Pruitthealth - Franklin
PRUITTHEALTH - FRANKLIN in FRANKLIN, GA — inspection on March 6, 2025.
Found 4 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
Review of R14 care plan dated 12/26/2024 indicated a problem of R14 at risk for falling R/T Cerebral Palsey(sic)/impaired mobility.
Goals include R14 will remain free from injury.
Approach(s) include keep call light in reach while in bed, observe changes in resident's condition that may warrant increased supervision, observe frquently (sic) when OOB in chiar (sic).
There was nothing found in the care plan regarding Physical Therapy's (PT) recommendations.
Review of the PT discharge evaluation dated 8/21/2019 documented the following, GOAL MET - on 8/21/2019.
The patient tolerates upright sitting in personal custom tilt manual wheelchair maintaining proper midline body alignment for 180 minutes or greater daily without negative skin changes.
The following documented discharge plans and instructions, Discharge planned for this patient.
Recommendations discussed with Nursing caregivers include continued OOB (out of bed) daily to pt's (patient's) personal seating/positioning system tilt manual w/c (wheelchair) with checks every hour for any seating needs and for tilting w/c to various angles for pressure reliefs.
Cross reference to F-F688 Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.
For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE
115616 03/06/2025
Pruitthealth - Franklin 360 South River Road Franklin, GA 30217
Observation on 3/6/2025 at 1:53 pm revealed a manual [facility name] w/c in R14's closet.
Interview on 3/6/2025 at 11:33 am with Licensed Practical Nurse (LPN) DD revealed R14 did not get out of bed, but there was no particular reason why at the moment. LPN DD went on to reveal R14 got out of bed to get a shower and that was it. At 1:42 pm LPN DD revealed she did not know where R14's w/c was.
Interview on 3/6/2024 at 12:09 pm with CNA II and CNA JJ revealed they were restorative CNA's, and therapy would assign to them what they needed to do daily.
The therapist would then show them what to do that was resident specific.
The CNA's revealed R14 did not do anything with therapy because he was not on restorative, but he had soft splints for his hands.
Interview on 3/6/2025 at 12:15 pm with the Physical Therapist (PT) KK revealed she had worked with R14 regarding positioning so he could safely transfer to the geri-chair (medical recliner) and or shower as well as getting out of bed.
She further revealed even though R14 was discharged from physical therapy, the recommendations were implemented immediately and expected to be put in place indefinitely unless a licensed nurse deemed the recommendations to be inappropriate or the recommendations caused harm, at which point the licensed nurse would recommend the resident get an assessment for services again.
Interview on 3/6/2025 at 1:32 pm with LPN Unit Manager (AA) revealed R14 did not have a w/c but if they got him up they would get him up in his geri-chair.
She revealed she had never seen a w/c for him and that the geri-chair was not in the room and they were not sure where the geri-chair was.
Interview on 3/6/2025 at 2:33 pm with the Administrator and DON interview revealed they were unaware of the w/c and revealed R14 did not have a tilt w/c but has had one in the past when he was smaller, but he outgrew it.
The DON was not sure if R14 was using that (custom) w/c at that time.
The DON further revealed there was no way for R14 to be in the w/c due to his hip.
Interview on 3/6/2025 at 4:00 pm with the DON revealed he was able to go into the system and print out documents where R14 did go back to therapy for an OT (occupational therapy) referral where there were no other recommendations at that time.
115616 03/06/2025
Pruitthealth - Franklin 360 South River Road Franklin, GA 30217
During an observation of a medication pass on 3/6/2025 at 8:40 am for R34, Licensed Practical Nurse (LPN) CC approached the medication cart, logged into her laptop, and began preparing medications without sanitizing her hands.
After preparing the medications, she proceeded to the resident's room and administered them.
However, she again failed to sanitize her hands upon entering the room, doing so only upon leaving.
When interviewed immediately following the medication pass, the surveyor asked LPN CC why she had not sanitized her hands before beginning the task and upon entering the room. LPN CC admitted that she was nervous and had forgotten to do so.
