Franklin, OH

Momentous Health At Franklin

1-star overall rating with 1-star inspections with 16 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle

421 Mission Lane, Franklin, OH

(937) 746-3943

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

79

Certified beds

Average residents

63

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1983-02-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.45

Registered nurse staffing · state 0.63 · national 0.68

LPN hours / resident day

0.99

Licensed practical nurse staffing · state 0.96 · national 0.87

Aide hours / resident day

2.49

Nurse aide staffing · state 2.14 · national 2.35

Total nurse hours

3.93

All reported nurse hours · state 3.72 · national 3.89

Licensed hours

1.44

RN + LPN hours · state 1.59 · national 1.54

Weekend hours

3.29

Weekend nurse staffing · state 3.29 · national 3.43

Weekend RN hours

0.30

Weekend registered nurse coverage · state 0.41 · national 0.47

Physical therapist

0.01

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

0.42

CMS adjusted RN staffing hours

Adjusted total hours

3.66

CMS adjusted total nurse staffing hours

Case-mix index

1.47

Higher values indicate more complex resident acuity

RN turnover

78%

Annual RN turnover · state 47% · national 45%

Total nurse turnover

61%

Annual nurse turnover · state 50% · national 46%

SNF VBP

Value-based purchasing

Program rank

13,726

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

0

Composite VBP score used to determine payment impact.

Payment multiplier

0.9803

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

0

Baseline 29.54% · Performance 64.38% · Measure score 0 · Achievement 0 · Improvement 0

Adjusted total nurse staffing

0

Baseline 2.93 hours · Performance 3.03 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 12.1%
10.72%
1.4 pts worse
No Different than the National Rate · Eligible stays 25 · Observed rate 24% · Lower 95% interval 7.26%
Discharge to community Not Available
50.57%
Not Available · Eligible stays 20 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary 1.06
1.02
About the same
Drug regimen review with follow-up 100%
95.27%
4.7 pts better
Numerator 30 · Denominator 30
Falls with major injury 0%
0.77%
0.8 pts better
Numerator 0 · Denominator 30
Discharge self-care score Not Available
53.69%
Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.
Discharge mobility score Not Available
50.94%
Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened 3.33%
2.29%
1 pts worse
Numerator 1 · Denominator 30 · Adjusted rate 2.67%
Healthcare-associated infections requiring hospitalization Not Available
7.12%
Not Available · Eligible stays 22 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage 4.84%
8.2%
3.4 pts worse
Numerator 3 · Denominator 62
Staff flu vaccination coverage 3.06%
42%
38.9 pts worse
Numerator 3 · Denominator 98
Discharge function score Not Available
56.45%
Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.
Transfer of health information to provider Not Available
95.95%
Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly.
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date 9.52%
25.2%
15.7 pts worse
Numerator 2 · Denominator 21

