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Complaint Investigation

Momentous Health At Franklin

Inspection Date: September 15, 2025
Total Violations 16
Facility ID 365595
Location FRANKLIN, OH
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Inspection Findings

F-Tag F0584

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

F 0584 Level of Harm - Minimal harm or potential for actual harm

This deficiency represents non-compliance investigated under Complaint Number 2605044, Complaint Number 1260835, Complaint Number OH00164419 (1260832), Complaint Number OH00164929 (1260832), and Complaint Number OH00166722 (1260778).

Residents Affected - Few

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

09/15/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Momentous Health at Franklin

421 Mission Lane Franklin, OH 45005

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 F0609

Freedom from Abuse, Neglect, and Exploitation Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited MOMENTOUS HEALTH AT FRANKLIN in FRANKLIN, OH for a deficiency under regulatory tag F-F0609 during a standard health inspection conducted on 2025-09-15.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

The facility was found deficient in the following area: Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

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 16 deficiencies cited during this inspection of MOMENTOUS HEALTH AT FRANKLIN.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-28.

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F-Tag F0636

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

Federal health inspectors cited MOMENTOUS HEALTH AT FRANKLIN in FRANKLIN, OH for a deficiency under regulatory tag F-F0636 during a standard health inspection conducted on 2025-09-15.

Category: Resident Assessment and Care Planning Deficiencies

The facility was found deficient in the following area: Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

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 16 deficiencies cited during this inspection of MOMENTOUS HEALTH AT FRANKLIN.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-28.

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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 MOMENTOUS HEALTH AT FRANKLIN in FRANKLIN, OH for a deficiency under regulatory tag F-F0656 during a standard health inspection conducted on 2025-09-15.

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 16 deficiencies cited during this inspection of MOMENTOUS HEALTH AT FRANKLIN.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-28.

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F-Tag F0657

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

Federal health inspectors cited MOMENTOUS HEALTH AT FRANKLIN in FRANKLIN, OH for a deficiency under regulatory tag F-F0657 during a standard health inspection conducted on 2025-09-15.

Category: Resident Assessment and Care Planning Deficiencies

The facility was found deficient in the following area: Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

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 16 deficiencies cited during this inspection of MOMENTOUS HEALTH AT FRANKLIN.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-28.

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F-Tag F0677

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

F 0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

Level of Harm - Minimal harm or potential for actual harm

**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on

record review, observation, resident interview, staff interview, and policy review, the facility failed to ensure residents who required assistance with activities of daily living received adequate assistance with nail care.

This affected one (#22) of two residents reviewed for ADLs. The facility census was 66. Findings include:

Review of the medical record for Resident #22 revealed an admission date of 01/25/24. Diagnoses included acute respiratory failure with hypoxia, chronic obstructive pulmonary disease, major depressive disorder, dementia, muscle weakness, and need for assistance with personal care. Review of the quarterly Minimum Data Set (MDS) assessment dated [DATE REDACTED] revealed Resident #22 had intact cognition. The resident was independent with personal hygiene, required setup/cleanup assistance with dressing, and required supervision or touching assistance with bathing. Review of the plan of care dated 08/06/24 revealed Resident #22 was independent/supervision for ADLs except for bathing. Interventions included to monitor for any decline and report immediately, and to setup supplies for the resident as needed. Review of task documentation dated 08/12/25 through 09/10/25 revealed Resident #22 required setup, supervision or limited assistance of one person with personal hygiene tasks and supervision and setup for bathing.

Review of shower sheets dated 07/02/25 through 09/10/25 revealed Resident #22's nails were last cleaned and clipped on 08/16/25. Observation and interview on 09/08/25 at 9:51 A.M. revealed Resident #22 had several fingernails which were long, extending approximately one inch or more beyond the finger tip.

Resident #22's fingernails had chipped fingernail polish and were curling and jagged around the edges.

Resident #22 stated, despite her requests, staff had not assisted her with cutting her fingernails in a long time. Resident #22 stated she had carpal tunnel syndrome and was unable to cut her fingernails on her own. Resident #22 stated her fingernails were splitting and getting caught on clothing and bedding and stated she wished staff would help her cut them. Interview on 09/08/25 at 10:00 A.M., Admissions #162 verified Resident #22's fingernails were long, jagged, and curling around the edges and the resident was in need of nail care. Review of the facility policy titled Resident ADL Care, dated 07/01/23, revealed when autonomy and independence are no longer possible or feasible, facility staff will provide the necessary support in all ADL functioning. Resident nails are expected to be trimmed and kept neat to prevent skin tears, scratches, or injuries. Nail care will be provided as needed to the resident. This deficiency represents non-compliance investigated under Complaint Number 2605044, Complaint Number 2574888, Complaint Number OH00166722 (1260778), Complaint Number OH00165869 (126837), Complaint Number OH00164929 (1260835), Complaint Number OH00164419 (1260832), and Complaint Number OH00163480 (1260830).

Residents Affected - Few

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

09/15/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Momentous Health at Franklin

421 Mission Lane Franklin, OH 45005

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 F0679

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

Federal health inspectors cited MOMENTOUS HEALTH AT FRANKLIN in FRANKLIN, OH for a deficiency under regulatory tag F-F0679 during a standard health inspection conducted on 2025-09-15.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide activities to meet all resident's needs.

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 16 deficiencies cited during this inspection of MOMENTOUS HEALTH AT FRANKLIN.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-28.

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F-Tag F0689

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

Federal health inspectors cited MOMENTOUS HEALTH AT FRANKLIN in FRANKLIN, OH for a deficiency under regulatory tag F-F0689 during a standard health inspection conducted on 2025-09-15.

