Federal inspection record · CMS data as of October 1, 2026

Pleasant Valley Healthcare and Rehabilitation Cent

1525 Pleasant Valley Rd, Garland, TX · (972) 496-8800

CMS overall rating

3 of 5

Compare with a nearby home →
Certified beds
124
Residents per day
75
Ownership
For-Profit
Chain
The Ensign Group
Medicare / Medicaid
Medicare + Medicaid
Certified since
March 31, 1994

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.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Texas.

  2. 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.

  3. Quality measures

    +1 star

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    3 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Texas homes

Pleasant Valley Healthcare and Rehabilitation Cent carries 107.25 inspection points. That is fewer than 31% of Texas's 1,166 rated homes.

5★4★3★2★1★+35 homes above 292.505102550100200inspection points → fewer is better on the leftThis home · 107.25 pts · 2★

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

22 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 3 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 1 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 11 4 pts
E 7 8 pts
F 0 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

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 (4)

  1. G

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    July 17, 2026 · Complaint inspection · Quality of Life and Care · F686 · Corrected July 18, 2026

  2. J

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    September 14, 2024 · Complaint inspection · Quality of Life and Care · F698 · Corrected September 15, 2024

  3. J

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    November 24, 2023 · Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · F600 · Corrected November 25, 2023

  4. J

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    November 24, 2023 · Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · F607 · Corrected November 25, 2023

Everything else, by area of care

Nutrition and Dietary4E
  1. D

    Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

    June 4, 2026 · Standard · F800 · Corrected June 5, 2026

  2. D

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    June 4, 2026 · Standard · F812 · Corrected June 5, 2026

  3. E

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    April 25, 2025 · Standard · F804 · Corrected April 28, 2025

  4. D

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    April 25, 2025 · Complaint · F812 · Corrected April 28, 2025

Resident Assessment and Care Planning3D
  1. D

    Ensure services provided by the nursing facility meet professional standards of quality.

    June 4, 2026 · Standard · F658 · Corrected June 5, 2026

  2. D

    PASARR screening for Mental disorders or Intellectual Disabilities

    April 25, 2025 · Complaint · F645 · Corrected April 28, 2025

  3. D

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    September 14, 2024 · Complaint · F842 · Corrected September 15, 2024

Quality of Life and Care3E
  1. E

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    December 19, 2025 · Complaint · F684 · Corrected December 20, 2025

  2. E

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    April 25, 2025 · Complaint · F684 · Corrected April 28, 2025

  3. D

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    April 25, 2025 · Complaint · F690 · Corrected April 28, 2025

Pharmacy Service2D
  1. D

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    June 4, 2026 · Standard · F755 · Corrected June 5, 2026

  2. D

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    March 14, 2024 · Standard · F755 · Corrected March 15, 2024

Infection Control2D
  1. D

    Provide and implement an infection prevention and control program.

    June 4, 2026 · Standard · F880 · Corrected June 5, 2026

  2. D

    Provide and implement an infection prevention and control program.

    April 25, 2025 · Standard · F880 · Corrected April 28, 2025

Resident Rights2E
  1. E

    Reasonably accommodate the needs and preferences of each resident.

    March 14, 2024 · Standard · F558 · Corrected March 15, 2024

  2. E

    Honor the resident's right to organize and participate in resident/family groups in the facility.

    March 14, 2024 · Standard · F565 · Corrected March 15, 2024

Environmental1E
  1. E

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    June 4, 2026 · Standard · F925 · Corrected June 5, 2026

Administration1E
  1. E

    Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.

    March 14, 2024 · Standard · F837 · Corrected March 15, 2024

Inspection history

  1. 2026-06-04

    8 health deficiencies · 0 fire-safety deficiencies

    Top issue: Nutrition and Dietary (2 deficiencies)

  2. 2025-04-25

    6 health deficiencies · 8 fire-safety deficiencies

    Top issue: Nutrition and Dietary (2 deficiencies)

  3. 2024-03-14

    8 health deficiencies · 7 fire-safety deficiencies

    Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 3 h 11 min of nursing staff time a day, 34 min of it from a registered nurse.

This home

3 h 11 min

Texas average

3 h 25 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 46% of nursing staff and 43% of registered nurses left in the past year, along with 1 administrator.

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

$69,743 in federal fines on record over the past three years.

