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Pleasant Manor Healthcare and Rehabilitation

3650 S. Interstate 35 E, Waxahachie, TX 75165 · Ellis County · (972) 937-7320

132 certified beds, about 86 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 2001

Inside a hospital Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
5 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 675889 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on March 5, 2026, inspectors cited 11 health deficiencies (the Texas average is 9.4, the national average 9.2).

Of 29 health citations since November 2023, 2 were rated as actual harm or immediate jeopardy to residents (2 immediate jeopardy).

CMS lists 2 fines totaling $29,011 in the last three years; the largest was $14,996, and the latest is dated March 5, 2026.

Nurses and nurse aides worked 3.31 hours per resident per day, against 3.39 across Texas and 3.86 nationally. Registered nurses accounted for 0.41 of those hours.

57.7% of nursing staff left within the year CMS measured (Texas average 55.3%).

CMS links it to The Ensign Group, an affiliated group of 344 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 29 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
2J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
17D
9E
1F
Potential for minimal harm
0A
0B
0C
April 10, 2026Complaint inspection · 2 citations
  1. E
    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
    F803 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) May 5, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure menus were followed to meet nutritional needs of residents in accordance with established national guidelines for two sampled residents (R50 and R8) reviewed for menus, in that: The facility failed to utilize therapeutic menu extensions for carbohydrate-controlled diets for R50 and R8. The facility failed to follow portion sizes for all diets for two days. These failures had the potential to affect resident's dependent on the facility kitchen for their nutrients as well as 22 residents who had ordered carbohydrate-controlled (CC) diet, placing them at risk of spikes or drops in blood glucose levels and/or weight loss or weight gain
  2. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 5, 2026
    Inspectors wroteBased on observation, interview and record review, it was determined the facility failed to ensure physician-ordered treatment was provided for one (R69) of 27 residents reviewed for quality of care, in that: R69 did not receive the physician ordered treatment on six wounds, on 04/04/26 or 04/05/26. This failure had the potential to cause deterioration in current wounds, infections and pain at the site.
March 5, 2026Standard inspection · 11 citations
  1. E
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 21, 2026
    Inspectors wroteBased on interview, and record review, the facility failed to ensure that residents received treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents' choices for 1 (Resident #13) of 6 residents reviewed for quality of care and change in conditions. The facility failed to obtain daily weights for Resident #13 for the dates of 2/2/26, 2/3/26, 2/4/26, 2/5/26, 2/7/26, 2/8/26, 2/9/26, 2/10/26, 2/11/26, 2/12/26, 2/13/26, 2/14/26, 2/16/26, 2/17/26, 2/18/26, 2/19/26, 2/21/26, 2/22/26, 2/23/26, 2/24/26, 2/28/26, 3/1/26, and 3/3/26. These failures placed residents at risk of weight gain, disease exacerbation, shortness of breath, decreased quality of life, heart problems, such as arrhythmia (irregular heartbeat).
  2. E
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 21, 2026
    Inspectors wroteBased on observation, interview and record review, the facility failed to provide pharmaceutical services (including procedures that assure the accurate acquiring, receiving, dispensing, and administering of all drug and biologicals) to meet the needs of each resident for 2 (Resident # 53 and Resident 68) of 6 residents reviewed for pharmaceutical services. The facility failed to ensure Resident #53 had his prescribed Zofran (a medication for nausea) 4mg available for administration. When the facility failed to order it from the pharmacy and Resident #53 administered another resident's medication (Resident #68's Zofran 4 mg tablet). This failure could place residents at risk of not receiving the intended therapeutic benefit of the medications.
  3. E
    Hire a qualified full-time social worker in a facility with more than 120 beds.
    F850 · Administration · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 21, 2026
    Inspectors wroteBased on interviews and record review, the facility with more than 120 beds failed to employ a qualified social worker on a full-time basis for 1 of 1 facility reviewed for qualifications of a Social Worker. The facility, licensed for 121 beds, did not employ a full-time, qualified social worker. This failure could place residents at risk for unmet social services and psychosocial needs.
  4. D
    Reasonably accommodate the needs and preferences of each resident.
    F558 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 21, 2026
