a real factor in Franklin: it smooths rehab hand-offs, dementia crises, and ongoing care, so many families filter by it.
Areas families ask about: Downtown Franklin, Cool Springs, Westhaven, Fieldstone Farms, Brentwood-adjacent, Berry Farms.
What nursing homes costs in Franklin (2026)
Franklin pricing runs $9,450–$10,850/month, above the metro average for the Nashville metro — a reflection of local real-estate costs and the mix of residential homes versus large communities.
- Assisted living (ACLF, standard): $4,900–$5,950/month
- Memory care (within ACLF): $5,700–$7,050/month
- Residential Home for the Aged (RHFA): $3,650–$5,450/month
- In-home care: $32–$43/hour
Ways Franklin families reduce the monthly figure: sharing a room, picking an intimate Residential Home for the Aged, avoiding bundled care tiers they don't need yet, and using veterans' Aid & Attendance or Tennessee's TennCare CHOICES when they qualify.
How we vet Franklin providers
- Current TDH licensure confirmed against the state Board for Licensing Health Care Facilities provider lookup
- Inspection and complaint history checked through TDH records
- Direct conversations with current resident families where possible
- Clear, itemized pricing before any tour — no surprise fees
- Firsthand advisor walkthroughs, not just brochures
Questions to ask on a tour
- How many caregivers are on at night per resident?
- Which conditions can you not care for here?
- What's included in the base rate, and what's billed separately?
- What happens if our parent's needs increase next year?
- How long have your director and head nurse been here?
What's included — and what costs extra
Usually included: 24-hour skilled nursing, room and board, all meals, therapy access, medication administration, and personal care. Typically extra: private room upgrades, specialized rehab intensives, and certain therapies beyond the covered plan. Insist on an itemized monthly quote from Franklin providers so hidden add-ons don't surprise you later.
How fast you can move in Franklin
Most Franklin moves come together in 7–14 days once the health assessment, finances, and a physician's order are in hand; a hospital discharge from Vanderbilt or TriStar can compress that to 24–72 hours when a bed is open. A free local advisor can tell you which Franklin providers have current openings.
A practical Franklin reality: published prices and real all-in costs often differ once care levels and add-ons are counted. Before you commit to any nursing homes option in Franklin, get an itemized rate sheet — a local advisor can pull these and compare them side by side so there are no surprises after move-in.