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Nursing HomeMedicaid Investigative

Franklin Heights Nursing & Rehabilitation

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

223 South Resler Drive, Resler Canyon · El Paso, TX 79912132 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
4.1/5

based on 149 Google reviews

5
4
3
2
1
Franklin Heights Nursing & Rehabilitation Nursing Home in El Paso, TX — Street View
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5/ 10
high Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (2/5 stars)
  • Low staffing rating (1/5 stars)
  • Above-median deficiencies (14 vs median 8.0)
  • High RN turnover (62%)

Below average in Texas · Critically understaffed (RN) · Below chain average · $191,503 in fines

Source: Medicare data

What this means for your family

The facility's rehab and nursing teams are frequently praised for their compassion and dedication. However, you must exercise extreme caution and ask specific questions about medication protocols and staffing ratios, as multiple families have reported life-threatening neglect and slow response times.

Google Reviews

Google Reviews

149 reviews on Google
Families often praise the facility for its exceptionally kind, attentive, and professional nursing and rehab staff. However, there are serious, recurring allegations regarding medical neglect, inadequate staffing levels, and hygiene issues that should be investigated thoroughly before admission.

Quality Themes

Tap a score for details
Food5.0Staff7.0Clean3.0Activities9.0Meds2.0MemoryN/AComms4.0ValueN/A

Strengths

  • Compassionate and attentive nursing staff
  • Effective rehabilitation and physical therapy services
  • Engaging resident activities and events
  • Friendly and welcoming front office staff

Concerns

  • Severe allegations of medical neglect and hygiene issues (mentioned by 3 reviewers)
  • Inadequate staffing levels and slow response times (mentioned by 4 reviewers)
  • Facility cleanliness and maintenance issues (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'17(3)'19(39)'21(13)'23(24)'25(17)'26(5)

Distribution · 154 analyzed

5
113
4
5
3
2
2
0
1
34
19 reviews posted between Dec 10, 2019Dec 11, 2019 · 16 were 5-star
12 reviews posted between Dec 19, 2019Dec 20, 2019 · 12 were 5-star
10 reviews posted between Jan 26, 2022Jan 26, 2022 · 10 were 5-star

How They Respond to Reviews

30%response rate
Generic

The owner relies heavily on repetitive, templated responses that follow a nearly identical structure for almost every negative review. While they attempt to personalize by using the reviewer's name, they rarely address the specific details of the complaints, instead defaulting to a request to call a corporate hotline.

Questions for Your Tour

  • 1I noticed your front office team is very welcoming; how does that friendly culture extend to the daily communication between nurses and family members?
  • 2With the rehabilitation services being a highlight here, could you walk us through how the physical therapy plan is customized for a resident's specific recovery goals?
  • 3What specific steps is the facility taking to ensure consistent cleanliness and maintenance of the resident rooms and common areas?
  • 4How do you ensure that medication administration is handled accurately and that there are enough staff members available to respond quickly to call lights?
  • 5Can you tell us about the types of social events or daily activities organized to keep the residents engaged and connected with one another?
  • 6In the event of a medical emergency during the night, what is the protocol for ensuring immediate care and notifying the family?

Personalized based on this facility's data


Key Review Excerpts

The nursing staff here at Franklin Heights Nursing have gone above and beyond taking care of my family. They are truly exceptional.

Rehab patient's family · 2024★★★★★

My mother was there her last 8 years of her life and she was very well taken care of. The nurses and staff were wonderful with her.

Long-term resident's family · 2024★★★★★

The staff have been shorthanded, but they really get to know their patients likes and dislikes and are given as much freedom and independence as possible.

Rehab patient · 2023★★★★★
Source: 149 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.21hrs
28%
Registered nurses for medical care
Total Nursing
2.88hrs
70%
All nurses + aides combined
Staff Turnover
97%
Lower is better (< 30% = good)
RN Turnover
83%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
5/ 5
Better Than Avg

14

measures

Mixed Results

3

measures

Long-Stay Residents
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility8.6%
Better than Avg
Here
8.6%
US
19.5%
TX
18.4%
El paso
14.4%
😔

Residents with depression symptoms

↓ Lower is better
This Facility1.7%
Better than Avg
Here
1.7%
US
12.1%
TX
2.5%
El paso
4.2%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility9.3%
Better than Avg
Here
9.3%
US
14.4%
TX
16.1%
El paso
15.7%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
TX
96.9%
El paso
94.7%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility9.5%
Better than Avg
Here
9.5%
US
15.4%
TX
9.4%
El paso
14.6%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
95.5%
TX
98.0%
El paso
94.4%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
79.7%
TX
88.0%
El paso
81.8%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility99.2%
Better than Avg
Here
99.2%
US
81.8%
TX
89.2%
El paso
82.5%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility2.5%
Mixed vs Avgs
Here
2.5%
US
1.6%
TX
1.5%
El paso
2.7%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

16deficiencies
3penalties
Well above state avg (9.1)
51 complaint-triggered
$191,503 in fines

This facility has significant concerns with 88 federal deficiencies across 13 surveys, with over half (49) triggered by family complaints about care. Problems consistently recur in medication management, care planning, and protection from abuse/neglect across multiple surveys. Most deficiencies have been corrected when cited, but three recent violations from January 2026 remain without correction plans, including ongoing abuse prevention failures and lack of required social work staffing.

Mar 27, 2026Complaint
2
0558Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

Jan 9, 2026Complaint
3
0558Potential for harm · PatternCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0607Potential for harm · PatternCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

0850Potential for harm · PatternCorrected

Administration Deficiencies

Hire a qualified full-time social worker in a facility with more than 120 beds.

Nov 26, 2025Complaint
1
0604Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Nov 25, 2025Complaint
3
0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0760Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

Jul 24, 2025Routine
10
0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

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

0372Potential for harm · WidespreadCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0222Potential for harm · PatternCorrected

Egress Deficiencies

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.

0300Potential for harm · PatternCorrected

Egress Deficiencies

Meet other general requirements that are deficient.

0341Potential for harm · PatternCorrected

Smoke Deficiencies

Install a fire alarm system that can be heard throughout the facility.

0343Potential for harm · PatternCorrected

Smoke Deficiencies

Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.

0355Potential for harm · PatternCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0923Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

0521Minimal · WidespreadCorrected

Services Deficiencies

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

0755Minimal · PatternCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Jul 24, 2025Complaint
6
0559Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

0574Potential for harm · PatternCorrected

Resident Rights Deficiencies

The resident has the right to receive notices in a format and a language he or she understands.

0677Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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

0842Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

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

0925Potential for harm · PatternCorrected

Environmental Deficiencies

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Federal Penalties

Fine

Jan 22, 2024

$24,441

Fine

Jan 22, 2024

$167,062

Payment Denial

Jan 22, 2024

33-day denial

Ownership & Operations

Who Operates This Facility

Owner / Operator

West Wharton County Hospital District

Organization Type

for profit

Management Company

EL PASO I ENTERPRISES, LLC

Administrator

FABIANA LOZANO

Chain Affiliation

Chain Name

Creative Solutions in Healthcare

Chain Size

149 facilities nationwide

Chain avg rating: 2.7/5 · Rank 78 of 148

Ownership & Management

Key personnel

Bowers, SeanManaging Control - Governing BodyCisneros, AlfredManaging Control - Governing BodyCobb, TravisManaging Control - Governing BodyCooper, StephenManaging Control - Governing BodyHardin, SherrieManaging Control - Governing Body
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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