Federal health inspectors visited Franklin Heights Nursing & Rehabilitation on November 25 as part of a complaint investigation.
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Ostomy care is not a complex specialty reserved for hospital settings.
Inspectors rated the deficiency at Scope/Severity Level E.
The incident was documented in a facility report titled "Stockton Nursing Center 5-Day Incident Summary Report," dated September 22, 2025.
The inspection, conducted on November 19, 2025, was a complaint visit.
Federal inspectors documented the pattern after three separate complaints prompted a November 2025 visit to the facility at 300 East Bath Road.
The notices arrived at Maple Grove Health and Rehabilitation Center on August 22, 2025, and again on September 29, 2025.
The driver transported the resident without properly fastening the restraint.
The dosage was transcribed incorrectly upon admission for a resident identified in inspection records as Resident R8.
The staffing posting violation was one of 11 deficiencies cited during the complaint inspection, conducted on November 20.
The resident, identified in inspection records as Resident 78, needed two-person assistance for bed mobility, bed baths, and showers.
Inspectors found the facility's fall policy contained no direction for staff on how to report falls once they occurred.