Franklin Heights Nursing & Rehabilitation
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 149 Google reviews

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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
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 detailsStrengths
- 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
Distribution · 154 analyzed
How They Respond to Reviews
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.”
“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.”
“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.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both 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
14
measures
3
measures
Residents on anti-anxiety or sleep medication
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents needing more daily help over time
Residents vaccinated for pneumonia
Residents on antipsychotic medication
Residents vaccinated for the flu
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
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, 2026Complaint2
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Jan 9, 2026Complaint3
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Administration Deficiencies
Hire a qualified full-time social worker in a facility with more than 120 beds.
Nov 26, 2025Complaint1
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, 2025Complaint3
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.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Jul 24, 2025Routine10
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
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.
Egress Deficiencies
Meet other general requirements that are deficient.
Smoke Deficiencies
Install a fire alarm system that can be heard throughout the facility.
Smoke Deficiencies
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
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, 2025Complaint6
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.
Resident Rights Deficiencies
The resident has the right to receive notices in a format and a language he or she understands.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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.
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
West Wharton County Hospital District
for profit
EL PASO I ENTERPRISES, LLC
FABIANA LOZANO
Chain Affiliation
Creative Solutions in Healthcare
149 facilities nationwide
Chain avg rating: 2.7/5 · Rank 78 of 148
Ownership & Management
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
149 reviews from families & visitors
Official Website
Visit franklinheightsnursing.com
Medicare data downloads
Original nursing home datasets
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