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 Franklin County Rehab Center, Llc during CMS and state inspections, most recent first.
The facility failed to document competency assessments for 2 nurses and 4 LNAs, including travelers and an RN in management, despite its facility assessment and staff competency requirements covering wound care, meds, ADLs, respiratory care, incontinence care, and oral care/grooming. Record review showed no evidence these staff were assessed in the required areas, and the Nurse Educator and DON confirmed that traveler competencies were handled outside the facility and not documented the same way as in-house staff.
Improper Food Storage and Date Marking: During a kitchen tour, expired seasonings and spices were found in the prep area, including items dated years earlier. In the walk-in refrigerator, pancakes and two bags of fruit were not dated, and in the freezer an open sleeve of frozen hamburgers was not dated. The Dietary Mgr confirmed the items were expired or improperly stored, and the facility policy required perishable food to be clearly date marked.
The facility failed to follow infection control practices in two areas: wet clean laundry was left in washers overnight, and an LPN did not perform hand hygiene before or after medication administration for two residents. Housekeeping confirmed the laundry practice, and the ADON/IP confirmed laundry should not be left wet overnight. During med pass, the LPN confirmed hand hygiene was not performed as required by policy.
Surveyors found that the facility failed to revise care plans after falls for two residents with multiple conditions including weakness, peripheral neuropathy, unsteadiness, Parkinsonism, heart disease, CHF, and mood disorders. In both cases, nursing notes documented falls related to weakness and self-transfer, and existing care plans already identified fall risk. However, the care plans had not been updated with new fall-prevention interventions following the incidents, despite an IDT meeting note stating that one care plan had been updated as needed. The DON confirmed that care plans are expected to be revised after each fall and that this did not occur for these residents.
A resident on comfort care with multiple chronic conditions received incorrect morphine doses when staff failed to verify that the concentration on the morphine bottle matched the physician’s order. The order specified Morphine 20 mg/5 ml with a 1 ml (4 mg) PRN dose, but the bottle was labeled Morphine 20 mg/1 ml. Nursing staff administered multiple 1 ml doses (20 mg each) and later 2.5 ml doses (50 mg each) from this higher-concentration bottle, contrary to the ordered doses. The DON, ADON, and Administrator confirmed that this occurred despite a facility policy requiring adherence to the 5 Rights of medication administration, including verifying that the medication concentration on the container matches the provider’s order.
A resident at risk for skin breakdown due to decreased mobility was observed lying in bed with their feet hanging off the end by several inches because the bed was too short for their 6'1" height. The resident said it was hard to reposition in the small bed and that staff knew about the issue. The interim CN and DON/ADON confirmed the facility was aware the bed did not fit and had no extra beds to switch out.
A resident with MS, dementia, CKD, DM2, and hypothyroidism had a significant weight loss and care plan directions to update the MD with health changes, but nursing did not notify the physician. RN staff confirmed the MD had not been informed, despite facility policy assigning the Charge Nurse responsibility to call the physician for a sudden change in condition.
A resident admitted with depression had MDS findings of nearly daily depressive feelings and behaviors, along with progress notes showing increased agitation and verbal aggression toward staff. During interview, the resident became agitated about repeated bladder scans, and an RN, ADON, and MDS Coordinator all confirmed the resident was not care planned for depression or behaviors even though they believed the resident should have been.
Failure to address significant weight loss: A resident with MS, dementia, CKD, DM2, and hypothyroidism had a 5.3% weight loss in 27 days, but the dietary care plan was not revised and the chart lacked documentation that the MD, RD, or nursing staff noted or addressed the loss. Two RNs confirmed there was no documentation in the record addressing the weight loss.
Improper bedside storage of medications: Two residents had medicated products left on their bedside tables, including Biotene lozenges and a prescription topical ointment. One resident stated the lozenges were always kept at the bedside for self-administration, while the ADON confirmed these items should not be left at the bedside without an order for self-administration. Facility policy also prohibited bedside storage unless prescribed and deemed safe after a self-administration assessment.
Missing Competency Assessments for Nurses and LNAs
Penalty
Summary
The facility failed to ensure that 2 of 2 licensed nurses and 4 of 5 LNAs in the sample were assessed for the competencies and skill sets needed to provide resident care based on resident assessments, individual plans of care, and the facility assessment. The facility assessment, last reviewed by the QAA committee on 1/22/2026, stated that staffing decisions would be informed by the need for staff with appropriate competencies and skill sets, and it referenced a staff competency document covering knowledge, assessment, pharmacological/treatment/care considerations, and technical/hands-on skills such as wound care, dressing changes, medication administration, ADLs, respiratory care, incontinence care, and oral care/grooming to be completed upon hire and annually. Review of the competency files showed no evidence that LNA #1, LNA #2, LNA #3, LNA #4, RN #1, or LPN #1 had been assessed in the areas identified in the facility assessment. The records noted that LNA #1, LNA #3, LNA #4, and LPN #1 were travelers, and the Nurse Educator stated that RN #1 had not been assessed for competencies since she took a management position and no longer required competency evaluation. The Nurse Educator also stated that travelers/agency staff meet with the DON when hired and that she is not involved in their onboarding, while the DON stated that competencies for travelers are completed through the travel agency and observed by in-house staff, and that competencies are not documented by the facility for travelers as they are for in-house staff.
