Below 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 Fair City Health And Rehab during CMS and state inspections, most recent first.
Binding arbitration agreements for 3 sampled residents did not explicitly state the resident or representative could rescind within 30 calendar days of signing. An admissions staff member reviewed the admission packets and confirmed the agreements lacked the required rescission language.
A resident with dementia, Parkinson’s disease, gait abnormalities, tremors, muscle weakness, and a history of repeated falls had a care plan and transfer assessment requiring use of a total body mechanical lift with a full body sling and assistance from 2 staff for all transfers. During one night shift, a CNA requested help for a wheelchair-to-bed transfer but, while waiting, the resident became anxious, rocked in the chair, and tried to slide out. The CNA, believing the resident might fall, proceeded to complete the total body mechanical lift transfer alone, contrary to the documented 2-person requirement. The resident later reported experiencing jerking movements and feeling like he was going to fall during the transfer, and both the CNA and DON acknowledged that mechanical lift transfers are required to be done with 2 staff.
A resident’s CPR code status was not accurately documented on readmission. Her chart contained a CPR consent indicating DNR, but the rehab discharge instructions and current physician orders listed full code. Interviews with an LPN, QA staff, and the DON confirmed the discrepancy, and the resident stated she still wanted to be DNR after returning from rehab.
A facility failed to ensure consistent documentation of a resident's code status, with discrepancies between the EHR and physical chart. The EHR showed a Full Code, while the physical chart indicated a DNR order. LPNs relied on the physical chart during emergencies, and the DON confirmed the DNR order was not updated in the EHR.
A facility failed to accurately reflect a resident's Advanced Directive in the MDS assessment. Despite the Advanced Directive being documented in the resident's Care Plan, it was not indicated in the MDS. Staff confirmed the oversight after reviewing the resident's Electronic Health Record.
A facility failed to update a resident's Care Plan to reflect a change from Full Code to DNR, despite the Physician's Orders indicating the change. Interviews with the MDS Coordinator and DON confirmed the Care Plan was not updated, potentially affecting 84 residents.
A facility failed to accurately transcribe a resident's physician's orders into the EHR. The resident's EHR indicated a 'Full Code' status, while a handwritten order in the physical chart showed a 'DNR' status, which was not entered into the EHR. Staff interviews confirmed the responsibility for entering orders into the EHR was not fulfilled, leading to the discrepancy.
A resident at risk for malnutrition due to dialysis was not provided with the correct double protein portions as ordered. Observations revealed the resident received only one sausage link instead of two, and three meatballs instead of six. Staff interviews confirmed the discrepancies, despite meal tickets specifying the correct portions.
The facility failed to ensure accurate MDS assessments for three residents. One resident was not coded for hospice services despite receiving them, another was incorrectly coded for an active MDRO infection, and a third was not coded for the use of a right arm splint despite physician orders and MAR documentation indicating its use.
The facility failed to ensure PRN orders for psychotropic medications were limited to 14 days and indicated the duration for three residents. Orders for Ativan and Belsomra were found without stop dates, and the Director of Nursing confirmed the lack of documented durations.
The facility failed to label insulin pens with the date they were opened and did not discard them after 28 days as required by their policy. An LPN and the Assistant Director of Nursing confirmed the oversight.
A CNA was observed walking down the hallway with soiled gloves, an exposed soiled diaper, and soiled wipes with visible feces. The CNA acknowledged the mistake, and the Infection Preventionist, Administrator, and Director of Nursing confirmed that the CNA should have bagged the soiled items, disposed of gloves, and used hand hygiene before exiting the room.
Binding Arbitration Agreements Lacked Required Rescission Language
Penalty
Summary
The facility's binding arbitration agreement failed to explicitly grant residents or their representatives the right to rescind the agreement within 30 calendar days of signing it for 3 of 3 sampled residents (#9, #31, and #102) who signed the agreement on admission. Record review showed each resident's admission packet included a signed binding arbitration agreement that did not contain the required rescission language. During an interview on 03/18/2026 at 7:50 a.m., S6AD, who stated she was responsible for admissions, reviewed the admission documents for Residents #9, #31, and #102 and confirmed that the agreements did not explicitly grant the resident or representative the right to rescind within 30 calendar days of signing.
