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Complaint Investigation

Franklin Heights Nursing & Rehabilitation

March 27, 2026 · El Paso, TX · 223 S Resler
Citations 2
CMS Rating 2/5
Beds 132
Provider ID 675479
Healthcare Facility
Franklin Heights Nursing & Rehabilitation
El Paso, TX  ·  View full profile →
Inspection Summary

Franklin Heights Nursing & Rehabilitation in El Paso, TX — inspection on March 27, 2026.

Found 2 citations. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

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Inspection Findings

FF0558
Resident Rights Deficiencies

creating delays in care for the residents.

During an interview on 03/27/2026 at 11:49 a.m. with LVN D,

they were in their rooms. LVN D stated if the residents did not have their call light within reach, it

the floor causing injuries. LVN D stated there could potentially be delays in care if the call light is not within reach and they couldn't ask for help or assistance from the staff.

During an interview on 03/27/2026 at 1:25 p.m. with the DON, she stated the facility did not have policies and procedures for call lights.

The DON stated call lights had to be within reach of the resident so the resident could call for assistance whenever they needed help or assistance.

The DON stated if residents couldn't reach the call light, there was a potential to delayed care for the resident's treatment in a timely manner.

The DON stated residents with balance issues and confusion could potentially try to get up on their own and fall to the floor which could result in injuries or hospitalization.

During an interview on 03/27/2026 at 1:53 p.m. with the Administrator, she stated all RNs, LVNs and CNAs were primarily responsible for checking that residents had their call lights within reach.

The Administrator stated the potential negative outcome for a resident not having their call light within reach, could result in the residents not being able to call staff for assistance which could delay treatment or addressing emergencies such as falls or helping to manage pain.

Record review of an email received on 03/27/2026 at 12:21 p.m.

Sent by the DON, the DON stated the facility did not have a policy on call lights.

675479 03/27/2026

Franklin Heights Nursing & Rehabilitation 223 S Resler El Paso, TX 79912

During an interview on 03/27/2026 at 1:22 p.m. with the DON, she stated there should

visitors would not know there's oxygen use in the room and they could not have the extra caution by

room and did not check for oxygen levels for those residents who were in oxygen therapy, affecting their health.

During an interview on 03/27/2026 at 1:49 p.m. with the Administrator, she stated oxygen signs needed to be posted outside of any room that had an oxygen concentrator.

The Administrator said the purpose of an oxygen sign was to inform nursing staff the resident in the room had oxygen so they could follow up and check on oxygen levels according to the residents' care plan.

The Administrator stated by not posting an oxygen sign outside the resident's room, it could delay supervision for residents who received oxygen.

The Administrator stated there was a potential for fire hazards if a visitor went into the room and had a lighter and if they created a spark, it could catch fire harming the residents in the room.

Record review of the facility's, undated, policies and procedures titled Oxygen Administration, read in part: Oxygen therapy includes the administration of oxygen (O2) in liters/minute (l/min) by cannula or facemask to treat hypoxemic conditions caused by pulmonary or cardiac diseases. O2 therapy is alsoprescribed to ensure oxygenation of all body organs and systems.

The amount of oxygen by percent ofconcentration or L/min, and the method of administration, is ordered by the physician.

Theadministration, monitoring of responses, and safety precautions associated with it are performed by thenurse.

The nasal cannula delivers 22-40 % oxygen and is the most common, inexpensive, and easiestdevice to use.

Common oxygen sources for long-term administration include cylinder (portable orstationary) or wall system near the resident's bed or concentrator.

Procedure 11.

Place NO SMOKING signs in area when oxygen is administered and stored.

Store oxygen cannister in an area free of flammable substances.

Avoid the use of electrical appliances in the area of oxygen use as well. If the facility is non-smoking, oxygen in use signs are not required on individual resident rooms.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in El Paso, TX, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Franklin Heights Nursing & Rehabilitation or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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