Improper Food Storage and Date Marking
Penalty
Summary
The facility failed to store food in accordance with professional standards for food service safety. During a kitchen tour with the Dietary Manager, expired items were observed in the kitchen prep area, including cream of tartar dated 6/8/17, taco seasoning dated 11/7/23, tarragon dated 5/3/24, rotisserie seasoning dated 12/12/24, and allspice dated 6/11/19. In the walk-in refrigerator, pancakes sealed in plastic were not dated and two Ziploc bags of fruit were not dated. In the walk-in freezer, an open sleeve of frozen hamburgers was not dated. The Dietary Manager stated that expired seasonings and spices should be thrown out, prepared and open food should be labeled with the date it was opened or made and the discard date, and containers and packages should be sealed. The manager confirmed that the observed items were expired or improperly stored. The facility policy on Date Marking for Food Safety states that perishable food shall be clearly marked with the date or day by which it shall be consumed or discarded, and that the Head [NAME] or designee shall check the refrigerator daily for expiring items and discard accordingly, with the dietary manager spot checking refrigerators weekly for compliance.
Laundry and Hand Hygiene Infection Control Failures
Penalty
Summary
The facility failed to ensure infection control measures were followed when housekeeping left wet clean laundry in washers overnight. During interview on 4/22/2026 at 10:30 AM, a housekeeping staff member confirmed that wet laundry was left in the washers overnight every day. The Assistant Director of Nursing, who also served as the Infection Preventionist, confirmed on 4/22/2026 at 9:30 AM that laundry should not be left wet overnight in the washers. The facility’s Laundry policy, last reviewed/revised on 7/6/25, did not address leaving wet clean laundry in the washer overnight, despite CDC infection control recommendations cited in the report. The facility also failed to ensure hand hygiene was performed during medication administration for two sampled residents. During observation on 4/21/2026 at 8:22 AM, an LPN did not perform hand hygiene by using hand sanitizer or soap and water when preparing and administering medications for Resident #7 and Resident #40. The facility’s Medication Administration policy, reviewed 6/24/2025, states that hand hygiene will be performed before and after medication administration using hand sanitizer containing at least 60% alcohol or soap and water. On 4/21/2026 at 8:30 AM, the LPN confirmed that hand hygiene was not performed before or after medication administration for those two residents and stated that it should have been.
Failure to Revise Care Plans After Resident Falls
Penalty
Summary
The deficiency involves the facility’s failure to review and revise care plans after resident falls, as required. One resident with diagnoses including anxiety disorder, major depressive disorder, peripheral neuropathy, atherosclerotic heart disease, weakness, and the presence of an artificial hip experienced an unwitnessed fall in the bathroom on 3/25/2026. Nursing progress notes documented the fall, and the resident’s care plan already identified a risk for falls related to weakness and peripheral neuropathy. However, the care plan, last updated on 3/18/2026, did not include any new interventions or revisions in response to the 3/25/2026 fall. A second resident, with diagnoses including muscle weakness, unsteadiness on feet, other drug-induced secondary Parkinsonism, hypertensive heart disease with heart failure, CHF, major depressive disorder, anxiety disorder, and difficulty walking, experienced a fall on 3/21/2026 while attempting to self-transfer. Nursing progress notes documented this fall, and the resident’s care plan identified a risk for falls related to weakness. The IDT met on 3/25/2026 and documented that the care plan had been updated as needed regarding this most recent fall. However, the care plan had last been revised on 3/8/2026 and did not reflect any new fall-prevention measures related to the 3/21/2026 incident. The DON confirmed in both cases that care plans are supposed to be revised and updated after each fall and acknowledged that this was not done for these two residents.
Failure to Verify Morphine Concentration Before Administration
Penalty
Summary
The facility failed to ensure a resident was free from significant medication errors when staff did not verify that the morphine concentration on the bottle matched the physician’s written order. The resident, who had dementia, hypertensive heart disease, anxiety, depression, lymphedema, and unspecified seizures, was placed on comfort care. The physician ordered Morphine 20 mg/5 ml, with a dose of 1 ml (4 mg) by mouth every 2 hours as needed for pain or shortness of breath. The DON reported that this order was sent to the pharmacy and the medication was received, with the prescribed concentration (20 mg/5 ml) printed on a label attached to the bag in which the medication arrived. However, the morphine bottle itself was labeled with a different concentration of Morphine 20 mg/1 ml. Per review of the individual narcotic record and MAR, staff administered 1 ml doses from the bottle labeled Morphine 20 mg/1 ml (20 mg per dose) on multiple occasions, instead of the ordered 4 mg dose, on several dates. On one date, after a new order was written to increase the morphine to 20 mg/5 ml, 2.5 ml (10 mg) every 6 hours for pain or shortness of breath, staff administered two doses of 2.5 ml from the same bottle labeled Morphine 20 mg/1 ml, resulting in 50 mg per dose. During interviews, the DON, ADON, and Administrator confirmed that the morphine concentration on the bottle label was 20 mg/1 ml and acknowledged that their medication administration policy requires following the 5 Rights, including confirming that the medication concentration and dosage on the container match the provider’s order before administration.
