nursing home in Palestine, TX
Trucare Living Centers
2265 S Sycamore St, Palestine, TX 75801 · (903) 723-2592
CMS overall star rating
- Health inspections★★★★★5
- Staffing★★★★★3
- Quality measures★★★★★4
- CMS high performer
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Trucare Living Centers at a glance
Trucare Living Centers is a 120-bed government nursing home in Palestine, Texas (Anderson County).
CMS gives it 5 out of 5 stars on its overall star rating, better than the Texas average of 2.7.
Residents receive about 3.6 hours of nursing care per day (0.3 of them from registered nurses), better than the state average of 3.4 hours.
Its most recent standard health inspection (December 17, 2025) found 3 health citations. The Texas average is 9.4.
It has not received a federal fine in the past three years.
Nursing staff turnover is 25% per year (state average 55.3%).
Facility details
- Type
- Nursing home
- Ownership
- Government - Hospital District
- Beds
- 120
- Certified for
- Medicare and Medicaid
- Medicare-certified since
- July 22, 2010
- Resident/family council
- Resident
- County
- Anderson County
- CMS Certification Number
- 676257
Ratings
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 5 / 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) | 3 / 5 | 1.9 / 5 | 2.9 / 5 | Average |
| Quality measures rating ⓘ (higher is better) | 4 / 5 | 3.7 / 5 | 3.6 / 5 | Average |
| Long-stay quality rating (higher is better) | 4 / 5 | 4 / 5 | 3.8 / 5 | Average |
| 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) | 3.59 hrs | 3.39 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.28 hrs | 0.43 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.51 hrs | 2.01 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 3.20 hrs | 2.98 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 25% | 55.3% | 45.8% | Better |
| Administrators who left in the past year (lower is better) | 0 | 1 | 1 | Better |
Inspections
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 3 | 9 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 4 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 19 | 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 | 81 | 76 | 86 | |
| Occupancy | 67.5% | 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) | 10.6% | 3.3% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 2.8% | 3.8% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 4.5% | 9.6% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 1.1% | 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) | 10.5% | 15.8% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 4.2% | 14% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 1.4% | 3% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 2.2% | 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) | 10.3% | 18% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 11.9% | 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 10 health deficiencies and 0 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| December 17, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected January 6, 2026 |
| December 17, 2025 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 January 6, 2026 |
| December 17, 2025 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 January 6, 2026 |
| September 18, 2024 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 2, 2024 |
| September 18, 2024 Standard | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Quality of Life and Care Deficiencies · Tag F0700 | E Potential harm, pattern | Corrected October 2, 2024 |
| September 18, 2024 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | E Potential harm, pattern | Corrected October 2, 2024 |
| September 18, 2024 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 | E Potential harm, pattern | Corrected October 2, 2024 |
| September 18, 2024 Standard | Have a policy regarding use and storage of foods brought to residents by family and other visitors. Nutrition and Dietary Deficiencies · Tag F0813 | D Potential harm, isolated | Corrected October 2, 2024 |
| September 18, 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 October 2, 2024 |
| August 16, 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 | D Potential harm, isolated | Corrected August 21, 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% | 05/01/2026 |
| BYRUM, JOE Individual | adp of the snf | NOT APPLICABLE | 05/01/2026 |
| ENSIGN SERVICES INC Organization | adp of the snf | NOT APPLICABLE | 02/13/2026 |
| PETERSON, MARCO Individual | adp of the snf | NOT APPLICABLE | 04/01/2018 |
| SANDSTONE CREST HEALTHCARE LLC Organization | adp of the snf | NOT APPLICABLE | 04/15/2026 |
| STANDARD BEARER HEALTHCARE OP, LP Organization | adp of the snf | NOT APPLICABLE | 05/01/2026 |
| SYCAMORE STREET HEALTH HOLDINGS LLC Organization | adp of the snf | NOT APPLICABLE | 05/01/2026 |
| THE ENSIGN GROUP INC Organization | adp of the snf | NOT APPLICABLE | 05/01/2026 |
| KEETCH, CHAD Individual | corporate officer | NOT APPLICABLE | 03/01/2011 |
| SANDERSON, CLARK Individual | corporate officer | NOT APPLICABLE | 05/01/2026 |
| BYRUM, JOE Individual | managing control - governing body | NOT APPLICABLE | 05/01/2026 |
| PETERSON, MARCO Individual | managing control - governing body | NOT APPLICABLE | 05/01/2026 |
| BURNAM, SOON Individual | operational/managerial control | NOT APPLICABLE | 05/01/2026 |
| BYRUM, JOE Individual | operational/managerial control | NOT APPLICABLE | 05/01/2026 |
| PETERSON, MARCO Individual | operational/managerial control | NOT APPLICABLE | 05/01/2026 |
| SANDSTONE CREST HEALTHCARE LLC Organization | operational/managerial control | NOT APPLICABLE | 05/01/2026 |
Other nursing homes near Trucare Living Centers
Legacy at Town Creek
2212 W Reagan St, Palestine, TX 75801 · 1.7 mi
Government · 199 beds · Part of Southwest LTC
★★★★★1Much below averageAvir at Town Creek
1816 Tile Factory Rd, Palestine, TX 75801 · 2.9 mi
For-profit · 102 beds · Part of Avir Health Group
★★★★★3AverageGreenbrier Nursing & Rehabilitation Center of Pale
2404 State Highway 155, Palestine, TX 75803 · 4 mi
For-profit · 120 beds · Part of Creative Solutions in Healthcare
★★★★★4Above averageAvir at Elkhart
214 Jones Rd, Elkhart, TX 75839 · 8.1 mi
Government · 98 beds · Part of Avir Health Group
- New owner (last 12 months)
★★★★★3AverageAvir at Jacksonville
305 Bonita St, Jacksonville, TX 75766 · 25.6 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 · 26.8 mi
For-profit · 116 beds · Part of Creative Solutions in Healthcare
★★★★★2Below average
Frequently asked questions
What is Trucare Living Centers's rating?
Trucare Living Centers has 5 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 Trucare Living Centers receive?
Its most recent standard health inspection found 3 citations, compared with a Texas average of 9.4. Every citation is listed on this page with its severity.
Does Trucare Living Centers 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 Trucare Living Centers?
It is government - hospital district. The ownership section on this page lists the owners and managers reported to CMS.
Where is Trucare Living Centers and how do I contact it?
Trucare Living Centers is at 2265 S Sycamore St, Palestine, TX 75801. Phone: (903) 723-2592.
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.