The nursing home failed to protect residents from abuse and neglect by others. Cited February 2024 — isolated incident, immediate jeopardy to residents.
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F-Tag 600 — 42 CFR §483.12 — S/S: J
Nursing home report
Pleasant Manor Healthcare Rehabilitation
Waxahachie, TX · Medicare-certified · 132 beds
Needs attention
For-profitChain member
Data as of July 1, 2026
3 of 5 overall
Pleasant Manor Healthcare Rehabilitation has a 3-star overall rating, with low health inspection and staffing ratings (2 stars each) but a 5-star quality rating. It has reported nurse staffing below the federal benchmark (3.31 vs. 4.1 hours per resident per day), $14,015 in fines in the last 24 months, and a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.3081 hrs/resident/day
Quality measures
Last inspection: April 10, 2026Penalties, last 24 months: $14,015recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3081.
Staffing detail
- Registered nurses
- 0.41
- Licensed practical nurses
- 0.83
- Nurse aides
- 2.07
- Weekend nursing
- 2.88
Hours per resident per day.
Total staff turnover: 58%
Registered nurse turnover: 63%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
2.4%5.8%Worsening
Residents with a fall causing major injury
1.4%0%Improving
Residents with pressure ulcers (bedsores)
2.9%1.3%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
0%0%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
11.6%3.3%Improving
Residents whose ability to walk got worse
17.2%5.1%Improving
Long-stay residents on antianxiety or sleep medication
18.8%14.1%Improving
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
10.5%7.7%Improving
Residents with depressive symptoms
2.2%0%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—83.3%—
Short-stay residents given the pneumonia vaccine
98.3%98.6%No change
What the inspectors found
The home failed to provide safe, appropriate pain management for a resident who needed it. Cited February 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 697 — 42 CFR §483.25(k) — S/S: J
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited November 2023 — widespread issue, potential for harm.
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F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to ensure meals and menus were planned, updated, and followed to meet residents’ nutritional needs. Cited April 2026 — limited pattern, potential for harm.
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F-Tag 803 — 42 CFR §483.60 — S/S: E
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited March 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 11 health deficiencies.
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- PENALTY
A federal fine of $14,015 was recorded.
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 8 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
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- INSPECTION
Health inspection found 5 health deficiencies.
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Penalties & enforcement
On record with Medicare: 2 fines · $29,011 in total fines.
- $14,015
Federal fine
Mar 5, 2026
- $14,996
Federal fine
Feb 14, 2024
Operator & ownership
Recent ownership change · Dec 1, 2019
Now operated by Pleasant Manor Healthcare and Rehabilitation, previously Pleasant Manor Health and Rehabilitation Center.
- Ownership
- For profit - Limited Liability company
- Chain
- Part of THE ENSIGN GROUP · 346 homes · 3.2 stars avg
- Occupancy
- 85.5 residents on an average day (65% of 132 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 24 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.