Resident Provided Bed Too Short for Height
Penalty
Summary
The facility failed to reasonably accommodate a resident’s needs and preferences by not ensuring an appropriately sized bed for Resident #33, who was admitted with a care plan identifying risk for skin breakdown related to decreased mobility and an intervention for turning and positioning every 2 hours and as needed. During observation, the resident was lying on their back in bed with their feet hanging off the end of the bed by at least 4 inches, with the feet extended downward under the weight of the blankets. The resident stated that their feet always hung off because the bed was too short, that they were 6'1" tall, and that it was hard to reposition themselves because the bed was so small. The resident also stated that staff were aware of the issue and were trying to get another bed, but it had been a while. The interim Charge Nurse stated that maintenance had been notified the bed was too short and they were working to find an adequate solution. The DON and ADON confirmed the facility knew the bed was too short and that the resident’s feet hung over the end of the mattress, and the DON stated the facility did not have extra beds to switch out when one did not fit a resident.
Failure to Notify Physician of Significant Weight Loss
Penalty
Summary
The facility failed to notify the resident's physician of a significant health change for Resident #5, who had diagnoses including multiple sclerosis, dementia, chronic kidney disease, type 2 diabetes mellitus, and hypothyroidism. The resident's care plan included goals to maintain current weight, identified a risk for weight fluctuation, and directed staff to update the MD with health changes. Record review showed the resident weighed 253 pounds on 3/17/26 and 239.8 pounds on 4/14/26, with a re-weigh of 239.5 pounds the same day, reflecting a loss of 13.5 pounds or 5.3% in 27 days, which was identified as significant weight loss per MDS guidelines. The facility policy stated the Charge Nurse was responsible for calling the resident's physician in case of a sudden change in resident condition, and RN #1 and RN #2 confirmed during interview that nursing had not notified the physician about the weight loss.
Failure to Care Plan Depression and Behaviors
Penalty
Summary
The facility failed to develop a person-centered care plan for one resident in regard to monitoring behaviors and depression. The resident was admitted with a diagnosis of depression, and the MDS dated 2/11/26 indicated feelings of depression nearly every day and the presence of behaviors. Record review also showed progress notes dated 4/17/26 and 4/18/26 documenting an increase in agitation and verbal aggression toward staff. During interview on 4/20/2026, the resident was pleasant and joking at first, but became agitated when discussing repeated bladder scans and stated that staff had nothing better to do. On 4/21/2026, an RN stated the resident had increasing agitation and behaviors and should be care planned, the ADON confirmed the resident exhibited behaviors and should be care planned for behaviors and depression, and the MDS Coordinator confirmed the resident was not care planned for depression and should be.
Failure to Address Significant Weight Loss
Penalty
Summary
The facility failed to ensure interventions were implemented, evaluated, and modified after a significant weight loss for one resident with multiple sclerosis, dementia, chronic kidney disease, type 2 diabetes mellitus, and hypothyroidism. The resident’s care plan included dietary goals to maintain current weight and identified a risk for weight fluctuation, along with a diabetes care plan intervention to update the MD with health changes. Record review showed the resident weighed 253 pounds and then 239.8 pounds, with a re-weigh of 239.5 pounds on the same day, reflecting a loss of 13.5 pounds or 5.3% in 27 days, which met MDS guidelines for significant weight loss. The dietary care plan was not revised to reflect the weight loss, and the medical record did not contain documentation that the physician, dietitian, or nursing staff noted or addressed the significant weight loss. Two RNs confirmed during interview that the record contained no documentation addressing the resident’s weight loss.
Improper bedside storage of medications
Penalty
Summary
The facility failed to ensure medications were properly stored for 2 of 17 sampled residents, Resident #30 and Resident #14. On observation, Resident #30 had Biotene lozenges on the bedside table, and Resident #14 had a prescription topical ointment on the bedside table. Resident #30 stated that the Biotene lozenges were always left at the bedside and that the resident was allowed to self-administer as many as needed. The ADON confirmed that medications and medicated products ordered by the provider and received from the pharmacy should not be left at the bedside unless there is an order for self-administration, and confirmed that the prescribed ointment and Biotene lozenges should not have been at the bedside. The facility policy also stated that no medicines are allowed to be kept at the resident's bedside unless prescribed by the physician and determined safe by Nursing after a self-administration assessment.
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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 St. Albans
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| The Villa Rehab | 0.5 mi | ★★★★★ | 4 | 0 |
| Saint Albans Healthcare And Rehabilitation Center | 1.6 mi | ★★★★★ | 3 | 0 |
| Champlain Valley Physicians Hosp Med Ctr S N F | 20.8 mi | ★★★★★ | 0 | 0 |
| Clinton County Nursing Home | 20.8 mi | ★★★★★ | 0 | 0 |
| Plattsburgh Rehabilitation And Nursing Center | 20.9 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 August 2026) and official state health department websites.