nursing home in Gainesville, TX
Pecan Tree Rehab and Healthcare Center
1900 E California St, Gainesville, TX 76240 · (940) 668-6263
★★★★★1
Much below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★1
- Staffing★★★★★1
- Quality measures★★★★★2
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Pecan Tree Rehab and Healthcare Center at a glance
Pecan Tree Rehab and Healthcare Center is a 122-bed government nursing home in Gainesville, Texas (Cooke County).
CMS gives it 1 out of 5 stars on its overall star rating, worse than the Texas average of 2.7.
Residents receive about 2.6 hours of nursing care per day (0.3 of them from registered nurses), worse than the state average of 3.4 hours.
Its most recent standard health inspection (February 18, 2026) found 11 health citations. The Texas average is 9.4.
Federal regulators fined it 1 time in the past three years, totaling $16,879.
Facility details
- Type
- Nursing home
- Ownership
- Government - Hospital District
- Beds
- 122
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Creative Solutions in Healthcare
- Medicare-certified since
- November 7, 1995
- Resident/family council
- Resident
- County
- Cooke County
- CMS Certification Number
- 675550
Ratings
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 1 / 5 | 2.7 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 1 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 1 / 5 | 1.9 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 2 / 5 | 3.7 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 3 / 5 | 4 / 5 | 3.8 / 5 | Worse |
| Short-stay (rehab) quality rating (higher is better) | 1 / 5 | 3.2 / 5 | 3.3 / 5 | Worse |
Staffing
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 2.57 hrs | 3.39 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.29 hrs | 0.43 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 1.31 hrs | 2.01 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 1.99 hrs | 2.98 hrs | 3.42 hrs | Worse |
| Administrators who left in the past year (lower is better) | 1 | 1 | 1 | Worse |
Inspections
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 11 | 9 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 8 | 4 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 213 | 102 | 80.6 | Worse |
Penalties
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 1 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $16,879 | $44,141 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 1 | 2 | 1 | Average |
Size
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 122 | 113 | 107 | |
| Average residents per day | 85 | 76 | 86 | |
| Occupancy | 69.3% | 67.6% | 80.9% |
Long-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 3.1% | 3.3% | 3.2% | Average |
| Long-stay residents with pressure ulcers (lower is better) | 3.4% | 3.8% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 0.9% | 9.6% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 1.3% | 0.8% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 0.3% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 20.4% | 15.8% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 21.7% | 14% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 3.8% | 3% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 2.5% | 2.4% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 16.2% | 18% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 16.5% | 13.4% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 98.9% | 98% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 100% | 96.6% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0% | 1.5% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 92.8% | 88% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 100% | 88.9% | 82% | Better |
Inspection citations
State inspectors cited this home for 30 health deficiencies and 4 fire safety deficiencies in the inspection records CMS currently publishes. 2 citations involved actual harm, including 2 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| May 12, 2026 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | D Potential harm, isolated | Corrected May 14, 2026 |
| February 18, 2026 Fire safety | Have properly located and lighted "Exit" signs. Egress Deficiencies · Tag K0293 | E Potential harm, pattern | Corrected March 14, 2026 |
| February 18, 2026 Fire safety | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Tag K0223 | E Potential harm, pattern | Corrected March 14, 2026 |
| February 18, 2026 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected February 19, 2026 |
| February 18, 2026 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected February 19, 2026 |
| February 18, 2026 Standard | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | E Potential harm, pattern | Corrected February 19, 2026 |
| October 18, 2025 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | K Immediate jeopardy, pattern | Corrected October 19, 2025 |
| October 18, 2025 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | J Immediate jeopardy, isolated | Corrected October 19, 2025 |
| October 18, 2025 Complaint | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | E Potential harm, pattern | Corrected October 19, 2025 |
| October 18, 2025 Complaint | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | E Potential harm, pattern | Corrected October 19, 2025 |
| October 18, 2025 Complaint | 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. Resident Rights Deficiencies · Tag F0585 | E Potential harm, pattern | Corrected October 19, 2025 |
| October 18, 2025 Complaint | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | E Potential harm, pattern | Corrected October 19, 2025 |
| October 18, 2025 Complaint | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected October 19, 2025 |
| November 13, 2024 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected December 9, 2024 |
| November 13, 2024 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected December 9, 2024 |
| November 13, 2024 Standard | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Tag F0690 | E Potential harm, pattern | Corrected December 9, 2024 |
| November 13, 2024 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. Resident Rights Deficiencies · Tag F0584 | D Potential harm, isolated | Corrected December 9, 2024 |
