Starfile

Starfile / Texas

PLEASANT SPRINGS HEALTHCARE CENTER

2003 N EDWARDS ST, MOUNT PLEASANT, TX 75455 · CCN 455532

Ratings

Overall
★★☆☆☆ 2
Health inspection
★★☆☆☆ 2
Quality measures
★★★★☆ 4
Staffing
★★★☆☆ 3

Facility

Ownership type
For profit - Corporation
Certified beds
90
Avg residents/day
68.7
Phone
9035725511

Inspection history vs Texas & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

CycleInspection dateThis facilityTexas avgNational avgvs state
12025-02-27139.19.5+3.9 worse
22024-01-11219.49.8+11.6 worse
32022-11-0998.19.3+0.9 worse

Cycle 1 deficiencies by category

CategoryDeficiencies
Quality of life and care3
Resident assessment and care planning2
Nursing and physician services1
Resident rights3
Nutrition and dietary1
Pharmacy service2
Administration1

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)2.7544.7%
RN staffing (reported)0.6316.7%
Total nurse staffing (adjusted)3.11

Fines & penalties

Total fines
$33,155
Number of fines
2
Number of penalties
2
Payment denials
0

Chain

Chain
CREATIVE SOLUTIONS IN HEALTHCARE
Facilities in chain
149
Chain avg overall
2.70 / 5

Inspection citations (43)2 immediate jeopardy

  1. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2026-01-12 · Health · corrected 2026-01-13

    Potential for more than minimal harm

  2. FF0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.2025-11-20 · Health · corrected 2025-11-21

    Potential for more than minimal harm

  3. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-02-27 · Health · corrected 2025-03-04

    Potential for more than minimal harm

  4. EF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2025-02-27 · Health · corrected 2025-03-04

    Potential for more than minimal harm

  5. DF0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.2025-02-27 · Health · corrected 2025-03-04

    Potential for more than minimal harm

  6. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2025-02-27 · Health · corrected 2025-03-04

    Potential for more than minimal harm

  7. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-02-27 · Health · corrected 2025-03-04

    Potential for more than minimal harm

  8. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-02-27 · Health · corrected 2025-03-04

    Potential for more than minimal harm

  9. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-02-27 · Health · corrected 2025-03-04

    Potential for more than minimal harm

  10. EF0695Provide safe and appropriate respiratory care for a resident when needed.2025-02-27 · Health · corrected 2025-03-04

    Potential for more than minimal harm

  11. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-02-27 · Health · corrected 2025-03-04

    Potential for more than minimal harm

  12. EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2025-02-27 · Health · corrected 2025-03-04

    Potential for more than minimal harm

  13. EF0838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.2025-02-27 · Health · corrected 2025-03-04

    Potential for more than minimal harm

  14. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-01-27 · Health · corrected 2025-01-28

    Potential for more than minimal harm

  15. JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-12-03 · Health · corrected 2024-11-27

    Immediate jeopardy

  16. DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2024-01-11 · Health · corrected 2024-01-11

    Potential for more than minimal harm

  17. EF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2024-01-11 · Health · corrected 2024-01-11

    Potential for more than minimal harm

  18. DF0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.2024-01-11 · Health · corrected 2024-01-11

    Potential for more than minimal harm

  19. DF0641Ensure each resident receives an accurate assessment.2024-01-11 · Health · corrected 2024-01-11

    Potential for more than minimal harm

  20. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2024-01-11 · Health · corrected 2024-01-11

    Potential for more than minimal harm

  21. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-01-11 · Health · corrected 2024-01-11

    Potential for more than minimal harm

  22. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-01-11 · Health · corrected 2024-01-11

    Potential for more than minimal harm

  23. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-01-11 · Health · corrected 2024-01-11

    Potential for more than minimal harm

  24. EF0695Provide safe and appropriate respiratory care for a resident when needed.2024-01-11 · Health · corrected 2024-01-11

    Potential for more than minimal harm

  25. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2024-01-11 · Health · corrected 2024-01-11

    Potential for more than minimal harm

  26. DF0759Ensure medication error rates are not 5 percent or greater.2024-01-11 · Health · corrected 2024-01-11

    Potential for more than minimal harm

  27. DF0760Ensure that residents are free from significant medication errors.2024-01-11 · Health · corrected 2024-01-11

    Potential for more than minimal harm

  28. DF0761Ensure 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.2024-01-11 · Health · corrected 2024-01-11

    Potential for more than minimal harm

  29. DF0770Provide timely, quality laboratory services/tests to meet the needs of residents.2024-01-11 · Health · corrected 2024-01-11

    Potential for more than minimal harm

  30. EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2024-01-11 · Health · corrected 2024-01-11

    Potential for more than minimal harm

  31. DF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2024-01-11 · Health · corrected 2024-01-11

    Potential for more than minimal harm

  32. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-01-11 · Health · corrected 2024-01-11

    Potential for more than minimal harm

  33. EF0880Provide and implement an infection prevention and control program.2024-01-11 · Health · corrected 2024-01-11

    Potential for more than minimal harm

  34. DF0940Develop, implement, and/or maintain an effective training program for all new and existing staff members.2024-01-11 · Health · corrected 2024-01-11

    Potential for more than minimal harm

  35. KF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-01-02 · Health · corrected 2023-10-26

    Immediate jeopardy

  36. EF0583Keep residents' personal and medical records private and confidential.2022-11-09 · Health · corrected 2022-11-22

    Potential for more than minimal harm

  37. DF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2022-11-09 · Health · corrected 2022-11-22

    Potential for more than minimal harm

  38. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2022-11-09 · Health · corrected 2022-11-22

    Potential for more than minimal harm

  39. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2022-11-09 · Health · corrected 2022-11-22

    Potential for more than minimal harm

  40. DF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.2022-11-09 · Health · corrected 2022-11-22

    Potential for more than minimal harm

  41. EF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2022-11-09 · Health · corrected 2022-11-22

    Potential for more than minimal harm

  42. DF0761Ensure 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.2022-11-09 · Health · corrected 2022-11-22

    Potential for more than minimal harm

  43. DF0880Provide and implement an infection prevention and control program.2022-11-09 · Health · corrected 2022-11-22

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
FANNIN COUNTY HOSPITAL AUTHORITYOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%2017-03-31
MT. PLEASANT II ENTERPRISES, LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL2022-11-01
BLAKE, GARYIndividualOPERATIONAL/MANAGERIAL CONTROL2022-11-01
BLAKE, MALISAIndividualOPERATIONAL/MANAGERIAL CONTROL2022-11-01
HUGGINS, LINDAIndividualCORPORATE DIRECTOR2022-11-01
WILLIG, ZACHARYIndividualCORPORATE DIRECTOR2025-01-01
SANDERSON, CLARKIndividualCORPORATE OFFICER2012-10-29

Other facilities in MOUNT PLEASANT

NameOverallBeds
GREENHILL VILLAS★☆☆☆☆150

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.