Below average — CMS composite of the measures below.
A standard survey is most likely before around September 2026
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 Franklin Wellness And Rehabilitation Center during CMS and state inspections, most recent first.
A resident with severe cognitive impairment and a history of wandering eloped twice from the facility due to inadequate supervision and a malfunctioning main entrance door. The resident exited the building undetected on two occasions, once following a vendor and once through a door with a faulty lock, and was found outside the facility before being returned. Staff were aware of the resident's elopement risk, but did not maintain increased supervision or promptly address the door issue, resulting in repeated incidents.
The facility failed to obtain admission weights, monitor ongoing weights, and implement or document nutritional interventions for several residents, resulting in severe unaddressed weight loss. Staff did not consistently follow policy, did not communicate or act on RD recommendations, and failed to notify the physician or document interventions for residents with significant weight changes. This led to Immediate Jeopardy for multiple residents due to unaddressed severe weight loss.
The facility failed to assess, monitor, and communicate appropriately for two residents receiving dialysis, including missing vital sign checks, incomplete documentation of access site monitoring, lack of implementation of fluid restrictions, and failure to send required communication to the dialysis clinic. Staff interviews confirmed that facility policies and recommendations were not followed.
The facility did not consistently record food and dish machine temperatures or test sanitizer levels as required, and expired foods were found in the emergency food supply. The Dietary Manager had not checked the emergency supply for several months, and both the Registered Dietician and Administrator confirmed that required procedures were not followed.
A resident with multiple complex diagnoses, including schizophrenia and dementia, was actively receiving Seroquel for psychosis, as confirmed by medical records and the MAR. However, the MDS assessment did not accurately reflect the administration of antipsychotic medication during the required lookback period, resulting in a deficiency in accurate assessment and documentation.
A resident with multiple diagnoses, including Parkinson's Disease and anxiety, received Clonazepam doses that did not match the current physician's order. Documentation on the controlled substance log showed that two doses were signed out at bedtime on several occasions, instead of the single dose ordered. This resulted in a failure to follow physician's orders and facility policy for medication administration and documentation.
Staff failed to consistently use required PPE, such as gowns and gloves, when entering the room of a resident on Contact Isolation for C. difficile. Food trays from the isolation room were handled without distinction or proper precautions, and were mixed with other trays in common areas. Interviews with the IP and DON confirmed that staff did not follow established infection control protocols.
A nurse left a medication cup containing pills unattended on a resident's bedside table during a medication pass, in violation of facility policy requiring direct observation during administration. The resident, who was cognitively intact and prescribed multiple medications including opioids, identified that the cup contained incorrect pills and was unable to get the nurse to return. Facility leadership confirmed that medications should not be left at the bedside.
Failure to Prevent Elopement Due to Inadequate Supervision and Door Malfunction
Penalty
Summary
The facility failed to ensure a resident with severe cognitive impairment and a known history of wandering received adequate supervision to prevent elopement. The resident, who had diagnoses including dementia and Alzheimer's disease, was assessed as high risk for elopement. On one occasion, the resident exited the facility by following a vendor out the main entrance when the receptionist unlocked the door, and was found outside across a two-lane street before being returned to the facility. At the time, the resident sustained a minor skin tear and was placed on increased supervision, but this heightened monitoring was discontinued after a few days. Subsequently, the same resident eloped again through the main entrance, which was found to have a malfunctioning locking mechanism that allowed the door to bounce away from the frame and not secure properly. The resident was not immediately accounted for during a head count after the door alarm sounded, and was later found by a staff member at a nearby convenience store. The resident was returned to the facility without injury and placed on one-to-one supervision for the remainder of the stay until transfer to another facility. Interviews and documentation revealed that staff were aware of the resident's elopement risk, and the facility had policies in place requiring systematic monitoring and supervision for residents at risk of elopement. However, the facility did not maintain adequate supervision or ensure the effectiveness of interventions after the initial incident, and failed to identify and correct the door locking issue in a timely manner. These failures resulted in two separate elopement incidents for the same resident, placing the resident and others at risk.
