nursing home in Fairfield, TX
Fairfield Nursing & Rehabilitation Center
420 Moody St, Fairfield, TX 75840 · (903) 389-1236
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
Fairfield Nursing & Rehabilitation Center at a glance
Fairfield Nursing & Rehabilitation Center is a 101-bed government nursing home in Fairfield, Texas (Freestone 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 3.1 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 (December 18, 2025) found 2 health citations. The Texas average is 9.4.
It has not received a federal fine in the past three years.
Nursing staff turnover is 96.7% per year (state average 55.3%).
Facility details
- Type
- Nursing home
- Ownership
- Government - Hospital District
- Beds
- 101
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Creative Solutions in Healthcare
- Medicare-certified since
- December 14, 2006
- Resident/family council
- Resident
- County
- Freestone County
- CMS Certification Number
- 676123
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) | 2 / 5 | 4 / 5 | 3.8 / 5 | Worse |
| Short-stay (rehab) quality rating (higher is better) | 3 / 5 | 3.2 / 5 | 3.3 / 5 | Average |
Staffing
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.09 hrs | 3.39 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.39 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) | 2.78 hrs | 2.98 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 96.7% | 55.3% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 100% | 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) | 2 | 9 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 4 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 18 | 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 | 101 | 113 | 107 | |
| Average residents per day | 69 | 76 | 86 | |
| Occupancy | 68.6% | 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) | 7.3% | 3.3% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 5.2% | 3.8% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 15.2% | 9.6% | 15.4% | Average |
| 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) | 18.9% | 15.8% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 13.8% | 14% | 14.1% | Average |
| Long-stay residents who lose too much weight (lower is better) | 0% | 3% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 0.4% | 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) | 15.7% | 18% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 18.9% | 13.4% | 19% | Average |
| 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) | 2.7% | 1.5% | 1.6% | Worse |
| 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 10 health deficiencies and 12 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| December 18, 2025 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | D Potential harm, isolated | Corrected January 29, 2026 |
| December 18, 2025 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 19, 2025 |
| December 18, 2025 Standard | Honor the resident's right to organize and participate in resident/family groups in the facility. Resident Rights Deficiencies · Tag F0565 | E Potential harm, pattern | Corrected December 19, 2025 |
| July 28, 2025 Complaint | 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 July 29, 2025 |
| July 28, 2025 Complaint | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Tag F0552 | D Potential harm, isolated | Corrected July 29, 2025 |
| September 26, 2024 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected October 1, 2024 |
| September 26, 2024 Fire safety | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Tag E0039 | F Potential harm, widespread | Corrected October 23, 2024 |
| September 26, 2024 Fire safety | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Tag K0741 | E Potential harm, pattern | Corrected September 25, 2024 |
| September 26, 2024 Fire safety | Ensure electrical receptacles or cover plates have distinctive color or marking. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0917 | E Potential harm, pattern | Corrected September 25, 2024 |
| September 26, 2024 Fire safety | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923 | E Potential harm, pattern | Corrected September 25, 2024 |
| September 26, 2024 Fire safety | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Tag K0222 | E Potential harm, pattern | Corrected September 25, 2024 |
| September 26, 2024 Fire safety | Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. Smoke Deficiencies · Tag K0342 | E Potential harm, pattern | Corrected September 25, 2024 |