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 87.2%
92.4%
5.2 pts worse
93.4%
6.2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 89.8% · Q3 70.0% · Q4 89.7% · 4Q avg 87.2%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 95.4%
94.5%
0.9 pts better
95.5%
0.1 pts worse
Long Stay · 2024Q3-2025Q2 · 4Q avg 95.4%
Percentage of long-stay residents experiencing one or more falls with major injury 3.0%
3.3%
0.3 pts better
3.3%
0.3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 5.2% · Q2 5.1% · Q3 1.7% · Q4 0.0% · 4Q avg 3.0% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 32.8%
26.1%
6.7 pts worse
11.4%
21.4 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 23.9% · Q3 57.8% · Q4 47.8% · 4Q avg 32.8%
Percentage of long-stay residents who lose too much weight 6.2%
6.2%
About the same
5.4%
0.8 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 6.0% · Q3 9.1% · Q4 7.7% · 4Q avg 6.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 21.1%
25.4%
4.3 pts better
19.6%
1.5 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 23.5% · Q2 17.6% · Q3 20.0% · Q4 23.1% · 4Q avg 21.1%
Percentage of long-stay residents who received an antipsychotic medication 11.9%
11.5%
0.4 pts worse
16.7%
4.8 pts better
Long Stay · 2024Q4-2025Q3 · Q1 20.0% · Q2 13.0% · Q3 8.5% · Q4 6.8% · 4Q avg 11.9% · Used in QM five-star
Percentage of long-stay residents who were physically restrained 0.0%
0.1%
0.1 pts better
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened 7.9%
7.7%
0.2 pts worse
16.3%
8.4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 13.9% · Q3 6.6% · Q4 10.9% · 4Q avg 7.9% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 7.7%
6.2%
1.5 pts worse
14.9%
7.2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 16.3% · Q3 3.8% · Q4 6.2% · 4Q avg 7.7% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0%
0.2%
0.2 pts better
1.0%
1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 0.0%
0.5%
0.5 pts better
1.7%
1.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 20.7%
21.7%
1 pts better
19.8%
0.9 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 13.5% · Q2 26.7% · Q3 20.2% · Q4 22.3% · 4Q avg 20.7%
Percentage of long-stay residents with pressure ulcers 5.1%
3.7%
1.4 pts worse
5.1%
About the same
Long Stay · 2024Q4-2025Q3 · Q1 4.1% · Q2 4.2% · Q3 6.6% · Q4 5.4% · 4Q avg 5.1% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 74.5%
78.1%
3.6 pts worse
81.7%
7.2 pts worse
Short Stay · 2024Q4-2025Q3 · Q1 95.0% · Q2 69.6% · Q3 62.7% · Q4 74.5% · 4Q avg 74.5%
Percentage of short-stay residents who had an outpatient emergency department visit 13.6%
12.5%
1.1 pts worse
12.0%
1.6 pts worse
Short Stay · 20240701-20250630 · Adjusted 13.6% · Observed 17.1% · Expected 14.1% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 2.0%
1.2%
0.8 pts worse
1.6%
0.4 pts worse
Short Stay · 2024Q4-2025Q3 · Q2 4.3% · Q3 0.0% · Q4 3.6% · 4Q avg 2.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 80.9%
75.6%
5.3 pts better
79.7%
1.2 pts better
Short Stay · 2024Q3-2025Q2 · 4Q avg 80.9%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 38.6%
25.1%
13.5 pts worse
23.9%
14.7 pts worse
Short Stay · 20240701-20250630 · Adjusted 38.6% · Observed 42.9% · Expected 26.5% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-09-15 · Fire 2025-09-15

16 health deficiencies

Top issue: Resident Assessment and Care Planning (4 deficiencies)

6 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 2 Health 2023-02-14 · Fire 2023-02-14

13 health deficiencies

Top issue: Quality of Life and Care (5 deficiencies)

8 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 3 Health 2019-12-12 · Fire 2019-12-12

7 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

7 fire-safety deficiencies

Top issue: Miscellaneous (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-09-15

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2025-10-28

F · Potential for more than minimal harm 2025-09-15

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2025-10-28

F · Potential for more than minimal harm 2025-09-15

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2025-10-28

F · Potential for more than minimal harm 2025-09-15

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-10-28

F · Potential for more than minimal harm 2025-09-15

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2025-10-28

F · Potential for more than minimal harm 2025-09-15

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-10-28

F · Potential for more than minimal harm 2023-02-14

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2023-03-11

F · Potential for more than minimal harm 2023-02-14

K354 · Smoke Deficiencies

Fire Safety

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

Corrected 2023-03-11

F · Potential for more than minimal harm 2023-02-14

K711 · Miscellaneous Deficiencies

Fire Safety

Provide a written emergency evacuation plan.

Corrected 2023-03-11

F · Potential for more than minimal harm 2023-02-14

K916 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have a battery powered remote alarm panel in a location accessible by operating personnel.

Corrected 2023-03-11

F · Potential for more than minimal harm 2023-02-14

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2023-03-11

E · Potential for more than minimal harm 2023-02-14

K222 · Egress Deficiencies

Fire Safety

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2023-03-11

E · Potential for more than minimal harm 2023-02-14

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2023-03-11

E · Potential for more than minimal harm 2023-02-14

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2023-03-11

F · Potential for more than minimal harm 2019-12-12

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2020-01-08

F · Potential for more than minimal harm 2019-12-12

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2020-01-08

F · Potential for more than minimal harm 2019-12-12

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2020-01-08

F · Potential for more than minimal harm 2019-12-12

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2020-01-08

F · Potential for more than minimal harm 2019-12-12

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2020-01-08

F · Potential for more than minimal harm 2019-12-12

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2020-01-08

E · Potential for more than minimal harm 2019-12-12

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2020-01-08

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-09-15

F803 · Nutrition and Dietary Deficiencies

Health

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.

