Inspection Reports for
Franklin-Simpson Nursing and Rehabilitation Center
414 ROBEY ST., FRANKLIN, KY, 42135
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
5.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
13% worse than Kentucky average
Kentucky average: 4.7 deficiencies/yearDeficiencies per year
12
9
6
3
0
Occupancy
Latest occupancy rate
82% occupied
Based on a July 2025 inspection.
This facility has shown a decline in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Abbreviated Survey
Census: 80
Deficiencies: 1
Date: Jul 3, 2025
Visit Reason
A Standard Recertification and Abbreviated Survey was conducted to assess compliance with 42 CFR 483 subpart B.
Findings
The facility was found not to be in substantial compliance with no deficiencies issued related to KY00046524. The survey included a review of resident rights and elopement risk assessments.
Deficiencies (1)
Facility failed to treat each resident with respect and dignity and care for each resident in a manner and in an environment that promotes maintenance or enhancement of quality of life, recognizing each resident's individuality, as evidenced by four of 20 sampled residents unable to freely go outside and one resident with a wander guard in place with no attempts to elope from facility.
Report Facts
Survey Census: 80
Sample Size: 20
Supplemental Residents: 0
BIMS score: 15
BIMS score: 12
BIMS score: 15
BIMS score: 12
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Director of Nursing | Provided education to facility and agency staff regarding resident rights and elopement risk assessments |
| Social Services Director | Social Services Director | Completed elopement risk assessments and reviewed facility sign-out process with residents |
| Administrator | Administrator | Communicated with residents and staff regarding outside activities and safety measures |
| Licensed Practical Nurse 5 | Licensed Practical Nurse | Maintained list of residents who ask to go outside and managed sign-out process |
| Certified Nursing Assistant 8 | Certified Nursing Assistant | Interviewed regarding procedures for residents wanting to go outside |
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Jul 3, 2025
Visit Reason
The inspection was conducted due to a complaint investigation regarding the facility's failure to treat residents with respect and dignity, specifically concerning residents' ability to freely go outside and exercise their rights.
Complaint Details
The investigation was complaint-driven, focusing on allegations that residents were not allowed to go outside freely or sign themselves out despite having the cognitive ability to do so. The complaint was substantiated with findings that staff restricted residents' outdoor access and failed to document sign-outs.
Findings
The facility failed to ensure that four residents were allowed to freely go outside or participate in activities outside the facility without supervision, despite policies stating residents have the right to do so. Staff often restricted residents from going outside, citing busyness or safety concerns, and documentation showed no evidence of residents signing out to go outside.
Deficiencies (1)
F 0550: The facility failed to treat residents with respect and dignity by restricting four residents from freely going outside or participating in outside activities despite their cognitive ability and facility policy. Staff rarely offered to reevaluate residents for elopement risk or facilitated their requests to go outside.
Report Facts
Residents affected: 4
BIMS scores: 15
BIMS scores: 12
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Stated residents could sign themselves out to go outside if they had a high enough BIMS score and discussed elopement risk assessments. | |
| Certified Nursing Assistant 8 | Reported that residents with high BIMS scores could go outside if staff took them, but it did not happen often. | |
| Licensed Practical Nurse 5 | Kept a list of residents who asked to go outside and explained the sign-in/out process. | |
| Administrator | Stated residents could go outside when they wanted and described elopement assessments and staff communication. |
Inspection Report
Abbreviated Survey
Census: 82
Deficiencies: 0
Date: May 1, 2025
Visit Reason
An Abbreviated Survey was conducted to assess the facility's compliance with 42 CFR 483 subpart B.
Findings
The facility was found to be in substantial compliance with no deficiencies issued related to the surveyed provider numbers.
Report Facts
Sample Size: 7
Supplemental Residents: 0
Inspection Report
Abbreviated Survey
Census: 85
Deficiencies: 0
Date: Mar 27, 2025
Visit Reason
An abbreviated survey was conducted to investigate multiple complaints against the facility.
Complaint Details
Multiple complaints were investigated with no deficiencies cited. Complaint IDs include KY00043307, KY00042591, KY00042009, KY00041716, KY00041593, KY00040214, KY00039696, KY00038228, KY00037498, and KY00037075.
Findings
The facility was found to be in substantial compliance with 42 CFR 483 subpart B, with no deficiencies cited related to the complaints investigated.
Report Facts
Sample Size: 17
Inspection Report
Complaint Investigation
Deficiencies: 3
Date: May 20, 2021
Visit Reason
The inspection was conducted due to complaints regarding failure to follow care plans related to dietary needs and medication labeling in the facility.
Complaint Details
The complaint investigation found substantiated issues with failure to follow dietary care plans for Residents #40 and #66, and failure to label opened drugs in the medication room.
Findings
The facility failed to ensure that care plans were followed for dietary needs of two residents, specifically missing fortified mashed potatoes and milk on meal trays. Additionally, the facility failed to label opened drugs in one medication room according to accepted professional principles.
Deficiencies (3)
F 0656: The facility failed to follow care plans related to dietary needs for two residents, as fortified mashed potatoes and required milk were missing from meal trays.