    Inspectors wroteBased on observation, interviews, and record reviews, the facility failed to ensure residents received services in the facility with reasonable accommodations of resident's needs and preferences except when to do so would endanger the health and safety of the resident or other residents for 2 of 6 residents (Resident's #50, and #20's) reviewed for resident rights. The facility failed to ensure Resident #50 and #20's call lights were within reach on 03/03/2026 and 03/04/2026This failure could place residents at risk of needs not being met.
  5. D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 21, 2026
    Inspectors wroteBased on interview and record review, the facility failed to reassess, report, and document changes in condition in accordance with the person-centered service plan for 1 (Resident #19) of 8 residents who were reviewed for changes in condition. The facility failed to reassess and report Resident #19's blood pressure in accordance with the facility policy. These failures could lead to heart problems, such as arrhythmia (Irregular heartbeat).
  6. D
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 21, 2026
    Inspectors wroteBased on observation and interview, the facility failed to provide a safe, clean, comfortable and homelike environment for 1 of 1 facility observed in that:The facility foyer had 2 of 4 skylights in disrepair for an unknown amount of time. This deficient practice could affect residents, staff, or visitors who entered through the facility front doors by placing them at risk of being exposed to leaks or an unsanitary environment.
  7. D
    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
    F605 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 21, 2026
    Inspectors wroteBased on interview and record review, the facility failed to ensure residents were free from chemical restraints that were not required to treat the residents' medical symptoms for 1 (Resident #9) of 6 residents reviewed for unnecessary medications. The facility failed to ensure Resident #9's GDR was attempted and non-pharmacological approaches to care were implemented for Quetiapine Fumarate, an antipsychotic medication (drug used to treat psychosis and related mental health conditions by modulating brain neurotransmitters). This failure could place residents at risk for adverse reactions and negative side effects from the administration of medication and dependence on unnecessary medications.
  8. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 21, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to develop and implement a comprehensive person-centered care plan for each resident, which included measurable objectives and timeframes to meet a resident's medical, nursing, mental and psychosocial needs for 1 (Resident #25) of 6 residents reviewed for comprehensive care plans. The facility failed to care plan Resident #25's verbal behaviors and document interventions to address them. The facility failed to update Resident #65's care plan to reflect he no longer required the use of disposable dinnerware. This failure could place residents at risk for not receiving necessary care and services or having important care needs identified and met.
  9. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 21, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a resident who was unable to carry out activities of daily living received the necessary services to maintain good nutrition, grooming, personal and oral hygiene for 1 (Resident #12) of 6 residents reviewed for ADLs. The facility failed to trim and cut Resident #12's fingernails. This failure could place residents at risk of not receiving services/care and decreased quality of life.
  10. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 21, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the resident environment remained as free of accident hazards as was possible to prevent accidents for 1 (Resident #77) of 6 residents reviewed for accidents and hazards. The facility failed to ensure Resident #77 did not keep disposable razors in her possession and use them without supervision. This failure could place residents at risk of cuts or scrapes.
  11. D
    Keep all essential equipment working safely.
    F908 · Environmental · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 21, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure all mechanical, electrical, and patient care equipment was in safe operating condition for 1 of 1 facility's reviewed for water leakage. The facility failed to maintain dry, water-leak-free conditions in the facility's only laundry room. This failure could put all residents at risk of infection and laundry service workers at risk for slips and falls.
January 10, 2025Standard inspection · 8 citations
  1. E
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 1, 2025
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure medications and biologicals were stored in locked compartments for 1 of 1 medication carts and 1 of 1 medication rooms reviewed for medication storage. The facility failed to ensure the medication cart and medication room was locked and medications were secure and not accessible to other staff, resident, or visitors while unattended by MA on 01/08/2025. This failure could have resulted in harm due to unauthorized access to medications, biologicals, and needles.
  2. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 1, 2025
