Franklin General Hospital

In the surveyor’s words

From the most serious findings on record at Franklin General Hospital, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF880Oct 14, 2021

  Based on observation, staff interviews and policy review the facility failed to cover residents personal laundry when transported from the hospital to the nursing facility to return residents personal laundry affecting 34 of 34 residents. The facility reported a census of 34 residents. Observation on 10/11/21 at 2:41 PM Staff C, observed housekeeping operating motorized cart with residents personal laundry on it with no cover. Observation on 10/11/21 at 2:43 PM a facility staff member walked by the uncovered linen cart. Interveiw on 10/11/21 at 2:46 PM with Staff C revealed as long as she has worked at the facility the clothes have never been covered. Staff C revealed the laundry room is approximatly 1000 feet from here and the clothes were not covered throughout the transport. […]

• No harm, potential for more than minimal, patternF812May 8, 2025

  Based on observation, staff interviews, and policy review, the facility failed to date, cover, and label open items were dated, covered and labeled. In addition, the facility failed to ensure staff used proper hand hygiene practices during lunch services while preparing food to serve residents. The facility reported a census of 30 residents. Findings include: On [DATE] at 9:30 AM in the main kitchen with the Dietary Manager (DM), observed the following: a. An open, undated bag of brown sugar. b. An open bag of cereal, with an open date of [DATE], not fully closed. c. 3 open undated bags of cereal. d. An open, undated bag of onion bits. e. Expired, opened container of honey garlic in the refrigerator, expired [DATE]. f. An open, undated bag of frozen chicken patties. g. […]

• No harm, potential for more than minimal, patternF578May 22, 2024

  Based on observations, interviews, and record reviews, the facility failed to have accurate code status directives available to their staff for 4 of 16 residents reviewed (Residents #13, #15, #26 and #27). Resident #15 and #26 didn't have DNR (Do Not Resuscitate in the event of no respirations and no pulse) stickers on the outside of their charts. Resident #13 had a provider's order and an IPOST (Iowa Physician's Orders for Scope of Treatment) indicating them as a DNR. Resident #13 had a heart sticker on the outside of his doorway, indicating he desired to be a full code (have Cardiopulmonary Resuscitation (CPR) performed in the event of no respirations and no pulse). Resident #27 had an order for full code, but didn't have a heart sticker on the outside of his doorway. […]

• No harm, potential for more than minimal, patternF812Mar 9, 2023

  Based on observation, policy review, and staff interview, staff failed to prepare and serve food under sanitary conditions, in order to reduce the risk of contamination and foodborne illness. The facility reported a census of 36 residents. Findings include: 1. During an observation of the lunch meal on 3/6/23 at 12:15 PM, Staff D, Universal Worker with gloved hands served 5 different residents' lunch trays, and with the same gloves, cleaned spilled fluid off a table with towels, then proceeded to wash her gloved hands. Staff D, with the same gloves on, touched a trashcan lid, a resident's drinking glass, served another resident a cup of coffee, touched a resident's back, and continued with the same gloved hands and touched silverware wrapped in a napkin and gave to a resident. […]

• No harm, potential for more than minimal, patternF761Oct 14, 2021

  Based on observation, record review and staff interviews, the facility failed to keep medication refrigeration temperatures within the manufacturers recommendations for 2 out of 2 medication refrigerators reviewed. The facility reported a census of 34 residents. Findings include: 1.During a review of the medication storage refrigerator in the North nurses station on 10/12/2021 at 8:15 AM, the displayed temperature registered 37 degrees F (Fahrenheit). A review of the temperature log revealed documented temperatures that fell below 36 degrees F, twenty times in a look back to 7/1/21. […]