Franklin Heights Nursing & Rehab: Care Plan Failures - TX
The complaint inspection, which covered 223 S. Resler in El Paso's west side, identified deficiencies in how the facility maintained and updated its care plans, the written documents that are supposed to direct every aspect of a resident's daily care and treatment. Inspectors cited the facility under a tag that governs preference-based, person-centered care planning, rating the level of harm as minimal or potential for actual harm and noting that few residents were affected.
The citation points to failures across multiple stages of the care planning process.
Care plans at Franklin Heights were not being revised when residents' goals, preferences, or clinical needs changed. They were not being updated based on changes in how residents responded to interventions. And when residents declined care or treatment, the facility was not consistently documenting the reasons or the risks explained to the resident, or recording what alternatives staff offered.
The interdisciplinary team responsible for developing and reviewing those plans, a group that is supposed to include the attending physician, a registered nurse, a nurse aide, and relevant specialists, was also cited for failures in its review process.
Care plans are not paperwork in the bureaucratic sense. They are the mechanism by which a facility translates what it knows about a person, their medical conditions, their daily preferences, what has worked and what hasn't, into actual instructions for the staff who care for them every day. A nurse aide on the overnight shift relies on that document to know whether a resident needs help turning, whether they take their medications with food, whether they've recently had a fall that changes how they should be assisted. When those documents go stale, the information gap doesn't stay on paper.
The person-centered care planning standard inspectors cited requires that residents, or their representatives, be engaged in developing their own care plans, and that the facility document either that participation occurred or explain why it wasn't practicable. At Franklin Heights, inspectors found the documentation of that engagement was also deficient.
The facility has 12 pages of deficiency findings in this inspection cycle. The care planning citation appears on page four.
Franklin Heights has not publicly responded to the findings. For information on the facility's plan to correct the deficiency, CMS directs residents and families to contact the nursing home or the Texas state survey agency directly.
The inspection was completed November 25, 2025. The deficiency statement was printed April 13, 2026, nearly five months later.
For residents at Franklin Heights in the months between those two dates, the care plans guiding their treatment remained whatever they were when inspectors walked in.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Franklin Heights Nursing & Rehabilitation from 2025-11-25 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: June 20, 2026 · Our methodology
Franklin Heights Nursing & Rehabilitation in El Paso, TX was cited for violations during a health inspection on November 25, 2025.
The complaint inspection, which covered 223 S.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.