Inspection Reports for
The Enclave Of Franklin

Emergency call response: Missing documentation of Personalized Emergency Response procedures and multiple instances where hourly safety checks were not documented in May 2024 (repeat finding).

Quality assurance program: Missing documentation of the required quarterly medication audit for the first quarter of 2024 and medication cassette labels missing resident information (repeat finding).

Resident screening and assessment · Resident care plans: Multiple records missing documentation for initial assessments, service plan reassessments, medication management ability, supervised access cooking capacity, enrichment activities, key or access codes, emergency assistance needs, and 24-hour onsite staff (repeat finding).

Controlled medication handling: Missing documentation supporting controlled substance count audits and inconsistent documentation of controlled substance counts according to Residence policy.

Resident records: The Residence did not use the Correspondence Log to communicate all significant information necessary for continuity of care and documentation was unavailable at the time of review.

Staff training: Missing documentation that Introductory Visits were consistently conducted by a nurse with all applicable staff prior to or within 48 hours after providing Personal Care Services (repeat finding).