Above average — CMS composite of the measures below.
The next survey window likely opens around February 2027
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Health Center At Franklin Park during CMS and state inspections, most recent first.
Failure to Provide Personalized and Consistent Activities: A resident with severe dementia and a BIMS score of 0 was repeatedly observed sitting idle near the nurses’ station while other residents participated in activities, and staff did not consistently invite or engage him in preferred sensory, music, walking, or one-to-one activities. In the secured dementia unit, scheduled group activities did not occur, residents were left without organized leisure options, and a resident stated there were no activities and he wanted to go outside.
Activities Program Not Directed by a Qualified Professional: Surveyors found the facility had an AD, but the NHA could not provide proof that the AD met qualification requirements or that an activities consultant provided oversight. The AD said this was her first activities position, she had not started the required course, and she was responsible for planning the resident activities calendar. Record review showed the AD completed activities records for a resident.
Unlabeled Medications Found in Medication Carts: Multiple medications and biologicals in two medication carts were stored in labeled boxes, but the individual inhalers, eye drops, artificial saliva spray, morphine oral solution, and insulin vial were not labeled with the resident's name or the date opened. RN and LPN staff stated medications should be labeled inside their boxes because the box could be damaged or the medication could become separated, and an unlabeled medication could lead to a medication error.
Crash carts were not maintained in safe operating condition. Staff found missing items on the first, second, and third floor carts, including a stethoscope, crash cart log, oxygen tank key, backboard, and a medical grade extension power cord. The second floor cart also contained expired suction tubing and a Yankauer tip. RN and DON interviews showed staff were unclear about generator-connected outlets and that the carts were expected to be checked nightly for required supplies and function.
A resident with dementia and bipolar disorder was given olanzapine, but the pharmacist and physician recommended a GDR without documentation that the resident’s representative was informed before the change was implemented. Another resident with Alzheimer’s disease, depression, insomnia, and PTSD had repeated agitation and exit-seeking while receiving multiple psychotropic medications, but the IDT review of sertraline was not clearly documented and the care plan lacked resident-specific non-pharmacological interventions or clear behavior monitoring details.
A facility failed to maintain ROM and body alignment for two residents. One resident with dementia, schizophrenia, and bilateral hand contractures was observed with both hands contracted and no splints in place, while the record lacked documentation of passive ROM being provided despite OT recommending it. Another resident with severe cognitive impairment and dementia was repeatedly observed in a recliner with the head tilted to one side without a pillow or other support, even though the care plan called for supportive positioning to maintain joint alignment.
Failure to Provide Personalized and Consistent Activities
Penalty
Summary
The facility failed to provide activities designed to support residents’ physical, mental, and psychosocial well-being for a resident with severe cognitive impairment and dementia-related diagnoses. The resident had diagnoses including dementia with agitation, frontotemporal neurocognitive disorder, and a history of falling, and the MDS showed a BIMS score of 0 with substantial assistance needed for eating, walking, bathing, and dressing. The activity care plan documented that the resident could socialize when given enough time to respond, could passively participate in activities, and needed assistance to and from group activities, with interventions to invite, encourage, remind, and escort him to activities consistent with his interests. Observations showed the resident repeatedly sitting in a recliner near the nurses’ station while other residents participated in activities in nearby common areas, but staff did not engage him or offer him activities. On multiple occasions, he was observed napping or sitting idle while staff passed by, and he was not offered participation in group activities such as television viewing, balloon play, or an outing for ice cream. During one continuous observation, staff members were seen moving other residents outside for ice cream while the resident remained in the recliner without interaction. The resident’s room was also observed and did not contain the spiritual comfort objects identified in the care plan. The resident’s activity attendance record showed he had not attended any activities except once, and there were no refusals documented. Staff interviews indicated that activities appropriate for him included sensory items, music, movies, exercise, aromatherapy, conversation, and walking, and that he should be approached at eye level and invited to join activities. Staff also stated that one-to-one visits and walking outside were provided weekly, but the observations documented that staff did not consistently offer or provide those interactions during the survey period. The facility also failed to ensure a meaningful activities program was consistently provided to residents in the secured dementia care unit. A resident in that unit stated there were no activities and that he wanted to go outside, and he did not know when activities were scheduled. Surveyors observed scheduled activities on the calendar, including events such as Celebrate Anything Day and House of [NAME], but no staff gathered residents for those events and the activities did not occur. Residents were observed sitting idle in the TV room and common area with no leisure materials available on the tables and no organized group activities offered during the observation periods. Resident council minutes showed residents had requested more one-on-one visits, games, weekend activity help, and more assistance for bingo and group activities, yet the observations showed those activities were not consistently provided on the secured unit.
