Above average — CMS composite of the measures below.
The next survey window likely opens around March 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 Pruitthealth - Franklin during CMS and state inspections, most recent first.
Incorrect Dating of Insulin Pens: An LPN and the IP found insulin pens on medication carts with handwritten open and discard dates that exceeded the 28-day beyond-use period in the manufacturer labeling. The pens included Lantus and Humalog, and the LPN was unable to verify the correct dating when asked. Facility policy required insulin vials or pens to be dated when opened, and the package inserts stated opened insulin should be discarded after 28 days.
Failure to Complete PASARR Level II for a Resident With Mental Health Needs: A resident with bipolar disorder, depression, anxiety, insomnia, and ongoing psychotropic medication use had documented behavioral symptoms, refusal of care, and ongoing psychotherapy, but the facility did not include the resident on its PASARR Level II tracking list and the EMR showed no evidence that a PASARR Level II evaluation or determination had been completed.
Surveyors found an unidentified tablet left unattended on an overbed table in one resident’s room and a bottle of acetone accessible on a countertop in another resident’s room. RN BB confirmed the medication was left at bedside and stated meds should not be unattended, while the UM was unaware the acetone was present. The residents had significant cognitive and functional impairments, including dysphagia and severe or moderate cognitive impairment.
Infection control practices were not followed during Foley catheter care, sharps disposal, and wound care. A resident with an indwelling Foley catheter had the drainage bag positioned on the floor, an LPN discarded a used lancet into a resident trash receptacle before moving it to a sharps container, and another LPN did not maintain a fully clean field during wound care, left parts of the bedside table uncovered, did not disinfect the table after the procedure, and returned used items to the treatment cart after contamination.
A facility failed to include physical therapy discharge recommendations in a resident's care plan. The resident, who has cerebral palsy and impaired mobility, was at risk for falls. The care plan addressed fall prevention but omitted PT recommendations for daily use of a custom tilt manual wheelchair with hourly checks and adjustments for pressure relief. This deficiency was identified during a review of facility records and policies.
A resident with cerebral palsy and multiple contractures did not receive the necessary custom equipment post-discharge from physical therapy, as recommended by the therapist. Despite needing a custom tilt manual wheelchair for proper positioning, the resident was consistently found in bed without the wheelchair, and staff were unaware of its location or necessity. This failure to adhere to the care plan resulted in a deficiency in maintaining the resident's range of motion.
The facility failed to comply with infection control protocols for three residents, leading to potential exposure to harmful pathogens. A CNA did not wear a required PPE gown and failed to perform hand hygiene during catheter care. An LPN did not sanitize her hands before preparing medications and upon entering a resident's room. Another LPN failed to perform hand hygiene after changing gloves during medication administration via a PEG tube. The DHS emphasized the importance of following facility policies and performing hand hygiene.
Incorrect Dating of Insulin Pens
Penalty
Summary
The facility failed to ensure insulin pens were labeled with the correct beyond-use dates in two of three medication carts. During an observation on the nurse’s medication cart with an LPN on Hall 3 and Hall 4, two insulin pens, Insulin Glargine-Lantus and Insulin Lispro-Humalog, were found in individual packaging bags with attached prescription labels. The pens had handwritten open dates and handwritten discard dates, but review of the manufacturer and prescription labeling showed that insulin pens were to be discarded 28 days after opening, and the dates on the pens exceeded that timeframe. The LPN was unable to verify the correct beyond-use dating and requested assistance from the IP, who confirmed the labeling was incorrect. During a second observation on the nurse’s medication cart with the IP on Hall 3, one Insulin Glargine-Lantus pen was found with a handwritten open date and discard date that also exceeded the 28-day manufacturer recommendation. The IP reviewed the pen and confirmed the labeling was incorrect. Facility policy stated multi-dose injectable containers are to be dated when opened, and the insulin administration policy required staff to note the date opened and date expired on the insulin vial or pen. The facility’s provided package inserts for Lantus and Humalog both stated opened insulin should be discarded after 28 days of use.