F 0761: The facility failed to ensure drugs in one medication room were labeled with the date opened, contrary to accepted professional principles.
F 0800: The facility failed to provide a well-balanced diet meeting the dietary needs of two residents, missing fortified mashed potatoes and milk on meal trays as ordered.
Report Facts
Residents sampled: 18
Residents affected: 2
Milk cartons missing: 2
BIMS score: 3
BIMS score: 13
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Administrator | Interviewed regarding facility policies and care plan adherence. | |
| Assistant Director of Nursing (ADON) | Interviewed about meal tray preparation and care plan adherence. | |
| Licensed Practical Nurse (LPN) #4/Unit Manager (UM) #1 | Interviewed about serving Resident #66's tray and meal ticket checks. | |
| Certified Nursing Assistant (CNA) #4 | Reported missing milk and potatoes on Resident #66's tray. | |
| Certified Nursing Assistant (CNA) #5 | Reported serving Resident #40's tray without noticing missing fortified potatoes. | |
| Dietician | Explained dietary reasons for fortified foods and milk for residents. | |
| Director of Nursing (DON) | Interviewed about expectations for staff to follow care plans. | |
| Licensed Practical Nurse (LPN) #2 | Interviewed about drug labeling procedures. | |
| Dietary Aide (DA) #1 | Interviewed about meal tray preparation and missing fortified foods. | |
| Staff Development Coordinator | Interviewed about staff adherence to care plans for fortified foods. |
Inspection Report
Complaint Investigation
Deficiencies: 11
Date: Feb 15, 2019
Visit Reason
The inspection was conducted based on complaints and allegations regarding resident care, abuse, neglect, and facility compliance with resident rights and safety standards.
Complaint Details
The investigation was complaint-driven based on allegations of neglect, abuse, improper care, and violation of resident rights including dignity, visitation, and safety.
Findings
The facility was found deficient in multiple areas including failure to treat residents with dignity, failure to ensure visitation rights, unsanitary environment, abuse and neglect of residents, incomplete and outdated care plans, failure to provide appropriate vision and respiratory care, improper catheter care, and food safety violations.
Deficiencies (11)
F 0550: The facility failed to treat Resident #36 with respect and dignity by not promptly cleaning food from the resident's face and clothes despite resistiveness and not following protocol for assistance.
F 0563: The facility failed to ensure Resident #48's right to receive visitors, restricting visitation by the resident's son due to aggressive behavior without providing alternative visitation options.
F 0584: Resident #17's bathroom commode was observed with dried, crusted fecal matter on two consecutive days, indicating failure to maintain a sanitary environment.
F 0600: Resident #67 reported abuse by staff who threw a pillow at the resident's face and threatened longer stay; the facility failed to properly investigate and protect the resident during the investigation.
F 0610: The facility failed to suspend the alleged perpetrator (SRNA #3) during the abuse investigation of Resident #67, violating policy requiring removal pending investigation.
F 0656: Resident #20 was prescribed blood thinners but had no care plan to monitor for complications; the resident had an uncontrolled nosebleed and the care plan was not updated accordingly.
F 0657: The facility failed to revise care plans timely and comprehensively for multiple residents with changing needs, including falls and medical conditions.
F 0685: Resident #20 was not assisted in gaining access to vision services; the resident missed cataract surgery appointments and no follow-up or rescheduling was documented.
F 0690: Resident #32's urinary catheter drainage bag was improperly positioned, lying flat on the floor instead of hanging from the bed frame, increasing risk of infection.
F 0695: Resident #7 did not receive oxygen therapy as ordered; portable oxygen tank was found empty while resident was using it, indicating failure to monitor and refill oxygen supply.
F 0812: Food safety violations included uncovered open foods in freezer, dirty manual can opener, and staff handling dishes with unclean hands after licking thumbs.
Report Facts
Residents sampled: 25
Residents receiving meals: 82
Resident #36 cognition score: 3
Resident #48 cognition score: 3
Resident #17 cognition score: 15
Resident #67 cognition score: 15
Resident #20 cognition score: 14
Resident #21 cognition score: 0
Resident #71 cognition score: 13
Oxygen liters per minute: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| SRNA #6 | State Registered Nurse Aide | Named in Resident #36 dignity and care finding |
| SRNA #3 | State Registered Nurse Aide | Alleged perpetrator in Resident #67 abuse allegation |
| LPN #4 | Licensed Practical Nurse | Named in Resident #67 abuse allegation |
| LPN #2 | Licensed Practical Nurse | Witness to Resident #48 visitation incident |
| RN #1 | Unit Manager | Named in catheter care deficiency |
| RN #2 | Registered Nurse / MDS Coordinator | Responsible for care plan updates |
| DON | Director of Nursing | Multiple interviews related to care plans, abuse investigation, and oxygen therapy |
| Administrator | Multiple interviews related to visitation, abuse investigation, and facility policies | |
| Dietary Manager | Named in food safety violations | |
| Dietary Aide #1 | Observed handling dishes unsafely | |
| LPN #3 | Licensed Practical Nurse | Named in oxygen therapy deficiency |
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