NHC Healthcare, Franklin

In the surveyor’s words

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

• Immediate jeopardy, isolatedF726Oct 24, 2025

  Based on Facility Assessment Tool review, policy review, Falls Management Process Resource review, medical record review, Emergency Medical System (EMS) report review, Hospital record review, observation, and interview, the facility failed to ensure all nursing staff possessed the competencies and skill sets necessary to provide nursing and related services to safely meet the residents' needs for 2 of 7 (Resident #3 and Resident #6) sampled residents reviewed. On 5/28/2025, Resident #3 had an unwitnessed fall and was found on the floor lying next to her bed on her right side with her arm under her back. Resident #3 was unable to move her right arm. […]

• No harm, potential for more than minimal, isolatedF553Sep 29, 2022

  Based on policy review, medical record review, and interview, the facility failed to ensure Care Plan conference meetings were held at least quarterly for 1 of 21 (Resident #33) sampled residents reviewed for care plan meetings. The findings include: Review of the facility's DOCUMENTATION GUIDELINES, dated October 2021, revealed .SECTION VII PATIENT CARE PLANS .Patient's goals for care and preferences will be determined and used to develop their plan of care .The patient care plan schedule will be developed first to accommodate the patients' and patient representative' schedule/ability to attend .All clinical assessments will be completed before the meeting is convened and will be used to inform the care plan development .Patient/patient representative participation will continue to be… […]

• No harm, potential for more than minimal, isolatedF580Sep 29, 2022

  Based on policy review, medical record review, and interview the facility failed to notify the resident representative of a skin tear for 1 of 2 sampled residents (Resident # 29) reviewed for non pressure related skin conditions. The findings include: Review of the facility's policy titled, Change in a Resident's Condition or Status, revised February 2021, revealed .Our facility promptly notifies the resident .and the resident representative of changes in the resident's medical/mental condition and/or status .Except in medical emergencies, notifications will be made within twenty-four (24) hours of a change occurring in the resident's medical/mental condition or status . […]

• No harm, potential for more than minimal, isolatedF584Sep 29, 2022

  Based on review of the facility's contracted housekeeping proposal, Maintenance Supervisor's Job Description review, Housekeeping Supervisor Job Description review, policy review, observation, and interview, the facility failed to provide effective housekeeping services and maintenance services to maintain a sanitary, orderly, and comfortable environment as evidenced by trash and debris lying on the floors, sticky floors with a buildup of dirt and grime, dust and cobwebs in the corner behind a door, exposed wires, dirty fall mats and overbed table bases, telephones lying on the floor, dirty bathroom floors and toilet, missing privacy curtains, and a fan covered in thick gray dust in 7 of 46 resident rooms (Room #102, #410, #411, #503, #507, #508, and #510) observed. […]

• No harm, potential for more than minimal, isolatedF684Sep 29, 2022

  Based on policy review, medical record review, observation, and interview, the facility failed to ensure interventions were implemented to maintain nutritional status for 2 or 2 residents (Resident #29 and #65) reviewed for nutrition and failed to ensure skin assessment documentation was not completed for 1 of 2 residents (Resident #49) reviewed for non-pressure related skin conditions. The findings include: Review of the facility's policy titled, .Weight Monitoring, revised 3/2021, revealed .Interventions will be determined by the Dietician or designee based on the individual patient needs .The interdisciplinary team will play an active role in combating insidious .weight loss through routine involvement in the patient's plan of care . […]