Activities Program Not Directed by a Qualified Professional
Penalty
Summary
The facility failed to ensure that the activities program was directed by a qualified professional. Surveyors found that the facility had an activities director, but the nursing home administrator was unable to provide documentation that the activities director had been enrolled in or had completed the required courses to be considered qualified. The administrator also could not provide documentation that the facility had employed an activities consultant to provide oversight to the activities department. Record review showed that the activities director completed the activities records for Resident #19. During interview, the activities director said she started working at the facility in September 2025, had never worked in a nursing facility before, knew she had to take a course to become a qualified activities director, but had not started it yet. She also said she did not have an activities consultant to help her and that she was responsible for planning the activities calendar for the facility's residents. The nursing home administrator stated that the activities director did not meet the requirements for the position and said she believed the facility met the requirements as long as the director was enrolled in a course.
Unlabeled Medications Found in Medication Carts
Penalty
Summary
The facility failed to ensure drugs and biologicals were stored, secured, and labeled in accordance with accepted professional standards in two of three medication carts. During observation of medication cart #2 on the second floor, multiple resident medications were found inside appropriately labeled medication boxes, but the individual inhalers, eye drops, and artificial saliva spray inside the boxes were not labeled with the resident's name or the date the medications were opened. The items included umeclidinium-bromide inhaler for one resident, two bottles of polyethylene glycol-propylene glycol eye drops for two residents, a Biotene dry mouth moisturizing spray for one resident, and an umeclidinium-vilanterol inhaler for another resident. During observation of medication cart #1 on the first floor, a bottle of morphine sulfate oral solution and a vial of insulin lispro injection solution were also found inside appropriately labeled medication boxes without the resident's name or the date the medications were opened. Staff interviewed during the survey stated that medications should be labeled inside their boxes because the box could be damaged or the medication could become separated from the box, and that an unlabeled medication could potentially cause a medication error because staff would not know who the medication belonged to.
Crash carts were missing required equipment and contained expired supplies
Penalty
Summary
The facility failed to maintain three of five emergency crash carts in safe operating condition. During observations, staff found missing equipment on multiple carts, including a stethoscope, crash cart check-off log, oxygen tank key, backboard, and medical grade extension power cord. One crash cart also had checklists dated July 2023, and staff identified that the carts were located in the dining rooms on the first, second, and third floors. On the first floor crash cart, the stethoscope and crash cart check-off log were not present during the initial observation, and the oxygen tank key was missing. On the second floor crash cart, the stethoscope, backboard, and medical grade extension power cord were not present during the initial observation. On the third floor crash cart, the backboard was not present during the initial observation. When the carts were rechecked the next day, some missing items had been returned to the first, second, and third floor carts, but the medical grade extension power cord was still absent from the second floor cart. Expired supplies were also found in the second floor crash cart, including two 20-inch non-conductive connection tubes with expiration dates of 5/1/22 and 6/1/22, and a Yankauer suction tip with an expiration date of 9/5/22. RN #1 stated that night nurses were responsible for completing the crash cart log and ensuring required supplies were present, and she said the nurse should attempt to turn on the suction machine to confirm it worked properly. RN #1 and the DON both stated they did not know which electrical outlets were connected to the emergency backup generator. The DON also stated that the carts needed to be checked nightly for function, missing equipment, and expired supplies, and that she would not expect to see expired equipment if the carts were audited consistently.
