Franklin Plaza Extended Care: Safety Hazards Found - OH
The resident, identified as #155 in inspection records, was admitted with respiratory failure, chronic obstructive pulmonary disease, congestive heart failure, and dependence on oxygen. A physician's order from June required oxygen delivery via nasal cannula around the clock.
When inspectors observed the room on August 28, they discovered the three depleted tanks. Housekeeping Supervisor #642 confirmed the finding and explained that nurse's aides were supposed to remove empty oxygen tanks from resident rooms.
The oxygen tank discovery was part of broader maintenance and safety failures documented throughout the facility during the August inspection.
In another resident's room, inspectors found a plastic baseboard peeling away from the wall near the bathroom, creating a protruding hazard. Maintenance Director #772 acknowledged the baseboard needed repair when shown the damage.
Resident #11, who lived in that room, had been admitted with multiple chronic conditions including congestive heart failure, diabetes, and chronic kidney disease. The resident's cognitive abilities remained intact, according to quarterly assessments.
A third resident faced a different safety concern. Resident #160's door displayed a large circular area of chipped paint measuring five inches by five inches on its front surface. Maintenance Director #772 confirmed the paint chips could be peeled off the door, creating a potential ingestion hazard.
This resident had been admitted with multiple sclerosis, fibromyalgia, and difficulty walking. Despite intact cognition, the resident struggled with coordination and bladder dysfunction.
Common areas presented additional risks. A loose floor tile near the receptionist desk in the 200-hall moved back and forth when stepped on. The Administrator acknowledged the problem, attributing it to building settlement.
Shower facilities revealed more serious maintenance failures. Inspectors found dark mildew covering the right wall and floor of one shower room, along with four ceiling tiles exhibiting blackish substance. The adjacent shower displayed rust-like stains where walls met at corners.
Maintenance Director #772 verified these conditions and stated the showers needed recaulking.
The facility's own inspection checklist required housekeeping to keep bathroom floors debris-free, check all crevices, and scrub and clean for mold and mildew. The document also mandated putting in maintenance work orders for wall patches and painting any scuffs, chips, holes, or damage.
Despite these written standards, the documented conditions suggested systematic maintenance failures across multiple areas of the facility.
The facility's resident rights policy, dated January 6, 2025, explicitly guaranteed residents "the right to safe and clean-living environment" including proper lighting, sound systems, closet space, clean bedding, and "general maintenance of sanitary interior."
The inspection occurred as part of multiple complaint investigations. Master Complaint Number 2603375 encompassed several related complaints numbered 2589394, 2568834, and 2560412.
Resident #155's case particularly highlighted the gap between policy and practice. The resident had rejected care one to three days during a seven-day assessment period, according to quarterly evaluations. Yet the presence of empty oxygen tanks in the room of someone dependent on continuous oxygen therapy raised questions about staff attention to critical medical equipment.
The resident had survived respiratory failure, myocardial infarction, and required ongoing treatment for atherosclerotic heart disease and pulmonary hypertension. The medical complexity of the case made proper oxygen delivery essential for survival.
Resident #160's chipped door paint presented different concerns. With multiple sclerosis affecting coordination and mobility, any environmental hazard posed elevated risks. The five-by-five-inch area of peeling paint could create ingestion dangers or sharp edges.
The loose hallway tile created a fall risk in a high-traffic area where residents, families, and staff regularly passed. For a population already at elevated fall risk due to age and medical conditions, even minor flooring irregularities represented serious hazards.
The shower room conditions suggested longer-term neglect. Mildew growth and ceiling discoloration indicated moisture problems that had persisted long enough to create visible damage. For residents with compromised immune systems or respiratory conditions, mold exposure could worsen existing health problems.
The facility's incontinence care policy addressed soiled linen disposal but contained no provisions about placing contaminated materials on floors, suggesting gaps in infection control protocols.
Inspectors classified the violations as causing minimal harm or potential for actual harm, affecting some residents. The August 28 inspection documented conditions that had developed over time, indicating ongoing maintenance deficiencies rather than isolated incidents.
The investigation revealed a pattern where written policies existed but implementation failed, leaving residents in environments that fell short of the safe, clean conditions promised in facility documentation.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Franklin Plaza Extended Care from 2025-09-02 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: June 17, 2026 · Our methodology
FRANKLIN PLAZA EXTENDED CARE in CLEVELAND, OH was cited for violations during a health inspection on September 2, 2025.
A physician's order from June required oxygen delivery via nasal cannula around the clock.
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.
Frequently Asked Questions
- What happened at FRANKLIN PLAZA EXTENDED CARE?
- A physician's order from June required oxygen delivery via nasal cannula around the clock.
- How serious are these violations?
- Violation severity varies from minor documentation issues to serious safety concerns. Review the inspection report for specific deficiency codes and scope. All violations must be corrected within required timeframes and are subject to follow-up verification inspections.
- What should families do?
- Families should: (1) Ask facility administration about specific corrective actions taken, (2) Request to see the follow-up inspection report verifying corrections, (3) Check if this represents a pattern by reviewing prior inspection reports, (4) Compare this facility's ratings with other nursing homes in CLEVELAND, OH, (5) Report any new concerns directly to state authorities.
- Where can I see the full inspection report?
- The complete inspection report is available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request a copy directly from FRANKLIN PLAZA EXTENDED CARE or from the state Department of Health. The report includes specific deficiency codes, facility responses, and correction timelines. This facility's federal provider number is 365388.
- Has this facility had violations before?
- To check FRANKLIN PLAZA EXTENDED CARE's history, visit Medicare.gov's Care Compare and review their inspection history, quality ratings, and staffing levels. Look for patterns of repeated violations, especially in critical areas like abuse prevention, medication management, infection control, and resident safety.