Franklin Wellness and Rehabilitation Center

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689Jun 9, 2025

  Based on facility policy review, medical record review, facility documentation review, and interview, the facility failed to ensure 1 of 3 (Resident #10) sampled residents reviewed for accident hazards received adequate supervision to prevent elopement (a situation where a resident leaves the premises or safe area without necessary supervision). On 4/27/2024, at approximately 1:00 PM, Resident #10, a vulnerable and cognitively impaired resident with a history of wandering behaviors, eloped from the facility when the receptionist unlocked the main entrance door for a vendor to exit the building. Resident #10 followed the vendor out of the main entrance. […]

• Immediate jeopardy, isolatedF692Jun 9, 2025

  Based on policy review, medical record review, observation, and interview, the facility failed to ensure residents maintained acceptable parameters of nutritional status, obtain admission weights, monitor weights, accurately assess residents for weight loss, and implement and monitor nutritional interventions for 7 of 11 (Resident #2, #15, #17, #32, #51, #52, and #158) sampled residents reviewed for nutritional status. The facility failed to accurately assess for weight loss and implement and monitor interventions to prevent severe weight loss for Resident #17, #32, and #52. The facility's failure to identify and address severe weight loss resulted in Immediate Jeopardy for Resident #17, #32, and #52. […]

• Immediate jeopardy, isolatedF580Mar 29, 2021

  Based on policy review, Licensed Practical Nurse (LPN) Job Description review, medical record review, and interview, the facility failed to ensure Licensed Staff notified the resident's attending Physician and Responsible Party when there was a significant change in the resident's condition for 1 of 6 sampled residents (Resident #5) reviewed for change in condition. Resident #5 had a significant change in status and was in respiratory distress for approximately 5 hours and 30 minutes after oxygen therapy was initiated before the Physician was notified, which placed Resident #5 in Immediate Jeopardy. […]

• Immediate jeopardy, isolatedF600Mar 29, 2021

  Based on policy review, Licensed Practical Nurse (LPN) job description review, medical record review, and interview, the facility failed to ensure a resident was free from neglect when Licensed Staff neglected to provide adequate treatment when a resident had a significant decline in his condition for 1 of 6 sampled residents (Resident #5) reviewed for neglect and change in condition, which resulted in Immediate Jeopardy for Resident #5. Licensed Staff neglected to monitor Resident #5's declining condition and neglected to notify the Physician of the significant change in Resident #5's condition. […]

• Immediate jeopardy, isolatedF684Mar 29, 2021

  Based on policy review, review of a Licensed Practical Nurse (LPN) job description, medical record review, and interview, the facility failed to provide the needed care and services timely when LPN #1 and LPN #2 failed to monitor a resident with a noticeable change of responsiveness and a decreased oxygen saturation (O2 sat) (amount of oxygen measured in the blood) level for 1 of 6 sampled residents (Resident #5) reviewed for change in condition, which resulted in Immediate Jeopardy for Resident #5. LPN #1 and LPN #2 failed to provide continued care and ongoing assessments when Resident #5 had an 02 sat of 78-82 percent (%) (normal range is 95-100%). LPN #1 applied 4 liters of oxygen by nasal cannula. […]