Deficiency Index

Franklin Heights Nursing & Rehabilitation

El Paso, Texas · CCN 675479

40 surveys since 2010. The first finding at harm level was recorded in 2024.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
159
Surveys
40
Harm or worse
5
Immediate jeopardy
5
The record, 2010–2026
’10’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy5

Findings at the most serious level CMS records.

Beyond CMS’s monthly file25/40

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
132
Ownership
For profit - Partnership
Chain
CREATIVE SOLUTIONS IN HEALTHCARE
County
El Paso
Medicare-certified since
1995

CMS ratings

Overall
1
Health inspection
1
Staffing
1
Quality measures
3

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded more weighted findings than most of its peer group.

Weighted by harm level, against 209 for-profit facilities with 128 or more beds in Texas.

Last survey on record

Jul 1, 2026

131 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.073.26
Registered-nurse hours per resident day0.24—
Annual nurse turnover96.2%55.3%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

Fines
$191,503 across 2 penalties
Payment denials
1

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ22.6%K33.8%L—
Actual harmG—H—I—
No harm, potential for more than minimalD4355.1%E2734.6%F22.6%
No harm, potential for minimalA—B11.3%C—
CMS’s current file: 78 of the 159 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6566×

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

  • F5585×

    Reasonably accommodate the needs and preferences of each resident.

  • F6955×

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

  • F5504×

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

  • F6094×

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

In the surveyor’s words

From the most serious findings on record at Franklin Heights Nursing & Rehabilitation, in the surveyor’s own words.

  • Immediate jeopardy, patternF607Feb 17, 2024

    Based on interviews and record review the facility failed to implement written policies that prohibit and prevent abuse for one (Resident #2) of four residents reviewed for abuse The facility failed to implement their abuse policy when they failed to report, investigate and protect residents from further potential abuse when Resident #2 made an allegation of sexual abuse An IJ Immediate Jeopardy (IJ) was identified on 02/16/24. The IJ template was provided to the facility on [DATE] at 3:01 PM. […]

  • Immediate jeopardy, patternF609Feb 17, 2024

    Based on interview and record review the facility failed ensure alleged violations involving abuse, including sexual abuse/exploitation are reported immediately, but not later than 2 hours after the allegation is made, if the events that cause the allegation involve abuse or result in serious bodily injury, or not later than 24 hours if the events that cause the allegation do not involve abuse and do not result in serious bodily injury, to the administrator of the facility and to other officials (including to the State Survey Agency and adult protective services where state law provides for jurisdiction in long-term care facilities) in accordance with State law through established procedures for 1 (Resident #2) of 4 residents reviewed for reporting. […]

  • Immediate jeopardy, patternF610Feb 17, 2024

    Based on interview, and record review the facility failed to ensure violations are thoroughly investigated with results of the investigations presented to the administrator and to other officials in accordance with state law including to state survey agency, within 5 working days of the incident and if the alleged violation is verified appropriate corrective action must be taken for 1 (Resident #1) of 4 residents reviewed for incidents. The facility failed did not thoroughly investigate Resident #2's sexual abuse/exploitation in which Resident #2 claimed CNA H had touched in her private parts and when wiping would stick his fingers inside her when he showered her to the Administrator, to other officials, and to State Survey Agency. An IJ Immediate Jeopardy (IJ) was identified on 02/16/24. […]

  • Immediate jeopardy, isolatedF689Feb 17, 2024

    Based on record review, and interview the facility failed to ensure residents were provided supervision and assistive devices to prevent accidents for 1 (Resident #1) of 12 residents reviewed for accidents. The facility failed to provide supervision to prevent the elopement of Resident #1. The facility failed to have a monitoring tool in place for when residents were outside in the back patio area. Resident #1 was outside in the back patio area, unsupervised by staff for approximately 34 minutes, and was found near the facility building walking without her wheelchair near a ravine and busy street. An IJ Immediate Jeopardy (IJ) was identified on 02/16/24. The IJ template was provided to the facility on [DATE] at 3:01 PM. […]

  • Immediate jeopardy, isolatedF689Jan 22, 2024

    Based on observation, record review, and interview the facility failed to ensure residents were provided supervision and assistive devices to prevent accidents for 2 of 10 (Resident #1 and Resident #12) residents reviewed for accidents. The facility failed to provide supervision to prevent the elopement of Resident #1. Staff failed to respond to the door alarm when the resident exited the facility. Resident #1 was outside, unsupervised by staff for approximately 1 hours, and suffered lacerations and abrasions. This failure resulted in an identification of an Immediate Jeopardy (IJ) on 01/19/24. The IJ template was provided to the Administrator. […]

Read 25 findings in full →The most serious and the most recent: 25 of 159 on record.

Every survey on record

FindingsAt actual harm or above

  • Jul 1, 2026Complaint1 finding
  • Mar 27, 2026Complaint2 findings
  • Jan 9, 2026Complaint3 findings
  • Nov 26, 2025Complaint1 finding
  • Nov 25, 2025Complaint3 findings
  • Jul 24, 2025Standard and complaint7 findings
  • Aug 8, 2024Complaint4 findings
  • May 31, 2024Standard and complaint20 findings
Show the 32 earlier surveys
  • May 16, 2024Complaint2 findings
  • Mar 20, 2024Complaint2 findings
  • Feb 17, 2024Complaint8 findings · 4 harm
  • Jan 22, 2024Complaint10 findings · 1 harm
  • Sep 19, 2023Complaint3 findings
  • Aug 4, 2023Complaint2 findings
  • Mar 29, 2023Standard10 findings
  • Feb 21, 2023Complaint3 findings
  • Dec 22, 2022Complaint1 finding
  • Sep 6, 2022Complaint1 finding
  • Jun 23, 2022Complaint1 finding
  • Jan 5, 2022Standard2 findings
  • Dec 17, 2021Complaint2 findings
  • Oct 2, 2020Standard and complaint4 findings
  • Jul 29, 2020Complaint1 finding
  • Feb 10, 2020Complaint1 finding
  • Oct 10, 2019Complaint1 finding
  • Aug 8, 2019Standard7 findings
  • Dec 20, 2018Complaint4 findings
  • Aug 24, 2018Standard5 findings
  • Oct 13, 2017Standard4 findings
  • Sep 2, 2016Standard3 findings
  • Oct 29, 2015Standard5 findings
  • Aug 25, 2015Complaint4 findings
  • Feb 9, 2015Complaint1 finding
  • Oct 2, 2014Standard and complaint6 findings
  • Oct 4, 2013—9 findings
  • Apr 11, 2013—4 findings
  • Sep 20, 2012—3 findings
  • Feb 24, 2012—1 finding
  • Sep 16, 2011—7 findings
  • Sep 24, 2010—1 finding

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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