Franklin Manor Assisted Living Center

The facility failed to ensure that one of two sampled medication aides had completed the required 5-hour, 10-hour, or 15-hour medication aide training and a Clinical Skills Competency Validation Checklist. Personnel records lacked documentation of the required training course, clinical skills validation, and employment verification of prior medication aide experience within the previous 24 months.

The facility failed to ensure staff provide supervision of residents in accordance with each resident's assessed needs, care plan, and current symptoms.

The facility failed to ensure that one sampled medication aide (Staff C) had completed the required 5-hour, 10-hour, or 15-hour training course and a Clinical Skills Competency Validation Checklist. Additionally, there was no documentation of employment verification for the aide's previous work within the last 24 months.

The facility failed to ensure a medical examination was completed no more than 90 days prior to admission for one resident. Specifically, Resident #5 was admitted on 08/07/25, but the most recent medical examination on file was dated 04/03/25.

The facility failed to ensure a medical examination was completed no more than 90 days prior to admission for one resident. Specifically, the resident's FL-2 was dated 04/03/25 for an admission on 08/07/25, exceeding the required timeframe.

The facility failed to respond immediately with care and intervention following an accident or incident. In the case of a resident injury, the Executive Director sent the resident to the ER but failed to follow the required immediate response and intervention protocols as outlined in the rule.

The facility failed to ensure therapeutic diets were served as ordered for one resident who required a low concentrated sweets diet with puree texture. Kitchen staff relied on memory rather than posted diet sheets, and there was no visible diet sheet or spreadsheet in the kitchen for staff to review the specific requirements for this resident's texture and diet.

The facility failed to ensure therapeutic diets were served as ordered for one resident who required a low concentrated sweets (LCS) diet with puree texture. Observations showed the resident was served non-pureed items such as oatmeal, sausage, and French toast, and was provided red fruit juice instead of the required sugar-free beverage. Additionally, dietary information sheets in the kitchen were outdated, lacked signatures, and did not include the specific requirements for the resident's texture-modified diet.

The facility failed to provide adequate supervision and implement an order for anti-anxiety medication for a resident with dementia. This failure resulted in the resident exhibiting aggressive behaviors and wandering into other residents' rooms, causing distress and injuries to others.