The home failed to provide safe, appropriate dialysis care for a resident who needed it. Cited September 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 698 — 42 CFR §483.25(l) — S/S: J
Nursing home report
Pleasant Valley Healthcare & Rehabilitation
Registered name: PLEASANT VALLEY HEALTHCARE AND REHABILITATION CENT
GARLAND, TX · Medicare-certified · 124 beds
Needs attention
For-profitChain member
Data as of July 1, 2026
2 of 5 overall
Pleasant Valley Healthcare & Rehabilitation in Garland, TX has an overall 2-star rating, with a 2-star health inspection score, 3-star staffing, and 4-star quality measures. It has a recent federal penalty and $19,928 in fines over the last 24 months, and reported nurse staffing is 3.36 hours per resident per day versus the 4.1 federal benchmark.
Facility ratings
Health inspections
Staffing
3.3644 hrs/resident/day
Quality measures
Last inspection: December 19, 2025Penalties, last 24 months: $19,928recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3644.
Staffing detail
- Registered nurses
- 0.56
- Licensed practical nurses
- 0.94
- Nurse aides
- 1.87
- Weekend nursing
- 3.00
Hours per resident per day.
Total staff turnover: 33%
Registered nurse turnover: 40%
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
3%0%Improving
Residents with a fall causing major injury
1.6%3.2%Worsening
Residents with pressure ulcers (bedsores)
0%2.9%Worsening
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
18.4%14.9%Improving
Residents whose ability to walk got worse
4%7.5%Worsening
Long-stay residents on antianxiety or sleep medication
19.6%15.1%Improving
Short-stay residents newly given an antipsychotic
0%1.6%Worsening
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
15.6%15.3%No change
Residents with depressive symptoms
1.7%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
—98.5%—
Long-stay residents given the pneumonia vaccine
95.2%98.4%Improving
Short-stay residents given the seasonal flu vaccine
—58.5%—
Short-stay residents given the pneumonia vaccine
56%78%Improving
What the inspectors found
The nursing home failed to protect residents from abuse and neglect by others. Cited November 2023 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: J
The home failed to have policies and procedures in place to prevent abuse, neglect, and theft. Cited November 2023 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 607 — 42 CFR §483.12 — S/S: J
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited December 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: E
The home failed to make food and drinks appealing and served them at a safe, appetizing temperature. Cited April 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 804 — 42 CFR §483.60 — 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 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $19,928 was recorded.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 2 fines · $53,393 in total fines.
- $19,928
Federal fine
Sep 14, 2024
- $33,465
Federal fine
Nov 24, 2023
Operator & ownership
Recent ownership change · Jul 1, 2022
Now operated by Eastland Memorial Hospital District, previously Nexion Health at Garland, INC..
- Ownership
- For profit - Corporation
- Chain
- Part of THE ENSIGN GROUP · 346 homes · 3.2 stars avg
- Occupancy
- 76.5 residents on an average day (62% of 124 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 32 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.