Deficiency Records for Franklin Woods Center

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Updated as of March 01, 2024

A list of the most recent deficiencies for Franklin Woods Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2021-08-18 2021-09-29 N
Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. Health 2021-08-18 2021-09-29 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2021-08-18 2021-09-29 N
Provide activities to meet all resident's needs. Health 2021-08-18 2021-09-29 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2021-08-18 2021-09-29 Y
Reasonably accommodate the needs and preferences of each resident. Health 2021-08-18 2021-09-29 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2021-08-18 2021-09-29 Y
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Health 2021-08-18 2021-09-29 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2021-08-18 2021-09-29 Y
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Health 2021-08-18 2021-09-29 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2021-08-18 2021-09-29 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-08-18 2021-09-29 Y
Observe each nurse aide's job performance and give regular training. Health 2021-08-18 2021-09-29 Y
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Health 2021-08-18 2021-09-29 Y
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. Health 2021-08-18 2021-09-29 Y
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2021-08-18 2021-09-29 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-08-18 2021-09-29 Y
Meet requirements for the use of electrical equipment. Fire Safety 2021-08-17 2021-09-17 N
Have proper medical gas storage and administration areas. Fire Safety 2021-08-17 2021-09-17 N
Ensure that residents are fully informed and understand their health status, care and treatments. Health 2021-04-02 2021-05-04 Y
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2021-04-02 2021-05-04 Y
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Health 2021-04-02 2021-05-04 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2021-04-02 2021-05-04 Y
Ensure that residents are fully informed and understand their health status, care and treatments. Health 2018-09-11 2018-12-07 N
Give residents a notice of rights, rules, services and charges. Health 2018-09-11 2018-12-07 N
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Health 2018-09-11 2018-12-07 N
Respond appropriately to all alleged violations. Health 2018-09-11 2018-12-07 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2018-09-11 2018-12-07 N
Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. Health 2018-09-11 2018-12-07 N
Ensure each resident receives an accurate assessment. Health 2018-09-11 2018-12-07 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2018-09-11 2018-12-07 N
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Health 2018-09-11 2018-12-07 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2018-09-11 2018-12-07 N
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Health 2018-09-11 2018-12-07 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2018-09-11 2018-12-07 N
Provide enough food/fluids to maintain a resident's health. Health 2018-09-11 2018-12-07 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2018-09-11 2018-12-07 N
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2018-09-11 2018-12-07 N
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Health 2018-09-11 2018-12-07 N
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Health 2018-09-11 2018-12-07 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2018-09-11 2018-12-07 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2018-09-11 2018-12-07 N
Provide and implement an infection prevention and control program. Health 2018-09-11 2018-12-07 N
Implement a program that monitors antibiotic use. Health 2018-09-11 2018-12-07 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2018-08-30 2018-10-12 N
Have corridors or aisles that are unobstructed and are at least 8 feet in width. Fire Safety 2018-08-30 2018-10-12 N
Meet requirements for the use of electrical equipment. Fire Safety 2018-08-30 2018-10-12 N
Have proper medical gas storage and administration areas. Fire Safety 2018-08-30 2018-10-12 N
Provide necessary care and services to maintain or improve the highest well being of each resident . Health 2017-06-01 2017-07-30 N
Have a program that investigates, controls and keeps infection from spreading. Health 2017-06-01 2017-07-30 N
Provide timely notification to the resident before transfer or discharge. Health 2017-06-01 2017-07-28 N
1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. Health 2017-06-01 2017-07-28 N
Reasonably accommodate the needs and preferences of each resident. Health 2017-06-01 2017-07-28 N
Allow residents the right to participate in the planning or revision of care and treatment. Health 2017-06-01 2017-07-28 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2017-06-01 2017-07-28 N
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Health 2017-06-01 2017-07-28 N
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. Health 2017-06-01 2017-07-28 N
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. Health 2017-06-01 2017-07-28 N
Keep accurate, complete and organized clinical records on each resident that meet professional standards. Health 2017-06-01 2017-07-28 N
Provide written records when a resident is transferred or discharged. Health 2017-06-01 2017-07-14 N
Store, cook, and serve food in a safe and clean way. Health 2017-06-01 2017-07-14 N
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Fire Safety 2017-06-05 2017-07-14 N
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2017-06-05 2017-07-14 N
Provide properly protected cooking facilities. Fire Safety 2017-06-05 2017-07-14 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2017-06-05 2017-07-14 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2017-06-05 2017-07-14 N
Ensure precautions for handling oxygen cylinders and equipment are correctly followed. Fire Safety 2017-06-05 2017-07-14 N