Failure to Complete PASARR Level II for Resident With Mental Health Needs
Penalty
Summary
The facility failed to ensure a Preadmission Screening and Resident Review (PASARR) Level II was submitted for one resident who had multiple mental health diagnoses and ongoing behavioral health needs. The resident was admitted with diagnoses including bipolar disorder, mood disorder due to known physiological condition, anxiety disorder, depression, and insomnia. The resident’s quarterly MDS showed a BIMS score of 15, and documented anxiety disorder, bipolar disorder, depression, and mood disorder due to a known physiological condition. The resident was also receiving antipsychotic and antidepressant medications. The resident’s care plan documented behavioral symptoms, resistance to care, use of psychotropic medications, and pain management needs, with interventions addressing maladaptive behaviors, refusal of care, and psychiatric consultation as needed. Physician orders included divalproex, lamotrigine, Vraylar, melatonin, and behavior monitoring for mood changes, aggression, hallucinations, delusions, insomnia, and psychotropic side effects. Social services notes showed a history of combative behavior toward staff and roommate, verbal aggression, refusal of medications and care, and interpersonal conflict, with ongoing psychotherapy and psychiatric medication management. Facility PASARR tracking records did not include the resident, and the EMR did not show evidence that a PASARR Level II evaluation or determination had been completed.
Unsecured medication and hazardous item left accessible in resident rooms
Penalty
Summary
The facility failed to maintain an environment free of accident hazards for two sampled residents, R55 and R6, when an unidentified tablet was found unattended on an overbed table in R55’s room and a bottle of acetone (nail polish remover) was found accessible on a countertop in R6’s room. On 04/14/2026 at 10:23 AM, surveyors observed a single unidentified tablet on the overbed table in R55’s room, not contained in a medication cup and left unattended. RN BB confirmed the tablet was present and stated she believed it might be senna but was not certain. She acknowledged medications should never be left unattended at the bedside and must be administered to the resident with documentation of administration. R55’s record showed admission with dysphagia following CVA, aphasia, hemiplegia and hemiparesis affecting the right dominant side, generalized muscle weakness, and a history of repeated falls; the quarterly MDS showed a BIMS score of 2, indicating severe cognitive impairment. Later that morning, surveyors observed a bottle of acetone on the countertop in R6’s room at approximately waist height and accessible to residents. RN BB confirmed the item was present and stated it should be out of reach, while RN Unit Manager CC stated she was unaware it was in the room and said it should be secured or placed out of reach immediately. R6’s record showed diagnoses including encephalopathy, history of TIA/cerebral infarction without residual deficits, dysphagia, generalized weakness, difficulty walking, unsteadiness on feet, and obesity; the quarterly MDS showed a BIMS score of 9, indicating moderate cognitive impairment. The DHS stated medications must be administered by the nurse, who remains with the resident until swallowed, and that hazardous items such as nail polish remover found in resident rooms are expected to be removed immediately upon discovery.
Infection Control Lapses During Foley Care, Sharps Disposal, and Wound Care
Penalty
Summary
Provide and implement an infection prevention and control program was deficient when staff failed to follow infection control practices during catheter care, sharps disposal, and wound care. During observation of a resident with an indwelling Foley catheter, the drainage bag was positioned next to the bed and touching the floor. The RN unit manager confirmed the bag was on the floor and stated it should be properly positioned and attached to the bed frame. The resident had diagnoses including urinary retention with an indwelling Foley catheter, recurrent urinary tract infections, obstructive and reflux uropathy, generalized weakness, history of cerebrovascular accident with right-sided hemiparesis, and impaired mobility. The resident’s MDS showed a BIMS score of 14, indicating little to no cognitive impairment, and the care plan included maintaining appropriate catheter care with the drainage bag below the bladder and off the floor. During blood glucose monitoring, an LPN removed PPE and discarded used supplies, including a used lancet, into the resident room trash receptacle instead of an approved sharps container. The LPN confirmed the lancet was placed in the resident’s trash and then retrieved and discarded it into the sharps container. The DHS stated that all used sharps, including lancets, must be discarded in designated sharps containers. During wound care, another LPN did not fully maintain a clean field because portions of the bedside table used for clean supplies were left uncovered, allowing clean gauze and applicators to touch uncleaned portions of the table. The wound care observation also showed the bedside table was not disinfected after the procedure, and items used during treatment were returned to the treatment cart. A disinfectant wipe container was returned without being cleaned, and unused 4x4 gauze in a paper container was returned to the treatment cart after being placed on an uncovered surface and handled with contaminated gloves. The LPN confirmed these practices, including that the table was not disinfected and supplies handled with contaminated gloves were returned to the cart, were not consistent with infection control standards.
