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 Crystal Care Center Of Franklin Furnace during CMS and state inspections, most recent first.
Resident choice was restricted when the facility did not permit tubular meats such as hot dogs to be served whole and required them to be cut up. A resident with no cognitive deficit, regular texture/consistency orders, and supervision or touch assistance with eating reported she could only have hot dogs chopped up, while the DM and LNHA confirmed the facility banned serving tubular meats whole after a prior choking incident. The resident rights policy included self-determination, and the tubular meats policy addressed safe preparation and serving based on choking risk.
A resident with severe cognitive impairment and multiple chronic conditions, including DM, CHF, and legal blindness, developed new skin impairments while at risk for skin breakdown due to decreased mobility, incontinence, and skin picking. The record showed shearing to the left buttock and a skin tear to the face, but there was no documented evidence that the resident’s representative was notified of the MASD or the new skin injury, which the DON verified.
Incomplete wound monitoring and missed physician order implementation: The facility failed to complete full wound assessments for one resident with a left buttock skin injury, failed to monitor another resident’s left thigh burn for worsening skin impairment and signs/symptoms of infection, and did not implement a physician order for Vitamin D3 for a third resident. The records showed repeated skin assessments without required wound detail, delayed monitoring of the burn after a hot food spill, and a missed medication order that the DON verified was not carried out.
The facility failed to follow prescribed diet textures and liquid consistencies for three residents with chewing and swallowing needs. A resident ordered a mechanical soft diet with chopped meats was served regular Salisbury steak despite a tray card specifying chopped meat. Another resident with dysphagia and an order for honey-thick liquids received unthickened water and Kool-Aid until an RN rechecked the orders and thickened the drinks. A third resident with dementia, dysphagia, and no lower teeth, ordered a mechanical soft diet with ground meats, was served regular Salisbury steak instead of ground meat. The DON and dietary manager confirmed that the foods and liquids provided did not match the ordered mechanical soft, chopped, ground, and honey-thick specifications outlined in facility procedures.
Resident Choice Restricted for Tubular Meats
Penalty
Summary
The facility failed to ensure residents were permitted to be served or consume tubular meats whole, affecting one resident reviewed for choices. Resident #13 had diagnoses including cirrhosis of the liver, COPD, respiratory failure, dysphagia, major depressive disorder, hypothyroidism, rheumatoid arthritis, neuropathy, morbid obesity, heart failure, and hepatic encephalopathy. Her care plan directed staff to allow her to make food choices/preferences as able, and her MDS indicated no cognitive deficit, supervision or touch assistance with eating, a therapeutic diet, and no swallowing issues. Her physician orders listed a no added salt diet with regular texture and regular consistency. During interview, the resident stated she was not allowed to have hot dogs unless they were cut up and reported they were chopped and placed in a bun because another resident had choked in a facility up north. The Dietary Manager stated the company banned serving tubular meats such as hot dogs, sausage links, and smoked sausage after a choking incident, and that hot dogs were only permitted if cut up. The LNHA verified the facility did not serve tubular meats and that hot dogs had to be cut up. The facility policy on resident rights stated residents have the right to self-determination and exercise their rights, and the policy on safe preparation and serving of tubular meats stated these foods are to be prepared and served in a manner that minimizes choking risk and that diet orders must be followed as prescribed.
Failure to Notify Resident Representative of New Skin Impairments
Penalty
Summary
The facility failed to ensure the resident’s representative was notified of changes in condition for Resident #25. The resident was admitted on 06/07/23 and had diagnoses including hypertension, hyperlipidemia, anxiety disorder, history of MRSA, legal blindness, adult failure to thrive, chronic conjunctivitis, osteoarthritis, CHF, Vitamin D deficiency, adjustment disorder with depressed mood, major depressive disorder, dysphagia, age related nuclear cataract, and DM. The care plan identified the resident as at risk for skin breakdown related to decreased mobility, DM, incontinence, intermittent skin picking, and moisture associated skin damage (MASD), with treatments and interventions in place. Review of the record showed the resident had a severe cognitive deficit on the comprehensive MDS assessment and was at risk for skin breakdown with no skin issues noted at that time. The initial weekly non-pressure skin grid documented shearing to the left buttock measuring 0.5 cm by 0.5 cm, and later documented a skin tear to the face measuring 2.0 cm by 1.0 cm after the resident was observed picking at her face. The medical record contained no documented evidence that the resident’s representative was notified of either the MASD or the new skin impairment. The DON verified on 04/29/26 at 1:55 P.M. that there was no documented evidence the resident’s representative had been notified of the new skin impairments.
