Health Center at Franklin Park

In the surveyor’s words

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

• Actual harm, isolatedF689Nov 3, 2022

  Based on record review and interviews, the facility failed to keep residents safe from accident hazards related to falls and elopement for four (#61, #60, #45, and #218) of six residents reviewed for falls and one (#61) of one resident reviewed for elopement/missing person out of 31 sample residents. Specifically, the facility failed to prevent residents at risk for falls from having repeated falls, falls with injury, and major injury. Resident #60 was admitted to the facility on [DATE]. At the time of admission, the resident was able to walk throughout the facility with staff supervision and weight bearing and balance support. […]

• Actual harm, isolatedF690Nov 3, 2022

  Based on observations, staff interviews, and record review, the facility failed to consistently provide catheter care, treatment and services to minimize the risk of urinary tract infections for two (#60 and #62) of two residents reviewed for catheter care, out of 31 sample residents. Resident #60 admitted to the facility on [DATE] without having a catheter in place. The resident did not have a medical diagnosis [MEDICAL RECORD OR PHYSICIAN ORDER] . While in the care of the facility, the resident fell and fractured a hip and required surgical intervention. The resident returned to the facility on [DATE] with the indwelling catheter. The facility failed to ensure Resident #60 had orders for the use of an indwelling catheter to assist the resident with bladder function. […]

• No harm, potential for more than minimal, widespreadF881Aug 31, 2023

  Based on record review and interviews, the facility failed to establish an infection control program for antibiotic stewardship to include an antibiotic stewardship program. Specifically, the facility failed to have a process in place to track antibiotic usage in the facility. Findings include: I. Professional standard The Centers for Disease Control and Prevention (CDC), antibiotic prescribing and usage in hospitals and long-term care, dated 2019, retrieved from https://www.cdc.gov/antibiotic-use/core-elements/hospital.html on [DATE], included the following recommendations: Implement policies that apply in all situations to support antibiotic prescribing to include specifying the dose, duration and indication for all courses of antibiotics so that they are readily identifiable. […]

• No harm, potential for more than minimal, widespreadF882Aug 31, 2023

  Based on interviews and record review, the facility failed to employ an infection control preventionist (ICP) who had completed specialized training in infection prevention and control which had the potential to affect all 64 residents residing in the facility at the time of the survey. Specifically, the facility failed to have a qualified ICP involved with the facility's infection prevention and control program. Findings include: I. Professional references The Centers for Disease Control and Prevention (CDC) (updated 3/29/21) Interim Infection Prevention and Control Recommendations to Prevent SARS-CoV-2 Spread in Nursing Homes, retrieved on 9/7/23 from https://www.cdc.gov/coronavirus/2019-ncov/hcp/long-term-care.html, read in pertinent part, A strong infection prevention and control… […]

• No harm, potential for more than minimal, widespreadF883Aug 31, 2023

  Based on record review and staff interviews, the facility failed to implement policies and procedures related to pneumococcal immunizations for 15 (#1, #3, #4, #5, #6, #7, #8, #9, #10, #11, #12, #13, #14, #15 and #16) of 15 residents reviewed for immunizations out of 18 sample residents. Specifically, the facility failed to: -Offer Resident #1 the pneumococcal vaccine upon admission; -Failed to determine which pneumococcal vaccine was given to Resident #3, Resident #4 and Resident #15 and offer additional doses as needed; -Ensure Resident #5 and Resident #7 ' s electronic medical record (EMR) was up to date; -Administer and document Resident #6, Resident #9, Resident #10, Resident #12 and Resident #13 received the pneumococcal vaccine after consenting; and, -Offer additional doses of the… […]