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 September 1, 2026
2 of 5 overall
Pleasant Valley Healthcare & Rehabilitation has a 2-star overall rating, with a 2-star health inspection rating and 3-star staffing. Reported nurse staffing is 3.36 hours per resident per day, below the 4.1 federal benchmark, and the facility had $36,278 in fines in the last 24 months plus a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.3644 hrs/resident/day
Quality measures
Last inspection: July 17, 2026Penalties, last 24 months: $36,278recent 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 proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited July 2026 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
The nursing home failed to make sure it had a pest control program to prevent or deal with mice, insects, and other pests. Cited June 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 925 — 42 CFR §483.90 — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- PENALTY
A federal fine of $16,350 was recorded.
- INSPECTION
Health inspection found 1 health deficiency.
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 6 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 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: 3 fines · $69,743 in total fines.
- $16,350
Federal fine
Jul 17, 2026
- $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 · 344 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.