Inspection Reports for
Franklin Plaza Extended Care

OH, 44113

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Deficiencies (last 5 years)

Deficiencies (over 5 years) 7.8 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

70% worse than Ohio average
Ohio average: 4.6 deficiencies/year

Deficiencies per year

20 15 10 5 0
2019
2022
2023
2024
2025

Occupancy

Latest occupancy rate 93% occupied

Based on a October 2025 inspection.

Occupancy rate over time

80% 85% 90% 95% 100% Jun 2019 Apr 2023 Nov 2024 Sep 2025 Oct 2025

Inspection Report

Complaint Investigation
Census: 165 Deficiencies: 1 Date: Oct 22, 2025

Visit Reason
The inspection was conducted to investigate a complaint alleging resident-to-resident sexual abuse involving Resident #1 at Franklin Plaza Extended Care.

Complaint Details
The complaint involved an allegation that Resident #93 pulled down Resident #1's pants and touched her inappropriately. Resident #1 refused hospital evaluation and stated no inappropriate touching occurred. The allegation was unsubstantiated after investigation.
Findings
The facility failed to thoroughly investigate the allegation of sexual abuse involving Resident #1 and Resident #93. The investigation lacked staff interviews, did not identify staff supervising the smoke break, and did not include statements from all relevant residents. The allegation was ultimately unsubstantiated.

Deficiencies (1)
F 0610: The facility failed to conduct a thorough investigation of an alleged resident-to-resident sexual abuse incident. The investigation lacked staff interviews and did not identify witnesses or staff supervising the smoke break.
Report Facts
Facility census: 165 Complaint Number: 2647625

Employees mentioned
NameTitleContext
Director of NursingCreated the Self-Reported Incident (SRI) and conducted interviews related to the sexual abuse allegation
AdministratorInvolved in the investigation and interviews regarding the sexual abuse allegation
Activities Assistant #395Observed assisting residents back into the facility from the smoking break

Inspection Report

Complaint Investigation
Census: 163 Deficiencies: 5 Date: Sep 2, 2025

Visit Reason
The inspection was conducted as a complaint investigation into multiple allegations including unsafe and unsanitary conditions, inadequate incontinence care, failure to provide medically related social services, and food safety violations at Franklin Plaza Extended Care.

Complaint Details
This complaint investigation was triggered by multiple complaints including Master Complaint Number 2603375 and Complaint Numbers 2589394, 2568834, 2588569, and 2560412. The investigation substantiated deficiencies related to environmental safety, incontinence care, social services, and food safety.
Findings
The facility was found to have multiple deficiencies including nonfunctional toilets affecting several residents, inadequate incontinence care resulting in residents being left in soiled linens, failure to maintain a safe and sanitary environment with issues such as stained ceilings, missing ceiling tiles, running faucets, exposed wiring, and unsanitary kitchen conditions. Additionally, the facility failed to provide medically related social services for a resident with severe cognitive impairment.

Deficiencies (5)
F 0584: The facility failed to ensure a safe, clean, comfortable, and homelike environment due to nonfunctional toilets and unsafe bathroom conditions affecting multiple residents.
F 0690: The facility failed to provide timely incontinence care, resulting in a resident being left in dried urine stains and soiled linens for an extended period.
F 0745: The facility failed to provide medically related social services to maintain or improve a resident's mental and psychosocial well-being, including failure to update legal guardian information.
F 0812: The facility failed to maintain the kitchen in a clean and sanitary manner and failed to ensure foods were properly labeled and dated.
F 0921: The facility failed to ensure a safe, functional, sanitary, and comfortable environment, including issues with stained ceilings, missing ceiling tiles, running faucets, exposed wiring, loose floor tiles, and unsanitary bathrooms.
Report Facts
Facility census: 163 Residents affected: 6 Residents affected: 1 Residents affected: 1 Residents affected: 10 Residents affected: 63

