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Nursing HomeMedicaid

Pleasant Manor Healthcare and Rehabilitation

Strong Medicare quality ratings; families often praise exceptional rehabilitation and therapy teams. Still worth an in-person visit.

3650 S. Interstate 35 E, Waxahachie, TX 75165132 bedsLicensed & Active
4/5
Medicare
Inspection
Quality
Staffing
Google rating
4.2/5

based on 113 Google reviews

5
4
3
2
1
Pleasant Manor Healthcare and Rehabilitation Nursing Home in Waxahachie, TX — Street View
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What this means for your family

This facility is an excellent choice for patients focused on intensive physical rehabilitation, as their therapy team is consistently rated as top-tier. However, if your loved one requires memory care, you must perform rigorous due diligence regarding medication management and the facility's approach to patient rights, as several families have reported deeply troubling experiences in that specific unit.

Google Reviews

Google Reviews

113 reviews on Google
Families considering Pleasant Manor should note that the facility is highly praised for its exceptional rehabilitation and therapy teams, which many reviewers credit with significant physical improvements. However, there are serious, recurring allegations regarding the management of the memory care unit, including concerns about medication administration and aggressive legal interventions by administration. While many find the nursing staff compassionate, others report significant issues with responsiveness and communication during off-hours.

Quality Themes

Tap a score for details
Food5.0Staff7.0Clean7.0Activities8.0Meds3.0Memory2.0Comms4.0ValueN/A

Strengths

  • Exceptional rehabilitation and therapy teams
  • Compassionate and attentive nursing staff
  • Clean and well-maintained facility
  • Strong leadership and administration in certain periods

Concerns

  • Memory care unit mismanagement and safety concerns (mentioned by 3 reviewers)
  • Difficulty reaching staff or administration by phone (mentioned by 2 reviewers)
  • Inconsistent medication administration (mentioned by 2 reviewers)
  • Loss or mishandling of resident personal belongings

Rating Trends

Tap a year to see what changed

234'16(1)'19(4)'21(1)'23(13)'25(29)'26(6)

Distribution · 100 analyzed

5
74
4
5
3
0
2
2
1
19

How They Respond to Reviews

7%response rate
Good

The owner provides personalized responses that frequently address the reviewer by name and acknowledge specific details mentioned in the review. For negative feedback, they use a consistent empathetic tone and attempt to move the conversation to a private channel.

Questions for Your Tour

  • 1We've heard wonderful things about your rehabilitation and therapy teams; could you tell us more about how they work with residents to maintain their mobility?
  • 2How does the nursing team ensure that medication schedules are followed accurately and consistently for every resident?
  • 3What specific safety protocols and supervision measures are in place within your memory care unit?
  • 4What is the best way for family members to stay in touch with the administration or reach a nurse if we have a quick question?
  • 5How do you manage and track residents' personal belongings to ensure nothing gets lost or misplaced?
  • 6Could you describe what a typical day of social activities and engagement looks like for the residents here?

Personalized based on this facility's data


Key Review Excerpts

The therapy staff are truly top tier. They are knowledgeable, attentive, and dedicated to helping residents improve their strength, mobility, an

Rehab patient's family · 2026★★★★★

My dad has lived here for a year, and I couldn’t ask for better, more loving care. He has Lewy body dementia and can be incredibly challenging at times, but the staff handles him with unwavering patience, kindness, and understanding.

Long-term resident's family · 2025★★★★★

I was in wheelchair but i don't use one now,thanks to rehab team! I highly recommend this team.

Former resident · 2023★★★★★
Source: 113 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.40hrs
54%
Registered nurses for medical care
Total Nursing
3.51hrs
86%
All nurses + aides combined
Staff Turnover
52%
Lower is better (< 30% = good)
RN Turnover
67%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
5/ 5
Better Than Avg

13

measures

Worse Than Avg

1

measures

Mixed Results

3

measures

Long-Stay Residents
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility2.7%
Better than Avg
Here
2.7%
US
15.4%
TX
9.4%
Ellis
9.9%
😔

Residents with depression symptoms

↓ Lower is better
This Facility2.1%
Mixed vs Avgs
Here
2.1%
US
12.1%
TX
2.5%
Ellis
1.8%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🚶

Residents whose walking got worse

↓ Lower is better
This Facility11.7%
Better than Avg
Here
11.7%
US
15.3%
TX
14.9%
Ellis
20.4%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility22.4%
Worse than Avg
Here
22.4%
US
14.4%
TX
16.1%
Ellis
18.6%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility12.1%
Better than Avg
Here
12.1%
US
19.4%
TX
14.2%
Ellis
15.2%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility99.3%
Better than Avg
Here
99.3%
US
93.4%
TX
96.9%
Ellis
96.3%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility98.4%
Better than Avg
Here
98.4%
US
81.8%
TX
89.2%
Ellis
84.9%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility83.3%
Mixed vs Avgs
Here
83.3%
US
79.7%
TX
88.0%
Ellis
87.7%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.8%
Better than Avg
Here
0.8%
US
1.6%
TX
1.5%
Ellis
1.4%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

8deficiencies
2penalties
Near state avg (9.1)
6 complaint-triggered
$14,996 in fines

This facility shows concerning patterns with families filing 6 complaint-triggered deficiencies involving serious issues like resident abuse, pain management failures, and poor communication about injuries. The most recurring problems are infection control (found in 3 surveys), food safety, and care planning deficiencies. While all issues have correction dates, the persistence of infection control and food safety violations across multiple years suggests ongoing operational challenges that families should carefully evaluate during visits.

Jan 10, 2025Routine
11
0372Potential for harm · WidespreadCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0321Potential for harm · WidespreadCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0761Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure 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.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0644Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0757Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure each resident’s drug regimen must be free from unnecessary drugs.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0741Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Feb 14, 2024Complaint
3
0600Immediate jeopardy · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0697Immediate jeopardy · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate pain management for a resident who requires such services.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Nov 15, 2023Routine
2
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Nov 15, 2023Complaint
3
0580Potential for harm · PatternCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0644Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Sep 15, 2022Routine
3
0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

Federal Penalties

Fine

Mar 5, 2026

$14,015

Fine

Feb 14, 2024

$14,996

Ownership & Operations

Who Operates This Facility

Owner / Operator

Eastland Memorial Hospital District

Organization Type

for profit

Management Company

PERCHERON HEALTHCARE INC

Administrator

WILLIAM KADANE

Chain Affiliation

Chain Name

The Ensign Group

Chain Size

338 facilities nationwide

Chain avg rating: 2.9/5 · Rank 48 of 84

Ownership & Management

Owners

Eastland Memorial Hospital District

Owner · Organization

100%

Key personnel

Hardrick, ChasidyManaging Control - Governing BodyLaheji, JunaidManaging Control - Governing BodyBurnam, SoonOfficer / DirectorKeetch, ChadOfficer / DirectorTaylor, StephenOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

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References & Resources

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