Incomplete wound monitoring and missed physician order implementation
Penalty
Summary
The facility failed to ensure comprehensive wound assessments were completed for a resident with left buttock skin impairment and failed to monitor a burn on another resident for worsening skin impairment and signs or symptoms of infection. The facility also failed to ensure a physician order for Vitamin D3 was implemented for a third resident. These findings were identified through medical record review, observation, interview, and review of facility policy. For one resident with diagnoses including diabetes mellitus, congestive heart failure, legal blindness, dysphagia, and severe cognitive deficit, the record showed a left buttock shearing wound first documented on the weekly skin grid. Across multiple weekly assessments, the wound measurements were recorded, but the assessments did not include a description of the wound, exposed tissue type, or exudate. The wound was later evaluated by the WNP as moisture associated skin damage with pink tissue, and the DON confirmed the earlier wound assessments lacked the required description. For a second resident with diagnoses including diabetes mellitus, chronic kidney disease, atrial fibrillation, COPD, and congestive heart failure, the record showed a left thigh burn after the resident spilled hot food on the leg while eating. The area was initially described as pink and later became a blister, but the record did not show monitoring for worsening skin impairment, pain, or signs of infection until the blister was identified two days later. Subsequent assessments continued to lack a description of the burn and surrounding tissue, and the DON verified ongoing monitoring should have occurred. In addition, for a third resident with multiple chronic conditions including diabetes mellitus, atrial fibrillation, CHF, and COPD, a lab result showed a low Vitamin D level and the physician wrote an order for Vitamin D3 5000 units by mouth daily, but the order was not implemented, which the DON confirmed.
Failure to Provide Prescribed Altered Diet Textures and Thickened Liquids
Penalty
Summary
The facility failed to provide food and liquids in the prescribed texture and consistency for three residents who required altered diets for chewing or swallowing needs. One resident with diabetes, hypertension, and COPD had a physician’s order and dietitian assessment specifying a mechanical soft diet with chopped meats. Despite a diet card indicating chopped meat, this resident was served a regular consistency Salisbury baked steak that had not been chopped, and she began eating the meat in its regular form. The DON confirmed the meat should have been chopped, and later explained this was necessary because the resident refused to wear her dentures. Another resident with Kufor-Rakeb Syndrome and dysphagia had a hospital discharge summary and physician’s order requiring honey-thick liquids based on a prior modified barium swallow. This resident, who had moderately impaired cognition, was observed receiving unthickened water and Kool-Aid. An RN initially believed the thickened liquid order had been discontinued but, upon checking the physician’s orders, confirmed that honey-thick liquids were still required and then thickened the drinks. A third resident with dementia, dysphagia, and no lower teeth had a physician’s order for a mechanical soft diet with ground meats and a care plan noting swallowing risk and partial denture use. This resident was observed receiving a regular consistency Salisbury baked steak instead of ground meat. The DON confirmed the meat was not ground as ordered. The dietary manager described facility procedures for chopped and ground meats, and the written procedure stated that diets are to be modified in texture and individualized based on chewing and swallowing ability.
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 75 citations issued within 25 miles in the last 12 months — including the 4 immediate-jeopardy cases — 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 Furnace
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Wurtland Nursing And Rehabilitation | 6.4 mi | ★★★★★ | 12 | 3 |
| Concord Health & Rehab Ctr | 7.1 mi | ★★★★★ | 0 | 0 |
| Best Care Health And Rehabilitation | 7.6 mi | ★★★★★ | 4 | 0 |
| South Shore Nursing And Rehabilitation | 8.9 mi | ★★★★★ | 0 | 0 |
| Bridgeport Health Care Center | 9.8 mi | ★★★★★ | 9 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Crystal Care Center Of Franklin Furnace.
100% money-back within 48 hours.
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.