Employees mentioned
NameTitleContext
CNA #746Certified Nursing AssistantAssigned to Resident #156; involved in incontinence care deficiencies and improper handling of soiled linens
Maintenance Director #772Maintenance DirectorVerified multiple environmental deficiencies including nonfunctional toilets, stained ceilings, missing ceiling tiles, running faucets, and exposed wiring
Registered Nurse #674Registered NurseVerified running faucets and other environmental issues in residents' rooms
Dietary Manager #713Dietary ManagerVerified unsanitary kitchen conditions and undated food containers
Social Worker #788Social WorkerConfirmed failure to provide medically related social services and outdated legal guardian information for Resident #26
Director of NursingDirector of NursingVerified issues related to incontinence care and infection control
AdministratorFacility AdministratorVerified multiple environmental and safety deficiencies

Inspection Report

Complaint Investigation
Census: 163 Deficiencies: 10 Date: Sep 2, 2025

Visit Reason
Complaint investigation of Franklin Plaza Extended Care related to multiple resident care and facility environment concerns including advanced directives, environment safety, restraint use, resident assessments, care planning, incontinence care, trauma-informed care, social services, food safety, and facility maintenance.

Complaint Details
The investigation was conducted under multiple complaint numbers including 2588569, 2603375, 2589394, 2568834, and 2560412. The complaints involved concerns about resident care, facility environment, and regulatory compliance.
Findings
The facility was found deficient in multiple areas including inaccurate advanced directives documentation, unsafe and unsanitary bathroom conditions, improper use of physical restraints, inaccurate resident assessments, failure to revise care plans, inadequate incontinence care, lack of trauma-informed care, failure to provide medically related social services, unsanitary kitchen conditions, and unsafe, unclean, and uncomfortable living environment conditions.

Deficiencies (10)
F 0578: The facility failed to ensure advanced directives were accurate, resulting in conflicting DNR orders for Resident #129.
F 0584: The facility failed to maintain a safe, clean, and homelike environment due to nonfunctional toilets and unsafe bathroom conditions affecting multiple residents.
F 0604: The facility failed to ensure Resident #59 was free from physical restraints as her wheelchair was reclined fully preventing her from getting up.
F 0641: The facility failed to accurately complete resident assessments, including inaccurate PASRR coding for Resident #15.
F 0657: The facility failed to revise care plans for Residents #62 and #63 after falls and changes in condition.
F 0690: The facility failed to provide timely incontinence care to Resident #156, resulting in prolonged exposure to urine and unsanitary conditions.
F 0699: The facility failed to provide trauma-informed care to Residents #17 and #28, lacking individualized trauma-related care plans and staff awareness.
F 0745: The facility failed to provide medically related social services to Resident #26, resulting in lack of proper legal and social support.
F 0812: The facility failed to maintain the kitchen in a clean and sanitary manner and failed to ensure foods were properly labeled and dated.
F 0921: The facility failed to ensure a safe, functional, sanitary, and comfortable environment, including stained ceilings, missing ceiling tiles, running faucets, exposed wiring, loose floor tiles, and unsanitary resident rooms.
Report Facts
Facility census: 163 Residents affected: 1 Residents affected: 6 Residents affected: 1 Residents affected: 1 Residents affected: 2 Residents affected: 1 Residents affected: 2 Residents affected: 1 Residents affected: 10

Employees mentioned
NameTitleContext
Activities Director #637Activities DirectorRevised advanced directive care plan for Resident #129
RN #655Registered NurseVerified conflicting advanced directives for Resident #129
RN Shift Supervisor #651RN Shift SupervisorVerified unsigned DNR-CC form for Resident #129
Maintenance Director #772Maintenance DirectorVerified multiple environmental and maintenance deficiencies
CNA #746Certified Nursing AssistantAssigned to Resident #156 and observed improper incontinence care
Social Worker #788Licensed Social WorkerDiscussed lack of trauma-informed care and social services for residents
Director of Nursing (DON)Director of NursingVerified care plan and order deficiencies and environmental issues
Dietary Manager #713Dietary ManagerObserved unsanitary kitchen conditions

Inspection Report

Complaint Investigation
Census: 162 Deficiencies: 4 Date: Jul 10, 2025

Visit Reason
The inspection was conducted as a complaint investigation into multiple issues including dietary noncompliance, infection control breaches, and smoking policy violations at Franklin Plaza Extended Care.

