All 3 Medicare-certified nursing homes in Waxahachie,
side by side on the things that separate them: how many nursing hours each resident gets, how much of the
staff leaves each year, and what inspectors found on their last visit.
Pleasant Manor runs about 3.31 nurse hours per resident per day, roughly 14% under the national average, and weekend coverage drops another 13% below its own weekday levels. Staff turnover sits at 57.7%, well above the 45.8% national figure, so the people caring for residents change often. The current inspection record carries 29 deficiencies, including two at the harm or jeopardy level and two tied to abuse, with $29,011 in fines across two penalties. Its quality measure score looks strong on paper, but that reflects charted clinical data, not the staffing and safety picture. The most recent inspection was March 2026. For-profit, LLC-owned, 132 beds.
Focused Care Of Waxahachie runs on 2.68 nurse hours per resident day, roughly 31% under the national average, and weekends drop another 10% below its own weekday levels. That thin coverage shows up in the staffing picture, where turnover hits 58.9% against a national 45.8%, more than half the nursing staff leaving in a year. The inspection record is the harder problem: 40 deficiencies, five serious enough to involve harm or jeopardy, three tied to abuse, and $172,367 in fines across three penalties. A government hospital district owns the 152-bed building, and its most recent inspection was April 28, 2026. Quality measures score well; the hands-on care and oversight numbers do not.
Legend Oaks in Waxahachie runs 121 certified beds under individual for-profit ownership, and the staffing picture is the first thing to notice: 3.55 nurse hours per resident day against a national average of 3.86, with weekends dropping roughly 19% below its own weekday levels. That thin weekend coverage matters, because turnover sits at 57.6%, well above the 45.8% national figure, meaning the aides and nurses at the bedside keep changing. The inspection record backs it up: 35 deficiencies, five serious enough to put residents in harm's way, one tied to abuse, and $41,215 in fines across three actions, with the most recent inspection in February 2026.