Federal inspection record · CMS data as of October 1, 2026
Pleasant Manor Healthcare and Rehabilitation
3650 S. Interstate 35 E, Waxahachie, TX · (972) 937-7320
- Certified beds
- 132
- Residents per day
- 88
- Ownership
- For-Profit
- Chain
- The Ensign Group
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- October 25, 2001
1
How this home got 3 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Texas.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Texas homes
Pleasant Manor Healthcare and Rehabilitation carries 105.5 inspection points. That is fewer than 33% of Texas's 1,166 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Texas: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–26 pts
- 4★ 26–51 pts
- 3★ 51–85 pts
- 2★ 85–145.75 pts
- 1★ over 145.75 pts
Bars show every rated home in Texas by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
29 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (2)
-
J
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
J
Provide safe, appropriate pain management for a resident who requires such services.
Everything else, by area of care
Quality of Life and Care6E
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Resident Rights6E
- D
Reasonably accommodate the needs and preferences of each resident.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- 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.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- E
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Assessment and Care Planning4E
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- E
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Nutrition and Dietary3F
- 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.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Pharmacy Service3E
- E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- 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.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Infection Control2E
- D
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
Administration1E
- E
Hire a qualified full-time social worker in a facility with more than 120 beds.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Environmental1D
- D
Keep all essential equipment working safely.
Inspection history
2026-03-05
13 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
2025-01-10
8 health deficiencies · 3 fire-safety deficiencies
Top issue: Pharmacy Service (2 deficiencies)
2023-11-15
8 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 27 min of nursing staff time a day, 35 min of it from a registered nurse.
This home
3 h 27 min
Texas average
3 h 25 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 56% of nursing staff and 75% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$24,106 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-03-05 | Fine | $9,110 |
| 2024-02-14 | Fine | $14,996 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.7 pts better | 1.3 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1 pts better | 1.0 | 2.0 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.6 pts better | 100.0% | 96.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1 pts worse | 96.0% | 97.0% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.5 pts better | 0.7% | 3.2% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms1.4 pts better | 0.9% | 2.3% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.3 pts better | 2.6% | 2.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication1.2 pts better | 16.6% | 17.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication6.4 pts better | 3.4% | 9.8% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened4.7 pts better | 8.2% | 12.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased0.7 pts worse | 16.5% | 15.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better | 0.0% | 0.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.8 pts better | 0.0% | 0.8% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence0.2 pts better | 12.3% | 12.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.8 pts better | 1.9% | 3.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine9.4 pts better | 98.1% | 88.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit6.8 pts better | 5.4% | 12.2% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.7 pts better | 0.7% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine10.7 pts better | 96.1% | 85.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission6.2 pts better | 19.3% | 25.5% | 23.4% |
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Who owns and runs it
16 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Eastland Memorial Hospital District | 5% Or Greater Direct Ownership Interest · Organization | 100% | 34 facilities |
| Burnam, Soon | Corporate Officer · Individual | 0% | 353 facilities |
| Ensign Services Inc | Adp Of The SNF · Organization | 0% | 299 facilities |
| Hardrick, Chasidy | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Hardrick, Chasidy | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Hardrick, Chasidy | Adp Of The SNF · Individual | 0% | 1 facilities |
| Keetch, Chad | Corporate Officer · Individual | 0% | 301 facilities |
| Laheji, Junaid | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Laheji, Junaid | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Laheji, Junaid | Adp Of The SNF · Individual | 0% | 1 facilities |
| Percheron Healthcare, Inc. | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Percheron Healthcare, Inc. | Adp Of The SNF · Organization | 0% | 1 facilities |
| Spring Trail Health Holdings LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Standard Bearer Healthcare Op, LP | Adp Of The SNF · Organization | 0% | 78 facilities |
| Taylor, Stephen | Corporate Officer · Individual | 0% | 22 facilities |
| The Ensign Group Inc | Adp Of The SNF · Organization | 0% | 135 facilities |
·
Fire safety
3 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke2F
- F
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Miscellaneous1D
- D
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
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Other homes nearby
-
Focused Care of Waxahachie
Waxahachie, TX · Focused Post Acute Care Partners · Abuse icon
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 2 h 36 min
- Fines
- $20,589
-
Legend Oaks Healthcare and Rehabilitation - Waxaha
Waxahachie, TX · The Ensign Group
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 36 min
- Fines
- $41,215
-
Midtowne Meadows Health & Rehab
Midlothian, TX
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 58 min
- Fines
- $20,131