Failure to Monitor and Address Significant Weight Loss
Penalty
Summary
The facility failed to ensure that residents maintained acceptable parameters of nutritional status by not obtaining admission weights, failing to monitor weights consistently, inaccurately assessing residents for weight loss, and not implementing or monitoring nutritional interventions for multiple residents. Specifically, the facility did not obtain required admission or readmission weights for several residents, instead relying on hospital weights, which is against facility policy. In several cases, weights were not recorded within the required timeframe, and in some instances, no weight was obtained at all upon admission or readmission. For several residents, significant and severe weight loss occurred over short periods, with one resident losing 25.9% of body weight in three months, another losing 27.2% in three months, and another losing 9.41% in one month. The facility failed to identify and address these severe weight losses in a timely manner. There was a lack of documentation regarding meal consumption percentages, and recommendations from the Registered Dietician (RD) for interventions such as weekly weights, supplements, and fortified foods were not implemented or documented. In some cases, orders for nutritional supplements were delayed for days after the RD's recommendation, and there was no evidence of follow-up or reassessment after interventions were suggested. Interviews with facility staff, including the DON, RD, and Medical Director, revealed a lack of knowledge and communication regarding weight loss protocols, significant weight changes, and the implementation of recommended interventions. Staff were unaware of the significance of weight loss, did not hold regular weight meetings until recently, and failed to notify the physician or document interventions for residents experiencing significant weight loss. The facility's failure to accurately assess, monitor, and intervene for residents with significant weight loss resulted in Immediate Jeopardy for several residents.
Failure to Provide Safe and Appropriate Dialysis Care and Communication
Penalty
Summary
The facility failed to provide safe and appropriate dialysis care for two residents requiring such services, as evidenced by a lack of assessment, monitoring, intervention, and communication with the dialysis center. Facility policy required monitoring of residents' conditions before and after dialysis, documentation of access site status, communication with the dialysis facility, and implementation of physician and dietician orders, including fluid restrictions and vital sign monitoring. However, for both residents, there were multiple instances where these requirements were not met. For one resident with end-stage renal disease and other significant diagnoses, the facility did not consistently monitor or document vital signs before and after dialysis, with several missed opportunities noted across multiple months. Communication forms between the facility and the dialysis center were incomplete or missing, and staff were unable to locate the dialysis communication book or provide additional documentation. Orders regarding monitoring the dialysis access site and sending communication sheets with the resident were not reliably followed. For the second resident, the facility did not document the implementation of a recommended fluid restriction, nor did it provide evidence of access site monitoring for several months. There was no documentation of communication with the dialysis clinic, and the dialysis clinic confirmed that pre-weights and communication sheets were not received. Interviews with facility staff, including the dietician and DON, confirmed that recommendations and required assessments were not implemented or communicated as per policy, and that the facility's procedures were not followed.
Failure to Maintain Sanitary Food Storage, Preparation, and Emergency Supply
Penalty
Summary
The facility failed to ensure that food was stored, handled, prepared, and served under sanitary conditions as required by its own policies and professional standards. Specifically, the facility did not consistently complete food temperature logs for all meals, with multiple instances where temperatures were not checked or recorded for lunch and supper. Additionally, dish machine temperature checks and sanitizer testing were not performed or documented as required at all meals, with several days missing records and staff initials. These lapses were confirmed by both the Dietary Manager and Registered Dietician, who acknowledged that meal temperatures and dishwashing procedures were not being followed as outlined in facility policy. Further deficiencies were observed in the management of the emergency food supply. During an inspection, numerous expired food items were found in the emergency storage area, including canned meats, juices, cereals, and other nonperishable items. The Dietary Manager admitted to not checking the emergency food supply for three months, and the Registered Dietician confirmed that the facility did not have an adequate three-day emergency food supply. The Administrator also acknowledged that expired foods should not be present and that required temperature and sanitizer checks were not being performed.
Failure to Accurately Assess and Document Antipsychotic Medication Use
Penalty
Summary
The facility failed to accurately assess and document the use of antipsychotic medication for one resident. According to the Resident Assessment Instrument (RAI) Manual, facilities are required to record the number of days antipsychotic medications are administered during the 7-day lookback period prior to the Minimum Data Set (MDS) assessment. For the resident in question, medical records showed an active order for Seroquel (Quetiapine Fumarate) 150 mg twice daily, and the Medication Administration Record (MAR) confirmed that the medication was administered at 8:00 AM and 8:00 PM during the relevant period. However, the MDS assessment did not reflect that the resident had received antipsychotic medications during the 7-day lookback period. The resident had multiple diagnoses, including epilepsy, dementia, schizophrenia, anxiety disorder, traumatic brain injury, and other conditions. The care plan indicated ongoing use of antipsychotic medication for psychosis and schizophrenia. Despite this, the MDS assessment failed to accurately code the administration of antipsychotic medication, as confirmed by the Regional Director of Clinical Services during an interview. This discrepancy between the medical record, care plan, and MDS assessment led to the identified deficiency.
