Deficiency Index

Franklin Nursing Home

Franklin, Texas · CCN 675897

30 surveys since 2010, 5 of them producing a finding at harm level or worse.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
80
Surveys
30
Harm or worse
5
Immediate jeopardy
4
The record, 2010–2025
’10’15’20’25
No harm recordedHarm or worseNot surveyed
Immediate jeopardy4

Findings at the most serious level CMS records.

Beyond CMS’s monthly file24/30

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
90
Ownership
Government - Hospital district
Chain
CREATIVE SOLUTIONS IN HEALTHCARE
County
Robertson
Medicare-certified since
2001

CMS ratings

Overall
3
Health inspection
4
Staffing
1
Quality measures
4

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded fewer weighted findings than most of its peer group.

Weighted by harm level, against 49 government-run facilities of 66–99 beds in Texas.

Last survey on record

Dec 3, 2025

341 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.133.24
Registered-nurse hours per resident day0.36—

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD1368.4%E526.3%F15.3%
No harm, potential for minimalA—B—C—
CMS’s current file: 19 of the 80 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6773×

    Provide care and assistance to perform activities of daily living for any resident who is unable.

  • F7612×

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

  • F8122×

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • F8802×

    Provide and implement an infection prevention and control program.

  • F5501×

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

In the surveyor’s words

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

  • No harm, potential for more than minimal, widespreadF812Jul 14, 2023

    Based on observation, interview and record review, the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety for one of one kitchens reviewed for sanitation. The Director of Food and Nutrition failed to ensure all food items were labeled, dated, and properly stored. CK H failed to wash her hands after handling dirty dishes. These failures could place residents at risk of foodborne illness. Findings included: An observation of the reach-in refrigerator in the kitchen on 7/12/2023 at 7:08 a.m. revealed an opened container of mayonnaise dated 12/02/2022, a container of opened pickles dated 4/12/2023, and a plastic storage container filled with an unknown substance that was not labeled or dated. […]

  • No harm, potential for more than minimal, patternF919Dec 3, 2025

    Based on observation, interview, and record review, the facility failed to be adequately equipped to allow residents to call for staff assistance through a communication system which relays the call directly to a staff member or a centralized staff work area from each resident's bedside for 4 of 12 residents (Residents # 1, # 2, #3 and # 4) reviewed for call lights.The facility failed to ensure Resident # 1 had an operating call light system. The facility failed to ensure the call light system was accessible to Residents # 2, # 3 and # 4. […]

  • No harm, potential for more than minimal, patternF677Aug 15, 2024

    Based on observation, interviews, and record review the facility failed to ensure residents unable to conduct activities of daily living (ADLs) received the necessary services to maintain good grooming and personal hygiene for three of eight (Resident #17, Resident #31, and Resident #46) residents reviewed for ADL care. The facility failed to ensure Resident #17, Resident # 31, and Resident #46 nails were cleaned and smooth around the edges. These failures placed residents at risk of a decline in their hygiene, at risk of skin breakdown, loss of dignity and decline in quality of life. Findings included: 1. […]

  • No harm, potential for more than minimal, patternF644Dec 19, 2023

    Based on interview, observation, and record review the facility failed to request Nursing Facility Specialized Services for habilitative therapies for two (Resident #1 and Resident #2) of three residents reviewed for PASRR services. The facility failed to provide specialized services to Resident #1 and Resident #2. due to the facility not submitting the Nursing Facility Specialized Services (NFSS) request form in the LTC Portal. This failure could place residents at risk of not receiving specialized PASRR services to enhance the resident's highest level of functioning and could contribute to a decline in physical, mental, psychosocial well-being and quality of life. Findings included: 1. […]

  • No harm, potential for more than minimal, patternF577Jul 14, 2023

    Based on observation, interviews, and record review the facility failed to place most recent survey readily accessible to residents in a place most frequented by most residents have the most recent survey for 5 of 5 residents reviewed for resident group meeting. The facility failed to have the survey manual readily accessible for the residents to view the survey manual. This failure could place residents at risk of not being able to fully exercise their rights to be informed of the facility's survey citation history. Findings included: Observation on 07/13/2023 at 9:30 AM revealed the state survey manual was located behind the nurse's desk on the medical chart rack. There were 28 manuals located on the chart rack and it was difficult to locate the survey manual. […]

Read 25 findings in full →The most serious and the most recent: 25 of 80 on record.

Every survey on record

FindingsAt actual harm or above

  • Dec 3, 2025Complaint1 finding
  • Sep 11, 2025Standard5 findings
  • Mar 25, 2025Complaint1 finding
  • Aug 15, 2024Standard5 findings
  • Dec 19, 2023Complaint1 finding
  • Jul 14, 2023Standard6 findings
  • May 17, 2022Standard3 findings
  • Jan 14, 2022Infection control1 finding
Show the 22 earlier surveys
  • May 28, 2021Complaint1 finding
  • Nov 25, 2020Complaint1 finding
  • Jan 24, 2019Standard2 findings
  • Aug 21, 2018Complaint3 findings · 3 harm
  • Jan 26, 2018Standard2 findings
  • Dec 7, 2016Standard and complaint1 finding
  • Oct 29, 2015Standard8 findings
  • Oct 1, 2015Complaint3 findings
  • Aug 7, 2015Complaint1 finding
  • Nov 4, 2014Complaint3 findings
  • Aug 28, 2014Standard8 findings
  • May 23, 2014Complaint1 finding
  • Apr 30, 2014Complaint1 finding
  • Mar 6, 2014Complaint1 finding · 1 harm
  • Oct 28, 2013Complaint2 findings
  • Jul 26, 2013—10 findings · 1 harm
  • May 16, 2013—1 finding
  • Aug 16, 2012—2 findings
  • Jul 19, 2012—2 findings
  • May 9, 2012—2 findings
  • Nov 7, 2011—1 finding
  • Nov 4, 2010—1 finding

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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