Frankfort Community Care Home

In the surveyor’s words

From the most serious findings on record at Frankfort Community Care Home, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Nov 17, 2025

  The facility identified a census of 27 residents, with one resident reviewed for elopement (when a resident leaves the premises or a specific safe area without authorization and/or necessary supervision). Based on record review, observation, and interview, the facility failed to provide adequate supervision to prevent an elopement for cognitively impaired Resident (R) 7, whom the facility identified the resident as at high risk for wandering. On 08/26/25 at approximately 07:41 PM, R7 exited the South delayed-egress door in her wheelchair, which alarmed, and no staff responded to the sounding alarm. […]

• Immediate jeopardy, isolatedF689Apr 9, 2024

  The facility identified a census of 33 residents with three residents reviewed for elopement. Based on record review, observation, and interview, the facility failed to provide adequate supervision to prevent cognitively impaired Resident (R) 1, identified at high risk for elopement, from eloping through a facility window. On 03/30/24 at 03:00 PM, R1 sat at the end of the North hall and looked out the window. R1's home was visible from the North hall window. At 03:05 PM, R1's neighbor in the community noticed R1 walking towards the resident's home. A little while later, the neighbor noticed R1 sitting on his porch at his home and at 03:40 PM, the neighbor called the facility and alerted Administrative Nurse D to R1's location. […]

• No harm, potential for more than minimal, widespreadF801Nov 17, 2025

  The facility had a census of 27 residents. Based on observation, record review, and interview, the facility failed to employ a full-time certified dietary manager for the 27 residents who reside in the facility and received meals from the facility kitchen.Findings included:- On 09/29/25 at 11:00 AM, observation of the noon meal consisted of honey pot roast, potatoes, cabbage, and pineapple cake. Dietary Staff (DS) BB was observed overseeing the preparation of the noon meal. DS BB would also assist staff with taking meal trays to the residents.On 09/29/25 at 08:45 AM, DS BB stated she had just started a couple of months ago, was not certified, or started taking the classes yet.On 09/30/25 at 03:20 PM, Administrative Nurse D verified DS BB was not certified.The facility's Dietitian policy,… […]

• No harm, potential for more than minimal, widespreadF804Nov 17, 2025

  The facility had a census of 27 residents. Based on observation, record review, and interview, the facility kitchen staff failed to take the food temperatures before serving the noon meal.Findings included: - On 09/30/25 at 11:15 AM, Dietary Staff (DS) CC prepared the noon meal of pork chop with gravy, mashed potatoes, and broccoli. Observation revealed DS CC ground three porkchops in the robot coupe (a commercial food processor) and placed the plastic 3-quart bowl in the steam table. DS CC made a plate of the regular meal for three residents and served them. DS CC did not obtain the food temperatures. When asked if she was going to temp the food before she served anyone else, DS CC stated she had already obtained the food temperatures earlier but had not documented it. […]

• No harm, potential for more than minimal, widespreadF812Nov 17, 2025

  The facility had a census of 27 residents. The sample included 12 residents. Based on observation, record review, and interview, the facility failed to store, prepare, distribute, and serve food by professional standards for food safety, and failed to consistently document sink and bucket PPM (parts per million) sanitation on the facility's PPM log (a record keeping document used in food service to monitor the concentration of sanitizing solutions in sinks and other equipment to ensure food safety).Findings included:- On 09/29/25 at 08:15 AM, during the initial kitchen tour, the daily temperature logs for the seven freezers and three refrigerator logs for September 2025 lacked documentation of daily temperatures.Freezer 1 in the AM: 3 out of 30 opportunitiesFreezer 1 in the PM: 8 out of 30… […]