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Complaint Investigation

Frankfort Community Care Home

Inspection Date: November 17, 2025
Total Violations 14
Facility ID 175417
Location FRANKFORT, KS
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Inspection Findings

F-Tag F0582

Resident Rights Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited FRANKFORT COMMUNITY CARE HOME in FRANKFORT, KS for a deficiency under regulatory tag F-F0582 during a standard health inspection conducted on 2025-11-17.

Category: Resident Rights Deficiencies

The facility was found deficient in the following area: Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 14 deficiencies cited during this inspection of FRANKFORT COMMUNITY CARE HOME.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-12-17.

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F-Tag F0628

Resident Rights Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited FRANKFORT COMMUNITY CARE HOME in FRANKFORT, KS for a deficiency under regulatory tag F-F0628 during a standard health inspection conducted on 2025-11-17.

Category: Resident Rights Deficiencies

The facility was found deficient in the following area: Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 14 deficiencies cited during this inspection of FRANKFORT COMMUNITY CARE HOME.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-12-17.

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F-Tag F0656

Resident Assessment and Care Planning Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited FRANKFORT COMMUNITY CARE HOME in FRANKFORT, KS for a deficiency under regulatory tag F-F0656 during a standard health inspection conducted on 2025-11-17.

Category: Resident Assessment and Care Planning Deficiencies

The facility was found deficient in the following area: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 14 deficiencies cited during this inspection of FRANKFORT COMMUNITY CARE HOME.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-12-17.

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F-Tag F0689

Quality of Life and Care Deficiencies
Harm Level: Immediate Jeopardy

Federal health inspectors cited FRANKFORT COMMUNITY CARE HOME in FRANKFORT, KS for a deficiency under regulatory tag F-F0689 during a standard health inspection conducted on 2025-11-17.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Scope/Severity Level J: isolated, immediate jeopardy to resident health or safety.

This represents an immediate jeopardy situation, the most serious level of deficiency.

This was one of 14 deficiencies cited during this inspection of FRANKFORT COMMUNITY CARE HOME.

Correction Status: Past Non-Compliance.

The facility reported correction as of 2025-08-29.

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F-Tag F0695

Quality of Life and Care Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited FRANKFORT COMMUNITY CARE HOME in FRANKFORT, KS for a deficiency under regulatory tag F-F0695 during a standard health inspection conducted on 2025-11-17.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide safe and appropriate respiratory care for a resident when needed.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 14 deficiencies cited during this inspection of FRANKFORT COMMUNITY CARE HOME.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-12-17.

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F-Tag F0699

Quality of Life and Care Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited FRANKFORT COMMUNITY CARE HOME in FRANKFORT, KS for a deficiency under regulatory tag F-F0699 during a standard health inspection conducted on 2025-11-17.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide care or services that was trauma informed and/or culturally competent.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 14 deficiencies cited during this inspection of FRANKFORT COMMUNITY CARE HOME.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-12-17.

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F-Tag F0757

Pharmacy Service Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited FRANKFORT COMMUNITY CARE HOME in FRANKFORT, KS for a deficiency under regulatory tag F-F0757 during a standard health inspection conducted on 2025-11-17.

Category: Pharmacy Service Deficiencies

The facility was found deficient in the following area: Ensure each resident’s drug regimen must be free from unnecessary drugs.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 14 deficiencies cited during this inspection of FRANKFORT COMMUNITY CARE HOME.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-12-17.

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F-Tag F0761

Pharmacy Service Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited FRANKFORT COMMUNITY CARE HOME in FRANKFORT, KS for a deficiency under regulatory tag F-F0761 during a standard health inspection conducted on 2025-11-17.

Category: Pharmacy Service Deficiencies

The facility was found deficient in the following area: 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.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 14 deficiencies cited during this inspection of FRANKFORT COMMUNITY CARE HOME.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-12-17.

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F-Tag F0801

Nutrition and Dietary Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0801 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Many

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

The facility had a census of 27 residents. Based on observation, record review, and interview, the facility failed to employ a full-time certified dietary manager for the 27 residents who reside in the facility and received meals from the facility kitchen.Findings included:- On 09/29/25 at 11:00 AM, observation of the noon meal consisted of honey pot roast, potatoes, cabbage, and pineapple cake. Dietary Staff (DS) BB was observed overseeing the preparation of the noon meal. DS BB would also assist staff with taking meal trays to the residents.On 09/29/25 at 08:45 AM, DS BB stated she had just started a couple of months ago, was not certified, or started taking the classes yet.On 09/30/25 at 03:20 PM, Administrative Nurse D verified DS BB was not certified.The facility's Dietitian policy, dated July 2025, documented that a qualified, competent, and skilled dietitian would help oversee the food and nutrition services in the facility. If a dietitian was not employed full-time (35 hours or more per week), a director of food and nutrition services would be designated. This individual would be a certified dietary manager. The Dietary Manager who is not yet certified may document in the clinical record only after receiving documented training from the facility's licensed dietician on appropriate documentation standards and regulatory requirements by the supervising dietician to ensure clinical accuracy and compliance with federal and state regulations.

