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Pleasant Manor Health & Rehabilitation Center

Nursing Home Facility

3650 S Ih 35 E, Waxahachie, TX 75165

Nursing Home Care Senior Living

Pleasant Manor Health & Rehabilitation Center is a senior care community located in Waxahachie, TX. It provides nursing home care and senior living for older adults in the Waxahachie area. To learn more or schedule a tour, call (972) 937-7320.

Operated by The Ensign Group, which runs 419 communities in our directory.

Employer rating 3.3 out of 5 39 reviews from their own employees on Indeed. See what they say.

Pleasant Manor Health & Rehabilitation Center is licensed for 132 beds, about typical for the area, where senior care communities in Waxahachie average about 104 beds.

Federal reporting puts occupancy at about 65% of its licensed beds, so availability is more likely here than at busier communities nearby. That is above the Waxahachie average of roughly 53%.

Medicare rates this community 3 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Communities in Waxahachie average about 1.7 stars. Its most recent standard health inspection was in March 2026 and recorded 13 deficiencies.

Residents receive about 3.3 hours of nursing care per day on average, including 0.4 hours from a registered nurse. Nursing staff turnover over the past year was about 58%.

The community is located in Ellis County, TX.

Medicare five-star ratings

  • Overall ★★★★★ 3/5
  • Health inspections ★★★★★ 2/5
  • Staffing ★★★★★ 2/5
  • Quality measures ★★★★★ 5/5

Source: Centers for Medicare & Medicaid Services (CMS) Care Compare. Ratings apply to Medicare/Medicaid-certified nursing homes and are updated by CMS monthly.

Inspection record

In its last three standard inspections and any complaint visits, federal inspectors cited 29 problems at Pleasant Manor Health & Rehabilitation Center. 2 findings involved harm to a resident, including 2 that put residents in immediate danger. 8 came from investigating complaints by residents or families.

In the last three years Medicare fined this home twice, a total of $29,011.

Findings from the most recent inspection cycle

  • Could cause more than minimal harm, a pattern Nutrition and Dietary

    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

    Inspected April 2026, after a complaint. Corrected by May 5, 2026.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

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

    Inspected April 2026, after a complaint. Corrected by May 5, 2026.

  • Could cause more than minimal harm, a pattern Quality of Life and Care

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

    Inspected March 2026. Corrected by April 21, 2026.

  • Could cause more than minimal harm, a pattern Pharmacy Service

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

    Inspected March 2026. Corrected by April 21, 2026.

  • Could cause more than minimal harm, a pattern Administration

    Hire a qualified full-time social worker in a facility with more than 120 beds.

    Inspected March 2026. Corrected by April 21, 2026.

  • Could cause more than minimal harm, one or a few residents Resident Rights

    Reasonably accommodate the needs and preferences of each resident.

    Inspected March 2026. Corrected by April 21, 2026.

  • Could cause more than minimal harm, one or a few residents Resident Rights

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

    Inspected March 2026. Corrected by April 21, 2026.

  • Could cause more than minimal harm, one or a few residents Resident Rights

    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.

    Inspected March 2026. Corrected by April 21, 2026.

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  • Could cause more than minimal harm, one or a few residents Freedom from Abuse, Neglect, and Exploitation

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

    Inspected March 2026. Corrected by April 21, 2026.

  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

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

    Inspected March 2026. Corrected by April 21, 2026.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Inspected March 2026. Corrected by April 21, 2026.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

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

    Inspected March 2026. Corrected by April 21, 2026.

  • Could cause more than minimal harm, one or a few residents Environmental

    Keep all essential equipment working safely.

    Inspected March 2026. Corrected by April 21, 2026.

A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.

Source: Centers for Medicare & Medicaid Services, Health Deficiencies and Penalties files, updated monthly. See the full record on Medicare Care Compare.

Pleasant Manor Health & Rehabilitation Center offers nursing home care and senior living.

Facility details

  • Organization type for-profit corporation
  • Beds / units 132
  • Occupancy 65%
  • Nursing hours per resident/day 3.3
  • Annual staff turnover 58%
  • Last health inspection March 2026

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