nursing home in Palestine, TX
Greenbrier Nursing & Rehabilitation Center of Pale
2404 State Highway 155, Palestine, TX 75803 · (903) 729-6024
CMS overall star rating
- Health inspections★★★★★5
- Staffing★★★★★1
- Quality measures★★★★★3
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Greenbrier Nursing & Rehabilitation Center of Pale at a glance
Greenbrier Nursing & Rehabilitation Center of Pale is a 120-bed for-profit nursing home in Palestine, Texas (Anderson County).
CMS gives it 4 out of 5 stars on its overall star rating, better than the Texas average of 2.7.
Residents receive about 3.2 hours of nursing care per day (0.4 of them from registered nurses), worse than the state average of 3.4 hours.
Its most recent standard health inspection (January 29, 2026) found 6 health citations. The Texas average is 9.4.
It has not received a federal fine in the past three years.
Nursing staff turnover is 97.9% per year (state average 55.3%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Corporation
- Beds
- 120
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Creative Solutions in Healthcare
- Medicare-certified since
- December 21, 1999
- Resident/family council
- Resident
- County
- Anderson County
- CMS Certification Number
- 675816
Ratings
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 4 / 5 | 2.7 / 5 | 3 / 5 | Better |
| Health inspection rating ⓘ (higher is better) | 5 / 5 | 2.8 / 5 | 2.8 / 5 | Better |
| Staffing rating ⓘ (higher is better) | 1 / 5 | 1.9 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 3 / 5 | 3.7 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 3 / 5 | 4 / 5 | 3.8 / 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) | 3.18 hrs | 3.39 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.38 hrs | 0.43 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 1.66 hrs | 2.01 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.67 hrs | 2.98 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 97.9% | 55.3% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 80% | 54.6% | 42.9% | 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) | 6 | 9 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 5 | 4 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 25 | 102 | 80.6 | Better |
Penalties
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $44,141 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 2 | 1 | Better |
Size
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 120 | 113 | 107 | |
| Average residents per day | 47 | 76 | 86 | |
| Occupancy | 38.8% | 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% | 3.3% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 3.3% | 3.8% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 10.9% | 9.6% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 0% | 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) | 20.3% | 15.8% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 14.6% | 14% | 14.1% | Average |
| Long-stay residents who lose too much weight (lower is better) | 0.7% | 3% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 4.6% | 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) | 14% | 18% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 14.6% | 13.4% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 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) | 100% | 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 12 health deficiencies and 8 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| April 30, 2026 Complaint | 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 May 1, 2026 |
| March 4, 2026 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 | D Potential harm, isolated | Corrected March 5, 2026 |
| March 4, 2026 Complaint | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected March 5, 2026 |
| January 29, 2026 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | E Potential harm, pattern | Corrected January 30, 2026 |
| January 29, 2026 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | C No harm, widespread | No revisit needed |
| January 29, 2026 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected January 30, 2026 |
| September 10, 2025 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected September 11, 2025 |
| September 10, 2025 Complaint | 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 | D Potential harm, isolated | Corrected September 11, 2025 |
| June 10, 2025 Complaint | 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 | D Potential harm, isolated | Corrected June 11, 2025 |
| March 12, 2025 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected March 13, 2025 |
| November 6, 2024 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected December 13, 2024 |
| November 6, 2024 Fire safety | Ensure precautions for handling oxygen cylinders and equipment are correctly followed. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0929 | E Potential harm, pattern | Corrected November 7, 2024 |
| November 6, 2024 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | C No harm, widespread | Waiver has been granted |
| September 20, 2023 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | F Potential harm, widespread | Corrected September 25, 2023 |
| September 20, 2023 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | F Potential harm, widespread | Corrected September 25, 2023 |
| September 20, 2023 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | C No harm, widespread | Waiver has been granted |
| September 20, 2023 Standard | Keep all essential equipment working safely. Environmental Deficiencies · Tag F0908 | F Potential harm, widespread | Corrected October 12, 2023 |
| September 20, 2023 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected October 6, 2023 |
| September 20, 2023 Standard | 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 September 26, 2023 |
| September 20, 2023 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected September 26, 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 no federal fines or payment denials in the past three years.