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 REPRESENTATIVE'S SIGNATURE

TITLE

(X6) DATE

FORM CMS-2567 (02/99) Previous Versions Obsolete

Facility ID:

If continuation sheet

Event ID:

Printed: 04/13/2026 Form Approved OMB No. 0938-0391

Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION

(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

11/17/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Frankfort Community Care Home

510 N Walnut Street Frankfort, KS 66427

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG

SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

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F-Tag F0804

Nutrition and Dietary Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0804

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Level of Harm - Minimal harm or potential for actual harm

The facility had a census of 27 residents. Based on observation, record review, and interview, the facility kitchen staff failed to take the food temperatures before serving the noon meal.Findings included: - On 09/30/25 at 11:15 AM, Dietary Staff (DS) CC prepared the noon meal of pork chop with gravy, mashed potatoes, and broccoli. Observation revealed DS CC ground three porkchops in the robot coupe (a commercial food processor) and placed the plastic 3-quart bowl in the steam table. DS CC made a plate of

the regular meal for three residents and served them. DS CC did not obtain the food temperatures. When asked if she was going to temp the food before she served anyone else, DS CC stated she had already obtained the food temperatures earlier but had not documented it. DS CC stated she would take the food temperatures again. DS CC was questioned regarding taking the food temperatures of the pureed meal and ground meat. Continued observation revealed DS CC took the temperature of the main meal and also the pureed meal, but not the ground pork chop. Continued observation revealed DS CC plated two residents' plates that received the ground pork chop and did not temp before serving it to the two residents. DS CC continued to plate the meal for the rest of the residents in the dining room. When asked why she had not taken the temperature of the ground meat before serving, DS CC stated, I forgot, but would take it now. DS CC obtained the temperature of the ground pork chop at 105 degrees Fahrenheit. DS CC stated there were no other residents who would receive the ground meat.On 09/30/25 at 11:30 AM, DS BB stated that DS CC should have obtained food temperatures before serving the meal to the residents and that she had been working with the dietary staff on this. DS CC further stated that staff are starting to do a lot better at food temperatures than they used to be.The facility's Food Preparation and Service undated policy documented that identification of potential hazards in the food preparation process and adhering to critical control points can reduce the risk of food contamination and thereby minimize the risk of foodborne illness. Food preparation staff adhere to proper hygiene and sanitary practices to prevent the spread of foodborne illness. When verifying food temperatures, staff use a thermometer which was both clean, sanitized, and calibrated to ensure accuracy. The danger zone for food temperatures is above 41 degrees Fahrenheit and below 135 degrees Fahrenheit. This temperature range promotes the rapid growth of pathogenic microorganisms that cause food borne illness. The longer foods remain in the anger zone the greater the risk for growth of harmful pathogens. Therefore, the temperatures must be maintained at or below 41 degrees or at or above 135 degrees.

Residents Affected - Many

FORM CMS-2567 (02/99) Previous Versions Obsolete

Event ID:

Facility ID:

If continuation sheet

Printed: 04/13/2026 Form Approved OMB No. 0938-0391

Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION

(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

11/17/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Frankfort Community Care Home

510 N Walnut Street Frankfort, KS 66427

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG

SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

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F-Tag F0812

Nutrition and Dietary Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0812 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Many

