Franklin Grove Living and Rehab

In the surveyor’s words

From the most serious findings on record at Franklin Grove Living and Rehab, in the surveyor’s own words.

• Actual harm, isolatedF684Apr 13, 2023

  Based on observation, interview, and record review the facility failed to assess a resident with a change of condition, failed to notify the physician of a change of condition, and failed to implement interventions for a resident with a fractured ankle for 1 of 3 residents (R1) reviewed for care and services in the sample of 7. This failure resulted in R1 experiencing a delay in treatment for her fractured ankle for 3 days and pain. The findings include: R1's face sheet showed she was admitted to the facility on [DATE] with diagnoses to include dementia, other disorders of brain in diseases classified elsewhere, reduced mobility, weakness anemia, amnesia, and osteoarthritis. […]

• Actual harm, isolatedF689Dec 14, 2022

  Based on observation, interview, and record review, the facility failed to transfer a resident in a safe manner for two of four residents (R1, R4) reviewed for transfers in the sample of 7. This failure resulted in R1 suffering a fracture of the right femur. The findings include: 1. R1's face sheet lists R1's diagnosis of senile degeneration of the brain, fracture of lower end of the right femur (dated 11/18/22), hypertension, major depressive disorder, colostomy status, seizures, osteoarthritis, and glaucoma. On 12/14/22 at 11:05 AM V3 (Certified Nursing Assistant/CNA) said on 11/17/22 she had R1 in her room in a shower chair. V3 had just showered R1. V3 said V5 (CNA) was in the room and was asked to assist to transfer R1 to bed using a total mechanical lift. […]

• Actual harm, isolatedF600Sep 21, 2022

  Based on interview and record review, the facility failed to prevent a resident from being physically, mentally, and verbally abused by a staff member for one of one resident (R1) reviewed for abuse in the sample of 16. This failure resulted in R1 feeling tearful, feeling unsafe, and R1 stating R1felt like garbage. The findings include: R1's face sheet showed R1 was admitted to the facility on [DATE]. R1's diagnosis [MEDICAL RECORD OR PHYSICIAN ORDER] . On 9/20/22 at 9:50 AM, R4 (R1's roommate) said on 9/9/22,V5 (Certified Nursing Assistant/CNA) pushed the walker into R1, and she almost fell . I saw it happen and there was another CNA (V6) in the room also. V5 called R1 a fat a**. I didn't report it to anyone, but I know R1 and V6 did. It bothered me. […]

• No harm, potential for more than minimal, widespreadF880Oct 31, 2023

  Based on interview and record review the facility failed to perform testing for two weeks after a resident tested positive for Covid 19. This applies to all 73 residents residing at the facility. The findings include: The Facility Data Sheet dated 10/30/23 show the facility has 73 residents residing at the facility. On 10/30/23 at 9:02 AM, V3 (Health Department Nurse) said the facility was on outbreak status. The facility still had a positive resident all the way up to 9/25/23 and did not do any further testing for staff and residents after this resident had become positive. V3 said she had instructed the Administrator (V1) that testing should continue until there were no more positive staff and residents for 14 days to remove them from outbreak status. […]

• No harm, potential for more than minimal, widespreadF812Mar 23, 2023

  Based on observation, interview, and record review the facility failed to ensure dishwasher sanitation levels were checked and documented, this potentially affects all 74 residents in the facility who receive food from the facility's kitchen. The findings include: The facility's federal 672 form, resident census and condition of residents documents there are 75 residents residing in the facility and 1 receiving tube feedings. On 3/21/23 at 8:53 AM, V7 (Dietary Manager) said the dishwasher has a chemical sanitizer and it should be checked three times a day to ensure the dishes are getting clean. This is to ensure the prevention of food borne illnesses. […]