Franke Health Care Center

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Apr 17, 2025

  Based on review of the facility policy, observations, and interviews, the facility failed to ensure foods were stored appropriately, and temperatures were monitor in the walk in cooler in one of one main kitchens. Findings include: Review of the facility policy titled, Food Storage, states: Sufficient storage facilities will be provided to keep foods safe, wholesome, and appetizing. Food will be stored in an area that is clean, dry and free from contaminants. food will be stored at appropriate temperatures and by methods designed to prevent contamination or cross contamination. 10. Food should be stored a minimum of 6 inches above the floor, 18 inches from the ceiling and 2 inches from the wall with adequate space on all side of stored items to permit ventilation. 12. […]

• No harm, potential for more than minimal, widespreadF814Apr 17, 2025

  Based on the facility policy, observations and interviews, the facility failed to ensure one of two dumpsters were not leaking and further failed to ensure the grease trap was clean and free from spillage and an accumulation of old grease and fried food debris. Findings include: Review of the facility policy titled, Food-Related Garbage and Refuse Disposal, states: Food-related garbage and refuse are disposed of in accordance with current state laws. The Policy Interpretation and Implementation, states: 1. All food waste shall be kept in containers. 2. All garbage and refuse containers are provided with tight-fitting lids or covers and must be kept covered when stored or not in continuous use. 5. […]

• No harm, potential for more than minimal, isolatedF761Apr 17, 2025

  Based on review of the facility policy, observations, and interviews, the facility failed to ensure expired and outdated medications and biologicals were removed from storage and not currently in use in 2 of 2 medication carts, 2 of 2 treatment carts and 1 of 1 med storage rooms. Findings include: Review of the facility policy titled, Storage of Medication, states: Medications and biological's are stored properly, following manufacturer's or provider pharmacy recommendations, to maintain their integrity and to support safe effective drug administration. The medication supply shall be accessible only to licensed nursing personnel, pharmacy personnel, or staff members lawfully authorized to administer medications. Procedures: 14. […]

• No harm, potential for more than minimal, isolatedF578Mar 5, 2024

  Based on interviews, record reviews, and facility policy reviews, the facility failed to ensure that one out of one resident, (Resident 14), had a signed copy of their Power of Attorney form on Resident (R) 14 records. Additionally, the facility failed to assure an accurate code status for R20. Findings Include: Review of R14's electronic health record (EHR) revealed she was admitted on [DATE] with a diagnosis of Neurocognitive disorder with Lewy Bodies, Major Depressive Disorder, Anxiety Disorder Review of R14's Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of [DATE] indicates R14's C1000 Cognitive Skills for Daily Decision-Making Score of 3: Severely Impaired - Never/rarely made decisions. […]

• No harm, potential for more than minimal, isolatedF625Mar 5, 2024

  Based on record review, interview, and policy review, the facility failed to provide a notice of bed hold to the resident for one of three residents (Resident (R)27) reviewed for hospitalization s in a total sample of 15 residents. This failure increased the risk of residents not knowing their rights to request and the cost of a bed hold. Findings include: Review of the facility policy Bed-Holds and Returns, dated March 2022, revealed Prior to a transfer, written information will be given to the residents and the resident representatives that explains in detail: a. the rights and limitations of the resident regarding bed-holds; b. the reserve bed payment policy as indicated by the state plan (Medicaid residents); c. […]