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 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 16 deficiencies cited during this inspection of MOMENTOUS HEALTH AT FRANKLIN.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-28.

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F-Tag F0759

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

Federal health inspectors cited MOMENTOUS HEALTH AT FRANKLIN in FRANKLIN, OH for a deficiency under regulatory tag F-F0759 during a standard health inspection conducted on 2025-09-15.

Category: Pharmacy Service Deficiencies

The facility was found deficient in the following area: Ensure medication error rates are not 5 percent or greater.

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 16 deficiencies cited during this inspection of MOMENTOUS HEALTH AT FRANKLIN.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-28.

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F-Tag F0803

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

Federal health inspectors cited MOMENTOUS HEALTH AT FRANKLIN in FRANKLIN, OH for a deficiency under regulatory tag F-F0803 during a standard health inspection conducted on 2025-09-15.

Category: Nutrition and Dietary Deficiencies

The facility was found deficient in the following area: Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

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 16 deficiencies cited during this inspection of MOMENTOUS HEALTH AT FRANKLIN.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-28.

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F-Tag F0804

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

Federal health inspectors cited MOMENTOUS HEALTH AT FRANKLIN in FRANKLIN, OH for a deficiency under regulatory tag F-F0804 during a standard health inspection conducted on 2025-09-15.

Category: Nutrition and Dietary Deficiencies

The facility was found deficient in the following area: Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

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 16 deficiencies cited during this inspection of MOMENTOUS HEALTH AT FRANKLIN.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-28.

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F-Tag F0812

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

Federal health inspectors cited MOMENTOUS HEALTH AT FRANKLIN in FRANKLIN, OH for a deficiency under regulatory tag F-F0812 during a standard health inspection conducted on 2025-09-15.

Category: Nutrition and Dietary Deficiencies

The facility was found deficient in the following area: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

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 16 deficiencies cited during this inspection of MOMENTOUS HEALTH AT FRANKLIN.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-28.

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F-Tag F0842

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

Federal health inspectors cited MOMENTOUS HEALTH AT FRANKLIN in FRANKLIN, OH for a deficiency under regulatory tag F-F0842 during a standard health inspection conducted on 2025-09-15.

Category: Resident Assessment and Care Planning Deficiencies

The facility was found deficient in the following area: Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

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 16 deficiencies cited during this inspection of MOMENTOUS HEALTH AT FRANKLIN.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-28.

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F-Tag F0868

Administration Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited MOMENTOUS HEALTH AT FRANKLIN in FRANKLIN, OH for a deficiency under regulatory tag F-F0868 during a standard health inspection conducted on 2025-09-15.

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 16 deficiencies cited during this inspection of MOMENTOUS HEALTH AT FRANKLIN.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-28.

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F-Tag F0880

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

Federal health inspectors cited MOMENTOUS HEALTH AT FRANKLIN in FRANKLIN, OH for a deficiency under regulatory tag F-F0880 during a standard health inspection conducted on 2025-09-15.

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 E: pattern, 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 16 deficiencies cited during this inspection of MOMENTOUS HEALTH AT FRANKLIN.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-28.

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F-Tag F0921

Environmental Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0921 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Many

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and

the public.

Based on observation, policy review, resident interview, and staff interview, the facility failed to maintain a clean, sanitary, and safe environment for all residents. This affected Residents #4 and #31 and had the potential to affect all 66 residents residing in the facility.Findings include:

  1. 1. Observations on 09/08/25 between 9:00 A.M. and 10:00 A.M. revealed the floors of the 200 and 300 halls
  2. contained numerous areas of dark grey and black shoe (foot) prints, dark grey and black wheelchair trail marks, and dark grey and black marks suggestive of dried liquid drips. There was dirt, grime, and dust throughout both halls.

    Interview on 09/08/25 at 10:02 A.M., Resident #31 described the facility cleanliness as “nasty” and stated all of the housekeepers but one were recently fired.

    Interview on 09/08/25 at 11:21 A.M., Resident #4 complained the floors in the common area were not very clean and further stated he thought the floors were dirty because there was only one person in housekeeping for the entire building.

    Interview on 09/08/25 at 10:12 A.M., Housekeeper #109 verified the 200 and 300 halls contained numerous areas of foot prints, wheelchair marks, dried liquid, dirt, grime, and dust. Housekeeper #109 stated she was upset at the condition of the hallways when she arrived to begin her shift that morning and further stated

    the halls had not been cleaned over the weekend because the majority of the housekeeping staff had recently been fired.

  3. 2. Observations on 09/11/25 at 1:22 P.M. revealed a build up in the lint trap of all three dryers in the laundry
  4. room.

    Interview on 09/11/25 at 1:25 P.M. with Housekeeper #126 verified that the amount of lint in the trap would be from a couple loads. Housekeeper #126 stated she arrived to work at 1:00 P.M. and was doing her first load of laundry for the day. Housekeeper #126 verified the lint traps should be cleaned regularly to prevent

    a build up of lint.

    Review of the facility policy titled “Infection Control – Housekeeping”, dated 10/27/21 revealed the facility procedure is to provide a safe and septic handling, washing, and storage of linens.

    This deficiency represents non-compliance investigated under Complaint Number 2605044, Complaint Number 2574888, Complaint Number OH00164929 (1260835), Complaint Number OH00164419 (1260832), and Complaint Number OH00166722 (1260778).

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

    Event ID:

    Facility ID:

    If continuation sheet

📋 Inspection Summary

MOMENTOUS HEALTH AT FRANKLIN in FRANKLIN, OH 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 FRANKLIN, OH, (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 MOMENTOUS HEALTH AT FRANKLIN or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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