Momentous Health at Franklin

In the surveyor’s words

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

• Actual harm, isolatedF684Feb 14, 2023

  Based on medical record review, staff interview, and review of facility policy, the facility failed to respond to an acute change in condition, including an elevated temperature for Resident #49 in a timely manner. Actual harm occurred on 01/27/23 when Resident #49, who was in a persistent vegetative state and dependent on staff for all activity of daily living care, was transferred to hospital and admitted for treatment of pneumonia requiring intravenous (IV) antibiotics. The resident had been initially assessed to have an elevated temperature on 01/25/23 of 101.3 with no evidence of physician notification, comprehensive assessment or treatment. The resident was hospitalized until 02/02/23. […]

• No harm, potential for more than minimal, widespreadF803Sep 15, 2025

  Based on record review, observations, resident and staff interviews, review of dietary spreadsheets, review of guidelines for pureeing food, and policy review, the facility failed to ensure residents received enough food to meet their needs and preferences, serve portions sizes as planned on the menu, ensure pureed food was prepared in a manner to maintain the nutritive value of the food, and ensure posted menus were updated for the residents to view what meals they were having for the day. This affected Resident #3 and had the potential to affect 65 of 66 residents. The facility identified one resident (#9) who did not receive food from the kitchen. The facility census was 66. Findings include: 1. Review of the medical record for Resident #3 revealed an admission date of 05/21/25. […]

• No harm, potential for more than minimal, widespreadF804Sep 15, 2025

  Based on observation, resident and resident representative interviews, and staff interview, the facility failed to ensure residents received foods that were palatable. This had the potential to affect 65 of 66 residents. The facility identified one resident (#9) who did not receive food from the kitchen. The facility census was 66. Findings include: Review of a test tray on 09/09/25 at 12:52 P.M. with Dietary Supervisor (DS) #168, revealed the taco, refried beans, and rice and beans were luke warm and not palatable. DS #168 verified the taco, refried beans, and rice and beans were not served at a suitable temperature and were not palatable. Interview on 09/09/25 at 1:07 P.M., Resident #39 stated the food he was served for lunch was cold. […]

• No harm, potential for more than minimal, widespreadF812Sep 15, 2025

  Based on observation, staff interview, and policy review, the facility failed to ensure food was stored in a manner to protect against the potential spread of foodborne illness. The facility also failed to ensure staff wore hair restraints in the kitchen. The facility also failed to ensure the kitchen was maintained in a clean and sanitary manner. This had the potential to affect 65 of 66 residents in the facility. The facility identified one resident (#09) who did not receive food from the kitchen. The facility census was 66. Findings include: Observation and interview on 09/08/25 at 7:50 A.M. of the kitchen's reach-in refrigerators with Dietary Supervisor (DS) #168 revealed a reusable plastic bag of cheese slices that was unsealed, and a package of bologna slices not dated or sealed. […]

• No harm, potential for more than minimal, widespreadF868Sep 15, 2025

  Based on review of the facility's quality assurance performance improvement (QAPI) meeting sign-in sheets, review of the facility's QAPI meetings policy, and staff interview, the facility failed to ensure required QAPI team member were present at meetings. The had the ability to affect all 66 residents residing in the facility. Findings include: Review of the facilities' QAPI/Quality Assessment and Assurance (QAA) meeting sign in sheets revealed the following: The Director of Nursing (DON) and Medical Director (MD) were not present at a meeting 10/23/24. No designees for the DON or MD were listed.The DON and MD were not present at a meeting dated 02/10/25. No designees for the DON or MD were listed. No staff identified as the infection preventionist (IP) or designee was present. […]