Elder Care Record

Texas › Titus County › Mount Pleasant

Pleasant Springs Healthcare Center

2003 North Edwards Avenue, Mount Pleasant, TX 75455

CCN 455532 · For-profit, limited liability company · 90 certified beds · chain Creative Solutions In Healthcare

CMS abuse icon
Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Certified for 90 beds, Pleasant Springs Healthcare Center serves Mount Pleasant in Titus County, Texas and has taken Medicare and Medicaid residents since 1985.

CMS gives it 1 of 5 stars overall, below the Texas median of 3; the health inspection rating is 1, staffing 2 and quality measures 3.

Inspectors recorded 66 health deficiencies across the three most recent survey cycles (33, 13, 20 by cycle, most recent first), 6 of them at the actual-harm or immediate-jeopardy level. That is 73.3 per 100 beds, more than the state median of 22.5.

CMS lists 4 penalties in the period covered: fines totalling $66K.

Reported nurse staffing is 3.0 hours per resident per day (0.5 RN), close to the Texas median of 3.3; nursing staff turnover is 95.9%.

CMS flags that the facility carries the CMS abuse icon.

66health deficiencies, 3 survey cycles6 at actual harm or worse
$66Kfines listed by CMS4 penalties in period
3.0nurse hours per resident per daystate median 3.3
69%occupancy (residents ÷ beds)62 residents a day

Compared with county, state and nation

MeasureThis facilityTitus Co. medianTexas medianUS average
Overall star rating1133.0
Health citations, 3 cycles66662528.7
Citations per 100 beds73.367.222.526.8
Total nurse hours per resident day3.03.13.33.9
RN hours per resident day0.50.40.40.7
Nursing staff turnover95.9%95.2%52.1%45.8%
Fines listed$65,650$154,116$16,801—

County and state figures are medians across facilities (3 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)33
Cycle 213
Cycle 320

Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 4 Jun 2026, 27 Feb 2025.

