Franklin Plaza Extended Care

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689Jun 10, 2022

  The following survey finding pertain to an incident of past noncompliance that was subsequently corrected prior to this survey. Based on interview, record review, and facility policy review, the facility did not ensure physician orders and care planned interventions were implemented to prevent elopement for one resident (Resident #61) who was identified with poor judgement skills and had an appointed guardian. This resulted in Immediate Jeopardy and the potential for life-threatening harm and/or serious injuries when Resident #61, left the facility and was later found by the police approximately 2.4 miles from the facility. This affected one, Resident #61, of three residents reviewed for elopement. The facility identified 22 residents at risk for elopement. […]

• Actual harm, isolatedF689Mar 3, 2026

  Based on closed record review, hospital record review, facility policy review and interview, the facility failed to ensure staff provided Resident #168 with necessary, adequate and safe assistance during activities of daily living (ADL)/personal care to prevent fall with major injury, and failed to provide Resident #162 sufficient supervision and intervention to prevent the resident from exiting the facility unsupervised. This affected two residents (Resident #162 and #168) of three reviewed for accidents.Actual harm occurred on 09/14/25 at approximately 7:00 P.M. […]

• Actual harm, isolatedF689Oct 5, 2021

  Based on record review and interview the facility failed to ensure appropriate positioning in bed prior to turning Resident #157 for incontinence care. Actual Harm occurred when Resident #157 was rolled off the bed during incontinence care resulting in a hematoma to the left forehead and hospitalization . This affected one (Resident #157) of five residents observed for accidents. The facility census was 156. Findings include: Review of the medical record revealed Resident #157 was admitted to the facility on [DATE] and discharged on [DATE] with diagnoses including persistent vegetative state, chronic [CONDITION(S)] with [CONDITION(S)], [CONDITION(S)], [CONDITION(S)], gastronomy, heart failure, and [CONDITION(S)]. […]

• No harm, potential for more than minimal, widespreadF812Sep 2, 2025

  Based on observation, staff interview and facility policy review, the facility failed to maintain the kitchen area in a clean and sanitary manner and failed to ensure foods were labeled and dated properly. This had the potential to affect all but four (Residents #3, #158, #99 and #153) identified by the facility who received nothing by mouth and did not receive food from the kitchen. The facility census was 163. Findings include:Tour of the facility kitchen area on 08/25/25 between 8:28 A.M. and 9:00 A.M. […]

• No harm, potential for more than minimal, widespreadF814Jun 4, 2024

  Based on observation and staff interview, the facility failed to ensure facility garbage and refuse was maintained in a sanitary condition. This had the potential to affect all 157 residents residing in the facility. The facility census was 157. Findings include: Observation of the facility's outside dumpster area with Dietary Manager (DM) #529 on 06/03/24 at 3:30 P.M. revealed multiple plastic trash bags full of refuse were on the sides of the dumpster, multiple used Styrofoam food containers were on the ground outside the dumpster area, and various other pieces of miscellaneous debris were noted on the ground outside the dumpster area including, plastic gloves, straws, disposable masks, and various food particles. […]