Homeview Center of Franklin: Medication Safety Failure - IN
The resident, identified in inspection records only as Resident 5, had been diagnosed with atrial fibrillation, hypertension, and hypotension. The combination matters: atrial fibrillation causes an irregular and often dangerously rapid heart rhythm, while hypotension means her blood pressure already ran low. Her physician had prescribed metoprolol succinate ER 25 mg once daily, a medication used to slow heart rate and reduce blood pressure. The order came with an explicit instruction: hold the drug if the resident's blood pressure fell below 100/50 mm/Hg, or if her pulse dropped below 60 beats per minute.
On March 17, a nurse recorded Resident 5's blood pressure at 96/48 and her pulse at 54. Both numbers were below the hold threshold. Both, at the same time. The medication was given anyway.
Two days later, on March 19, her pulse was recorded at 56 beats per minute, again below the cutoff. The medication was given again.
The physician's order had been in place since March 14. The parameters were written directly into the order. The Medication Administration Record for March 2026 showed the drug administered on both dates, with the low vital signs documented in the same record.
When inspectors interviewed the Director of Nursing on March 27, she did not dispute what had happened. She confirmed that the metoprolol should not have been administered on either date, given the low pulse and low blood pressure readings documented at the time. She then produced a facility policy, dated April 2024, titled "Following Physician Orders/Parameters," which described its own purpose as administering resident care "in a safe and effective manner and following physician orders and ordered parameters."
The policy existed. The physician's order existed. The vital sign readings existed, recorded in the same chart where the medication was then documented as given.
Metoprolol works by slowing the heart and reducing the force of its contractions. In a resident whose blood pressure and pulse are already running below safe limits, giving the drug risks pushing both lower still. The hold parameters in Resident 5's order were there precisely because her diagnoses, atrial fibrillation alongside hypotension, put her at risk if the medication was administered when her body was already struggling.
The inspection, conducted March 30, 2026, was a health survey. Federal inspectors rated the violation as causing minimal harm or the potential for actual harm, and noted it affected a small number of residents. One resident was identified in the findings.
Homeview Center of Franklin is located at 651 South State Street in Franklin, Indiana.
The Director of Nursing confirmed the errors. The facility's own records confirmed the errors. What the records do not show is whether anyone noticed the vital signs before giving the medication, or whether the hold parameters were checked at all on either of those two mornings in March when Resident 5's heart was already beating too slowly and her blood pressure had already fallen too low.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Homeview Center of Franklin from 2026-03-30 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
HOMEVIEW CENTER OF FRANKLIN in FRANKLIN, IN was cited for violations during a health inspection on March 30, 2026.
The resident, identified in inspection records only as Resident 5, had been diagnosed with atrial fibrillation, hypertension, and hypotension.
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 HOMEVIEW CENTER OF FRANKLIN?
- The resident, identified in inspection records only as Resident 5, had been diagnosed with atrial fibrillation, hypertension, and hypotension.
- 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 FRANKLIN, IN, (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 HOMEVIEW CENTER OF FRANKLIN 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 155651.
- Has this facility had violations before?
- To check HOMEVIEW CENTER OF FRANKLIN'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.