Franklin General Hospital

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Staffing

How full it usually is: this home is certified for 52 beds and averages 33.3 residents a day — about 64% occupied, or roughly 19 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 4.33 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.84 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.62 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.60 hrs/resident/day on weekends vs 4.62 on weekdays — 22% thinner on weekends — a notable drop. RN hours go from 0.98 to 0.49 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 31% is below the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

• Potential for harm · Ecited before2025-05-08 · tag F0812 — failed to store, cook, and serve food safely — pattern
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, staff interviews, and policy review, the facility failed to date, cover, and label open items were dated, covered and labeled. In addition, the facility failed to ensure staff used proper hand hygiene practices during lunch services while preparing food to serve residents. The facility reported a census of 30 residents. Findings include: On 5/5/25 at 9:30 AM in the main kitchen with the Dietary Manager (DM), observed the following: a. An open, undated bag of brown sugar. b. An open bag of cereal, with an open date of January 2025, not fully closed. c. 3 open undated bags of cereal. d. An open, undated bag of onion bits. e. Expired, opened container of honey garlic in the refrigerator, expired 4/2/25. f. An open, undated bag of frozen chicken patties. g. An open, undated bag of frozen chicken cubes. h. An open, undated bag of frozen fish patties. i. An open, undated bag of frozen corn. j. An open, undated bag of frozen cookie dough pieces. During an interview on 5/5/25 at 9:50 AM, the DM stated the expected open food items have an open date clearly marked on the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-05-08 · tag F0607 — failed to have anti-abuse policies — isolated
  Develop and implement policies and procedures to prevent abuse, neglect, and theft.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on personnel record review, policy review and staff interview, the facility failed to complete the required Abuse and Criminal History check within the required 30 days of the hire date for 2 of 5 staff reviewed (Staff A, Licensed Practical Nurse LPN, and Staff B, Registered Nurse RN). The facility reported a census of 30 residents. Findings include: 1. Staff A's Personnel File record review listed a hire date of 10/28/24. The record review included the Single Contact License and Background Check (SING) with a completion date of 9/23/24, 35 days prior to hire. 2. Staff B's Personnel File record review listed a hire date of 12/16/24. The record review include a SING completed 11/15/24, 31 days prior to hire. The facility policy titled, Abuse Prevention, Identification, Investigation, and Reporting Policy, revised August 2023 instructed the facility to conduct an Iowa criminal record check and dependent adult/child abuse registry check on all prospective employees and other individuals engaged to provide services to residents, prior to hire, in the manner prescribed under 481…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-05-22 · tag F0578 — failed to honor advance directives / code status — pattern
  Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY 3. Resident #15's IPOST dated [DATE], listed her as a DNR in the event her heart stopped beating and cessation of breathing. A provider's order dated [DATE], directed Resident #15 did not want CPR. An observation on [DATE] at 2:35 PM, revealed Resident #15's chart didn't have a DNR sticker on the outside. The chart didn't have any stickers on the outside. During an interview on [DATE] at 2:20 PM Staff C, Licensed Practical Nurse, explained she looked a resident's code status sticker on either the outside of the door to the resident's room or on the outside of the chart, During an interview on [DATE] at 2:25 PM, the DON acknowledged the chart needed a sticker on the outside of the chart. 4. Resident #27's IPOST date [DATE], listed her as a Full Code in the event her heart stopped and cessation of breathing. A provider's order dated [DATE], directed Resident #27 did want CPR. An observation on [DATE] at 2:55 PM, witnessed Resident #27's outside of his room by his name didn't have stickers. During an interview on…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-05-22 · tag F0609 — failed to report abuse allegations — isolated
  Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on clinical record review, facility policy review, staff, and family interview the facility failed to report within the required time frame an allegation of abuse to Iowa Department of Inspection and Appeals and Licensing (DIAL) for 1 of 1 resident reviewed (Resident #22). The facility reported a census of 30 residents. Findings include: Review of the facility intake information reported to DIAL documented the facility reported an allegation of missing money on 4/23/24 at 4:05 PM for Resident #22 after the facility staff learned of the incident on 4/19/24 at 6:33 PM. During an interview on 5/23/24 at 3:20 PM, Staff D, Registered Nurse (RN), reported Resident #22's family reported missing money on 4/19/24. He added that he reported the allegation right away to the Administrator and Director of Nursing. During an interview on 5/22/24 at 10:00 AM, the Administrator reported the facility didn't feel Resident #22 had any missing money so they did an investigation then reported it on 4/23/24. She reported Staff D reported to her on 4/19/23 that the family reported Resident #22 had…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-05-22 · tag F0868 — isolated
  Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interview, the facility failed to have the minimal required members at its quarterly QA meeting. The facility reported a census of 30 residents. Findings include: Review of the quarterly QA minutes dated 5/7/24, revealed the Director of Nursing (DON) who is also the Infection Preventionist (IP), did not attend. On 5/22/24 at 10:04 AM, the Licensed Nursing Home Administrator (LNHA), stated they had a clinical nurse sit in for the DON on the 5/7/24 meeting. When asked if the clinical nurse sat in as the IP, the LNHA acknowledged she didn't sit in as the IP. A Quality Assurance and Process Improvement policy dated May 2017, directed the Nursing Facility Quality Assurance and Process Improvement (QAPI) Plan is part of the overall Quality Assessment Program. The staff will appoint a core group of individuals to the performance improvement project (PIP) team. The facility would determine the PIP Team based on opportunity. Individuals directly involved with initial root cause analysis will be encouraged to participate. PIP teams will average 2 5 people. A PIP…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2023-03-09 · tag F0812 — failed to store, cook, and serve food safely — pattern
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, policy review, and staff interview, staff failed to prepare and serve food under sanitary conditions, in order to reduce the risk of contamination and foodborne illness. The facility reported a census of 36 residents. Findings include: 1. During an observation of the lunch meal on 3/6/23 at 12:15 PM, Staff D, Universal Worker with gloved hands served 5 different residents' lunch trays, and with the same gloves, cleaned spilled fluid off a table with towels, then proceeded to wash her gloved hands. Staff D, with the same gloves on, touched a trashcan lid, a resident's drinking glass, served another resident a cup of coffee, touched a resident's back, and continued with the same gloved hands and touched silverware wrapped in a napkin and gave to a resident. During an interview on 3/8/23 at 1 PM, the Director of Nursing stated expectation was to not wash gloves, discard gloves, and complete hand hygiene. 2. During an observation on 3/8/23 at 10:24 AM, Staff E, Dietary Aide washed hands, applied gloves, and with his gloved hands touched the handle and lid of the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2023-03-09 · tag F0656 — failed to write and follow a full care plan — isolated
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review and staff interview, the facility failed to develop a comprehensive care plan that included the use and monitoring of an anticoagulant (blood thinner medication) for one of three residents reviewed, (Resident #35). The facility reported a census of 36 residents. Findings include: A Minimum Data Set (MDS) assessment dated [DATE] for Resident #35, included diagnoses of atrial fibrillation (irregular/rapid heart rhythm that can lead to blood clots) and heart failure. The MDS documented the resident received an anticoagulant medication. A Brief Interview for Mental Status (BIMS) score of 15 indicated no cognitive impairment for decision-making. Resident #35's Medication Administration Record dated 3/1/2023 - 3/31/2023, documented a physician's order for Warfarin Sodium (anticoagulant medication), give 3.5 milligrams by mouth in the evening, start date 1/31/23. Review of Resident #35's comprehensive Care Plan with target date 5/1/2023, revealed the care plan lacked…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2023-03-09 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
  Provide care and assistance to perform activities of daily living for any resident who is unable.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, family interview and staff interview the facility failed to provide bathing assistance twice weekly for 1 of 16 residents reviewed for bathing (Resident #8). The facility reported a census of 40 residents. Findings included: The Minimum Data Set (MDS) assessment dated [DATE] for Resident #8 documented the Brief Interview for Mental Status (BIMS) score of 01 which indicated severe cognitive impairment. The MDS showed Resident #8 required extensive assistance of 1-2 persons for assistance with personal hygiene, transfers and dressing. The MDS Diagnosis showed dementia, adult failure to thrive, and polyneuropathy. In an interview on 3/7/23 at 11:48 PM, Resident #8's son reported during a visit on 3/4/22 he noted Resident #8 smelled strongly of urine and her hair appeared uncombed. The Care Plan dated 3/2/23 showed Resident #8 goals included the resident would receive at least one full bath or shower though the next review scheduled for 5/13/23. The Bathing Performance dated 3/08/23…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

The source lists no ownership percentage for any party here — PECOS records a share only for equity interests, not for board or management roles.

What families pay in IA