Psychotropic Medication Review and Behavior Care Planning Deficiencies
Penalty
Summary
The facility failed to ensure two residents were free from unnecessary psychotropic medication use and related monitoring deficiencies. One resident with dementia and bipolar disorder was receiving olanzapine (Zyprexa) 10 mg in the evening. The consultant pharmacist recommended a gradual dose reduction from 10 mg to 7.5 mg, and the physician agreed, documenting that staff should confirm the reduction with the resident’s representative before implementation. The physician later repeated that the representative should be contacted, but the resident’s representative stated the dose reduction was never discussed with her during the care conference, and there was no documentation in the EMR showing that the representative was informed before the medication was later decreased. A second resident with Alzheimer’s disease, dementia with mood disturbance, depression, insomnia, and PTSD was prescribed multiple psychoactive medications, including sertraline, trazodone, risperidone, and quetiapine, with orders to monitor for behaviors and medication reactions. The record showed repeated episodes of agitation, exit-seeking, yelling, calling 911, attempting to leave, and difficulty being redirected. Although social services notes stated the resident’s mood, psychosocial well-being, and psychoactive medication were reviewed by the physician, DON, and social services, the notes did not document what was reviewed or what decisions were made. The record also did not show that the interdisciplinary team reviewed the continued use of sertraline to determine whether it remained justified or whether a gradual dose reduction was indicated. The resident’s care plan did not include resident-specific non-pharmacological interventions for his behaviors. While the care plan addressed wandering, cognition, and mood in general terms, the EMR lacked documentation of specific interventions offered when behaviors occurred, what behaviors were being monitored, and what approaches were identified to help him when he became agitated. Staff interviews described de-escalation methods such as talking about tomorrow, checkers, ice cream, coffee, and redirection, but these approaches were not documented in the care plan or behavior monitoring records.
Failure to Maintain ROM and Proper Body Alignment
Penalty
Summary
The facility failed to ensure services and assistance were provided to maintain range of motion and body alignment for two residents. One resident had bilateral hand contractures, and the record showed a history of impaired mobility, dementia, schizophrenia, depression, delusional disorders, and catatonic disorder. The resident was dependent on others for oral hygiene, toileting, showering, and upper and lower dressing, and the MDS showed no PT or OT services during the look-back period. The resident’s representative reported that the hand contractures began in November 2025 and that he had asked the facility about using a brace or towel between the hands to prevent worsening, but was told the resident could not use those items because staff were concerned she might swallow them. When the resident was observed, both hands were contracted, with the fingers of one hand nearly touching the palm and the fingers of the other hand touching the palm. The resident was not wearing hand splints. The pain care plan identified pain related to global decline in function, impaired mobility, contractures, and osteoarthritis, but it did not indicate passive ROM as an intervention for the contracted hands. The Kardex and March 2026 CPO also did not indicate passive ROM for the hands. OT discharge documentation recommended passive ROM for the upper and lower extremities, but there was no documentation in the EMR that passive ROM was offered or provided from the OT discharge through the survey date. A second resident with severe cognitive impairment, a BIMS score of zero, and diagnoses including dementia with agitation, frontotemporal neurocognitive disorder, and a history of falling was repeatedly observed sitting in a recliner with the head and neck tilted to the left without a pillow or cushion for support. During multiple observations over two days, staff members were present at the nurses’ station or nearby, but did not reposition the resident’s neck or provide supportive devices. The care plan for pressure ulcer prevention called for proper body positioning with supportive pillows, cushions, and positioning devices to reduce pressure points and maintain joint alignment. Staff interviews confirmed that the resident was supposed to have head support in the recliner, that a rolled towel had been tried at times, and that restorative services had included ambulation and ROM exercises, but the observed positioning support was not consistently provided during the survey observations.
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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 Denver
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Briarwood Health Care Center | 0.5 mi | ★★★★★ | 0 | 0 |
| Uptown Care Center | 0.6 mi | ★★★★★ | 11 | 0 |
| Denver North Care Center | 0.6 mi | ★★★★★ | 17 | 0 |
| City Park Healthcare And Rehabilitation Center | 1.1 mi | ★★★★★ | 9 | 0 |
| Juniper Village - The Spearly Center | 2.5 mi | — | 5 | 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 July 2026) and official state health department websites.