Franciscan Health Care Center

In the surveyor’s words

From the most serious findings on record at Franciscan Health Care Center, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF677Dec 10, 2025

  Based on observation, interview, record review, and review of facility documentation, the facility failed to ensure necessary care and services (i.e. nail care) were provided for residents unable to carry out their own activities of daily living (ADLs) for 3 of 35 sampled residents, (Resident (R)81, 91, and 100). The findings include:During interview on 09/20/2025 at 1:44 PM, the Division [NAME] President (DVP) stated the facility did not have a policy related to trimming or cleaning residents' nails. […]

• No harm, potential for more than minimal, patternF759Dec 10, 2025

  Based on observation, interview, record review, facility document and policy review, the facility failed to ensure a medication error rate of less than 5 percent (%) or less, with 6 errors out of 30 opportunities, which yielded a medication error rate of 20% involving 4 of 4 residents observed for medication administration out of the total sample of 35 (Residents (R)21, 2, 13, and 15). The findings include:Review of the facility policy titled, Medication Administration-General Guidelines, revised 11/2018, revealed the FIVE RIGHTS for medication administration included the right resident, right drug, right dose, right route, and right time, and those rights were to be applied for each medication being administered. […]

• No harm, potential for more than minimal, isolatedF554Dec 10, 2025

  Based on observation, interview, record review, and facility policy review, the facility failed to assess residents for self-administering medications for 1 of 2 residents sampled for accidents, (Resident (R)101), out of the total sample of 35. The findings include:Review of the facility policy titled, Guidelines for Self-Administration of Medications, dated 05/22/2018, revealed in the section designated Procedure, residents requesting to self-medicate or who had self-medication as a part of their plan of care were to be assessed using the observation Self Administration of Medication within the electronic health record (EHR). Per policy review, the results of the assessment were to be presented to the physician for evaluation and an order obtained for self-medication. […]

• No harm, potential for more than minimal, isolatedF582Dec 10, 2025

  Based on interview, record review, and facility policy review, the facility failed to provide a Skilled Nursing Facility Advanced Beneficiary Notice of Non-coverage (SNF ABN) form 2 of 3 residents reviewed for beneficiary notification out of the total sample of 35, (Resident (R)6 and 108). Specifically, the facility failed to issue a SNF ABN to Resident #6 and Resident #108 when the facility notified the residents that they were discharged from Medicare Part A services, even though their benefit days had not been exhausted.The findings include:Review of the Form Instructions Skilled Nursing Facility Advanced Beneficiary Notice of Non-coverage (SNF ABN) Form CMS-10055 (2024), revealed the SNF ABN Form provided information to residents so they could decide whether or not to get the care that… […]

• No harm, potential for more than minimal, isolatedF609Dec 10, 2025

  Based on interview, record review, and facility policy review, the facility failed to timely report an allegation of abuse for 1 of 1 resident reviewed for abuse, out of the total sample of 35, (R103).The findings include:Review of the facility policy titled, Abuse, Neglect and Exploitation Procedural Guidelines, revised 12/16/2024, revealed under the section titled Procedure the reporting/response noted any staff member, resident, visitor, or resident representative might report known or suspected abuse, exploitation, neglect, or misappropriation to local or state agencies. […]