3650 S. Interstate 35 E, Waxahachie, TX 75165 (opens Google Maps) · Ellis County · (972) 937-7320· 132 certified beds · avg 86 residents/day · certified since Oct 25, 2001 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: THE ENSIGN GROUP (342 facilities, chain avg rating 3.2★)
New to these records? How to read an inspection report →
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 3/5 · how star ratings work →
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and quality measures from resident assessments and claims.
▲ Immediate jeopardy, isolated · Feb 14, 2024 · F-0600 · triggered by a complaint
The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.
Severity (J): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Mar 4, 2024 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, isolated · Feb 14, 2024 · F-0697 · triggered by a complaint
The facility did not provide safe and appropriate pain management for a resident who needed it.
Why it matters: Untreated pain causes needless suffering and can lead to depression, poor sleep, and declining health.
Severity (J): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Mar 4, 2024 (Deficient, Provider has date of correction)
Showing the latest 3 of 29 inspection findings. Open the full record below to read every finding.
The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. · from a complaint F-0803
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint F-0684
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. F-0684
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Apr 10, 2026 | E · Potential for more than minimal harm, pattern | The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. · from a complaint · F-0803 |
| Apr 10, 2026 | D · Potential for more than minimal harm, isolated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint · F-0684 |
| Mar 5, 2026 | E · Potential for more than minimal harm, pattern | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684 |
| Mar 5, 2026 | E · Potential for more than minimal harm, pattern | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · F-0755 |
| Mar 5, 2026 | E · Potential for more than minimal harm, pattern | The facility has more than 120 beds but did not hire a qualified full-time social worker as required. · F-0850 |
| Mar 5, 2026 | D · Potential for more than minimal harm, isolated | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. · F-0558 |
| Mar 5, 2026 | D · Potential for more than minimal harm, isolated | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · F-0580 |
| Mar 5, 2026 | D · Potential for more than minimal harm, isolated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · F-0584 |
| Mar 5, 2026 | D · Potential for more than minimal harm, isolated | The facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function. · F-0605 |
| Mar 5, 2026 | D · Potential for more than minimal harm, isolated | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · F-0656 |
| Mar 5, 2026 | D · Potential for more than minimal harm, isolated | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · F-0677 |
| Mar 5, 2026 | D · Potential for more than minimal harm, isolated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689 |
| Mar 5, 2026 | D · Potential for more than minimal harm, isolated | The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. · F-0908 |
| Jan 10, 2025 | E · Potential for more than minimal harm, pattern | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · F-0761 |
| Jan 10, 2025 | E · Potential for more than minimal harm, pattern | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812 |
| Jan 10, 2025 | D · Potential for more than minimal harm, isolated | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · F-0550 |
| Jan 10, 2025 | D · Potential for more than minimal harm, isolated | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. · F-0644 |
| Jan 10, 2025 | D · Potential for more than minimal harm, isolated | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · F-0656 |
| Jan 10, 2025 | D · Potential for more than minimal harm, isolated | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · F-0695 |
| Jan 10, 2025 | D · Potential for more than minimal harm, isolated | The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. · F-0757 |
| Jan 10, 2025 | D · Potential for more than minimal harm, isolated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880 |
| Feb 14, 2024 | ▲ J · Immediate jeopardy, isolated | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint · F-0600 |
| Feb 14, 2024 | ▲ J · Immediate jeopardy, isolated | The facility did not provide safe and appropriate pain management for a resident who needed it. · from a complaint · F-0697 |
| Feb 14, 2024 | D · Potential for more than minimal harm, isolated | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint · F-0550 |
| Nov 15, 2023 | F · Potential for more than minimal harm, widespread | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812 |
| Nov 15, 2023 | E · Potential for more than minimal harm, pattern | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint · F-0580 |
| Nov 15, 2023 | E · Potential for more than minimal harm, pattern | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. · from a complaint · F-0644 |
| Nov 15, 2023 | E · Potential for more than minimal harm, pattern | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint · F-0880 |
| Nov 15, 2023 | D · Potential for more than minimal harm, isolated | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · F-0686 |
Citations from standard inspections increased between the last two inspection cycles (8 → 11).
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 5 | 0 | F |
| 2024 | 3 | 2 | J ▲ |
| 2025 | 8 | 0 | E |
| 2026 | 13 | 0 | E |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
How to file a complaint about care →
2 fines totaling $29,011.
Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.
| Date | Type | Amount / length |
|---|---|---|
| Mar 5, 2026 | Fine | $14,015 |
| Feb 14, 2024 | Fine | $14,996 |
What these staffing numbers mean →
All bars start at zero. Exact values and supporting details remain below.
| Measure | This facility | Texas avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.36 | 3.46 | 3.95 | top 46% in Texas; bottom 29% in the U.S. |
| Registered Nurse hours | 0.42 | 0.44 | 0.69 | top 43% in Texas; bottom 25% in the U.S. |
| Weekend total nurse staffing | 2.92 | 3.04 | 3.50 | top 49% in Texas; bottom 27% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.26 | 0.34 | 0.48 | bottom 41% in Texas; bottom 24% in the U.S. |
| Total nursing staff turnover (%) | 57.7 | 55.3 | 45.8 | bottom 37% in Texas; bottom 20% in the U.S. |
| RN turnover (%) | 62.5 | 54.6 | 42.9 | bottom 38% in Texas; bottom 19% in the U.S. |
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.31, RN 0.41, weekend 2.88.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.31 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 2/5.
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Pleasant Manor Healthcare and Rehabilitation. CMS inspection and staffing records do not tell us what this home will charge you.
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Understand who pays for care · How we handle price evidence · Report an incorrect price
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Eastland Memorial Hospital District | Organization | 5% or Greater Direct Ownership Interest | 100% | 12/01/2019 |
| Burnam, Soon | Individual | Corporate Officer | NOT APPLICABLE | 12/01/2019 |
| Ensign Services INC | Organization | ADP of the SNF | NOT APPLICABLE | 08/19/2019 |
| Hardrick, Chasidy | Individual | Managing Control - Governing Body | NOT APPLICABLE | 12/01/2019 |
| Hardrick, Chasidy | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/01/2019 |
| Hardrick, Chasidy | Individual | ADP of the SNF | NOT APPLICABLE | 12/01/2019 |
| Keetch, Chad | Individual | Corporate Officer | NOT APPLICABLE | 03/01/2011 |
| Laheji, Junaid | Individual | Managing Control - Governing Body | NOT APPLICABLE | 07/01/2025 |
| Laheji, Junaid | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2025 |
| Laheji, Junaid | Individual | ADP of the SNF | NOT APPLICABLE | 12/01/2019 |
| Percheron Healthcare, INC. | Organization | Operational/Managerial Control | NOT APPLICABLE | 12/01/2019 |
| Percheron Healthcare, INC. | Organization | ADP of the SNF | NOT APPLICABLE | 08/14/2025 |
| Spring Trail Health Holdings LLC | Organization | ADP of the SNF | NOT APPLICABLE | 12/01/2019 |
| Standard Bearer Healthcare Op, LP | Organization | ADP of the SNF | NOT APPLICABLE | 12/01/2019 |
| Taylor, Stephen | Individual | Corporate Officer | NOT APPLICABLE | 07/01/2025 |
| The Ensign Group INC | Organization | ADP of the SNF | NOT APPLICABLE | 12/01/2019 |
All 16 owning or managing parties CMS has on file are shown — none excluded.
CMS lists this facility under the chain The Ensign Group — 342 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
Listed by state, then facility name — not a ranking. Showing 8 of the 341 others, continuing from this facility's own place in that list.
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Focused Care of Waxahachie | 3.3 mi | Waxahachie, TX | ★☆☆☆☆ | 2/5 | abuse |
| Legend Oaks Healthcare and Rehabilitation - Waxaha | 5.8 mi | Waxahachie, TX | ★☆☆☆☆ | 2/5 | |
| Midtowne Meadows Health & Rehab | 11.6 mi | Midlothian, TX | ★★★★☆ | 5/5 | |
| Midlothian Healthcare Center | 11.6 mi | Midlothian, TX | ★★★☆☆ | 3/5 | |
| Renaissance Rehabilitation and Healthcare Center | 11.9 mi | Italy, TX | ★★★★★ | 5/5 | |
| Legend Oaks Healthcare and Rehabilitation - Ennis | 12.8 mi | Ennis, TX | ★★★★★ | 5/5 | |
| Red Oak Health and Rehabilitation Center | 12.9 mi | Red Oak, TX | ★★★☆☆ | 4/5 | |
| Ennis Care Center | 13.3 mi | Ennis, TX | ★☆☆☆☆ | 2/5 | |
| Bluebonnet Rehab at Ennis | 14.3 mi | Ennis, TX | ★★★★☆ | 4/5 | |
| Park Village Healthcare and Rehabilitation | 15.6 mi | Desoto, TX | ★★☆☆☆ | 1/5 | abuse |
| Methodist Transitional Care Center-Desoto LLC | 17.1 mi | Desoto, TX | ★★★☆☆ | 2/5 | |
| Cedar Hill Healthcare Center | 17.2 mi | Cedar Hill, TX | ★★☆☆☆ | 3/5 |
Facility data as of CMS processing date 2026-08-01. CCN 675889.
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