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Nursing HomeMedicaid Investigative

Pleasanton North Nursing and Rehabilitation

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

404 Goodwin St, Pleasanton, TX 7806446 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
4.3/5

based on 15 Google reviews

5
4
3
2
1
Pleasanton North Nursing and Rehabilitation Nursing Home in Pleasanton, TX — Street View
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4/ 10
moderate Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (1/5 stars)
  • Low staffing rating (1/5 stars)
  • Above-median deficiencies (19 vs median 8.0)

Bottom 25% in Texas · Critically understaffed (RN) · Worst in EDURO HEALTHCARE chain · $272,389 in fines

Source: Medicare data

What this means for your family

This facility has a long history of providing compassionate, high-quality care for long-term residents and memory care patients. However, you should be extremely cautious due to recent reports of medication errors and nighttime negligence; if you choose this facility, verify their medication administration protocols and nighttime staffing levels personally.

Google Reviews

Google Reviews

15 reviews analyzed
Families may find a compassionate and caring environment for long-term residents, with several reviewers praising the staff's ability to foster social engagement and dignity. However, recent reviews raise serious alarms regarding medication management, nighttime negligence, and poor communication via telephone.

Quality Themes

Tap a score for details
FoodN/AStaff8.0Clean9.0Activities8.0Meds1.0Memory7.0Comms4.0ValueN/A

Strengths

  • Compassionate and caring nursing staff
  • Strong focus on memory care
  • Engaging resident activities and social interaction
  • Respectful treatment of long-term residents

Concerns

  • Negligence regarding medication and nighttime care
  • Poor communication and difficulty reaching the facility by phone
  • Lack of mental stimulation and social interaction for some residents

Rating Trends

Tap a year to see what changed

2345.02017(1)5.02019(8)3.72024(3)1.52025(2)5.02026(1)

Distribution

5
12
4
0
3
0
2
1
1
2

How They Respond to Reviews

60%response rate
Good

The owner provides personalized responses that address reviewers by name and acknowledge specific details of their experiences. While some responses use templated phrasing regarding '100% satisfaction,' they demonstrate empathy, particularly when acknowledging the passing of loved ones.

Questions for Your Tour

  • 1I noticed some wonderful comments about your compassionate nursing staff; how do you ensure that this level of care remains consistent during the overnight shifts?
  • 2What specific protocols do you have in place to ensure medication is administered accurately and on schedule every day?
  • 3How do you ensure that family members can easily reach the nursing team or administrators if they have a question or an urgent update?
  • 4Could you tell me more about the daily activities and social programs available to keep residents mentally engaged and active?
  • 5With your strong focus on memory care, how do you tailor daily routines to meet the specific cognitive needs of each resident?
  • 6In the event of a medical emergency during the night, what is the immediate process for contacting the family and coordinating care?

Personalized based on this facility's data


Key Review Excerpts

Staff is great , They go to great links to learn each person there . Wife has been in for over 2 years now . Her Dementia had gotten very bad . She was in sever pain from several problems.

Long-term resident's family · 2024★★★★★

The nurses and staff delivered an exceptional level of compassion and care to her and all the residents. My family will forever be grateful to the way Retama treated my great grandmother with dignity and respect.

Deceased resident's family · 2019★★★★★

I have had my mother here for 14 years lm very pleased with her care .The staff here are caring and always lets me and me know if there is a change in her condition.

Long-term resident's family · 2019★★★★★
Source: 15 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.45hrs
60%
Registered nurses for medical care
Total Nursing
2.93hrs
71%
All nurses + aides combined
Staff Turnover
47%
Lower is better (< 30% = good)
RN Turnover
50%
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 · 16 measures

Medicare Rating
3/ 5
Better Than Avg

8

measures

Worse Than Avg

5

measures

Mixed Results

3

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
TX
2.5%
Atascosa
1.9%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility30.1%
Worse than Avg
Here
30.1%
US
19.5%
TX
18.4%
Atascosa
25.0%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility23.9%
Worse than Avg
Here
23.9%
US
19.4%
TX
14.2%
Atascosa
13.2%
⚠️

Residents who fell and were seriously hurt

↓ Lower is better
This Facility9.3%
Worse than Avg
Here
9.3%
US
3.2%
TX
3.3%
Atascosa
2.4%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility8.8%
Better than Avg
Here
8.8%
US
15.4%
TX
9.4%
Atascosa
14.9%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
TX
96.9%
Atascosa
97.5%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility93.1%
Mixed vs Avgs
Here
93.1%
US
81.8%
TX
89.2%
Atascosa
95.9%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
TX
1.5%
Atascosa
1.3%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

10deficiencies
3penalties
Above state avg (9.1)
40 complaint-triggered
$272,389 in fines

This facility has significant ongoing problems with frequent family complaints triggering 24 of 57 total deficiencies. The most recurring issues involve care planning, medication management, and resident protection from abuse and neglect. Particularly concerning, resident protection violations have persisted across multiple surveys from April 2024 through recent inspections. While the facility reports correcting deficiencies, the pattern of repeated problems in core care areas suggests systemic issues that families should carefully investigate before placement.

Jan 16, 2026Complaint
1
0656MinorCorrected

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.

Nov 24, 2025Complaint
1
0656MinorCorrected

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.

Jul 18, 2025Routine
10
0355ModerateCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0211Moderate

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0550MinorCorrected

Resident Rights Deficiencies

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

0558MinorCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0641MinorCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0644MinorCorrected

Resident Assessment and Care Planning Deficiencies

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

0689MinorCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0755MinorCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0761MinorCorrected

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.

0521Minor

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Jun 4, 2025Complaint
1
0656ModerateCorrected

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.

Apr 18, 2025Complaint
10
0609MinorCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0622MinorCorrected

Resident Rights Deficiencies

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

0656MinorCorrected

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.

0684MinorCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0760MinorCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

0609MinorCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0622MinorCorrected

Resident Rights Deficiencies

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

0656MinorCorrected

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.

0684MinorCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0760MinorCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

Apr 4, 2025Complaint
8
0812ModerateCorrected

Nutrition and Dietary Deficiencies

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

0812ModerateCorrected

Nutrition and Dietary Deficiencies

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

0584MinorCorrected

Resident Rights Deficiencies

Honor 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.

0842MinorCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

0880MinorCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0584MinorCorrected

Resident Rights Deficiencies

Honor 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.

0842MinorCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

0880MinorCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Federal Penalties

Fine

Jun 7, 2024

$114,129

Payment Denial

Jun 7, 2024

1-day denial

Fine

Apr 24, 2024

$158,260

Ownership & Operations

Who Operates This Facility

Owner / Operator

Maverick County Hospital District

Organization Type

for profit

Management Company

PLEASANTON NURSING AND REHAB CENTER, LLC

Administrator

ENOBONG OFONG

Chain Affiliation

Chain Name

Eduro Healthcare

Chain Size

35 facilities nationwide

Chain avg rating: 2.3/5 · Rank 12 of 21 (Worst)

Ownership & Management

Owners

Maverick County Hospital District

Owner · Organization

100%

Key personnel

Martinez, AlmaOfficer / DirectorPleasanton Nursing and Rehab Center, LLCManagerBewsey, MichaelManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 4 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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