Below average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
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 Accura Healthcare Of Franklin during CMS and state inspections, most recent first.
The facility did not ensure its low temp dish machine reached the required 120°F wash temperature, with logs showing only 65°F and staff observations confirming substandard temperatures. Sanitizer levels were recorded at 200 PPM and checked only once daily, contrary to policy. The Dietary Manager misunderstood required standards and confirmed improper monitoring, potentially affecting all residents.
Nursing assistants and a medication aide were assigned to care for residents with dementia without having completed the required dementia care training. Personnel and training records showed no evidence of completed training, yet these staff members worked independently with residents diagnosed with dementia. The facility's Business Office Manager confirmed that dementia care training was not provided before staff cared for these residents.
Multiple infection control lapses were observed, including improper hand hygiene and glove use during wound care and blood glucose testing, as well as failure to clean and properly store nebulizer kits, oxygen concentrator filters, and nasal cannulas for several residents. Staff and administration confirmed these practices did not meet facility policy or standard infection prevention protocols.
A resident with diabetes who was cognitively intact received insulin injections over a seven-day period, but the MDS did not reflect these injections. The DON confirmed the discrepancy between the MDS and the medication administration record, indicating a failure to ensure accurate assessment documentation.
A resident with a history of skin picking developed multiple open areas and scabs on their arms and legs, which were not documented in weekly skin assessments or progress notes. Staff were aware of the resident's skin issues, but no formal treatment was provided and the provider was not notified, contrary to facility policy and the resident's care plan.
Failure to Maintain Required Dish Machine Temperatures and Sanitizer Monitoring
Penalty
Summary
The facility failed to ensure that its low temperature dish machine reached the required minimum wash temperature of 120 degrees Fahrenheit, as specified in facility policy and manufacturer guidelines. Record reviews for February and March 2025 showed that all recorded wash temperatures were only 65 degrees Fahrenheit, and rinse temperatures were 125 degrees Fahrenheit. Additionally, sanitizer concentration levels were recorded at 200 PPM, exceeding the required 50 PPM, and were only checked once per day instead of once per shift as required. Observations confirmed that the dish machine did not reach the required wash temperature during use, with maximum observed wash temperatures of 90 and 106 degrees Fahrenheit. Staff did not monitor the dish machine thermometer during cycles or test the sanitizer level during the rinse cycle. Interviews with the Dietary Manager revealed a misunderstanding of the required temperature standards, as the manager believed the wash temperature should be 60 degrees Fahrenheit and the rinse temperature 140 degrees Fahrenheit, based on information from the machine and chemical company representatives. The Dietary Manager also confirmed that the dish machine was not reaching the required wash temperature on initial loads and that chlorine levels were not being tested every shift as required. These failures had the potential to affect all residents in the facility, with a census of 30 at the time.
Failure to Ensure Dementia Care Training for Nursing Staff
Penalty
Summary
The facility failed to ensure that nursing staff, specifically nursing assistants and a medication aide, completed dementia care training prior to independently caring for residents diagnosed with dementia. A review of the facility's Human Resources policy indicated that all employees should receive initial orientation, including Alzheimer's and dementia care training. However, personnel and training records for several nursing assistants and a medication aide showed no evidence that this required dementia care training had been completed. Despite this, these staff members were assigned to work independently and provided care to residents with dementia-related diagnoses. Further review of daily shift assignments confirmed that these untrained staff members worked alone on multiple occasions, directly caring for residents with dementia. The facility's own listing identified six residents with a dementia-related diagnosis. During an interview, the Business Office Manager confirmed that dementia care training was not being completed upon hire or before staff were assigned to care for residents with dementia, and acknowledged that untrained staff had provided care to these residents.
Infection Control Failures in Wound Care, Glucose Testing, and Respiratory Equipment
Penalty
Summary
The facility failed to implement and maintain effective infection prevention and control practices in several instances involving multiple residents. For one resident with a stage 4 pressure ulcer and a history of sepsis, the Infection Preventionist (IP) did not perform hand hygiene or change gloves after removing a soiled dressing and before applying a new one, contrary to facility policy and standard practice. Additionally, the IP placed a wet brief over a clean dressing, which was confirmed by both the IP and a corporate nurse as not being standard or acceptable practice. Another deficiency was observed during blood glucose testing for a resident with diabetes mellitus. The IP performed an accucheck without wearing gloves or performing hand hygiene, despite facility policy requiring glove use and hand hygiene when in contact with blood or bodily fluids. The IP acknowledged forgetting to wear gloves during the procedure. Further deficiencies were identified in the cleaning and storage of respiratory equipment. Multiple observations revealed that nebulizer kits used by two residents were not cleaned after use, with residual medication and visible facial oils and debris present on the masks. Staff interviews confirmed that the kits had not been cleaned as required by facility policy. Additionally, one resident's oxygen concentrator filter was found to be coated with a gray fuzzy substance, indicating it had not been cleaned as ordered. The same resident's oxygen nasal cannula was repeatedly observed stored in a manner that allowed it to come into contact with potentially contaminated surfaces, such as the seat of a wheelchair and a stained incontinence pad, rather than being properly stored in a designated bag. These failures were confirmed by staff and the facility administrator.
Failure to Accurately Document Insulin Injections on MDS
Penalty
Summary
The facility failed to ensure that the Minimum Data Set (MDS) accurately reflected the administration of insulin injections for a resident diagnosed with Diabetes Mellitus. Record review showed that the resident was admitted with a diagnosis of diabetes and had a care plan in place that included diabetes medication as ordered. The resident was cognitively intact, as indicated by a BIMS score of 15. However, the most recent Quarterly MDS did not indicate that the resident had received any injections in the previous seven days. Further review of the Medication Administration Record for the same period revealed that the resident had, in fact, received insulin injections seven times. This discrepancy was confirmed by the Director of Nursing (DON), who acknowledged that the MDS should have reflected the seven injections administered. The DON also confirmed that the facility uses the RAI manual to ensure MDS accuracy, but in this instance, the MDS was not completed accurately.
Failure to Assess and Treat Resident's Skin Impairments
Penalty
Summary
A deficiency occurred when the facility failed to assess and provide treatment for a resident's impaired skin condition. Observation revealed that the resident had multiple open areas and scabs on their arms and legs, which were not documented in weekly skin assessments or progress notes over several weeks. The resident reported itching and scratching, and staff interviews confirmed awareness of the resident's skin picking behavior and the presence of open areas. However, there was no evidence that these skin issues were assessed, documented, or communicated to the provider, and no treatments were initiated. The resident's care plan indicated a history of skin picking and required weekly skin assessments, but these assessments did not reflect the actual condition of the resident's skin. Staff, including a nursing assistant and medication aide, acknowledged the resident's ongoing skin issues and that lotion was sometimes applied, but there was no formal treatment or provider notification. The Director of Nursing confirmed the lack of documentation and treatment, despite the facility's policy requiring weekly skin checks for all residents.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 29 citations issued within 25 miles in the last 12 months — and tell you exactly what happened, in plain English, matched to your record.
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.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Franklin
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Good Samaritan Society - Colonial Villa | 21.3 mi | ★★★★★ | 12 | 0 |
| Heritage Of Webster County | 23.5 mi | ★★★★★ | 17 | 0 |
| Sunporch Of Smith County | 24.2 mi | ★★★★★ | 0 | 0 |
| Bethany Home, Inc | 27.5 mi | ★★★★★ | 0 | 0 |
| Phillips County Retirement Center | 30 mi | ★★★★★ | 11 | 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.