Failure to Follow Physician's Orders and Medication Administration Policy
Penalty
Summary
The facility failed to follow physician's orders and administer medications according to professional standards and facility policy for one resident. Facility policy required that medications be administered by licensed nurses as ordered by the physician, with proper documentation on the Medication Administration Record (MAR) and Controlled Drug Receipt Record/Disposition Form. For a resident with diagnoses including Parkinson's Disease, Sepsis, COPD, Metabolic Encephalopathy, Depression, and Anxiety, the physician's order for Clonazepam was changed to 0.25 mg via PEG tube twice daily. However, the Controlled Drug Receipt Record/Disposition Forms showed that two doses of 0.25 mg (totaling 0.5 mg) were signed out as given at bedtime on multiple dates, rather than the single 0.25 mg dose ordered by the physician. Review of the MAR confirmed that the resident received Clonazepam 0.25 mg via PEG tube twice daily, but the narcotic log indicated that double the ordered dose was documented as administered at bedtime on several occasions. The Regional Director of Clinical Services confirmed that only one 0.25 mg dose should have been given at bedtime per the most recent physician's order, and that the documentation did not match the current order. This discrepancy demonstrates a failure to ensure medications were administered and documented in accordance with physician orders and facility policy.
Failure to Follow Contact Isolation Protocols and Proper PPE Use
Penalty
Summary
The facility failed to maintain a safe, sanitary, and comfortable environment to prevent the development and transmission of communicable diseases and infections for a resident on Transmission-Based Precautions. The facility's policy required all staff to use personal protective equipment (PPE) such as gowns and gloves when entering rooms under Contact Isolation, specifically for residents with Clostridium Difficile. However, multiple observations revealed that staff did not consistently follow these protocols. One certified nurse assistant (CNA) entered the resident's room without donning a gown and gloves, and on another occasion, donned a gown but not gloves while delivering food items. Another CNA was observed removing a food tray from the isolation room without any PPE and placing it on a cart in the hallway, which was later pushed into the dining room without distinguishing the isolation tray from others. Interviews with the infection preventionist and the director of nursing confirmed that staff should wear both gowns and gloves when entering Contact Isolation rooms and that the facility did not use disposable trays for residents on isolation, contrary to best practices. The resident involved was a new admission with diagnoses including cerebral infarction, diabetes, and Clostridium Difficile, and was under a physician's order for Contact Isolation. The failure to adhere to established infection control protocols and improper handling of food trays for a resident on Contact Isolation led to the cited deficiency.
Medications Left Unattended During Administration
Penalty
Summary
A nurse failed to ensure the safe storage and administration of medications by leaving a medication cup containing pills unattended on a resident's bedside table during a medication pass. According to facility policy, medications must remain under the direct observation of the administering staff or be locked in a secure area, and staff are required to observe residents consuming their medications. In this incident, the nurse placed the medication cup on the resident's bedside table and left the room, contrary to these policies. The resident, who was cognitively intact and had a history of quadriplegia, PTSD, depression, anxiety, and was prescribed antianxiety, antidepressant, anticonvulsant, and opioid medications, noticed that the medication cup contained pills she was not supposed to take. The resident attempted to get the nurse to return but was unsuccessful, and left the medication cup on the table for the Assistant Director of Nursing to review. Both the Assistant Director of Nursing and the Director of Nursing confirmed that medications should not be left unattended and must be administered under direct supervision.
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What surveyors actually found near you
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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) |
|---|---|---|---|---|
| Mulberry Health & Rehabilitation | 0.3 mi | ★★★★★ | 0 | 0 |
| Nhc Healthcare, Franklin | 0.5 mi | ★★★★★ | 1 | 1 |
| Nhc Place At Cool Springs | 3.1 mi | ★★★★★ | 0 | 0 |
| Somerfield At The Heritage | 8 mi | ★★★★★ | 0 | 0 |
| Nhc Place At The Trace | 9.6 mi | ★★★★★ | 0 | 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.