Inspection Reports for Franklin House

The facility failed to ensure medications were administered as ordered for 1 of 5 residents (Resident #2), specifically medications used to treat mental health disorders and prevent seizures. There was a lack of timely communication and documentation regarding medication holds and refills, resulting in Resident #2 missing doses of quetiapine, carbamazepine, and phenytoin sodium for several days.

Three complaint investigations were initiated by DSS on 02/12/25, 03/04/25, and 03/07/25 related to therapeutic diet and medication administration concerns.

The facility failed to serve therapeutic diets as ordered for one resident related to nectar thickened liquids and failed to ensure medications were administered as ordered for two residents related to pain medication. Additionally, the facility failed to maintain accurate controlled substance records, failed to document proper destruction of controlled substances, and failed to report known drug diversion to the pharmacy.

Complaint investigation initiated by the Macon County Department of Social Services on 2024-01-24.

The facility failed to ensure one staff member had no substantiated findings on the North Carolina Health Care Personnel Registry upon hire. Additionally, the facility failed to ensure referral and follow-up to meet acute health care needs for four residents, including missed medication doses not reported to the primary care provider and unreported sexual encounters among residents on a Special Care Unit.

The visit was a follow-up survey and complaint investigation triggered by a complaint regarding bed bugs found on Resident #5 in the emergency department and subsequent issues with room treatment and resident belongings.

The facility failed to ensure residents' rooms were free of hazards related to bed bugs, failed to have a qualified Activity Director, failed to implement an activities program promoting resident involvement, failed to administer medications as ordered causing harm to a resident, and failed to ensure accurate medication administration records and proper self-administration orders.

Complaint investigation was part of the visit conducted from 09/19/23 through 09/22/23 with a desk review and telephone exit on 09/25/23.

The facility failed to ensure required staffing hours were met on the assisted living and special care units, failed to administer medications as ordered for two residents, and failed to ensure accurate medication administration records. Staffing shortages were noted on multiple shifts, especially on weekends, impacting resident care. Medication errors involved missed doses of clozapine and levothyroxine, placing residents at risk.

Complaint investigation conducted from 06/14/23 to 06/15/23. Multiple residents and a family member reported food served cold and medications left in rooms. Staff interviews confirmed these issues. No substantiation status explicitly stated.

The facility failed to ensure hot foods were maintained at 135 degrees Fahrenheit or higher until residents were ready to eat, with multiple resident interviews confirming food was sometimes served cold. Additionally, medication aides did not always observe residents taking medications, resulting in medications being left in residents' rooms.

The complaint investigation was triggered by an anonymous complaint received on 06/30/21 regarding bed bugs in the facility. The Environmental Health Program Specialist inspected the facility on 07/06/21 and found bed bugs in multiple rooms and the storage unit. Follow-up pest control treatments occurred but were incomplete, leading to ongoing infestation.

The facility failed to ensure residents' rooms were free of hazards related to bed bugs in 6 of 10 sampled rooms, with bed bugs observed crawling on residents, bedsheets, pillows, recliners, walls, and bed bug residue present. The facility had not fully abated a previous Type B violation and had not professionally treated all resident rooms, resulting in continued infestation and health risks.

Complaint investigation was initiated by the Macon County Department of Social Services on 06/25/21 related to bed bugs in Resident #3's room.

The facility failed to ensure residents' rooms were free of hazards related to bed bugs, resulting in severe itching and sleep deprivation for one resident. Additionally, the facility failed to provide a therapeutic pureed diet as ordered for another resident, causing coughing during meals.

The facility was found to have multiple physical plant deficiencies including obstructed corridors due to stored boxes, cluttered exterior exit paths, inadequate documentation of fire safety rehearsals, malfunctioning battery-powered emergency lights, damaged front exit door, and a corridor door that did not latch properly to resist fire and smoke.

The visit included a complaint investigation related to the facility's failure to monitor, assess, and follow up on a leg wound for Resident #6, which led to hospitalization and discharge to a higher level of care.

The facility failed to ensure referral and follow-up to meet the routine and acute health care needs of Resident #6 related to the monitoring, assessment, and follow-up of a leg wound, resulting in an infected decubitus ulcer and placing the resident at substantial risk of serious medical harm including death and amputation.

The facility was found deficient in providing adequate supervision for a resident with physician orders for honey thickened liquids, failed to assure food items were stored to protect from contamination, and failed to treat a resident with respect and dignity as staff did not assist with silverware resulting in the resident eating with her fingers.

Not all deficiencies were corrected; specifically, fire safety issues remain due to compromised one-hour fire rated walls and ceilings with unsealed holes and penetrations, including gypsum compound falling off corners over ceiling beams in the front lobby.

The facility was found to have multiple deficiencies including improper storage of portable medical oxygen cylinders, lack of detailed fire safety rehearsal records, corridor doors that do not close and latch properly, propped open fire doors, and compromised fire-rated walls and ceilings with unsealed penetrations and damaged areas.