Complaint Details
The complaint investigation was initiated due to concerns about dietary noncompliance (Complaint Number OH00164551), food palatability and preparation (Complaint Number OH000165404), infection control breaches related to enhanced barrier precautions (Complaint OH00165512), and smoking policy violations (Master Complaint Number OH00166965).
Findings
The facility failed to ensure residents received appropriate diets according to prescribed dietary restrictions, failed to maintain palatable and properly seasoned meals, did not follow infection control protocols for residents on enhanced barrier precautions, and did not properly enforce smoking policies for independent smokers.

Deficiencies (4)
F0803: The facility failed to ensure residents on controlled carbohydrate, liberalized renal, or renal diets received the appropriate food items at meals, serving incorrect foods to 44 residents out of 158 receiving meals.
F0804: The facility failed to ensure food was palatable and served at safe temperatures, with two residents complaining about excessive salt and improper preparation of meals.
F0880: The facility failed to implement infection prevention and control by not using appropriate PPE for residents on enhanced barrier precautions during care.
F0926: The facility failed to enforce smoking policies for independent smokers, allowing residents to keep lighters and cigarettes in rooms contrary to policy, resulting in safety risks.
Report Facts
Residents affected: 44 Facility census: 162 Residents identified as smokers: 30 Residents affected by smoking policy failure: 3 Residents affected by infection control failure: 2 Residents affected by food palatability failure: 2

Employees mentioned
NameTitleContext
LPN #343Licensed Practical NurseFailed to don PPE when providing care to residents on enhanced barrier precautions.
Dietary Manager #487Dietary ManagerConfirmed dietary spreadsheets were not followed and recipes were missing during meal preparation.
Dietary #412Dietary StaffPrepared meals with incorrect ingredients and added unauthorized seasonings.
Dietitian #457DietitianConfirmed dietary spreadsheets should have been followed and no extra seasonings added.
LPN Wound Nurse #413Licensed Practical NurseDocumented burn injuries related to smoking incident.
CNA #309Certified Nursing AssistantReported Resident #104 had smoking materials in room despite education.
Director of NursingDirector of NursingConfirmed Resident #104 kept a lighter in his room.
Registered Nurse Supervisor #408Registered Nurse SupervisorConfirmed independent smokers allowed to keep cigarettes and lighters.

Inspection Report

Complaint Investigation
Census: 167 Deficiencies: 5 Date: Nov 6, 2024

Visit Reason
The inspection was conducted as a complaint investigation related to concerns about care and infection control practices for residents with medical devices such as catheters, ostomies, feeding tubes, and tracheostomies.

Complaint Details
This deficiency represents non-compliance investigated under Complaint Numbers OH00159028 and OH00158785.
Findings
The facility failed to timely order and provide appropriate care for Resident #62's ileostomy and suprapubic catheter, failed to provide proper care for Resident #158's PEG tube and tracheostomy, and failed to ensure medications were administered according to nursing standards. Additionally, staff did not consistently use appropriate personal protective equipment (PPE) and implement enhanced barrier precautions for residents with indwelling devices.

Deficiencies (5)
F 0690: The facility failed to timely order and provide care for Resident #62's suprapubic catheter and ileostomy, resulting in lack of treatment orders and incomplete care.
F 0693: The facility failed to ensure appropriate care and monitoring of Resident #158's PEG tube site, resulting in undetected drainage and skin redness.
F 0695: The facility failed to provide proper tracheostomy care for Resident #158, including failure to keep surrounding tissue clean and documented, with presence of drainage and skin discoloration.
F 0726: The facility failed to ensure medications were administered according to nursing standards, including improper preparation and administration processes and premature signing off medication administration records.
F 0880: The facility failed to ensure staff donned appropriate PPE and implemented enhanced barrier precautions timely for Residents #62 and #158, increasing risk of infection transmission.
Report Facts
Facility census: 167 Urine volume emptied: 200 Medication doses: 12 Medication doses: 10

