PruittHealth Franklin: Care Plan Gap for Disabled Resident - GA
The resident, identified in inspection records as Resident 14, uses a custom tilt manual wheelchair and has impaired mobility. A physical therapist evaluated her and discharged her from therapy on August 21, 2019, documenting specific recommendations for her ongoing daily care: get her out of bed every day into her personal wheelchair, check on her every hour for seating needs, and tilt the chair to different angles throughout the day to relieve pressure on her skin.
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See the Derila PillowThose instructions were never added to her care plan.
When inspectors reviewed the care plan in March 2025, it addressed her fall risk. It noted she had cerebral palsy and impaired mobility. It set a goal that she remain free from injury. It told staff to keep her call light within reach, watch for changes in her condition, and observe her frequently when she was out of bed in her chair.
What it did not contain was any reference to what the physical therapist had actually recommended six years earlier.
The PT's discharge notes were specific and clinical. The therapist documented that the goal had been met: Resident 14 could tolerate sitting upright in her wheelchair, maintaining proper midline body alignment, for at least three hours daily without negative changes to her skin. The recommendations that followed were equally specific, built around maintaining that outcome. Hourly checks. Pressure relief tilts. Daily time out of bed in her personal positioning system.
None of it appeared in the document that nursing staff would consult when caring for her.
The facility's own policy on care plans states that updates should be made whenever a resident's condition changes, at the time the change occurs. A physical therapy discharge, with its accompanying instructions for nursing caregivers, is exactly the kind of change that policy is designed to capture. The inspection report found one resident out of 35 sampled where this had not happened. That resident happened to be someone whose mobility depended entirely on equipment and positioning protocols that staff needed written guidance to follow correctly.
The violation was cited at a level of minimal harm or potential for actual harm, the lowest tier of severity in the federal inspection system. Inspectors cross-referenced the finding to F688, the federal tag covering range of motion and restorative services.
PruittHealth Franklin is located on South River Road in Franklin, a small city in west Georgia near the Alabama border. The March 6 inspection covered health standards.
The gap in documentation does not mean the care was never delivered. Inspectors did not find evidence that Resident 14 was harmed. But a care plan exists precisely so that any staff member, on any shift, knows what a resident needs and why. When a physical therapist's discharge instructions disappear into a discharge note from 2019 and never surface in the working document, the continuity that system is supposed to provide breaks down.
For a resident with cerebral palsy who cannot reposition herself, the difference between a staff member who knows to tilt the wheelchair for pressure relief and one who doesn't is not a paperwork distinction. It is the difference between skin that stays intact and skin that doesn't.
Resident 14's care plan, as of the inspection, still described her as someone to observe frequently when out of bed in her chair. It did not say what to do when she was in that chair, how often to check her positioning, or that a therapist had once documented exactly how to keep her skin healthy through the hours she spent sitting upright each day.
That documentation existed. It had existed since August 2019. It just wasn't where the people caring for her would look for it.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Pruitthealth - Franklin from 2025-03-06 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
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Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: November 12, 2026 · Our methodology
PRUITTHEALTH - FRANKLIN in FRANKLIN, GA was cited for violations during a health inspection on March 6, 2025.
The resident, identified in inspection records as Resident 14, uses a custom tilt manual wheelchair and has impaired mobility.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.