FORM CMS-2567 (02/99) Previous Versions Obsolete

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

The facility had a census of 27 residents. The sample included 12 residents. Based on observation, record review, and interview, the facility failed to store, prepare, distribute, and serve food by professional standards for food safety, and failed to consistently document sink and bucket PPM (parts per million) sanitation on the facility's PPM log (a record keeping document used in food service to monitor the concentration of sanitizing solutions in sinks and other equipment to ensure food safety).Findings included:On 09/29/25 at 08:15 AM, during the initial kitchen tour, the daily temperature logs for the seven freezers and three refrigerator logs for September 2025 lacked documentation of daily temperatures.Freezer 1 in the AM: 3 out of 30 opportunitiesFreezer 1 in the PM: 8 out of 30 opportunitiesFreezer 2 in the AM: 2 out of 30 opportunitiesFreezer 2 in the PM: 9 out of 30 opportunitiesFreezer 3 in the AM: 2 out of 30 opportunitiesFreezer 3 in the PM: 10 out of 30 opportunitiesFreezer 4 in the AM: 2 out of 30 opportunitiesFreezer 4 in the PM: 10 out of 28 opportunitiesFreezer 5 in the AM: 2 out of 28 opportunitiesFreezer 5 in the PM: 12 out of 28 opportunitiesFreezer 6 in the AM: 2 out of 28 opportunitiesFreezer 6 in the PM: 10 out of 28 opportunitiesFreezer 7 in the AM: 3 out of 28 opportunitiesFreezer 7 in the PM: 9 out of 28 opportunitiesRefrigerator 1 in the AM: 2 out of 28 opportunitiesRefrigerator 1 in the PM: 9 out of 28 opportunitiesRefrigerator 2 in the AM: 3 out of 28 opportunitiesRefrigerator 2 in the PM: 9 out of 28 opportunitiesRefrigerator 3 in the AM: 3 out of 28 opportunitiesRefrigerator 3 in the PM: 10 out of 28 opportunitiesOn 09/29/25 at 08:15 AM, during the initial kitchen tour, review of the daily sink and bucket sanitizer PPM log lacked documentation of the chemical PPM for the sanitizing solution was not documented the following times:Sink in the AM:13 out of 28 opportunitiesSink in the PM:21 out of 28 opportunitiesBucket in the AM:14 out of 28 opportunitiesBucket in

the PM:21 out of 28 opportunitiesOn 09/29/25 at 08:15 AM, during the initial kitchen tour, review of the daily food temperature log lacked documentation meal temperatures were obtained on the following days:08/01/25 - dinner08/02/25 - dinner08/11/25 - lunch08/12/25 - breakfast08/15/25 - lunch08/20/25 dinner08/21/25 - breakfast and lunch08/22/25 - breakfast, lunch, and dinner08/23/25 - breakfast, lunch, and dinner08/24/25 - dinner08/25/25 - dinner08/26/25 - dinner08/27/25 - dinner08/28/25 - dinner08/29/25 breakfast, lunch, dinner08/30/25 - dinner08/31/25 - dinner09/01/25 - breakfast, lunch, and dinner09/02/25 breakfast and lunch09/04/25 - lunch and dinner09/08/25 - lunch09/11/25 - dinner09/12/25 - dinner09/13/25 - lunch and dinner09/14/25 - breakfast, lunch, and dinner09/15/25 - dinner09/16/25 - dinner09/17/25 dinner09/18/25 - dinner09/20/25 - dinner09/21/25 - breakfast, lunch, and dinner09/22/25 - dinner09/23/25 diner09/24/25 - dinner09/26/25 - dinner09/28/25 - dinnerOn 09/29/25 at 08:30 AM, Dietary Staff (DS) BB stated she had struggled with staff not taking daily temperatures of the freezers and meals, but was working on it with the staff.The facility's Refrigerators and Freezers policy, dated November 2022, documented that the facility would ensure safe refrigerator and freezer maintenance, temperatures, and sanitation, and would observe food expiration guidelines. The policy further documented monthly tracking sheets for all refrigerators and freezers were posted to record temperatures. Food service supervisors or designated employees check and record refrigerator and freezer temperatures daily upon first opening and at closing in the evening.

Event ID:

Facility ID:

If continuation sheet

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F-Tag F0849

Administration Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited FRANKFORT COMMUNITY CARE HOME in FRANKFORT, KS for a deficiency under regulatory tag F-F0849 during a standard health inspection conducted on 2025-11-17.

Category: Administration Deficiencies

The facility was found deficient in the following area: Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 14 deficiencies cited during this inspection of FRANKFORT COMMUNITY CARE HOME.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-12-17.

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F-Tag F0868

Administration Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited FRANKFORT COMMUNITY CARE HOME in FRANKFORT, KS for a deficiency under regulatory tag F-F0868 during a standard health inspection conducted on 2025-11-17.

Category: Administration Deficiencies

The facility was found deficient in the following area: Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Scope/Severity Level F: widespread, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 14 deficiencies cited during this inspection of FRANKFORT COMMUNITY CARE HOME.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-12-17.

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F-Tag F0880

Infection Control Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited FRANKFORT COMMUNITY CARE HOME in FRANKFORT, KS for a deficiency under regulatory tag F-F0880 during a standard health inspection conducted on 2025-11-17.

Category: Infection Control Deficiencies

The facility was found deficient in the following area: Provide and implement an infection prevention and control program.

Scope/Severity Level F: widespread, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 14 deficiencies cited during this inspection of FRANKFORT COMMUNITY CARE HOME.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-12-17.

πŸ“‹ Inspection Summary

FRANKFORT COMMUNITY CARE HOME in FRANKFORT, KS inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in FRANKFORT, KS, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from FRANKFORT COMMUNITY CARE HOME or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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