Franklin-Simpson Nursing and Rehabilitation Center

In the surveyor’s words

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

• Immediate jeopardy, isolatedF656May 20, 2022

  Based on interview, record review and review of facility policy, it was determined the facility failed to implement a person-centered Comprehensive Care Plan which met the resident's medical, nursing, and mental psychosocial needs as identified in the comprehensive assessment for one (1) of six (6) residents, (Resident #1). (Refer to F742, F745, and F841) The facility's failure to develop and implement a comprehensive person-centered plan for each resident to attain or maintain the resident's highest practicable physical, mental, and psychosocial well-being has caused or is likely to cause serious injury, harm, impairment, or death to a resident. […]

• Immediate jeopardy, isolatedF742May 20, 2022

  Based on interview, record review and review of facility policy, it was determined the facility failed to ensure residents received appropriate treatment and services to correct an assessed problem or to attain the highest practicable mental and psychosocial well-being possible for one (1) of six (6) sampled residents, Resident #1. (Refer to F656, F745, and F841) Resident #1 had known diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . However, the facility failed to monitor the resident for changes in his/her behaviors, which delayed appropriate treatment to include increased monitoring and supervision of the resident. […]

• Immediate jeopardy, isolatedF745May 20, 2022

  Based on observation, interview, record review and review of facility position descriptions, it was determined the facility failed to provide the medically related social services necessary to attain or maintain the highest practicable physical, mental and psychosocial well-being for one (1) of six (6) residents, Resident #1. Interviews and Record Review revealed the Social Service Director (SSD) was responsible for the residents' mental and psychosocial well-being; however, when Resident #1 experienced a change in condition, related to his/her behaviors, the SSD failed to address the resident's needs. […]

• Immediate jeopardy, isolatedF841May 20, 2022

  Based on interview, record review and review of the facility's Medical Director's responsibilities, it was determined the Medical Director failed to implement resident care policies for behaviors and failed to coordinate the medical care within the facility as evidenced by deficient practice in the following areas. (Refer to F656, F742 and F745). The facility's failure to ensure the Medical Director was responsible for implementation of the residents' care policies and the coordination of medical care in the facility has caused or is likely to cause serious injury, harm, impairment, or death to a resident. […]

• No harm, potential for more than minimal, patternF550Jul 3, 2025

  Based on observation, interview, record review and facility policy review, the facility failed to treat each resident with respect and dignity and care for each resident in a manner and in an environment that promotes maintenance or enhancement of his or her quality of life, recognizing each resident's individuality, for four (4) of 20 sampled Residents (R) (R11, R28, R32, R67) who were unable to freely go outside and one Resident (R32) who had a wander guard in place with no attempts to elope from facility. The findings include:Review of the facility's policy titled, Resident Rights Standard of Practice, dated April of 2024, revealed residents had the right to interact with members of the community and participate in activities both inside and outside of the facility. […]