Pruitthealth - Franklin

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF761Apr 16, 2026

  Based on observations, staff interviews, and review of facility policy titled Medication Storage in Healthcare Centers, and Medication Administration: Insulin Injections, the facility failed to ensure insulin pens were labeled with correct use by dates in two of three medication carts. This deficient practice had the potential to result in the administration of expired insulin and adverse clinical outcomes.Findings Include:Observation and interview on [DATE] at 9:50 AM of the nurse's medication cart with Licensed Practical Nurse (LPN) AA on Hall 3 and Hall 4 revealed two insulin pens (Insulin Glargine-Lantus and Insulin Lispro-Humalog) stored in individual packaging bags with attached prescription labels. […]

• No harm, potential for more than minimal, isolatedF644Apr 16, 2026

  Based on record review, staff and resident interviews and review of facility process titled Matrix Care: Social Services Director/Social Services Coordinator, the facility failed to ensure a Preadmission Screening and Resident Review (PASARR) Level two was submitted for one of 32 residents (R) (R21) reviewed for PASARR II. This deficient practice had the potential to place R21 at increased risk of not receiving required behavioral health support to meet their daily needs. Findings include: Observation and interview on 04/15/2026 at 10:31 AM with R21 revealed that she meets with a psychotherapist weekly, on Tuesdays, and is currently being prescribed medications for her mood. […]

• No harm, potential for more than minimal, isolatedF689Apr 16, 2026

  Based on observations, staff and resident interviews, record review, and review of facility policies titled Occurrences, and Medication Administration: General Guidelines, the facility failed to maintain an environment free of accident hazards for two of 32 sampled residents (R) (R55 and R6). Specifically, the facility failed to ensure the environment was free of ingestible hazards including nail polish remover and prescription medications readily accessible to residents. The deficient practice increased the risk of accidental ingestion with injury.Findings include:Observation made on 04/14/2026 at 10:23 AM, in room [ROOM NUMBER] belonging to R55 revealed a single unidentified tablet on the overbed table, not contained in a medication cup and left unattended.Observation and interview on… […]

• No harm, potential for more than minimal, isolatedF880Apr 16, 2026

  Based on observations, staff interviews, record review, and review of the facility documents Infection Prevention and Control Plan, Dressing a Wound, and Catheter Care-Foley Catheter, the facility failed to ensure correct infection control practices were implemented. Specifically, staff failed to appropriately dispose of sharps, maintain aseptic technique during wound care, and ensure proper positioning of an indwelling bladder (Foley) catheter collection bag for one resident (R) (R42) from a sample of 32 residents. […]

• No harm, potential for more than minimal, isolatedF656Mar 6, 2025

  Based on record review and review of the facility policy titled, Care Plans, the facility failed to develop a care plan for one of 35 sampled residents (R) (R14) to include physical therapy discharge recommendations. Findings include: A review of the facility policy titled, Care plans revealed under Care Plan Review and Update . 2. Updates to the care plans should be made with any changes in condition at the time the change in condition occurred. For MatrixCare users, all updates are made electronically. Review of R14 care plan dated 12/26/2024 indicated a problem of R14 at risk for falling R/T Cerebral Palsey(sic)/impaired mobility. Goals include R14 will remain free from injury. […]