CareSentinel

Federal Nursing-Home Survey Record

Pleasant Springs Healthcare Center

CCN 455532 · 2003 N Edwards St, Mount Pleasant, TX, 75455 · Operated within the CREATIVE SOLUTIONS IN HEALTHCARE chain

Does Pleasant Springs Healthcare Center have a federal violation or abuse history?

According to the public federal record on file with the Centers for Medicare & Medicaid Services (CMS), Pleasant Springs Healthcare Center (CCN 455532), in Mount Pleasant, TX, has federal inspection findings on its record. In its current inspection cycle, CMS cited the facility for 23 deficiencies; the most serious carries scope/severity J on CMS's A–L scale, a level CMS classifies as Immediate Jeopardy. The most recent federal survey on file is dated 2025-02-27. Citations from earlier inspection cycles appear in the dated timeline below as historical findings, not current ones. CMS has $50,375 in civil money penalties on file against the facility. This page restates the federal record as published by CMS and draws no conclusion of its own. Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly.

The Federal Record

At its most recent federal inspection, CMS cited this facility for an Immediate Jeopardy deficiency.

Below is this facility's federal survey record as on file with federal regulators (CMS). Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly.

Scope & Severity — current cycle

ANo Harm
BNo Harm
CNo Harm
DPotential
EPotential
FPotential
GActual Harm
HActual Harm
IActual Harm
JImm. Jeopardy
KImm. Jeopardy
LImm. Jeopardy

CMS's own A–L scope/severity grid. Plotted cells mark this facility's most recent (current-cycle) citations, as on file with federal regulators (CMS).

Civil money penalties on file

$50,375

CMS has $50,375 in civil money penalties on file against this facility.

Overall CMS star rating: this facility vs the CMS-published state average

This facility: 1  ·  CMS state average: 2.7

Side-by-side with the CMS-published Overall CMS star rating for this state. This is the government's own published state average — not a CareSentinel-computed figure or delta.

Deficiency timeline — full federal history

2026-02-23
CURRENT CYCLE
F689S/S J

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

2026-02-23
CURRENT CYCLE
F761S/S E

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.

2026-02-23
CURRENT CYCLE
F584S/S E

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.

2026-02-23
CURRENT CYCLE
F812S/S E

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

2026-02-23
CURRENT CYCLE
F600S/S E

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

2026-02-23
CURRENT CYCLE
F607S/S E

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

2026-02-23
CURRENT CYCLE
F628S/S D

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

2026-02-23
CURRENT CYCLE
F880S/S D

Provide and implement an infection prevention and control program.

2026-02-23
CURRENT CYCLE
F550S/S D

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

2026-02-23
CURRENT CYCLE
F725S/S B

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

2026-01-12
CURRENT CYCLE
F755S/S D

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

2025-11-20
CURRENT CYCLE
F727S/S F

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.

2025-02-27
CURRENT CYCLE
F838S/S E

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.

2025-02-27
CURRENT CYCLE
F755S/S E

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

2025-02-27
CURRENT CYCLE
F804S/S E

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

2025-02-27
CURRENT CYCLE
F656S/S E

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

2025-02-27
CURRENT CYCLE
F695S/S E

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

2025-02-27
CURRENT CYCLE
F584S/S E

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.

2025-02-27
CURRENT CYCLE
F689S/S D

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

2025-02-27
CURRENT CYCLE
F585S/S D

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.

2025-02-27
CURRENT CYCLE
F655S/S D

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

2025-02-27
CURRENT CYCLE
F677S/S D

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

2025-02-27
CURRENT CYCLE
F550S/S D

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

2025-01-27
HISTORICAL
F755S/S E

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

2024-12-03
HISTORICAL
F689S/S J

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

2024-01-11
HISTORICAL
F812S/S F

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

2024-01-11
HISTORICAL
F695S/S E

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

2024-01-11
HISTORICAL
F880S/S E

Provide and implement an infection prevention and control program.

2024-01-11
HISTORICAL
F804S/S E

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

2024-01-11
HISTORICAL
F656S/S E

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

2024-01-11
HISTORICAL
F584S/S E

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.

2024-01-11
HISTORICAL
F759S/S D

Ensure medication error rates are not 5 percent or greater.

2024-01-11
HISTORICAL
F760S/S D

Ensure that residents are free from significant medication errors.

2024-01-11
HISTORICAL
F585S/S D

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.

2024-01-11
HISTORICAL
F761S/S D

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.

2024-01-11
HISTORICAL
F770S/S D

Provide timely, quality laboratory services/tests to meet the needs of residents.

2024-01-11
HISTORICAL
F655S/S D

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

2024-01-11
HISTORICAL
F689S/S D

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

2024-01-11
HISTORICAL
F940S/S D

Develop, implement, and/or maintain an effective training program for all new and existing staff members.

2024-01-11
HISTORICAL
F690S/S D

Provide 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
HISTORICAL
F552S/S D

Ensure that residents are fully informed and understand their health status, care and treatments.

2024-01-11
HISTORICAL
F806S/S D

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

2024-01-11
HISTORICAL
F641S/S D

Ensure each resident receives an accurate assessment.

2024-01-11
HISTORICAL
F757S/S D

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

2024-01-02
HISTORICAL
F686S/S K

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

2022-11-09
HISTORICAL
F583S/S E

Keep residents' personal and medical records private and confidential.

2022-11-09
HISTORICAL
F698S/S E

Provide safe, appropriate dialysis care/services for a resident who requires such services.

2022-11-09
HISTORICAL
F658S/S D

Ensure services provided by the nursing facility meet professional standards of quality.

2022-11-09
HISTORICAL
F880S/S D

Provide and implement an infection prevention and control program.

2022-11-09
HISTORICAL
F677S/S D

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

2022-11-09
HISTORICAL
F584S/S D

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.

2022-11-09
HISTORICAL
F688S/S D

Provide 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
HISTORICAL
F761S/S D

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.

Each citation below is a federal survey finding, dated and labeled with its CMS deficiency tag, as on file with federal regulators (CMS). Older inspection cycles are de-emphasized; only the most recent cycle is current.

Document what happened

Were you or a loved one harmed at Pleasant Springs Healthcare Center?

Share a few details to put your inquiry on file. CareSentinel is an independent service that compiles the public CMS record and does not provide legal advice. As qualified attorneys join our network in your area, one may reach out — we can’t guarantee contact yet, so we encourage you to consult a qualified attorney promptly on your own as well. There is no cost, and your information is handled with care.

Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly.

Step 1 of 3 · What happened

Your relationship to the resident
What happened? Select all that apply.

Physical injury

Skin & wounds

Medical & clinical

Safety & abuse

Loss

Something else

The resident is…