Franklin Oaks Nursing and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Franklin Oaks Nursing and Rehabilitation Center, in the surveyor’s own words.

• Actual harm, isolatedF550Jan 12, 2023

  Based on observations, record review, resident and staff interview the facility failed to maintain residents ' dignity by failing to provide incontinence care when a nurse aide (NA #2) told a resident he would have to wait (Resident # 36). This made Resident #36 feel embarrassed and uncared for. The facility also failed to maintain a residents' dignity by allowing a resident to sit in a soiled brief during her meal (Resident #235). Resident #325 stated she felt like poop and complained of being uncomfortable and burning to her skin. This occurred for 2 of 2 residents (Resident #36, Resident #235) reviewed for dignity and respect. […]

• No harm, potential for more than minimal, widespreadF814May 8, 2025

  Based on observations and staff interviews the facility failed to ensure the dumpster was maintained free of leakage and pooled spillage for 1 of 1 dumpster. This practice had the potential to attract pests and rodents. The findings included: On 5/07/25 at 1:58 PM the dumpster area was observed. The middle bottom rim of the 22-foot-long compact dumpster was observed with a 6 inch by 4-inch buildup of gray sludge on the exterior side. From the sludge a large pool of milky grey liquid puddled, 6 feet long beside and underneath the dumpster. A second observation of the dumpster on 5/08/25 at 9:25 AM revealed the middle bottom rim of the 22-foot-long compact dumpster was observed with a 6 inch by 4-inch buildup of gray sludge on the exterior side. […]

• No harm, potential for more than minimal, patternF583Aug 14, 2026

  Based on observation and staff interviews, the facility failed to protect private health information for 32 of 147 residents (Resident #106, #143, #4, #82, #100, #130, #137, #56, #103, #124, #29, #17, #123, #18, #99, #77, #41, #116, #134, #73, #147, #35, #126, #115, #145, #27, #23, #132, #50, #111, #16, and #34), when staff left confidential medical information in a clear cylinder shaped plastic container, accessible to the public on an unattended medication cart in hall 300. The findings included: A continuous observation of an unattended medication cart on hall 300 was made on 8/11/26 at 9:31 AM to 9:45 AM. On top of the medication cart was a clear plastic cylinder shaped container which contained empty pill pouches from the previous medication pass. […]

• No harm, potential for more than minimal, patternF689Aug 14, 2026

  Based on record review, observations, staff, resident, and plumber interviews, the facility failed to maintain safe hot water temperatures to avoid putting residents at risk (Residents #12, #131, #102, #21, #29, and #78). The facility also failed to remove fall mats from the bedside when residents (Resident #11, #110, and #85) were out of bed creating the potential for a preventable accident. These deficient practices affected 9 of 11 residents reviewed for accident/hazards. The findings included:a. […]

• No harm, potential for more than minimal, patternF914Aug 14, 2026

  Based on observations and staff interviews, the facility failed to provide privacy curtains wide enough for visual privacy to protect a resident from view of others during activities of daily living. The deficient practice affected 4 of 12 residents reviewed for privacy curtain. (Resident #42, Resident #51, Resident # 62, and Resident #69) The findings included:1.Resident #42 was admitted to the facility on [DATE].The admission Minimum Data Set (MDS) dated [DATE] revealed Resident #42 had severe cognitive impairment.On 8/12/26 at 9:56 AM an observation was conducted of urinary catheter care for Resident #42. Resident # 42's bed was closest to the door of the room. Nurse #5 went to pull the privacy curtain for Resident #42, and the privacy curtain did not go completely around Bed A. […]