    Inspectors wroteBased on observation, interview, and record review the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food safety and sanitation in the facility's only kitchen. The facility failed to ensure all expired pantry items were discarded. This failure could place residents at risk for health complications, foodborne illnesses and decreased a quality of life.
  3. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 1, 2025
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure the resident had a right to be treated with respect and dignity for 1 of 6 residents (Resident #66) reviewed for dignity. The facility failed to promote resident independence and dignity while dining when staff stood over Resident #66 while assisting them to eat on 01/07/25. This failure could have compromised residents' independence and dignity for those who require feeding assistance.
  4. D
    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
    F644 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 3, 2025
    Inspectors wroteBased on observations, interviews, and record review, the facility failed to coordinate assessments with the PASARR program for 1 of 8 Residents (Resident #63) reviewed for PASARR services. 1. The SW failed to assess Resident #63, based on his behaviors, for a referral for PASARR services. 2. The MDSC failed to refer Resident #63 for a Level II PASARR Evaluation by the local LIDDA. This failure placed residents in the facility at risk for exclusion for PASARR Services. Findings Included: RR or Resident #63's AR, dated 1/10/2025, reflected an [AGE] year-old male, who admitted to the facility on [DATE]. [...]
  5. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 1, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to develop a comprehensive person-centered care plan furnishing services to attain, or maintain, the resident's highest practicable physical, mental, and psychosocial well-being for 1 of 6 residents (Resident #30) reviewed for comprehensive care plans. The facility failed to care plan Resident #30's high risk of elopement. This failure placed resident at risk of their needs having gone unmet.
  6. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 1, 2025
    Inspectors wroteBased on observations, interviews, and record review the facility failed to ensure a resident who needed respiratory care was provided such care, consistent with professional standards of practice, the comprehensive person-centered care plan, and the residents' goals and preferences for 1 of 6 Residents (Resident #3) reviewed for respiratory care. The facility failed to place Resident #3's oxygen tubing in a bag when not in use. This failure could place residents at risk of not receiving appropriate respiratory care.
  7. D
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    F757 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 1, 2025
    Inspectors wroteBased on interviews and record review, the facility failed to ensure residents' drug regimen was adequately monitored and free from unnecessary drugs for 1 (Resident #26) of 6 residents reviewed for pharmacy services. The facility failed to obtain a stop date for Resident #26's Cipro (an antibiotic used to treat an acute infection) started on 01/01/2025. These failures could place residents at risk of side effects (gastrointestinal upset, multiple drug resistant infections) related to long term antibiotic use.
  8. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 1, 2025
    Inspectors wroteBased on observations, interviews, and record review, the facility failed to maintain an infection prevention and control program designated to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infection for 1 (Resident #75) of 6 residents reviewed for infection control. CNA C and NA D failed to wash their hands and change their gloves when removing a soiled brief and placing a clean brief during peri care for Resident #75. These failures could place residents at-risk of cross contamination which could result in infections or illness.
February 14, 2024Complaint inspection, Infection control · 3 citations
  1. J
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · infection control inspection · Corrected (the home has a date of correction) March 4, 2024
    Inspectors wroteBased on interview and record review, the facility failed to ensure that residents are free from abuse, neglect, misappropriation of resident property, and exploitation; the facility failed to provide goods and services to a resident that are necessary to avoid physical harm, pain, mental anguish or emotional distress for 1 (Resident #1) of 5 residents reviewed for neglect. The facility failed to: 1. ensure Resident #1 was evaluated and treated for urinary retention which led to Resident #1 requiring emptying of her bladder in the emergency department on 01/27/24 2. ensure Resident #1's pain was addressed by providing her prescribed oxycodone for her bilateral (both left and right) ankle fractures and surgery resulting in uncontrolled pain that caused Resident #1 to call 911 for transport to the emergency room on [DATE] An Immediate Jeopardy (IJ) situation was identified on 01/31/24. [...]
  2. J
    Provide safe, appropriate pain management for a resident who requires such services.
    F697 · Quality of Life and Care · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · infection control inspection · Corrected (the home has a date of correction) March 4, 2024