Employees mentioned
NameTitleContext
LPN #400Licensed Practical NurseObserved providing care and medication preparation; involved in medication administration and infection control deficiencies
UM #401Unit ManagerInterviewed regarding admission orders and medication administration practices
Director of Nursing (DON)Director of NursingInterviewed regarding medication administration policies and practices

Inspection Report

Complaint Investigation
Census: 157 Deficiencies: 1 Date: Jun 4, 2024

Visit Reason
The inspection was conducted as part of a complaint investigation regarding the sanitary condition of the facility's garbage and refuse management.

Complaint Details
This deficiency represents an incidental finding discovered during the course of the complaint investigation.
Findings
The facility failed to ensure that garbage and refuse were maintained in a sanitary condition, with multiple trash bags and debris observed outside the dumpster area. This issue had the potential to affect all 157 residents in the facility.

Deficiencies (1)
F 0814: The facility failed to ensure garbage and refuse were maintained in a sanitary condition. Multiple trash bags, used food containers, and debris were found outside the dumpster area.
Report Facts
Residents affected: 157

Employees mentioned
NameTitleContext
Dietary ManagerInterviewed and verified findings related to garbage and refuse sanitation

Inspection Report

Complaint Investigation
Census: 156 Deficiencies: 3 Date: Apr 5, 2023

Visit Reason
The inspection was conducted as a complaint investigation under Complaint Number OH00141208 regarding concerns about restorative programs, timely physician response to a urinary tract infection, and call light system functionality for Resident #122.

Complaint Details
This deficiency represents non-compliance investigated under Complaint Number OH00141208.
Findings
The facility failed to provide restorative programs as ordered, ensure timely physician response to a urinary tract infection, and maintain a functional call light system for Resident #122. These deficiencies affected Resident #122 and represented non-compliance with regulatory requirements.

Deficiencies (3)
F 0688: The facility failed to ensure restorative programs were provided as ordered for Resident #122, who required restorative exercises and transfers but received fewer sessions than prescribed.
F 0713: The facility failed to ensure timely physician response to notification of a urinary tract infection for Resident #122, resulting in delayed antibiotic treatment.
F 0919: The facility failed to ensure a functional call light system for Resident #122, as the call light was not lit outside the room or at the nursing station, delaying staff response.
Report Facts
Facility census: 156 Restorative sessions received: 4 Restorative sessions received: 2 Urinalysis specimen collection date: Mar 15, 2023 Antibiotic order date: Mar 20, 2023

Employees mentioned
NameTitleContext
Restorative Aide #13Interviewed regarding restorative program staffing and Resident #122's restorative program status
Restorative Nurse #18Confirmed Resident #122 had not received restorative program sessions as ordered
Director of Nursing (DON)Confirmed receipt of urinalysis results and antibiotic ordering timeline
Licensed Practical Nurse (LPN) #8Reported communication with Medical Director and Nurse Practitioner regarding urinalysis and antibiotic orders
Medical Director #19Physician for Resident #122 involved in antibiotic ordering delay
Nurse Practitioner (NP) #16Ordered antibiotic for Resident #122's UTI and confirmed weekend call expectations
State Tested Nurse Aide (STNA) #11Verified call light system was not lit outside Resident #122's room
STNA #5Verified call light system was not working for Resident #122
AdministratorReported call light system issue and resolution after notification by Resident #122's brother

Inspection Report

Complaint Investigation
Census: 169 Deficiencies: 4 Date: Aug 2, 2022

Visit Reason
The inspection was conducted to investigate a complaint regarding the facility's failure to reasonably accommodate resident needs and other care concerns.

Complaint Details
This deficiency substantiates Complaint Number OH00134457.
Findings
The facility failed to provide reasonable accommodations for residents with visual impairments and appropriate bed lengths, failed to date and change supplemental oxygen tubing timely, failed to date opened insulin vials, and failed to maintain infection control standards when serving food.

