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.
| Cycle | Inspection date | This facility | Texas avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-02-27 | 13 | 9.1 | 9.5 | +3.9 worse |
| 2 | 2024-01-11 | 21 | 9.4 | 9.8 | +11.6 worse |
| 3 | 2022-11-09 | 9 | 8.1 | 9.3 | +0.9 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 3 |
| Resident assessment and care planning | 2 |
| Nursing and physician services | 1 |
| Resident rights | 3 |
| Nutrition and dietary | 1 |
| Pharmacy service | 2 |
| Administration | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 2.75 | 44.7% |
| RN staffing (reported) | 0.63 | 16.7% |
| 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- DF0641Ensure each resident receives an accurate assessment.2024-01-11 · Health · corrected 2024-01-11
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- 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
- DF0759Ensure medication error rates are not 5 percent or greater.2024-01-11 · Health · corrected 2024-01-11
Potential for more than minimal harm
- DF0760Ensure that residents are free from significant medication errors.2024-01-11 · Health · corrected 2024-01-11
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- EF0880Provide and implement an infection prevention and control program.2024-01-11 · Health · corrected 2024-01-11
Potential for more than minimal harm
- 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
- KF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-01-02 · Health · corrected 2023-10-26
Immediate jeopardy
- EF0583Keep residents' personal and medical records private and confidential.2022-11-09 · Health · corrected 2022-11-22
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- 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
- DF0880Provide and implement an infection prevention and control program.2022-11-09 · Health · corrected 2022-11-22
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| FANNIN COUNTY HOSPITAL AUTHORITY | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2017-03-31 |
| MT. PLEASANT II ENTERPRISES, LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-11-01 |
| BLAKE, GARY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-11-01 |
| BLAKE, MALISA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-11-01 |
| HUGGINS, LINDA | Individual | CORPORATE DIRECTOR | — | 2022-11-01 |
| WILLIG, ZACHARY | Individual | CORPORATE DIRECTOR | — | 2025-01-01 |
| SANDERSON, CLARK | Individual | CORPORATE OFFICER | — | 2012-10-29 |
Other facilities in MOUNT PLEASANT
| Name | Overall | Beds |
|---|---|---|
| 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.