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure that pain management is provided to residents who require such services, consistent with professional standards of practice, the comprehensive person-centered care plan, and the residents' goals and preferences for 1 (Resident #1) of 5 residents reviewed for pain. The facility failed to: 1. ensure Resident #1's prescribed oxycodone was in the facility and provided to Resident #1 for her pain from bilateral broken ankles and surgery An Immediate Jeopardy (IJ) situation was identified on 01/31/24. While the IJ was removed on 02/01/24, the facility remained out of compliance at a scope of isolated with potential for more than minimal harm, due to the facility's need to evaluate the effectiveness of the corrective systems. [...]
  3. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · infection control inspection · Corrected (the home has a date of correction) March 4, 2024
    Inspectors wroteBased on interview and record review the facility failed to ensure the resident has a right to a dignified existence, self-determination, and communication with and access to persons and services inside and outside the facility for one (Resident #2) of 2 residents reviewed for resident rights. The facility nurse failed to assist Resident #2 with obtaining ambulance transport to the emergency department when Resident #2 asked, so he was forced to dial 911 for assistance. This failure could place residents at risk of not being able to determine their own need for emergency assistance which could lead to decreased self-worth, dignity and delay access to emergency services that could lead to deterioration of health.
November 15, 2023Standard inspection, Complaint inspection · 5 citations
  1. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) December 6, 2023
    Inspectors wroteBased on observation, interview and record review, the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety for 1 of 1 kitchens reviewed for sanitation. The facility failed to ensure all food items were sealed and properly covered. CK H failed to wash and sanitize the food processor in between uses. DA I failed to wash her hands after handling trash and prior to beginning a food preparation activity. The Dietary Supervisor failed to ensure the dish machine was operating at the proper temperature for ware washing. These failures could place residents at risk of foodborne illness.
  2. E
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) December 6, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to immediately notify her authority, the resident representative when there was a significant change for 1 of 1 residents (Resident #166) reviewed for notification of changes. The facility failed to notify Resident #166's responsible party on 08/14/2023, 08/26/2023, 11/04/2023, 11/13/2023, /1/2023, and 02/05/2023, when new adjustments to medication regimen were made. This failure could place residents who experience a change in condition at risk of responsible party not being informed in care decisions.
  3. E
    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
    F644 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) December 6, 2023
    Inspectors wroteBased on observation, interview and record review, the facility failed to incorporate recommendations from the PASARR level II determination and the PASSARR evaluation report into a resident's assessment, care planning, and transitions of care for 2 (Resident #1 and Resident #167) of 16 residents reviewed for PASARR. 1. The facility failed to initiate ILS, HC and specialized services in a timely manner for Resident #1 2. The facility failed to initiate a PE for Resident #167. These failures could place residents at risk of receiving eligible services late.
  4. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) December 6, 2023
    Inspectors wroteBased on observations, interview, and record review, the facility failed to maintain an infection prevention and control program that must include, at a minimum, written standards, policies, and procedures for the program which included standard and transmission-based precautions to be followed to prevent spread of infections for 1 of 8 residents (Resident #7) reviewed for infection control practices, and 5 of 8 staff (CNA G, DON, ADOR, Medical Records Supervisor, and MA F) reviewed for infection control practices. 1) The Medical Records Supervisor and CNA G failed to don and doff PPE prior to entering Resident #7's, who was on contact precautions, room. 2) The facility failed to ensure 4 of 9 staff were tested for tuberculosis upon hire/ re-hire. These failures could place residents at risk for infection.
  5. D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 6, 2023
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure that all residents with pressure ulcers received necessary treatment and services, consistent with professional standards of practice, to promote healing, prevent infection and prevent new ulcers from developing for 2 (Resident #32 and Resident #51) of 2 residents reviewed for wound care. The facility failed to provide wound care as ordered for Resident #32. The facility failed to document wound care for Resident #32 and Resident #51. These failures could place residents at risk of worsening pressure injuries.