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| FANNIN COUNTY HOSPITAL AUTHORITY Organization | 5% or greater direct ownership interest | 100% | 10/01/2024 |
| BLAKE, GARY Individual | adp of the snf | NOT APPLICABLE | 10/01/2024 |
| BLAKE, MALISA Individual | adp of the snf | NOT APPLICABLE | 10/01/2024 |
| HEKIMIAN, KHOREN Individual | adp of the snf | NOT APPLICABLE | 07/01/2025 |
| HONOR X ENTERPRISES, LLC Organization | adp of the snf | NOT APPLICABLE | 07/01/2025 |
| HUGGINS, LINDA Individual | adp of the snf | NOT APPLICABLE | 10/01/2024 |
| JOHNSON, JUANITA Individual | adp of the snf | NOT APPLICABLE | 10/01/2024 |
| PALESTINE I ENTERPRISES, LLC Organization | adp of the snf | NOT APPLICABLE | 10/01/2024 |
| WILLIG, ZACHARY Individual | adp of the snf | NOT APPLICABLE | 10/01/2024 |
| HOLT, ERIN Individual | corporate director | NOT APPLICABLE | 10/01/2024 |
| HUGGINS, LINDA Individual | corporate director | NOT APPLICABLE | 10/01/2024 |
| KEETON, WENDY Individual | corporate director | NOT APPLICABLE | 10/01/2024 |
| KISSLING, MONICA Individual | corporate director | NOT APPLICABLE | 10/01/2024 |
| MCBEAN, PATRICIA Individual | corporate director | NOT APPLICABLE | 10/01/2024 |
| SANDERSON, CLARK Individual | corporate director | NOT APPLICABLE | 10/01/2024 |
| TROMPLER, KELLY Individual | corporate officer | NOT APPLICABLE | 10/01/2024 |
| HONOR X ENTERPRISES, LLC Organization | indirect ownership interest | NOT APPLICABLE | 10/01/2024 |
| HOLT, ERIN Individual | managing control - governing body | NOT APPLICABLE | 10/01/2024 |
| KEETON, WENDY Individual | managing control - governing body | NOT APPLICABLE | 10/01/2024 |
| KISSLING, MONICA Individual | managing control - governing body | NOT APPLICABLE | 10/01/2024 |
| MCBEAN, PATRICIA Individual | managing control - governing body | NOT APPLICABLE | 10/01/2024 |
| SANDERSON, CLARK Individual | managing control - governing body | NOT APPLICABLE | 10/01/2024 |
| TROMPLER, KELLY Individual | managing control - governing body | NOT APPLICABLE | 10/01/2024 |
| BLAKE, GARY Individual | operational/managerial control | NOT APPLICABLE | 10/01/2024 |
| BLAKE, MALISA Individual | operational/managerial control | NOT APPLICABLE | 10/01/2024 |
| HUGGINS, LINDA Individual | operational/managerial control | NOT APPLICABLE | 10/04/2024 |
| JOHNSON, JUANITA Individual | operational/managerial control | NOT APPLICABLE | 10/01/2024 |
| PALESTINE I ENTERPRISES, LLC Organization | operational/managerial control | NOT APPLICABLE | 10/01/2024 |
| WILLIG, ZACHARY Individual | operational/managerial control | NOT APPLICABLE | 10/01/2024 |
Other nursing homes near Greenbrier Nursing & Rehabilitation Center of Pale
Legacy at Town Creek
2212 W Reagan St, Palestine, TX 75801 · 3.6 mi
Government · 199 beds · Part of Southwest LTC
★★★★★1Much below averageTrucare Living Centers
2265 S Sycamore St, Palestine, TX 75801 · 4 mi
Government · 120 beds
- CMS high performer
★★★★★5Much above averageAvir at Town Creek
1816 Tile Factory Rd, Palestine, TX 75801 · 5.1 mi
For-profit · 102 beds · Part of Avir Health Group
★★★★★3AverageAvir at Elkhart
214 Jones Rd, Elkhart, TX 75839 · 11.9 mi
Government · 98 beds · Part of Avir Health Group
- New owner (last 12 months)
★★★★★3AverageAvir at Jacksonville
305 Bonita St, Jacksonville, TX 75766 · 23.1 mi
For-profit · 53 beds · Part of Avir Health Group
- New owner (last 12 months)
★★★★★5Much above averageTwin Oaks Health & Rehabilitation Center
1123 North Bolton Street, Jacksonville, TX 75766 · 24.1 mi
For-profit · 116 beds · Part of Creative Solutions in Healthcare
★★★★★2Below average
Frequently asked questions
What is Greenbrier Nursing & Rehabilitation Center of Pale's rating?
Greenbrier Nursing & Rehabilitation Center of Pale has 4 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 Greenbrier Nursing & Rehabilitation Center of Pale receive?
Its most recent standard health inspection found 6 citations, compared with a Texas average of 9.4. Every citation is listed on this page with its severity.
Does Greenbrier Nursing & Rehabilitation Center of Pale 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 Greenbrier Nursing & Rehabilitation Center of Pale?
It is for profit - corporation and part of Creative Solutions in Healthcare. The ownership section on this page lists the owners and managers reported to CMS.
Where is Greenbrier Nursing & Rehabilitation Center of Pale and how do I contact it?
Greenbrier Nursing & Rehabilitation Center of Pale is at 2404 State Highway 155, Palestine, TX 75803. Phone: (903) 729-6024.
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.