Franklin General Hospital
1720 Central Avenue East, Hampton, IA 50441 · Franklin County · (641) 456-5000
52 certified beds, about 33 residents a day · Government - County · Medicaid since 1974
CMS Care Compare ratings, data as of September 1, 2026 · CCN 16E170 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on July 2, 2026, inspectors cited 2 health deficiencies (the Iowa average is 6.5, the national average 9.2).
None of its 7 health citations since May 2024 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 4.33 hours per resident per day, against 3.82 across Iowa and 3.86 nationally. Registered nurses accounted for 0.84 of those hours.
30.6% of nursing staff left within the year CMS measured (Iowa average 44.0%).
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 7 health citations on file.
July 2, 2026Standard inspection · 2 citations
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on interviews, record review and policy review, the facility failed to timely identify pressure ulcers, consistently document wounds as pressure ulcers with correct staging, correct measuring, and the facility failed to notify the dietitian when a pressure ulcer was identified, for 1 of 2 residents reviewed (Resident #7). The facility reported a census of 37.
- D Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Inspectors wroteBased on pharmacy monthly reviews, progress note documentation, policy, and interviews, the facility failed to complete monthly pharmacy reviews and review pharmacist irregularities with action taken along with a rationale for the action, by a provider for 1 of 5 residents (Resident #2). The pharmacist recommended to discontinue Resident #2's order for hydroxyzine (medication used to treat itching), but the facility failed to discontinue the medication. Additionally, the Pharmacist didn't do a monthly medication review on Resident #2 for the month of November 2025. The facility reported a census of 37 residents.
May 8, 2025Standard inspection · 2 citations
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased 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.
- D Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Inspectors wroteBased 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.
May 22, 2024Standard inspection, Complaint inspection · 3 citations
- E 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.
Inspectors wrote3. 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. [...]
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased 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.
- D Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Inspectors wroteBased 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.
Fire safety inspections
7 fire safety citations on file: 2 on July 2, 2026, 2 on May 8, 2025, 3 on May 22, 2024.
Every fire safety citation7 citations
- F Provide properly protected cooking facilities.
- E Ensure proper usage of power strips and extension cords.
- F Properly provide smoke detection systems in areas open to corridors.
- E Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- D Have properly installed electrical wiring and gas equipment.
- D Ensure proper usage of power strips and extension cords.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Iowa | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.33 | 3.82 | 3.86 |
| Registered nurses | 0.84 | 0.74 | 0.69 |
| All nursing staff on weekends | 3.60 | 3.37 | 3.42 |
| Nurse aides | 2.62 | ||
| Licensed practical nurses | 0.87 | ||
| Nursing staff turnover (share who left in a year) | 30.6% | 44.0% | 45.8% |
| Registered nurse turnover | 0.0% | 42.1% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.48 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.62 on weekdays and 3.60 on weekends, 22% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.30 in April to June 2025 to 4.33 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.33 | 0.84 | 4.62 | 3.60 | 0.0% | 0 of 90 | 33 |
| Oct to Dec 2025 | 4.23 | 0.83 | 4.50 | 3.56 | 0.0% | 0 of 92 | 32 |
| Jul to Sep 2025 | 4.17 | 0.79 | 4.38 | 3.64 | 0.0% | 0 of 92 | 33 |
| Apr to Jun 2025 | 4.30 | 0.79 | 4.56 | 3.65 | 0.0% | 0 of 91 | 32 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Iowa, Jan to Mar 2026 | 3.80 | 0.71 | 3.98 | 3.36 | 4.7% | 0.3% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
Staff pay at this home
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
Official wage estimates for Iowa
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Iowa, all employers | |||
| CNAs (nursing assistants) | $18.92 | $17.96 to $21.95 | 22,670 |
| LPNs and LVNs | $30.11 | $27.12 to $34.06 | 5,510 |
| Registered nurses | $37.80 | $32.83 to $41.32 | 34,420 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Iowa | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 12.8 | 17.1 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 1.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.6 | 2.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 6.4 | 3.8 | 3.2 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 10.4 | 16.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.5 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 27.9 | 19.4 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.8 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.0 | 2.1 | 1.8 |
Owners and operators
Legal business name: Legal Business Name Not Available.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Ownership data not available |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 2 problems in this area, most recently on May 8, 2025: "Develop and implement policies and procedures to prevent abuse, neglect, and theft."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 1 problem in this area, most recently on July 2, 2026: "Provide appropriate pressure ulcer care and prevent new ulcers from developing."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on July 2, 2026: "Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 1 problem in this area, most recently on May 8, 2025: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
Other nursing homes nearby
- Rehabilitation Center of Hampton Hampton, 1 mi · 4 of 5 stars · 7 citations
- Sheffield Care Center Sheffield, 10.5 mi · 2 of 5 stars · 14 citations
- The Village of Ackley Ackley, 14.8 mi · 3 of 5 stars · 33 citations
- Scenic Manor Iowa Falls, 15.1 mi · 5 of 5 stars · 7 citations
- Rockwell Community Nursing Home Rockwell, 17 mi · 5 of 5 stars · 1 citation
- Maple Manor Village Aplington, 19.3 mi · 4 of 5 stars · 7 citations
- Rehabilitation Center of Allison Allison, 19.6 mi · 3 of 5 stars · 17 citations
- Ams Memorial-Greene Greene, 21.8 mi · 1 of 5 stars · 19 citations
Iowa contacts for a concern about a nursing home
These are the official offices in Iowa. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Iowa Department of Inspections, Appeals, and Licensing, Health Facilities, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Iowa Office of the State Long-Term Care Ombudsman, 866-236-1430. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Iowa Health Facility Database, Entity Search, where Iowa publishes its own records on licensed homes.
Common questions
- What is Franklin General Hospital's Medicare star rating?
- CMS rates Franklin General Hospital 5 out of 5 stars overall, with 4 for health inspections, 5 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Franklin General Hospital get at its last inspection?
- 2 health deficiencies at the standard inspection on July 2, 2026. The Iowa average is 6.5.
- Has Franklin General Hospital been fined?
- CMS lists no fines in the last three years.
- Does Franklin General Hospital accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Franklin General Hospital?
- CMS lists 1 owner or manager. Legal business name: Legal Business Name Not Available.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.