Deficiencies (4)
F 0558: The facility failed to reasonably accommodate the needs and preferences of residents, including failure to provide adaptive meal accommodations for a resident with visual impairment and appropriate bed lengths for two residents.
F 0695: The facility failed to date and/or change supplemental oxygen tubing in a timely manner for two residents receiving oxygen therapy.
F 0761: The facility failed to date opened insulin vials and pens to ensure purity and potency for four residents receiving insulin.
F 0812: The facility failed to maintain infection control standards when serving food, including a staff member handling a resident's sandwich with bare hands.
Report Facts
Residents affected: 3 Residents reviewed for oxygen therapy: 12 Residents reviewed for insulin: 29 Residents observed for dining: 20

Employees mentioned
NameTitleContext
Nurse Aide Trainee #735Observed placing tray without informing resident and handling food with bare hands
Occupational Therapist #755Provided evaluation and goals for Resident #128's feeding adaptations
Licensed Practical Nurse #679Verified oxygen tubing was not dated
Director of NursingProvided statements on bed adjustments, oxygen tubing policy, and staff training
Licensed Practical Nurse #671Verified opened insulin vial and pens were not dated
Licensed Practical Nurse #675Verified opened insulin vial was not dated
Licensed Practical Nurse #601Verified insulin pen was not dated

Inspection Report

Annual Inspection
Census: 162 Deficiencies: 6 Date: Jun 6, 2019

Visit Reason
The inspection was conducted as an annual survey to assess compliance with regulatory requirements for nursing home care.

Findings
The facility was found deficient in multiple areas including inconsistent advance directive documentation, inadequate supervision of residents during smoking breaks, improper medication storage, unsanitary dishwashing practices, unclean outside dumpster area, and ineffective cleaning of isolation rooms.

Deficiencies (6)
F 0578: The facility failed to ensure advance directive orders were accurate and consistent between electronic and non-electronic records for two residents.
F 0689: The facility failed to supervise smokers during smoke breaks on the secured unit, affecting two residents.
F 0761: The facility failed to ensure medications were properly stored in medication carts, with loose pills found in drawers of three medication carts.
F 0812: The facility failed to maintain dishes in a clean and sanitary manner, with dish racks overloaded in the dish machine.
F 0814: The facility failed to maintain the outside dumpster garbage disposal area in a clean manner, with garbage observed around the dumpster.
F 0880: The facility failed to ensure isolation rooms were cleaned properly, using a disinfectant not effective against clostridium difficile.
Report Facts
Residents affected: 2 Residents affected: 2 Medication carts affected: 3 Residents affected: 162 Loose pills found: 27 Loose pills found: 3 Loose pills found: 1 Residents affected: 4 Dumpster lids left open: 4 Residents affected: 1

Employees mentioned
NameTitleContext
Licensed Practical Nurse #220Licensed Practical NurseVerified advance directive finding and EMR code status
Licensed Practical Nurse #67Licensed Practical NurseVerified medication cart findings on second-floor West unit
Registered Nurse #108Registered NurseVerified medication cart findings on second-floor East unit
Licensed Practical Nurse #49Licensed Practical NurseVerified medication cart findings on third-floor unit
Director of NursingDirector of NursingVerified medication cart findings and smoking supervision policy
Activities Director #52Activities DirectorObserved lack of supervision in smoking lounge
Licensed Practical Nurse #76Licensed Practical NurseInterviewed about smoking supervision
Social Services Designee #27Social Services DesigneeInterviewed about smoking assessments
Corporate Dietitian #219Corporate DietitianInterviewed about dishwashing practices and policies
Registered Dietitian #63Registered DietitianInterviewed about kitchen audits
Dietary Manager #15Dietary ManagerVerified outside dumpster area condition
Housekeeper #12HousekeeperInterviewed about cleaning products used in isolation rooms
Housekeeping Supervisor #84Housekeeping SupervisorVerified cleaning product use and knowledge
Housekeeper #213HousekeeperInterviewed about cleaning procedures for isolation rooms

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