DatePenaltyAmount
2026-07-17Fine$16,350
2024-09-14Fine$19,928
2023-11-24Fine$33,465

6

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident daysAbout the same2.02.01.8
Number of outpatient emergency department visits per 1000 long-stay resident days1.2 pts better0.82.01.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1.6 pts better98.0%96.4%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.7 pts worse94.3%97.0%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury0.4 pts better2.8%3.2%3.2%
Percentage of long-stay residents who have depressive symptoms2.3 pts better0.0%2.3%13.5%
Percentage of long-stay residents who lose too much weight2.9 pts better0.0%2.9%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication1.9 pts better15.9%17.8%19.5%
Percentage of long-stay residents who received an antipsychotic medication9.1 pts better0.7%9.8%15.4%
Percentage of long-stay residents who were physically restrainedAbout the same0.0%0.0%0.1%
Percentage of long-stay residents whose ability to walk independently worsened4 pts better8.9%12.9%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased3.4 pts better12.4%15.8%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better0.0%0.3%0.7%
Percentage of long-stay residents with a urinary tract infection0.8 pts better0.0%0.8%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence4.7 pts worse17.2%12.5%18.3%
Percentage of long-stay residents with pressure ulcers0.9 pts better2.8%3.7%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine8 pts worse80.7%88.7%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit4.5 pts better7.7%12.2%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.8 pts worse2.2%1.4%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine6.6 pts worse78.8%85.4%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission4.2 pts better21.3%25.5%23.4%

·

Who owns and runs it

13 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Eastland Memorial Hospital District5% Or Greater Direct Ownership Interest · Organization100%34 facilities
Burnam, SoonCorporate Officer · Individual0%353 facilities
Ensign Services IncAdp Of The SNF · Organization0%299 facilities
Keetch, ChadCorporate Officer · Individual0%301 facilities
Peterson, SkylerManaging Control - Governing Body · Individual0%1 facilities
Peterson, SkylerOperational/Managerial Control · Individual0%1 facilities
Peterson, SkylerAdp Of The SNF · Individual0%1 facilities
Primrose Healthcare, Inc.Operational/Managerial Control · Organization0%1 facilities
Primrose Healthcare, Inc.Adp Of The SNF · Organization0%1 facilities
Sharma, NeerajManaging Control - Governing Body · Individual0%7 facilities
Sharma, NeerajOperational/Managerial Control · Individual0%7 facilities
Sharma, NeerajAdp Of The SNF · Individual0%7 facilities
Wright, LabanCorporate Officer · Individual0%12 facilities

·

Fire safety

15 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke9F
  1. F

    Install a fire alarm system that can be heard throughout the facility.

    April 25, 2025 · K341 · Corrected May 13, 2025

  2. F

    Install corridor and hallway doors that block smoke.

    April 25, 2025 · K363 · Corrected May 13, 2025

  3. E

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    April 25, 2025 · K321 · Corrected May 13, 2025

  4. E

    Have properly installed hallway dispensers for alcohol-based hand rub.

    April 25, 2025 · K325 · Corrected May 13, 2025

  5. F

    Inspect, test, and maintain automatic sprinkler systems.

    March 14, 2024 · K353 · Corrected March 13, 2024

  6. E

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    March 14, 2024 · K321 · Corrected March 13, 2024

  7. E

    Have properly installed hallway dispensers for alcohol-based hand rub.

    March 14, 2024 · K325 · Corrected March 13, 2024

  8. E

    Install corridor and hallway doors that block smoke.

    March 14, 2024 · K363 · Corrected March 13, 2024

  9. E

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    March 14, 2024 · K372 · Corrected March 13, 2024

Gas, Vacuum, and Electrical Systems3F
  1. F

    Have a battery powered remote alarm panel in a location accessible by operating personnel.

    April 25, 2025 · K916 · Corrected May 13, 2025

  2. F

    Have generator or other power source capable of supplying service within 10 seconds.

    April 25, 2025 · K918 · Corrected May 13, 2025

  3. F

    Have generator or other power source capable of supplying service within 10 seconds.

    March 14, 2024 · K918 · Corrected March 13, 2024

Emergency Preparedness2F
  1. F

    Establish roles under a Waiver declared by secretary.

    April 25, 2025 · E26 · Corrected June 16, 2025

  2. F

    Conduct risk assessment and an All-Hazards approach.

    April 25, 2025 · E6 · Corrected May 13, 2025

Egress1E
  1. E

    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

    March 14, 2024 · K222 · Corrected March 13, 2024

·

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