Corrected 2025-10-28

F · Potential for more than minimal harm 2025-09-15

F804 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2025-10-28

F · Potential for more than minimal harm 2025-09-15

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2025-10-28

F · Potential for more than minimal harm 2025-09-15

F868 · Administration Deficiencies

Health

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Corrected 2025-10-28

F · Potential for more than minimal harm 2025-09-15

F921 · Environmental Deficiencies

Health

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

Corrected 2025-10-28

E · Potential for more than minimal harm 2025-09-15

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-10-28

D · Potential for more than minimal harm 2025-09-15

F584 · Resident Rights Deficiencies

Health

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2025-10-28

D · Potential for more than minimal harm 2025-09-15

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2025-10-28

D · Potential for more than minimal harm 2025-09-15

F636 · Resident Assessment and Care Planning Deficiencies

Health

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Corrected 2025-10-28

D · Potential for more than minimal harm 2025-09-15

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2025-10-28

D · Potential for more than minimal harm 2025-09-15

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2025-10-28

D · Potential for more than minimal harm 2025-09-15

F677 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-10-28

D · Potential for more than minimal harm 2025-09-15

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2025-10-28

D · Potential for more than minimal harm 2025-09-15

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-10-28

D · Potential for more than minimal harm 2025-09-15

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2025-10-28

D · Potential for more than minimal harm 2025-09-15

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2025-10-28

F · Potential for more than minimal harm 2024-07-12

F803 · Nutrition and Dietary Deficiencies

Health

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.

Corrected 2024-08-09

F · Potential for more than minimal harm 2024-07-12

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2024-08-09

E · Potential for more than minimal harm 2024-07-12

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2024-08-09

D · Potential for more than minimal harm 2024-07-12

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2024-08-09

D · Potential for more than minimal harm 2024-07-12

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-08-09

D · Potential for more than minimal harm 2024-02-29

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2024-03-13

D · Potential for more than minimal harm 2023-12-12

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2024-01-05

D · Potential for more than minimal harm 2023-12-12

F694 · Quality of Life and Care Deficiencies

Health

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Corrected 2024-01-05

G · Actual harm 2023-02-14

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2023-03-11

E · Potential for more than minimal harm 2023-02-14

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2023-03-11

D · Potential for more than minimal harm 2023-02-14

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2023-03-11

D · Potential for more than minimal harm 2023-02-14

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2023-03-11

D · Potential for more than minimal harm 2023-02-14

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2023-03-11

D · Potential for more than minimal harm 2023-02-14

F688 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Corrected 2023-03-11

D · Potential for more than minimal harm 2023-02-14

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2023-03-11

D · Potential for more than minimal harm 2023-02-14

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-03-11

E · Potential for more than minimal harm 2019-12-12

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2020-01-08

D · Potential for more than minimal harm 2019-12-12

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2020-01-08

D · Potential for more than minimal harm 2019-12-12

F688 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Corrected 2020-01-08

D · Potential for more than minimal harm 2019-12-12

F757 · Pharmacy Service Deficiencies

Health

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2020-01-08

Penalties and ownership

What sits behind the stars

Ownership

Stein, Mark

5% Or Greater Direct Ownership Interest · Individual

50% 4 facilities 2023-08-01
Tenenbaum, Michael

5% Or Greater Direct Ownership Interest · Individual

50% 4 facilities 2023-08-01
Reedy, Rita

Operational/Managerial Control · Individual

0% 1 facilities 2023-09-07
Stein, Mark

Corporate Officer · Individual

0% 4 facilities 2023-08-01
Tenenbaum, Michael

Corporate Officer · Individual

0% 4 facilities 2023-08-01

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