Failure to Follow Care Plan Requiring Two-Person Mechanical Lift Transfer
Penalty
Summary
The deficiency involves the facility’s failure to ensure staff accurately implemented a comprehensive care plan requiring a 2-person total body mechanical lift transfer. The resident involved was admitted with multiple diagnoses including lack of coordination, dementia, Parkinson’s disease, repeated falls, transient cerebral ischemic attack, abnormalities of gait and mobility, forms of tremor, and muscle weakness. An MDS with an ARD of 12/22/2026 showed a BIMS score of 15, indicating the resident was cognitively intact. A Transfer/Mobility Criteria assessment documented that the resident was totally dependent on staff for ADL support and required use of a total mechanical lift with full body sling. The current plan of care identified the resident as at risk for falls and specified an ADL intervention of a total body mechanical lift with 2 staff members for transfers. Despite these documented requirements, the resident reported that on a night shift, a CNA transferred him from his wheelchair to his bed using the mechanical lift while she was the only staff member in the room. He stated that during the transfer he began having jerking movements and felt like he was going to fall. The CNA confirmed that she worked that night and that when the resident requested transfer, she initially requested assistance from another CNA. While waiting, the resident became anxious, rocked back and forth, and attempted to slide himself out of the wheelchair. The CNA stated she believed the resident was at risk of falling to the floor and proceeded to transfer him with the total body mechanical lift without a second staff person, acknowledging that she should have had another staff member present. The DON confirmed that for all residents, total body mechanical lift transfers are to be completed with 2 staff members under any circumstance.
Incorrect CPR Code Status Documented on Readmission
Penalty
Summary
On readmission, the facility failed to accurately document a resident’s CPR code status in the clinical record for 1 of 3 residents reviewed for readmission records. Resident #9 was originally admitted and later readmitted to the facility. Her admission MDS showed a BIMs score of 14, indicating she was cognitively intact. The resident’s hard chart contained a Resident/Family Consent for Cardiopulmonary Resuscitation signed by the resident’s representative and the physician, with the representative indicating that CPR should not be done on the resident, while other interventions could be performed unless otherwise noted in advance directives. Despite that consent, the resident’s discharge instructions from the rehabilitation hospital listed a full code status, and the current physician orders on readmission also listed full code. Interviews with an LPN, QA staff, and the DON confirmed that the CPR consent indicated the resident was DNR and that the physician order did not accurately reflect that status. The resident stated she had not wanted to change her code status from DNR to full code after returning from rehab and that her current wishes were to be DNR. The DON confirmed that on readmission, the nurse was expected to identify the code status discrepancy and immediately clarify and document the resident’s accurate code status, and did not.
Inconsistent Code Status Documentation for a Resident
Penalty
Summary
The facility failed to ensure that all medical records regarding a resident's code status consistently reflected the resident's wishes. Specifically, there was a discrepancy between the electronic health record (EHR) and the physical chart for Resident #3. The EHR indicated a Full Code status, while the physical chart showed a Do Not Resuscitate (DNR) order. This inconsistency was discovered during a review of Resident #3's clinical records, which revealed that the physician's order for DNR was not entered into the EHR as required. Interviews with several Licensed Practical Nurses (LPNs) revealed that in the event of an emergency, they would refer to the physical chart to determine a resident's code status. On one occasion, an LPN found Resident #3 without a pulse or respirations and verified the DNR status using the physical chart, thus not performing CPR. The Director of Nursing (DON) confirmed that it was the nurse's responsibility to enter physician orders into the EHR and acknowledged that the DNR order was not updated in the EHR, leading to the inconsistency in the resident's code status documentation.
Inaccurate MDS Assessment for Advanced Directive
Penalty
Summary
The facility failed to ensure that the Minimum Data Set (MDS) assessment accurately reflected the status of a resident, specifically regarding the presence of an Advanced Directive. Resident #3 was admitted to the facility and had an Advanced Directive documented in his Care Plan dated 08/07/2023. However, the Significant Change MDS with an Assessment Reference Date (ARD) of 09/27/2024 did not indicate the presence of an Advanced Directive in Section S. Interviews with staff members responsible for completing the MDS confirmed that the oversight occurred, as they verified the existence of the Advanced Directive in the resident's Electronic Health Record but failed to reflect it in the MDS assessment.
Failure to Update Care Plan for Code Status Change
Penalty
Summary
The facility failed to update a resident's Care Plan to reflect a change in code status from Full Code to Do Not Resuscitate (DNR). The resident's Care Plan, dated 08/07/23, indicated a Full Code status, while the current Physician's Orders, dated 10/02/2024, indicated a DNR status. Interviews with the Minimum Data Set Coordinator (S4MDS) and the Director of Nursing (S2DON) confirmed the discrepancy. S4MDS acknowledged responsibility for updating care plans and confirmed the Care Plan was not updated. S2DON also confirmed the Care Plan should have been revised to reflect the current DNR status but was not. This oversight had the potential to affect 84 residents in the facility.
Failure to Transcribe Physician's Orders Accurately
Penalty
Summary
The facility failed to ensure that physician's orders were accurately transcribed into the Electronic Health Record (EHR) for a resident. The resident was admitted to the facility with a physician's order indicating a 'Full Code' status in the EHR. However, a handwritten physician's order in the resident's physical hard chart indicated a 'Do Not Resuscitate' (DNR) status, which was not entered into the EHR. Interviews with staff revealed that it was the responsibility of the nurse to enter verbal or written physician's orders into the EHR. The staff member responsible for uploading written orders confirmed that she never received the resident's DNR order, and it was not uploaded into the EHR. The Director of Nursing also confirmed that the DNR status had not been entered or uploaded into the EHR as required.
