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Deficiency Records for Momentous Health at Franklin

A list of the most recent deficiencies for Momentous Health at Franklin. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

A list of the most recent deficiencies for Momentous Health at Franklin. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Health 2024-07-12 2024-08-09 Y
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Health 2024-07-12 2024-08-09 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-07-12 2024-08-09 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2024-07-12 2024-08-09 Y
Provide and implement an infection prevention and control program. Health 2024-07-12 2024-08-09 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2024-02-29 2024-03-13 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2023-12-12 2024-01-05 Y
Provide for the safe, appropriate administration of IV fluids for a resident when needed. Health 2023-12-12 2024-01-05 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2023-02-14 2023-03-11 N
Provide activities to meet all resident's needs. Health 2023-02-14 2023-03-11 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-02-14 2023-03-11 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-02-14 2023-03-11 N
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Health 2023-02-14 2023-03-11 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-02-14 2023-03-11 N
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Health 2023-02-14 2023-03-11 N
Provide and implement an infection prevention and control program. Health 2023-02-14 2023-03-11 N
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Fire Safety 2023-02-06 2023-03-11 N
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2023-02-06 2023-03-11 N
Provide properly protected cooking facilities. Fire Safety 2023-02-06 2023-03-11 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2023-02-06 2023-03-11 N
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Fire Safety 2023-02-06 2023-03-11 N
Provide a written emergency evacuation plan. Fire Safety 2023-02-06 2023-03-11 N
Have a battery powered remote alarm panel in a location accessible by operating personnel. Fire Safety 2023-02-06 2023-03-11 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-02-06 2023-03-11 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2019-12-12 2020-01-08 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2019-12-12 2020-01-08 N
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Health 2019-12-12 2020-01-08 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2019-12-12 2020-01-08 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2019-12-09 2020-01-08 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2019-12-09 2020-01-08 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2019-12-09 2020-01-08 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2019-12-09 2020-01-08 N
Have simulated fire drills held at unexpected times. Fire Safety 2019-12-09 2020-01-08 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2019-12-09 2020-01-08 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2019-12-09 2020-01-08 N
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Health 2018-10-18 2018-12-05 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2018-10-18 2018-12-05 N
Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. Health 2018-10-18 2018-12-05 N
Ensure each resident receives an accurate assessment. Health 2018-10-18 2018-12-05 N
PASARR screening for Mental disorders or Intellectual Disabilities Health 2018-10-18 2018-12-05 N
Plan the resident's discharge to meet the resident's goals and needs. Health 2018-10-18 2018-12-05 N
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Health 2018-10-18 2018-12-05 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2018-10-18 2018-12-05 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2018-10-18 2018-12-05 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2018-10-18 2018-12-05 N
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Health 2018-10-18 2018-12-05 N
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Health 2018-10-18 2018-12-05 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2018-10-18 2018-12-05 N
Provide emergency officials' contact information. Fire Safety 2018-10-16 2018-12-05 N
Conduct testing and exercise requirements. Fire Safety 2018-10-16 2018-12-05 N
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2018-10-16 2018-12-05 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2018-10-16 2018-12-05 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2018-10-16 2018-12-05 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2018-10-16 2018-12-05 N

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