Franklin Meadows

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF812Oct 30, 2023

  Based on observation, interview, and record review, the facility failed to ensure food was served in a sanitary manner for 2 of 3 kitchen observations. Staff hair was not covered while in the kitchen. (Dietary Cook, Dietary Staff 2, and Dietary Staff 3) Findings include: 1. During a kitchen observation, on 10/24/23 from 11:37 a.m. to 12:20 p.m., the following was observed: - Dietary Cook was observed walking throughout the kitchen food preparation area and was observed preparing ham salad for the noon meal. Dietary Cook was observed to have hair in front of both ears and upper cheek area, outside of the beard guard, that was approximately 1/2 inch in length. The facial hair was observed to not be covered. […]

• No harm, potential for more than minimal, patternF812Dec 2, 2022

  Based on observation, interview, and record review, the facility failed to ensure food was served in a sanitary manner for 4 of 4 kitchen observations. The handwashing sink was not accessible or functional, food was not covered, food was not dated, the dishwashing machine temperature gauge was broken, staff hair was not covered, fans were dirty, boxes were thrown on the ground out the back door, scoops were stored in bulk food containers. Findings include: 1. On 11/28/22 from 9:55 a.m. to 10:40 a.m., during the initial kitchen tour with the DM (Dietary Manager) the following was observed: a. The sink/hand washing station, located just inside the kitchen area and next to the dish machine was observed. The sink contained a drainpipe, an unidentifiable spray can, and a hand soap dispenser. […]

• No harm, potential for more than minimal, isolatedF561Sep 16, 2025

  Based on interview and record review, the facility failed to ensure a resident with a nicotine dependence had the right to continue her preference for 1 of 1 residents reviewed for resident rights. (Resident 41)Finding includes: During an interview on 9/10/25 at 11:31 a.m., Resident 41 indicated the facility took her chew away. She indicated she always liked to chew, but the facility took it away. On 9/12/25 at 10:33 a.m., the clinical record for Resident 41 was reviewed. The diagnosis included, but was not limited to, nicotine dependence. A care plan, dated 1/5/24, indicated Resident 41 will be allowed to use chewing tobacco (a type of smokeless tobacco product that is placed between the cheek in order to draw out the nicotine) per preference. […]

• No harm, potential for more than minimal, isolatedF578Sep 16, 2025

  Based on interview and record review, the facility failed to ensure a resident's advanced directive (code status) preference was documented accurately in the clinical record for 1 of 8 residents reviewed for advanced directives. (Resident 2) Finding includes: On 9/11/25 at 11:06 a.m., Resident 2's clinical record was reviewed. The Quarterly Minimum Data Set (MDS) assessment, dated 8/13/25, indicated Resident 2 was cognitively intact. The home screen tab portion of the electronic clinical record included an overview of Resident 2's vital information. A review of the tab indicated Resident 2's code status (decision regarding health care intervention) was listed as a full code (meaning a desire for all life sustaining measures to be implemented). […]

• No harm, potential for more than minimal, isolatedF880Sep 16, 2025

  Based on interview and record review, the facility failed to read the results of a two-step Mantoux skin test series (a tool used in screening for tuberculosis) after administering the skin tests for 1 of 5 residents reviewed for TB (tuberculosis) skin tests. (Resident 80)Finding includes:On 9/11/25 at 8:45 a.m., Resident 80's clinical record was reviewed. Resident 80's diagnosis included, but was not limited to, Alzheimer's disease (a progressive, irreversible neurodegenerative disease affecting thinking and memory).Resident 80 had an admission date of 2/13/25. Resident 80's TB test administration history indicated that the resident had received a first step TB test upon admission and had an order to read the result of the TB test on 2/16/25. […]