In an interview on 3/5/2025 at 1:50 pm with the DHS, he stated he expected staff to follow their policies and sanitize their hands before and after each resident interaction.
- B.
The surveyor observed a medication pass on 3/5/2025 at 5:00 pm for R2 by LPN DD. R2 received medications via a percutaneous endoscopic gastrostomy (PEG) tube and was on EBP precautions for that.
The nurse was observed preparing the resident's medications.
Upon entering the room, the nurse donned a gown and performed hand hygiene.
The PEG site was clean with a clean gauze pad placed underneath.
The nurse confirmed PEG tube placement by auscultation (listening with a stethoscope) and checked the residual volume, which measured 10 mL milliliters). LPN DD administered R2's medications per the doctor's orders, one by one, flushing with water before and after each medication administration.
After completing the PEG tube medication administration, the nurse changed gloves but did not perform hand hygiene before donning a new pair for administering medication via a different route.
The nurse then proceeded to apply topical ointment rubbing it on to the affected area on the resident's right lower extremity.
The nurse then changed gloves, performed hand hygiene, and administered insulin as per doctor's order with no observational concerns.
When the surveyor questioned the nurse immediately after observing a medication pass about not sanitizing her hands after removing dirty gloves and before putting on a new pair to administer medication via a different route, she acknowledged that she should have performed hand hygiene at that time.
In an interview on 3/6/2025 at 2:45 pm with the DHS, he revealed that staff were expected to follow facility policies and procedures when using PPE for high-contact resident care on EBP.
Additionally, they must sanitize their hands according to facility guidelines immediately after removing gloves and before putting on a new pair.
Review of the electronic medical record (EMR) revealed R14 was admitted to the facility with diagnoses including but not limited to cerebral palsy (primary admission contracture, left wrist, contracture, left hand, contracture, right hand, contracture, right wrist, abnormal posture, pain, unspecified, and muscle weakness (generalized).
Review of R14's annual Minimum Data Set (MDS) assessment dated [DATE] revealed a Brief Interview for Mental Status (BIMS) score of 99, which indicates R14 was unable to finish the assessment due to being unable to respond.
Section GG, functional status, revealed R14 was dependent on staff due to upper extremities impairment on both sides, lower extremities impairment on one side and benefits from the use of a wheelchair (manual). R14 is dependent on staff in all areas.
Review of R14's care plan dated 12/26/2024 indicated a problem of requires total assist with ADL's (activities of daily living) R/T (related to) Cerebral Palsey (sic).
Goals included but not limited to [R14] will be kept clean/dry with neat appearance.
Approach included but not limited to 1/4 side rails for turning and positioning, 2 person assist (sic) with mechanical lift, Call light within reach while in bed, NPO receives Tube feeding, Total care needed with ADL's, uses geri-chair when OOB ( out of bed). (Activities) Problem of has limited participation in activities r/t impaired mobility/speech.
Goal R14 will participate in activities of his liking.
Approach(s) of assit (sic) resident to activities when he is OOB, provide setting in which activities are preferred own room, day room, likes to watch cartoons, visit in room [ROOM NUMBER]:1 when resident is not oob.
Problem of R14 at risk for falling R/T Cerebral Palsey (sic)/impaired mobility.
Goal includes R14 will remain free from injury.
Approach(s) include keep call light in reach while in bed, observe changes in resident's condition that may warrant increased supervision, observe frquently (sic) when OOB in chiar (sic).
Review of the physical therapy discharge evaluation dated 8/21/2019 documented the following, GOAL MET - on 8/21/2019.
The patient tolerates upright sitting in personal custom tilt manual wheelchair maintaining proper midline body alignment for 180 minutes or greater daily without negative skin changes.
The following documented discharge plans and instructions, Discharge planned for this patient.
Recommendations discussed with Nursing caregivers include continued OOB daily to pt's personal seating/positioning system tilt manual w/c (wheelchair) with checks every hour for any seating needs and for tilting w/c to various angles for pressure reliefs.
115616
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 115616 B.
Wing 03/06/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Pruitthealth - Franklin 360 South River Road Franklin, GA 30217
Frequently Asked Questions
More Reports
Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.