Fire safety inspections

3 fire safety citations on file: 3 on January 10, 2025.

Every fire safety citation3 citations
  1. F
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · January 10, 2025 · Corrected (the home has a date of correction)
  2. F
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · January 10, 2025 · Corrected (the home has a date of correction)
  3. D
    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
    K 741 · January 10, 2025 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
March 5, 2026Fine $14,015
February 14, 2024Fine $14,996

A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeTexasUnited States
All nursing staff (RN, LPN and aides)3.313.393.86
Registered nurses0.410.430.69
All nursing staff on weekends2.882.983.42
Nurse aides2.07
Licensed practical nurses0.83
Nursing staff turnover (share who left in a year)57.7%55.3%45.8%
Registered nurse turnover62.5%54.6%42.9%
Administrators who left0

CMS expects 3.78 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.48 on weekdays and 2.88 on weekends, 17% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.45 in April to June 2025 to 3.31 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.310.413.482.88 0.0%0 of 9086
Oct to Dec 20253.510.403.673.11 0.0%0 of 9280
Jul to Sep 20253.700.403.933.13 0.0%0 of 9282
Apr to Jun 20253.450.413.712.81 0.0%0 of 9181
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Texas, Jan to Mar 20263.330.403.502.932.2%0.7% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.

Official wage estimates for Texas

JobMedianMiddle halfEmployed
Texas, all employers
CNAs (nursing assistants)$18.03$16.97 to $20.7188,680
LPNs and LVNs$29.92$27.46 to $32.8957,560
Registered nurses$46.14$38.06 to $50.53271,380
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

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For Pleasant Manor Healthcare and Rehabilitation. No name, email or phone, and nothing you could type about a resident: every answer is a number or a choice.

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Every report is reviewed before it counts; what it says about the home never decides whether it counts. How pay reports are handled.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeTexasUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
18.715.813.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.30.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.00.81.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
0.33.33.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.01.51.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
11.514.014.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
1.73.84.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
3.79.615.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
21.525.723.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
7.012.312.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.52.21.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.92.11.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Pleasant Manor Healthcare and Rehabilitation's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (56.7% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

56.7% this home

No different from the national rate

US median of homes 51.5% · Texas: 116 better, 50 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 44 eligible stays.

Potentially preventable readmissions

11.5% this home

No different from the national rate

US median of homes 10.7% · Texas: 0 better, 9 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 64 eligible stays.

Infections that led to a hospital stay

5.8% this home

No different from the national rate

US median of homes 7.1% · Texas: 4 better, 11 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 40 eligible stays.

Self-care and mobility at discharge

65.2% this home

Median of homes: Texas57.3% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 46 residents counted.

Falls with major injury

0.0% this home

Median of homes: Texas0.0% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 67 residents counted.

New or worsened pressure ulcers

0.0% this home

Median of homes: Texas1.3% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 67 residents counted.

Medication list given at discharge

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Median of homes: Texas98.5% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 16 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: EASTLAND MEMORIAL HOSPITAL DISTRICT. CMS links this home to The Ensign Group, a group of 344 nursing homes averaging 3.2 stars overall.

NameRoleTypeShareSince
Eastland Memorial Hospital District5% or greater direct ownership interestOrganization100%12/01/2019
Hardrick, ChasidyManaging control - governing bodyIndividual12/01/2019
Laheji, JunaidManaging control - governing bodyIndividual07/01/2025
Burnam, SoonCorporate officerIndividual12/01/2019
Keetch, ChadCorporate officerIndividual03/01/2011
Taylor, StephenCorporate officerIndividual07/01/2025
Percheron Healthcare, Inc.Operational/managerial controlOrganization12/01/2019
Hardrick, ChasidyOperational/managerial controlIndividual12/01/2019
Laheji, JunaidOperational/managerial controlIndividual07/01/2025
Ensign Services IncAdp of the SNFOrganization08/19/2019
Percheron Healthcare, Inc.Adp of the SNFOrganization08/14/2025
Spring Trail Health Holdings LLCAdp of the SNFOrganization12/01/2019
Standard Bearer Healthcare Op, LPAdp of the SNFOrganization12/01/2019
The Ensign Group IncAdp of the SNFOrganization12/01/2019
Hardrick, ChasidyAdp of the SNFIndividual12/01/2019
Laheji, JunaidAdp of the SNFIndividual12/01/2019

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 7 problems in this area, most recently on April 10, 2026: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
  2. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 6 problems in this area, most recently on March 5, 2026: "Reasonably accommodate the needs and preferences of each resident."
  3. When is the care plan meeting, and can family attend it?Inspectors cited 4 problems in this area, most recently on March 5, 2026: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
  4. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 3 problems in this area, most recently on April 10, 2026: "Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.88 hours per resident per day, below the Texas average of 2.98.

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Common questions

What is Pleasant Manor Healthcare and Rehabilitation's Medicare star rating?
CMS rates Pleasant Manor Healthcare and Rehabilitation 3 out of 5 stars overall, with 2 for health inspections, 2 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Pleasant Manor Healthcare and Rehabilitation get at its last inspection?
11 health deficiencies at the standard inspection on March 5, 2026. The Texas average is 9.4.
Has Pleasant Manor Healthcare and Rehabilitation been fined?
Yes. CMS lists 2 fines totaling $29,011 in the last three years.
Does Pleasant Manor Healthcare and Rehabilitation accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Pleasant Manor Healthcare and Rehabilitation?
CMS lists 16 owners and managers, and links the home to The Ensign Group. Legal business name: EASTLAND MEMORIAL HOSPITAL DISTRICT.

Sources

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