Failure to Include PT Discharge Recommendations in Care Plan
Penalty
Summary
The facility failed to develop a comprehensive care plan for one of the sampled residents, identified as R14, by not including the physical therapy discharge recommendations. The facility's policy on care plans requires updates to be made with any changes in condition at the time they occur. However, a review of R14's care plan, dated December 26, 2024, showed it addressed the resident's risk for falling due to cerebral palsy and impaired mobility, with goals and approaches to prevent injury. Despite this, the care plan lacked documentation of the physical therapy recommendations provided upon discharge on August 21, 2019. These recommendations included the need for the resident to be out of bed daily in their custom tilt manual wheelchair, with hourly checks for seating needs and adjustments for pressure relief. This omission was identified during a review of the facility's records and policies.
Failure to Provide Custom Equipment Post-Discharge from Physical Therapy
Penalty
Summary
The facility failed to provide appropriate care to maintain or improve the range of motion for a resident, identified as R14, who was discharged from physical therapy services. R14, diagnosed with cerebral palsy and multiple contractures, was dependent on staff for all activities of daily living and required a custom tilt manual wheelchair for proper positioning and pressure relief. Despite recommendations from the physical therapist to continue using the wheelchair post-discharge, observations revealed that R14 was consistently found in bed without the wheelchair in the room, indicating a lack of adherence to the discharge plan. Interviews with facility staff, including CNAs and LPNs, revealed a lack of awareness and implementation of the necessary equipment for R14. The CNAs confirmed that R14 did not get out of bed unless for medical appointments or showers, and the wheelchair was stored in the closet rather than being used as recommended. The LPNs and the unit manager were unaware of the wheelchair's location and did not provide a reason for R14's continued bed rest, further highlighting the facility's failure to follow through with the prescribed care plan. The facility's administration, including the Director of Nursing, was unaware of the current status of R14's wheelchair use and acknowledged that R14 had outgrown the previous custom wheelchair. Despite the physical therapist's instructions for ongoing use of the wheelchair for positioning and pressure relief, the facility did not ensure the availability or use of appropriate equipment, leading to a deficiency in maintaining R14's range of motion and overall care plan adherence.
Infection Control Deficiencies in Hand Hygiene and PPE Use
Penalty
Summary
The facility failed to comply with infection control protocols for three residents, leading to potential exposure to harmful pathogens. For one resident, a CNA performed catheter care without wearing the required PPE gown and failed to perform hand hygiene after removing gloves and before donning a new pair. This oversight was acknowledged by the CNA during an interview with the surveyor. Another deficiency was observed during a medication pass for a resident by an LPN, who did not sanitize her hands before preparing medications and upon entering the resident's room. The LPN admitted to forgetting to perform hand hygiene due to nervousness. The Director of Health Services (DHS) stated that staff are expected to sanitize their hands before and after each resident interaction. A third incident involved an LPN administering medications via a PEG tube for a resident on Enhanced Barrier Precautions. The LPN failed to perform hand hygiene after changing gloves and before administering medication via a different route. The nurse acknowledged the oversight when questioned by the surveyor. The DHS reiterated the expectation for staff to follow facility policies and perform hand hygiene according to guidelines.
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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) |
|---|---|---|---|---|
| Green Acres Care Center Llc | 16.1 mi | ★★★★★ | 13 | 0 |
| Carrollton Manor, Incorporated | 16.7 mi | ★★★★★ | 2 | 0 |
| Peachtree Nursing And Rehabilitation Llc | 16.8 mi | ★★★★★ | 10 | 0 |
| Lagrange Trails Of Journey Llc | 17.2 mi | ★★★★★ | 2 | 0 |
| Carrollton Crossing Of Journey Llc | 17.6 mi | ★★★★★ | 14 | 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.