Frankfort Trails

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF558Aug 14, 2026

  Based on observation, interview, record review, and review of the facility's policies, the facility failed to provide reasonable accommodation for resident needs for 4 out of 66 sampled residents, Resident (R) 69, R72, R88, and R89. Observations on 08/11/2026, 08/12/2026, and 08/13/2026 revealed the residents' call lights were out of their reach and could not be used by them to call staff for assistance.The findings include:Review of the facility's policy titled, Activities of Daily Living, last reviewed 03/20/2025, revealed the facility would, based on the resident's comprehensive assessment and consistent with the resident's needs and choices, ensure a resident's abilities in Activities of Daily Living (ADL) did not deteriorate unless deterioration was unavoidable. […]

• No harm, potential for more than minimal, patternF677Aug 14, 2026

  Based on observation, interview, record review, and review of the facility's documents and policies, the facility failed to carry out activities of daily living for residents so they received the necessary services to maintain good grooming and personal hygiene for 4 of 66 sampled residents, Resident (R) 15, R65, R77, and R97.The findings include:Review of the facility's policy titled, Activities of Daily Living [ADL] dated 03/20/2025, revealed the facility would provide care and services consistent with each resident's comprehensive assessment, needs, and choices. […]

• No harm, potential for more than minimal, patternF584Jul 9, 2025

  Based on observation, interview, and review of the facility's documents and policy, the facility failed to provide a safe, clean, comfortable and homelike environment for the long hall on the North Unit. Observations on 07/07/2025, 07/08/2025, and 07/09/2025 revealed a lingering odor of urine throughout the area. During the Resident Council meeting on 07/08/2025 at 2:00 PM, Residents (R) 52, R54, and R65 stated the area smelled of feces, and it needed air freshener. The residents also stated they had to cover their faces because of the odor. […]

• No harm, potential for more than minimal, patternF628Jul 9, 2025

  Based on interview, record review, and review of the facility's policies, the facility failed to notify the resident and the resident's representative of the bed hold notice and the transfer or discharge and the reasons for the move in writing and in a language in manner they understood as soon as practicable. The facility further failed to ensure the notice included the reason, date, and location for the transfer as well as a statement of the resident's appeal rights and the contact information for the state long term care ombudsman. […]

• No harm, potential for more than minimal, patternF812Dec 17, 2021

  Based on observation, interview and review of the facility's policy, it was determined the facility failed to store food in accordance with professional standards for food service safety. Observation on 12/15/2021, revealed the North Unit resident nourishment refrigerator contained foods which were not labeled or dated and were not marked with resident identification. Additionally, there was the appearance of black dots on the bottom shelf of the refrigerator. Further, there was the appearance of blue frost, white substance and a brown hair on the bottom shelf of the freezer. The findings include: Review of the facility's policy titled, Foods Brought by Family/Visitors, dated 10/2017, revealed the nursing staff will discard perishable foods on, or before the use by date. […]