Failure to Provide Correct Meal Portions for Resident
Penalty
Summary
The facility failed to ensure that menus were followed to meet the nutritional needs of residents, specifically for a resident who was at risk for malnutrition, dehydration, and weight fluctuations due to dialysis. The resident had a care plan and physician's orders indicating a regular diet with double protein portions at each meal. However, during observations, it was noted that the resident was not provided with the correct portion sizes as ordered. On one occasion, the resident was served only one sausage link instead of the two required for double protein. On another occasion, the resident was served three Swedish meatballs instead of the six that were specified on the meal ticket. Interviews with staff members confirmed the discrepancies in meal portions. A dietary staff member stated that meal slips were printed with the diet and portion sizes for each resident, and if a resident was ordered double protein, they should have received the appropriate portions. However, the resident was not served the correct portions as per the meal ticket instructions. The Director of Nursing also confirmed that the meal ticket specified double protein with all meals, yet the resident received only half of the required portion on two separate occasions.
Inaccurate MDS Assessments for Hospice, Diagnosis, and Splint Use
Penalty
Summary
The facility failed to ensure the MDS assessment accurately reflected the status of three residents. Resident #20 was not coded correctly for hospice services despite being admitted to hospice on 02/15/2024. Interviews with the LPN, MDS coordinator, and DON confirmed that Resident #20 had been receiving hospice services for a few months, but this was not reflected in the MDS assessment dated 04/15/2024. The MDS coordinator and DON acknowledged the oversight during their review of the resident's records. Resident #21 was incorrectly coded for having an active Multi-Drug Resistant Organism (MDRO) infection. The resident's clinical record indicated a past ESBL infection, but interviews with the infection preventionist, MDS coordinator, and DON confirmed that the resident did not have a current MDRO infection. Similarly, Resident #90 was not coded for the use of a right arm splint in the MDS assessment, despite physician orders and MAR documentation indicating the resident wore the splint daily. Interviews with the LPN, MDS coordinator, and DON verified that the resident had an order for the splint and that it was used as prescribed, but this was not reflected in the MDS assessment dated 03/26/2024.
Failure to Limit PRN Orders for Psychotropic Medications
Penalty
Summary
The facility failed to ensure PRN orders for psychotropic medications were limited to 14 days and indicated the duration for three residents reviewed for unnecessary psychotropic medications. Resident #30 had an order for Ativan 0.5 mg tablet every 12 hours as needed for anxiety, which was started on 03/07/2024, without a stop date. Similarly, Resident #58 had an order for Ativan 0.5 mg tablet every 4 hours as needed for anxiety/terminal restlessness, which was started on 01/18/2024, also without a stop date. Resident #62 had an order for Belsomra 5 mg tablet every 24 hours as needed for sleep, which was started on 02/05/2024, again without a stop date. On 05/22/2024, an interview with the Director of Nursing (S5DON) confirmed that there was no duration or stop date documented for the psychotropic PRN medications for these residents. This oversight indicates a failure to comply with regulations requiring PRN orders for psychotropic medications to be limited to 14 days and to have a specified duration, unless otherwise justified.
Failure to Label and Discard Insulin Pens Properly
Penalty
Summary
The facility failed to ensure drugs and biologicals were labeled in accordance with currently accepted professional principles for one of the two medication carts observed. Specifically, insulin pens for three residents were found open and in use without being labeled with the date they were opened. The facility policy requires that multidose vials be dated when opened and discarded within 28 days unless otherwise specified by the manufacturer. An LPN confirmed that the insulin pens should have been labeled with the open date and discarded after 28 days, but they were not. The Assistant Director of Nursing also confirmed that the facility uses the Medication Labeling and Storage Policy, which was not followed in this instance.
Infection Control Breach by CNA
Penalty
Summary
The facility failed to maintain an infection prevention and control program by not ensuring that a CNA appropriately discarded a soiled brief and wipes with visible feces. On 05/20/2024 at 8:35 a.m., a CNA was observed walking down the hallway with soiled gloves, holding an exposed soiled diaper and soiled wipes with visible feces. The CNA acknowledged that she should not have walked down the hallway with these soiled items. On 05/22/2024 at 9:40 a.m., the Infection Preventionist stated that staff are expected to bag soiled items in a resident's room, dispose of gloves, and use hand hygiene before exiting the room. The CNA's actions were confirmed as inappropriate by the Infection Preventionist, the Administrator, and the Director of Nursing during interviews conducted on 05/22/2024.
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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 Franklinton
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Good Samaritan Living Center | 1.6 mi | ★★★★★ | 5 | 0 |
| Resthaven Living Center | 17.1 mi | ★★★★★ | 9 | 0 |
| Billdora Senior Care | 19.3 mi | ★★★★★ | 4 | 1 |
| Diversicare Of Tylertown | 19.8 mi | ★★★★★ | 4 | 0 |
| The Lodge At Tangi Pines | 24.5 mi | ★★★★★ | 6 | 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.