| November 13, 2024 Standard | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Tag F0558 | D Potential harm, isolated | Corrected December 9, 2024 |
| November 13, 2024 Standard | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Tag F0644 | D Potential harm, isolated | Corrected December 11, 2024 |
| November 13, 2024 Standard | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected December 9, 2024 |
| September 19, 2023 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | F Potential harm, widespread | Corrected October 11, 2023 |
| September 19, 2023 Fire safety | Properly provide smoke detection systems in areas open to corridors. Smoke Deficiencies · Tag K0347 | D Potential harm, isolated | Corrected October 11, 2023 |
| September 19, 2023 Standard | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Tag F0925 | F Potential harm, widespread | Corrected October 11, 2023 |
| September 19, 2023 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected October 11, 2023 |
| September 19, 2023 Standard | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0698 | E Potential harm, pattern | Corrected October 11, 2023 |
| September 19, 2023 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected October 11, 2023 |
| September 19, 2023 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | E Potential harm, pattern | Corrected October 11, 2023 |
| September 19, 2023 Standard | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Tag F0679 | E Potential harm, pattern | Corrected October 11, 2023 |
| September 19, 2023 Complaint | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | E Potential harm, pattern | Corrected October 11, 2023 |
| September 19, 2023 Standard | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected October 11, 2023 |
| September 19, 2023 Standard | Provide doctor's orders for the resident's immediate care at the time the resident was admitted. Resident Assessment and Care Planning Deficiencies · Tag F0635 | D Potential harm, isolated | Corrected October 11, 2023 |
| September 19, 2023 Standard | Ensure 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. Quality of Life and Care Deficiencies · Tag F0693 | D Potential harm, isolated | Corrected October 11, 2023 |
| September 19, 2023 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | D Potential harm, isolated | Corrected October 11, 2023 |
| September 19, 2023 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected October 11, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 1 federal penalty in the past three years, including $16,879 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| October 18, 2025 | Fine | $16,879 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| DECATUR HOSPITAL AUTHORITY Organization | 5% or greater direct ownership interest | 100% | 03/01/2025 |
| CARETRUST REIT INC Organization | 5% or greater mortgage interest | NOT APPLICABLE | 03/01/2025 |
| CTR PARTNERSHIP LP Organization | 5% or greater mortgage interest | NOT APPLICABLE | 03/01/2025 |
| GULF COAST BUYER 1, LLC Organization | 5% or greater mortgage interest | NOT APPLICABLE | 03/01/2025 |
| CARETRUST REIT INC Organization | adp of the snf | NOT APPLICABLE | 03/01/2025 |
| CTR PARTNERSHIP LP Organization | adp of the snf | NOT APPLICABLE | 03/01/2025 |
| DRIGGERS, WILLIAM Individual | adp of the snf | NOT APPLICABLE | 03/01/2025 |
| GULF COAST BUYER 1, LLC Organization | adp of the snf | NOT APPLICABLE | 03/01/2025 |
| SEARS, VIRGIL Individual | adp of the snf | NOT APPLICABLE | 03/01/2025 |
| SOUTHWEST LTC - GAINESVILLE, LLC Organization | adp of the snf | NOT APPLICABLE | 03/05/2025 |
| SCROGGINS, BRIAN Individual | corporate officer | NOT APPLICABLE | 03/01/2025 |
| BARONET, ROD Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 03/05/2025 |
| BRASHIER, CRAIG Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 03/27/2025 |
| MORAN, DAWN Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 03/27/2025 |
| PAYNE, RONALD Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 03/05/2025 |
| DRIGGERS, WILLIAM Individual | operational/managerial control | NOT APPLICABLE | 03/01/2025 |
| SOUTHWEST LTC - GAINESVILLE, LLC Organization | operational/managerial control | NOT APPLICABLE | 03/01/2025 |
Other nursing homes near Pecan Tree Rehab and Healthcare Center
Renaissance Care Center
1400 Blackshill Dr, Gainesville, TX 76240 · under 1 mi
For-profit · 91 beds · Part of Cantex Continuing Care
★★★★★3AverageAvir at Gainesville
1900 O'Neal St., Gainesville, TX 76240 · under 1 mi
Government · 112 beds · Part of Avir Health Group
★★★★★1Much below averageAvir at River Valley
1907 Refinery Rd, Gainesville, TX 76240 · 2.1 mi
For-profit · 116 beds · Part of Avir Health Group
★★★★★3AverageWhitesboro Health and Rehabilitation Center
1204 Sherman Dr, Whitesboro, TX 76273 · 13.4 mi
For-profit · 95 beds · Part of Creative Solutions in Healthcare
★★★★★2Below averageCedar Ridge Rehabilitation and Healthcare Center
1700 N Washington St, Pilot Point, TX 76258 · 18 mi
For-profit · 108 beds · Part of Nexion Health
★★★★★3AverageAvir at Pilot Point
208 N Prairie St, Pilot Point, TX 76258 · 18.3 mi
Government · 63 beds · Part of Avir Health Group
★★★★★4Above average
Frequently asked questions
What is Pecan Tree Rehab and Healthcare Center's rating?
Pecan Tree Rehab and Healthcare Center has 1 out of 5 stars on the CMS overall star rating. The average for Texas nursing homes is 2.7 stars.
How many inspection citations did Pecan Tree Rehab and Healthcare Center receive?
Its most recent standard health inspection found 11 citations, compared with a Texas average of 9.4. Every citation is listed on this page with its severity.
Does Pecan Tree Rehab and Healthcare Center accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Pecan Tree Rehab and Healthcare Center?
It is government - hospital district and part of Creative Solutions in Healthcare. The ownership section on this page lists the owners and managers reported to CMS.
Where is Pecan Tree Rehab and Healthcare Center and how do I contact it?
Pecan Tree Rehab and Healthcare Center is at 1900 E California St, Gainesville, TX 76240. Phone: (940) 668-6263.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.