Severity mix: J ×3 K ×1 G ×2 D ×35 E ×22 F ×2 B ×1

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
4 Jun 2026F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.JStandard survey5 Jun 2026
4 Jun 2026F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GStandard survey5 Jun 2026
4 Jun 2026F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.GStandard survey5 Jun 2026
4 Jun 2026F0565Honor the resident's right to organize and participate in resident/family groups in the facility.EStandard survey5 Jun 2026
4 Jun 2026F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EStandard survey5 Jun 2026
4 Jun 2026F0761Ensure 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.EStandard survey5 Jun 2026
4 Jun 2026F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey5 Jun 2026
4 Jun 2026F0880Provide and implement an infection prevention and control program.EStandard survey5 Jun 2026
4 Jun 2026F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard survey5 Jun 2026
4 Jun 2026F0558Reasonably accommodate the needs and preferences of each resident.DStandard survey5 Jun 2026
4 Jun 2026F0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.DStandard survey5 Jun 2026
4 Jun 2026F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard survey5 Jun 2026
4 Jun 2026F0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.DStandard survey5 Jun 2026
4 Jun 2026F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey5 Jun 2026
4 Jun 2026F0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.DStandard survey5 Jun 2026
4 Jun 2026F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey5 Jun 2026
4 Jun 2026F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard survey5 Jun 2026
4 Jun 2026F0770Provide timely, quality laboratory services/tests to meet the needs of residents.DStandard survey5 Jun 2026
4 Jun 2026F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.DStandard survey5 Jun 2026
4 Jun 2026F0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DStandard survey5 Jun 2026
1 Apr 2026F0699Provide care or services that was trauma informed and/or culturally competent.DComplaint investigation2 Apr 2026
23 Feb 2026F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint investigation24 Feb 2026
23 Feb 2026F0584Honor 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.EComplaint investigation24 Feb 2026
23 Feb 2026F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.EComplaint investigation24 Feb 2026
23 Feb 2026F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.EComplaint investigation24 Feb 2026
23 Feb 2026F0761Ensure 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.EComplaint investigation24 Feb 2026
23 Feb 2026F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EComplaint investigation24 Feb 2026
23 Feb 2026F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint investigation24 Feb 2026
23 Feb 2026F0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.DComplaint investigation24 Feb 2026
23 Feb 2026F0880Provide and implement an infection prevention and control program.DComplaint investigation24 Feb 2026
23 Feb 2026F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.BComplaint investigation24 Feb 2026
12 Jan 2026F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation13 Jan 2026
20 Nov 2025F0727Have 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.FComplaint investigation21 Nov 2025
27 Feb 2025F0584Honor 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.EComplaint investigation4 Mar 2025
27 Feb 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard survey4 Mar 2025
27 Feb 2025F0695Provide safe and appropriate respiratory care for a resident when needed.EStandard survey4 Mar 2025
27 Feb 2025F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard survey4 Mar 2025
27 Feb 2025F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EStandard survey4 Mar 2025
27 Feb 2025F0838Conduct 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.EStandard survey4 Mar 2025
27 Feb 2025F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint investigation4 Mar 2025
27 Feb 2025F0585Honor 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.DStandard survey4 Mar 2025
27 Feb 2025F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard survey4 Mar 2025
27 Feb 2025F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey4 Mar 2025
27 Feb 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey4 Mar 2025
27 Jan 2025F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EComplaint investigation28 Jan 2025
3 Dec 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint investigation27 Nov 2024
11 Jan 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey11 Jan 2024
11 Jan 2024F0584Honor 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.EStandard survey11 Jan 2024
11 Jan 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard survey11 Jan 2024
11 Jan 2024F0695Provide safe and appropriate respiratory care for a resident when needed.EStandard survey11 Jan 2024
11 Jan 2024F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EStandard survey11 Jan 2024
11 Jan 2024F0880Provide and implement an infection prevention and control program.EComplaint investigation11 Jan 2024
11 Jan 2024F0552Ensure that residents are fully informed and understand their health status, care and treatments.DStandard survey11 Jan 2024
11 Jan 2024F0585Honor 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.DStandard survey11 Jan 2024
11 Jan 2024F0641Ensure each resident receives an accurate assessment.DStandard survey11 Jan 2024
11 Jan 2024F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard survey11 Jan 2024
11 Jan 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey11 Jan 2024
11 Jan 2024F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey11 Jan 2024
11 Jan 2024F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard survey11 Jan 2024
11 Jan 2024F0759Ensure medication error rates are not 5 percent or greater.DStandard survey11 Jan 2024
11 Jan 2024F0760Ensure that residents are free from significant medication errors.DStandard survey11 Jan 2024
11 Jan 2024F0761Ensure 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.DStandard survey11 Jan 2024
11 Jan 2024F0770Provide timely, quality laboratory services/tests to meet the needs of residents.DStandard survey11 Jan 2024
11 Jan 2024F0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DStandard survey11 Jan 2024
11 Jan 2024F0940Develop, implement, and/or maintain an effective training program for all new and existing staff members.DStandard survey11 Jan 2024
2 Jan 2024F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.KComplaint investigation26 Oct 2023

Penalties

DateTypeAmountDetail
4 Jun 2026Fine$21,302
23 Feb 2026Fine$11,193
3 Dec 2024Fine$15,945
2 Jan 2024Fine$17,210

Staffing

Total nursing2.99 h
Nurse aides1.69 h
LPN0.77 h
RN0.53 h
Weekend total2.57 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 95.9%, RNs 75.0%; 1 administrator left in the reporting year.

Quality measures

MeasureResidentsThis facilityTexas medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay13.7%14.9%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.0%0.0%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay1.3%0.3%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay3.7%3.0%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.6%0.7%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay10.3%12.4%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay2.4%3.4%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay6.4%8.3%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: for-profit, limited liability company. Legal business name: Fannin County Hospital Authority. Chain: Creative Solutions In Healthcare (149 facilities).

OrganisationRole in the CMS recordInterestSince
Fannin County Hospital Authority5% or greater direct ownership interest100%03/31/2017

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Titus County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Focused Care At Mount Pleasantabuse iconMount Pleasant1221118267.2$223K20 May 2026
Greenhill VillasMount Pleasant1501214530.0$154K26 Feb 2026

All 3 facilities in Titus County

Questions and answers

How many deficiencies has Pleasant Springs Healthcare Center been cited for?

66 health deficiencies across the three most recent survey cycles, 6 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.

Has Pleasant Springs Healthcare Center been fined?

Yes. CMS lists fines totalling $66K in the period covered.

How does staffing at Pleasant Springs Healthcare Center compare?

Reported total nurse staffing is 3.0 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.

Who operates Pleasant Springs Healthcare Center?

It is part of the Creative Solutions In Healthcare chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Fannin County Hospital Authority. Individual owners and managers are not listed on this site.

When was Pleasant Springs Healthcare Center last inspected?

The most recent survey or investigation in the CMS record is dated 4 Jun 2026; the most recent standard health survey was 4 Jun 2026.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.