Pleasant Valley Healthcare and Rehabilitation Cent
1525 Pleasant Valley Rd, Garland, TX 75040 · Dallas County · 124 certified beds · avg 77 residents/day · certified since Mar 31, 1994
Part of chain: THE ENSIGN GROUP (342 facilities, chain avg rating 3.2★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5
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 self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · Sep 14, 2024 · F-0698 · triggered by a complaint
The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail.
Why it matters: Mistakes in dialysis care can quickly become life-threatening for residents with kidney failure.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Sep 15, 2024 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Nov 24, 2023 · 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): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Nov 25, 2023 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Nov 24, 2023 · F-0607 · triggered by a complaint
The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection.
Why it matters: Without working prevention policies, mistreatment is more likely to happen and less likely to be caught.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Nov 25, 2023 (Deficient, Provider has date of correction)
All citations in the current public record (21)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jun 4, 2026 | E · Potential for harm, repeated | The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests. |
| Jun 4, 2026 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Jun 4, 2026 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Jun 4, 2026 | D · Potential for harm, one-off | The facility did not provide each resident with a nourishing, tasty, well-balanced diet that meets their daily nutritional and special dietary needs. |
| Jun 4, 2026 | D · Potential for harm, one-off | 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. |
| Jun 4, 2026 | D · Potential for harm, one-off | 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. |
| Dec 19, 2025 | E · Potential for harm, repeated | 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 |
| Apr 25, 2025 | E · Potential for harm, repeated | 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 |
| Apr 25, 2025 | E · Potential for harm, repeated | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| Apr 25, 2025 | D · Potential for harm, one-off | The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services. · from a complaint |
| Apr 25, 2025 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · from a complaint |
| Apr 25, 2025 | D · Potential for harm, one-off | 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. · from a complaint |
| Apr 25, 2025 | D · Potential for harm, one-off | 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. |
| Sep 14, 2024 | ▲ J · Immediate jeopardy, one-off | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. · from a complaint |
| Sep 14, 2024 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint |
| Mar 14, 2024 | E · Potential for harm, repeated | 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. |
| Mar 14, 2024 | E · Potential for harm, repeated | The facility did not honor residents' right to form and take part in resident or family groups, such as a resident council. |
| Mar 14, 2024 | E · Potential for harm, repeated | The facility did not have a proper governing body legally responsible for its policies and operations, or that body failed to appoint a properly licensed administrator to manage the facility. |
| Mar 14, 2024 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Nov 24, 2023 | ▲ J · Immediate jeopardy, one-off | 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 |
| Nov 24, 2023 | ▲ J · Immediate jeopardy, one-off | The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. · from a complaint |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (6 → 6).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 2 | 2 | J ▲ |
| 2024 | 6 | 1 | J ▲ |
| 2025 | 7 | 0 | E |
| 2026 | 6 | 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.
Fines and enforcement (last 3 years)
2 fines totaling $53,393.
| Date | Type | Amount / length |
|---|---|---|
| Sep 14, 2024 | Fine | $19,928 |
| Nov 24, 2023 | Fine | $33,465 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Texas avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.53 | 3.46 | 3.95 | top 33% in Texas; bottom 38% in the U.S. |
| Registered Nurse hours | 0.58 | 0.44 | 0.69 | top 16% in Texas; bottom 50% in the U.S. |
| Weekend total nurse staffing | 3.15 | 3.04 | 3.50 | top 32% in Texas; bottom 39% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.74 | 0.34 | 0.48 | top 3% in Texas; top 14% in the U.S. |
| Total nursing staff turnover (%) | 33.3 | 55.3 | 45.8 | top 9% in Texas; top 20% in the U.S. |
| RN turnover (%) | 40.0 | 54.6 | 42.9 | top 30% in Texas; top 46% in the U.S. |
Hours are per resident per day, 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 3.36, RN 0.56, weekend 3.00. Staffing rating: 3/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 4/5 · long-stay residents: 5/5 · short-stay residents: 3/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Eastland Memorial Hospital District | Organization | 5% or Greater Direct Ownership Interest | 100% | 07/01/2022 |
| Burnam, Soon | Individual | Corporate Officer | NOT APPLICABLE | 07/01/2022 |
| Ensign Services INC | Organization | ADP of the SNF | NOT APPLICABLE | 04/18/2022 |
| Keetch, Chad | Individual | Corporate Officer | NOT APPLICABLE | 03/01/2011 |
| Peterson, Skyler | Individual | Managing Control - Governing Body | NOT APPLICABLE | 07/01/2022 |
| Peterson, Skyler | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2022 |
| Peterson, Skyler | Individual | ADP of the SNF | NOT APPLICABLE | 07/03/2025 |
| Primrose Healthcare, INC. | Organization | Operational/Managerial Control | NOT APPLICABLE | 07/01/2022 |
| Primrose Healthcare, INC. | Organization | ADP of the SNF | NOT APPLICABLE | 07/03/2025 |
| Sharma, Neeraj | Individual | Managing Control - Governing Body | NOT APPLICABLE | 07/01/2022 |
| Sharma, Neeraj | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2022 |
| Sharma, Neeraj | Individual | ADP of the SNF | NOT APPLICABLE | 07/03/2025 |
| Wright, Laban | Individual | Corporate Officer | NOT APPLICABLE | 07/01/2022 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you coordinate and monitor care for residents who receive dialysis?"
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
- "How is pest control handled here, and when was the last treatment or inspection?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "Can I see a sample menu, and how do you handle special diets like low-sodium or diabetic meals?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Beltline Healthcare Center | 1.3 mi | Garland, TX | ★☆☆☆☆ | 1/5 | SFF |
| The Parks at Garland Healthcare and Rehab | 2.8 mi | Garland, TX | ★★★★☆ | 4/5 | |
| Legend Oaks Healthcare and Rehabilitation Garland | 3.5 mi | Garland, TX | ★★★☆☆ | 3/5 | |
| Avir at Garland | 3.6 mi | Garland, TX | ★☆☆☆☆ | 1/5 | abuse |
| Advanced Health & Rehab Center of Garland | 4.1 mi | Garland, TX | ★☆☆☆☆ | 1/5 | |
| San Remo | 5.4 mi | Richardson, TX | ★★☆☆☆ | 2/5 | |
| Rowlett Health and Rehabilitation Center | 5.6 mi | Rowlett, TX | ★★★☆☆ | 4/5 | |
| Lindan Park Care Center LP | 5.8 mi | Richardson, TX | ★★★★☆ | 3/5 | |
| Beacon Harbor Healthcare and Rehabilitation | 6.0 mi | Rockwall, TX | ★★★☆☆ | 3/5 | |
| Remington Transitional Care of Richardson | 6.4 mi | Richardson, TX | ★★★★☆ | 4/5 | |
| Collinwood Nursing and Rehabilitation | 6.8 mi | Plano, TX | ★★☆☆☆ | 2/5 | |
| Christian Care Communities and Services Mesquite | 6.9 mi | Mesquite, TX | ★★★★☆ | 3/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 675305.