Pleasant Springs Healthcare Center
2003 N Edwards St · Mount Pleasant, TX · 75455 · 9035725511
90 certified beds For profit - Corporation Chain: Creative Solutions in Healthcare
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $33,165 in fines in the last 24 months.
- Inspection results are getting worse cycle over cycle, not better.
Red flags
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
Total nurse staffing below 3.0 hours per resident-day
3.00 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
98% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.00 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.56 | 0.55–0.75 |
| Weekend hours / resident-day | 2.48 | ≈ weekday level |
| Nursing turnover / year | 98% | median 45% |
| Fines (3-yr window) | 3 · $50,375 |
Inspection citations (54 in the current record)
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Potential for harm · D April 1, 2026 · found via complaint
Provide care or services that was trauma informed and/or culturally competent.
Corrected April 2, 2026 · Quality of Life and Care
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Immediate jeopardy · J February 23, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 24, 2026 · Quality of Life and Care
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Potential for harm · D February 23, 2026 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected February 24, 2026 · Resident Rights
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Potential for harm · E February 23, 2026 · found via complaint
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.
Corrected February 24, 2026 · Resident Rights
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Potential for harm · E February 23, 2026 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected February 24, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E February 23, 2026 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected February 24, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 23, 2026 · found via complaint
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected February 24, 2026 · Resident Rights
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Potential for harm · E February 23, 2026 · found via complaint
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.
Corrected February 24, 2026 · Pharmacy Service
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Potential for harm · E February 23, 2026 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected February 24, 2026 · Nutrition and Dietary
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Potential for harm · D February 23, 2026 · found via complaint
Provide and implement an infection prevention and control program.
Corrected February 24, 2026 · Infection Control
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No harm found · B February 23, 2026 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected February 24, 2026 · Nursing and Physician Services
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Potential for harm · D January 12, 2026 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected January 13, 2026 · Pharmacy Service
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Potential for harm · F November 20, 2025 · found via complaint
Have 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.
Corrected November 21, 2025 · Nursing and Physician Services
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Potential for harm · D February 27, 2025
Honor 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.
Corrected March 4, 2025 · Resident Rights
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Potential for harm · D February 27, 2025
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected March 4, 2025 · Resident Assessment and Care Planning
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Potential for harm · E February 27, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected March 4, 2025 · Resident Assessment and Care Planning
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Potential for harm · D February 27, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected March 4, 2025 · Quality of Life and Care
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Potential for harm · D February 27, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 4, 2025 · Quality of Life and Care
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Potential for harm · E February 27, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected March 4, 2025 · Quality of Life and Care
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Potential for harm · E February 27, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected March 4, 2025 · Pharmacy Service
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Potential for harm · E February 27, 2025
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected March 4, 2025 · Nutrition and Dietary
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Potential for harm · E February 27, 2025
Conduct 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.
Corrected March 4, 2025 · Administration
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Potential for harm · D February 27, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected March 4, 2025 · Resident Rights
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Potential for harm · E February 27, 2025 · found via complaint
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.
Corrected March 4, 2025 · Resident Rights
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Potential for harm · E January 27, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected January 28, 2025 · Pharmacy Service
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| February 23, 2026 | Fine | $17,220 |
| December 3, 2024 | Fine | $15,945 |
| January 2, 2024 | Fine | $17,210 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 455532 · certified since July 26, 1985. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.