0 health deficiencies
No concentrated health issue counts in this cycle.
10 fire-safety deficiencies
Top issue: Emergency Preparedness (6 deficiencies)
Franklin, IN
5-star overall rating with 5-star inspections with $7,446 in total fines with 10 fire-safety deficiencies in the latest cycle
580 Lemley Street, Franklin, IN
(317) 736-8214
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
36
Certified beds
Average residents
32
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
American Senior Communities
Operator or chain grouping
Approved since
1992-05-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Staffing
RN hours / resident day
0.70
Registered nurse staffing
LPN hours / resident day
0.53
Licensed practical nurse staffing
Aide hours / resident day
2.12
Nurse aide staffing
Weekend hours
2.83
Weekend nurse staffing
RN turnover
57%
Annual RN turnover
Total nurse turnover
58%
Annual nurse turnover
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
93.6%
6.4 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
95.4%
4.6 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.4% |
3.8%
0.6 pts worse
|
3.3%
1.1 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who have depressive symptoms | 77.3% |
24.6%
52.7 pts worse
|
11.4%
65.9 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who lose too much weight | 0.9% |
5.6%
4.7 pts better
|
5.4%
4.5 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 40.7% |
23.5%
17.2 pts worse
|
19.6%
21.1 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antipsychotic medication | 22.2% |
14.8%
7.4 pts worse
|
16.7%
5.5 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.0%
About the same
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents whose ability to walk independently worsened | 5.8% |
13.3%
7.5 pts better
|
16.3%
10.5 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents whose need for help with daily activities has increased | 2.1% |
11.7%
9.6 pts better
|
14.9%
12.8 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
0.4%
0.4 pts better
|
1.0%
1 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with a urinary tract infection | 0.0% |
1.2%
1.2 pts better
|
1.7%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 17.2% |
24.2%
7 pts better
|
19.8%
2.6 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with pressure ulcers | 0.0% |
4.1%
4.1 pts better
|
5.1%
5.1 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 85.2% |
81.6%
3.6 pts better
|
81.7%
3.5 pts better
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
1.3%
1.3 pts better
|
1.6%
1.6 pts better
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 95.7% |
79.0%
16.7 pts better
|
79.7%
16 pts better
|
Short Stay · 2024Q3-2025Q2 |
Survey summary
No concentrated health issue counts in this cycle.
10 fire-safety deficiencies
Top issue: Emergency Preparedness (6 deficiencies)
Top issue: Infection Control (1 deficiency)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Top issue: Nutrition and Dietary (2 deficiencies)
6 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Fire safety
Fire Safety
Implement emergency and standby power systems.
Corrected 2025-02-23
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2025-02-23
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-02-23
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-02-23
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2025-02-23
Fire Safety
Develop Emergency Preparedness policies and procedures.
Corrected 2025-02-23
Fire Safety
Develop a communication plan.
Corrected 2025-02-23
Fire Safety
List the names and contact information of those in the facility.
Corrected 2025-02-23
Fire Safety
Establish emergency prep training and testing.
Corrected 2025-02-23
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2025-02-23
Fire Safety
Meet other general requirements that are deficient.
Corrected 2024-05-11
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-05-11
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-05-11
Fire Safety
Implement emergency and standby power systems.
Corrected 2023-06-20
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2023-06-20
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-06-20
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-06-20
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2023-06-20
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-06-20
Inspection history
Health
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected 2024-04-24
Health
Provide and implement an infection prevention and control program.
Corrected 2024-04-24
Health
Respond appropriately to all alleged violations.
Corrected 2024-01-05
Health
Provide and implement an infection prevention and control program.
Corrected 2023-10-21
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-05-31
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-05-31
Health
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2023-05-31
Health
Dispose of garbage and refuse properly.
Corrected 2023-05-31
Penalties and ownership
Fine · fine $7,446
Fine
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Nearby options
Franklin, IN
2-star overall rating with 2-star inspections with 10 recent health deficiencies with 15 fire-safety deficiencies in the latest cycle
Franklin, IN
4-star overall rating with 4-star inspections with 5 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
Franklin, IN
5-star overall rating with 5-star inspections with 2 fire-safety deficiencies in the latest cycle
Jump out