| September 26, 2024 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | E Potential harm, pattern | Corrected September 27, 2024 |
| September 26, 2024 Fire safety | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Tag K0374 | E Potential harm, pattern | Corrected September 27, 2024 |
| September 26, 2024 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 August 21, 2024 |
| September 26, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected September 27, 2024 |
| August 14, 2024 Complaint | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0604 | D Potential harm, isolated | Corrected August 15, 2024 |
| August 14, 2024 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 August 15, 2024 |
| July 26, 2023 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 May 22, 2024 |
| July 26, 2023 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | E Potential harm, pattern | Corrected May 22, 2024 |
| July 26, 2023 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | E Potential harm, pattern | Corrected August 15, 2023 |
| July 26, 2023 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 | E Potential harm, pattern | Corrected August 15, 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 |
|---|---|---|---|
| LIBERTY COUNTY HOSPITAL DISTRICT NO 1 Organization | 5% or greater direct ownership interest | 100% | 05/01/2022 |
| BLAKE, GARY Individual | adp of the snf | NOT APPLICABLE | 05/01/2022 |
| FAIRFIELD I ENTERPRISES, LLC Organization | adp of the snf | NOT APPLICABLE | 05/01/2022 |
| LEWIS, BETTY Individual | adp of the snf | NOT APPLICABLE | 04/11/2025 |
| WHITE, DARRYL Individual | adp of the snf | NOT APPLICABLE | 04/11/2025 |
| WILLIG, ZACHARY Individual | corporate director | NOT APPLICABLE | 01/01/2025 |
| HUGGINS, LINDA Individual | corporate officer | NOT APPLICABLE | 05/01/2022 |
| STRATTON, CHARLES Individual | corporate officer | NOT APPLICABLE | 05/01/2005 |
| FREGIA, MILTON Individual | managing control - governing body | NOT APPLICABLE | 05/07/2022 |
| GARDNER, SHANNON Individual | managing control - governing body | NOT APPLICABLE | 08/22/2022 |
| GARDZINA, MARGARET Individual | managing control - governing body | NOT APPLICABLE | 02/26/2024 |
| HENRY, PAUL Individual | managing control - governing body | NOT APPLICABLE | 05/09/2009 |
| STRATTON, CHARLES Individual | managing control - governing body | NOT APPLICABLE | 05/01/2005 |
| BLAKE, GARY Individual | operational/managerial control | NOT APPLICABLE | 05/01/2022 |
| BLAKE, MALISA Individual | operational/managerial control | NOT APPLICABLE | 05/01/2022 |
| FAIRFIELD I ENTERPRISES, LLC Organization | operational/managerial control | NOT APPLICABLE | 05/01/2022 |
Other nursing homes near Fairfield Nursing & Rehabilitation Center
Fairview Healthcare Residence
601 E Reunion St, Fairfield, TX 75840 · 1.1 mi
Government · 84 beds · Part of Coryell County Memorial Hospital Authority
★★★★★4Above averageTeague Nursing and Rehabilitation
884 Hwy 84 W, Teague, TX 75860 · 9.8 mi
For-profit · 76 beds · Part of Gulf Coast LTC Partners
★★★★★5Much above averageSkilled Care of Mexia
501 E Sumpter St, Mexia, TX 76667 · 18.8 mi
Government · 80 beds · Part of Creative Solutions in Healthcare
★★★★★3AverageThe Manor Healthcare Residence
831 Tehuacana Hwy, Mexia, TX 76667 · 19.5 mi
For-profit · 66 beds · Part of Coryell County Memorial Hospital Authority
★★★★★5Much above averageMexia LTC Nursing and Rehabilitation
601 Terrace Ln, Mexia, TX 76667 · 19.6 mi
For-profit · 66 beds · Part of Gulf Coast LTC Partners
★★★★★2Below averageGroesbeck LTC Nursing and Rehabilitation
607 Parkside Dr, Groesbeck, TX 76642 · 25.5 mi
Government · 90 beds · Part of Gulf Coast LTC Partners
★★★★★5Much above average
Frequently asked questions
What is Fairfield Nursing & Rehabilitation Center's rating?
Fairfield Nursing & Rehabilitation Center 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 Fairfield Nursing & Rehabilitation Center receive?
Its most recent standard health inspection found 2 citations, compared with a Texas average of 9.4. Every citation is listed on this page with its severity.
Does Fairfield Nursing & Rehabilitation 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 Fairfield Nursing & Rehabilitation 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 Fairfield Nursing & Rehabilitation Center and how do I contact it?
Fairfield Nursing & Rehabilitation Center is at 420 Moody St, Fairfield, TX 75840. Phone: (903) 389-1236.
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.