Franklin House

The facility failed to ensure medications were administered as ordered for one resident. Specifically, medications used to treat mental health disorders and prevent seizures were documented as being placed 'on hold' without a physician's order. This practice occurred across multiple dates in April and May 2025.

The facility failed to ensure medications were administered as ordered for one resident. Specifically, prescribed medications for mental health and seizure prevention, including quetiapine, carbamazepine, and phenytoin sodium, were documented as being placed 'on hold' instead of being administered according to physician orders.

The facility failed to serve therapeutic diets as ordered by the resident's physician. Specifically, one resident ordered nectar-thickened liquids was served tea and water over ice, and was served sherbet, which is a thin liquid. Staff interviews revealed a lack of consistent training regarding the preparation and service of thickened liquids.

The facility failed to serve therapeutic diets as ordered for one resident requiring nectar-thickened liquids. Specifically, nectar-thickened tea and water were served over ice, and the resident was served sherbet, which is a thin liquid. Staff interviews indicated a lack of proper training regarding the preparation and service of thickened liquids.

The facility failed to ensure that one of three sampled staff members had no substantiated findings on the North Carolina Health Care Personnel Registry (HCPR) upon hire. Specifically, the personnel record for a personal care aide showed no documentation of an HCPR check at the time of hire.

The facility failed to ensure referral and follow-up to meet the acute health care needs for four out of five sampled residents. This included a failure to notify a primary care provider regarding missed doses of nerve pain medication and a failure to provide adequate supervision or interventions for residents in the Special Care Unit involved in sexual encounters.

The facility failed to ensure that one of three sampled staff members had no substantiated findings on the North Carolina Health Care Personnel Registry (HCPR) upon hire. A review of the staff member's record showed no documentation of an HCPR check was present in the personnel file.

The facility failed to ensure proper referral and follow-up to meet the acute health care needs of residents. Specifically, for four out of five residents sampled, missed doses of a nerve pain medication were not reported to the primary care provider.

The facility failed to maintain resident rooms in a clean and orderly manner, free of hazards. Specifically, unidentifiable brown bug carcasses were observed in a resident's room, and staff reported the presence of bed bugs.

The facility failed to maintain resident rooms in a clean and orderly manner, specifically failing to ensure rooms were free of hazards related to bed bugs. Observations revealed unidentifiable brown bug carcasses in a resident's room, and multiple staff members reported seeing bed bugs on residents and bedding.