PLEASANT MANOR HEALTHCARE REHABILITATION
3650 S IH 35 E, WAXAHACHIE, TX 75165 · CCN 675889
Ratings
- Overall
- ★★★☆☆ 3
- Health inspection
- ★★★☆☆ 3
- Quality measures
- ★★★★☆ 4
- Staffing
- ★★☆☆☆ 2
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 132
- Avg residents/day
- 82.0
- Phone
- 9729377320
Inspection history vs Texas & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Texas avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-01-10 | 8 | 9.1 | 9.5 | -1.1 better |
| 2 | 2023-11-15 | 4 | 9.4 | 9.8 | -5.4 better |
| 3 | 2022-09-15 | 7 | 8.1 | 9.3 | -1.1 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 1 |
| Resident assessment and care planning | 2 |
| Resident rights | 1 |
| Nutrition and dietary | 1 |
| Pharmacy service | 2 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.70 | 50.7% |
| RN staffing (reported) | 0.40 | 66.7% |
| Total nurse staffing (adjusted) | 4.00 | — |
Fines & penalties
- Total fines
- $14,996
- Number of fines
- 1
- Number of penalties
- 1
- Payment denials
- 0
Chain
- Chain
- THE ENSIGN GROUP
- Facilities in chain
- 329
- Chain avg overall
- 3.20 / 5
Inspection citations (19)2 immediate jeopardy
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-01-10 · Health · corrected 2025-02-01
Potential for more than minimal harm
- DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2025-01-10 · Health · corrected 2025-02-03
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-01-10 · Health · corrected 2025-02-01
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-01-10 · Health · corrected 2025-02-01
Potential for more than minimal harm
- DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2025-01-10 · Health · corrected 2025-02-01
Potential for more than minimal harm
- EF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.2025-01-10 · Health · corrected 2025-02-01
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-01-10 · Health · corrected 2025-02-01
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2025-01-10 · Health · corrected 2025-02-01
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-02-14 · Health · corrected 2024-03-04
Potential for more than minimal harm
- JF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-02-14 · Health · corrected 2024-03-04
Immediate jeopardy
- JF0697Provide safe, appropriate pain management for a resident who requires such services.2024-02-14 · Health · corrected 2024-03-04
Immediate jeopardy
- EF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-11-15 · Health · corrected 2023-12-06
Potential for more than minimal harm
- EF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2023-11-15 · Health · corrected 2023-12-06
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-11-15 · Health · corrected 2023-12-06
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-11-15 · Health · corrected 2023-12-06
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2023-11-15 · Health · corrected 2023-12-06
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2022-09-15 · Health · corrected 2022-10-15
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-09-15 · Health · corrected 2022-10-15
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2022-09-15 · Health · corrected 2022-10-15
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| EASTLAND MEMORIAL HOSPITAL DISTRICT | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2019-12-01 |
| PERCHERON HEALTHCARE, INC. | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-12-01 |
| HARDRICK, CHASIDY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-12-01 |
| LAHEJI, JUNAID | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-07-01 |
| BURNAM, SOON | Individual | CORPORATE OFFICER | — | 2019-12-01 |
| KEETCH, CHAD | Individual | CORPORATE OFFICER | — | 2011-03-01 |
| TAYLOR, STEPHEN | Individual | CORPORATE OFFICER | — | 2025-07-01 |
Other facilities in WAXAHACHIE
| Name | Overall | Beds |
|---|---|---|
| LEGEND OAKS HEALTHCARE AND REHABILITATION - WAXAHA | ★☆☆☆☆ | 121 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.