Franklin Woods Center

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812May 13, 2025

  Based on observations and interviews with facility staff, it was determined that the facility: 1) failed to ensure refrigerator temperatures were monitored and food items were labeled, and 2) failed to store and prepare food in accordance with professional standards. This was evident for 2 of 2 kitchen observations, and for 2 of 2 nourishment refrigerators observed during the annual survey. The findings include:1) During a tour of the 1st floor's nourishment room on 05/12/25 at 07:34 AM the surveyor identified:- no visible log of daily temperatures for the refrigerator- no internal thermometer identified in the freezer - the last documented temperature was documented on 5/9/25- one 20 oz cup with a straw, containing a brown colored liquid in the freezer- one container of Butter Pecan ice… […]

• No harm, potential for more than minimal, widespreadF880May 13, 2025

  Based on observations and interviews it was determined that the facility staff failed to consistently maintain infection control practices related to clean linen on the unit. This deficient practice was evidenced in 2 linen closets on the lower level. The findings include: On 05/08/25 at 11:17 AM while on the lower level with the Director of Nursing (DON), the surveyor observed the door to the linen closet open. The DON apologized for the door being open and closed the door. At 11:21 AM while on [NAME] with the DON the linen closet door was open, and the DON closed the door and verbalized that the staff are aware that the door should be closed. […]

• No harm, potential for more than minimal, widespreadF730Aug 18, 2021

  Based on review of employee files and staff interviews, it was determined that the facility staff failed to put a system in place to ensure that Geriatric Nursing Assistants (GNA) were evaluated annually. This was found to be evident for 5 out of 5 GNA employees (GNA #31, #32, #33, #34, #35) reviewed for annual evaluations. This deficient practice has the potential to affect all the residents in the facility. The findings include: During review of the employee files on 08/16/2021 at 10:02 AM, the surveyor was unable to locate annual evaluations for GNA #31, 32, 33, 34, and #35. During an interview conducted on 08/16/2021 at 11:45 AM, the DON stated that he/she was unable to confirm that annual evaluations had been conducted for GNAs #31, #32, #33, #34, and #35. […]

• No harm, potential for more than minimal, widespreadF812Aug 18, 2021

  Based on observations of the facility's kitchen food services, and staff interview, it was determined that 1.) The facility failed to maintain food service equipment in a manner that ensured sanitary food service operations, and 2.) The facility staff failed to serve beverages in a manner that ensured sanitary food distribution during meal service to rooms. This was identified while observing the facility's dish washing machine in operation and meal distribution service to residents' rooms. The findings include. 1.) On 8/11/21 at 10:45 AM, during an observation of the facility dishwasher with the food service director, it was revealed that the temperature of the wash water was not reaching the minimum requirement of 160 degrees Fahrenheit (F). […]

• No harm, potential for more than minimal, patternF801Aug 18, 2021

  Based on interview of facility staff, it was determined that the facility failed to ensure a full-time clinically qualified nutrition professional for the oversight of food preparation and the daily kitchen operation. All the resident's in the facility have the potential to be affected by not having a qualified nutritional profession with the appropriate competencies and skill sets to carry out food and nutrition services. The findings include: On an initial tour of the facilities kitchen on 8/10/21 at 9:05 AM, it was revealed that the full time Food Service Director (staff # 4) was not clinically qualified as per Federal and state regulations. The food service director indicated that his predecessor had abruptly left and he was placed in-charge. […]