Not rated by CMS — ratings are suppressed for new or low-volume facilities.
A standard survey is most likely before around December 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Franklin Nursing Home during CMS and state inspections, most recent first.
Several residents with cognitive and physical impairments were found to have non-functioning or inaccessible call lights, including one with a history of falls whose call light did not work and others whose call lights were out of reach or not checked by staff. Staff and leadership interviews confirmed that call lights were not always tested or monitored as required by facility policy.
A resident's prescription antifungal shampoo was left unsecured in an unlocked shower room instead of being stored in a locked treatment cart as required. Staff interviews confirmed that the expected protocol was not followed, and the DON acknowledged that all prescribed medications should be locked when not in use. The resident had moderate cognitive impairment and required assistance with personal care, highlighting the importance of proper medication storage.
Three residents in the facility experienced inadequate nail care, leading to poor hygiene and potential health risks. A resident with severe cognitive impairment had jagged nails with a fecal odor, affecting his ability to eat and causing scratches. Another resident with intact cognition but impaired vision had long, rough nails with a blackish substance, leading to skin scratches. A third resident with Parkinson's and diabetes had long nails with a fecal odor, expressing fear of infection due to past experiences. Despite requests for assistance, their nail care needs were not met.
A resident with Down syndrome and anxiety was not treated with dignity during a feeding session. An LVN stood partially behind the resident, failing to introduce herself or face the resident, causing the resident to struggle to see who was feeding her. The facility's policy requires staff to sit and face residents during feeding to ensure dignity.
The facility failed to secure medication carts, leaving them unlocked and unattended, which could allow unauthorized access to medications. LVN H admitted to forgetting to lock the carts after dispensing medications, and CNA J was uncomfortable with locking the carts as only nurses were authorized to do so. The Director of Nurses and the Administrator acknowledged the expectation for carts to be locked, but there was a lack of adherence to the facility's policy.
The facility failed to comply with food safety standards when the Administrator and Maintenance Supervisor entered the kitchen without wearing required hair and beard nets. They were observed standing over uncooked chicken, risking contamination. The Dietary Manager confirmed the expectation for all staff to wear hair restraints, as per the facility's infection control policy.
A facility failed to ensure proper hand hygiene during resident care, as a CNA did not sanitize or wash her hands after touching contaminated surfaces before feeding a resident. The resident, with multiple health conditions and requiring assistance with eating, was at risk due to this lapse. Staff interviews confirmed awareness of hygiene protocols, but the incident highlighted a failure to adhere to the facility's hand hygiene policy.
Failure to Ensure Functional and Accessible Call Light System
Penalty
Summary
The facility failed to ensure that the call light system was functional and accessible for several residents, as observed through direct observation, interviews, and record review. One resident with dementia, muscle weakness, and a history of falls was found to have a non-functioning call light at her bedside, and she was unaware that it was not working. Her care plan specifically required a working and reachable call light due to her fall risk. Another resident with Down Syndrome and dementia was observed with her call light out of reach, placed under her pillow, contrary to her care plan instructions that it should be within reach and staff should encourage its use. Additional observations revealed that a resident with Alzheimer's disease and heart conditions had her call light more than three feet away while she was sleeping in an easy chair, making it inaccessible. A fourth resident with dementia, diabetes, and dysphagia could not reach his call light because it was hanging off the side of the bed, and he was unsure how often staff checked on him. Staff interviews confirmed that they were unaware of the non-functioning or inaccessible call lights, and in one case, a CNA replaced a non-working call light after it was discovered during the survey. Facility leadership, including the Maintenance Supervisor, DON, ADON, and Administrator, acknowledged that call lights are required to be within reach and functional at all times. The facility's policy also mandates that call lights be accessible, demonstrated to residents, and checked for functionality. However, staff interviews revealed that call lights were not routinely tested during daily rounds, and there was a lack of consistent monitoring to ensure compliance with these requirements.
Failure to Secure Prescription Medication in Locked Storage
Penalty
Summary
A deficiency occurred when a resident's prescription ketoconazole shampoo, which was ordered for topical use three times a week, was not stored in accordance with state and federal regulations. Instead of being kept in a locked treatment nurse cart as required, the prescription shampoo was found on a shelf in an unlocked shower room. Observations confirmed that the shower room door was left unlocked, and the shampoo was accessible, contrary to facility policy and professional standards for medication storage. Interviews with staff revealed that the expected protocol was for the treatment nurse to provide the prescribed shampoo to the shower aide at the time of the resident's shower, after which the shampoo was to be returned to the treatment nurse and locked in the treatment cart. However, on the day in question, the treatment nurse failed to retrieve the shampoo after it was used, and the shower aide did not return it. Both the treatment nurse and the shower aide acknowledged the expectation for secure storage but admitted to lapses in following the protocol. The Director of Nursing also confirmed that all prescribed medications, including shampoos, were to be locked when not in use and that leaving them in the shower room was not acceptable. The resident involved had moderate cognitive impairment and required assistance with personal care, including showers. The facility's own policy stated that only authorized personnel should have access to medications and that all medication storage areas must be locked. Despite this, the prescribed shampoo was left unsecured in an area accessible to staff and potentially to residents, as the shower room was not locked. There was no evidence of residents wandering in the area at the time, but the failure to secure the medication was a clear violation of storage requirements.
Inadequate Nail Care for Residents
Penalty
Summary
The facility failed to provide adequate nail care for three residents, leading to poor hygiene and potential health risks. Resident #17, a male with severe cognitive impairment and multiple health issues, was observed with jagged nails and a blackish substance under his nails, which emitted an odor of feces. Despite requesting assistance, his nails were not cleaned, affecting his ability to eat and causing scratches on his arm. Resident #31, who has intact cognition but impaired vision due to cataracts, also experienced inadequate nail care. His nails were long and rough, with a blackish substance underneath. He reported scratching his leg, which bled slightly, and despite asking for assistance, his nails were not attended to, leaving him concerned about potential skin damage. Resident #46, with intact cognition but requiring assistance due to Parkinson's disease and diabetes, had long nails with a blackish substance and an odor of feces. He expressed fear of infection due to his diabetic condition and past experiences with nail infections. Despite requesting nail care, he was informed it would be done the following week, leaving him at risk of infection and further health complications.
Failure to Maintain Resident Dignity During Feeding
Penalty
Summary
The facility failed to treat a resident with respect and dignity during a feeding session. The incident involved a resident with Down syndrome, anxiety disorder, cognitive communication deficit, and impaired visual function, who required assistance with personal care. During an observation, a Licensed Vocational Nurse (LVN) was seen standing partially behind and beside the resident while feeding her, without facing her or introducing herself. The resident attempted multiple times to turn her head to see the person feeding her, indicating difficulty in recognizing the caregiver and the food being offered. The LVN admitted to not following the proper protocol of sitting and facing the resident while feeding, acknowledging that this was a dignity issue. The Director of Nurses confirmed that staff were expected to sit when feeding residents, as standing could compromise the resident's dignity. The facility's policy on resident rights emphasized treating each resident with respect and dignity, promoting their quality of life, and recognizing their individuality.
Medication Cart Security Lapse
Penalty
Summary
The facility failed to ensure that all drugs and biologicals were stored in locked compartments, making them inaccessible to unauthorized staff, visitors, and residents. During an observation, it was noted that three medication carts were left unattended and unlocked near the nurse's desk. Specifically, Medication Cart #1 and Medication Cart #2 were found unlocked near the nurse's desk, and Medication Cart #3 was unlocked approximately 15 feet away from the nurse's desk. This lapse in security was observed between 1:30 AM and 1:43 AM, allowing potential unsupervised access to medications. Interviews with staff revealed that LVN H was aware that the medication carts were unlocked but failed to ensure they were secured after dispensing medications. LVN H admitted to forgetting to lock the carts after administering medications to a resident approximately 40 minutes before the surveyor's arrival. CNA J, who was asked by LVN H to lock one of the carts, expressed discomfort with the task, as only nurses were authorized to lock and unlock the medication carts. The Director of Nurses and the Administrator acknowledged the expectation for medication carts to be locked when not in use, but there was a lack of clarity and adherence to the facility's medication cart policy. The facility's Medication Cart Policy, dated 2003, mandates that medication carts be locked when not in use or under the direct supervision of a designated nurse. Despite this policy, the Director of Nurses was unaware of the specific protocol and did not provide further clarification to the surveyor. The Administrator recognized the potential risks of residents accessing unlocked medication carts, including the possibility of allergic reactions or physical harm if medications were ingested. However, there was no indication that the facility had a clear plan to address these deficiencies at the time of the survey.
Failure to Adhere to Food Safety Standards in Kitchen
Penalty
Summary
The facility failed to adhere to professional standards for food service safety in the kitchen, as observed during a survey. On the specified date, the Administrator and the Maintenance Supervisor entered the kitchen without wearing the required hair and beard nets. They were observed standing over a large bowl of approximately 15 uncooked chicken breasts being defrosted in the sink. The Maintenance Supervisor had significant facial hair and long hair, while the Administrator also had long hair, both of which were not covered as per the facility's policy. This oversight was acknowledged by both individuals during interviews, where they admitted the potential risk of hair contamination in the food. The Dietary Manager confirmed that all staff, including non-dietary personnel, were expected to wear hair and beard nets when entering the kitchen. The facility's policy on infection control, dated 2012, required clean hair to be covered with an effective hair restraint, and facial hair to be closely trimmed and covered. Despite being in-serviced on these requirements, the Maintenance Supervisor and Administrator failed to comply, potentially exposing residents to health risks from contaminated food.
Infection Control Deficiency Due to Improper Hand Hygiene
Penalty
Summary
The facility failed to maintain an effective Infection Control Program, specifically in ensuring proper hand hygiene procedures were followed by staff during the direct care of a resident. On the observed date, a Certified Nursing Assistant (CNA) did not sanitize or wash her hands after touching contaminated surfaces, such as the floor and a chair, before handling the resident's food and feeding the resident. This lapse in protocol was observed during a meal service, where the CNA's fingers came into contact with the floor and subsequently touched the resident's plate and food without any hand hygiene measures being taken. The resident involved was an elderly male with multiple medical conditions, including transient cerebral ischemic attack, unspecified dementia, legal blindness, and muscle weakness. He required maximal assistance with daily activities, including eating, due to his severely impaired cognition and other health issues. The resident's care plan highlighted the need for consistent routines and assistance with eating, emphasizing the importance of maintaining a hygienic environment to prevent potential health risks. Interviews with staff, including the CNA involved, Licensed Vocational Nurses (LVNs), and the Director of Nurses, revealed a general understanding of the hand hygiene expectations. However, there was a lack of recall regarding the specific dates of in-service training on hand hygiene. The staff acknowledged the potential for cross-contamination and the risk of illness from improper hand hygiene, yet the incident demonstrated a failure to adhere to the facility's hand hygiene policy, which required hand sanitization before and after assisting residents with meals.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Franklin
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Crossroads Nursing & Rehabilitation | 12.7 mi | — | 9 | 0 |
| Bremond Nursing And Rehabilitation Center | 14.5 mi | — | 2 | 0 |
| Lampstand Nursing And Rehabilitation | 26.7 mi | — | 5 | 2 |
| St. Joseph Manor | 26.8 mi | — | 5 | 0 |
| Crestview Retirement Community | 26.8 mi | — | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.