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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeTexasPecan Tree Rehab and Healthcare Center

Pecan Tree Rehab and Healthcare Center

1900 E California St, Gainesville, TX 762409406686263
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
1/5
Staffing
2/5
Quality
2/5
Beds
122
certified
1 fine(s) totaling $21,530

Key Findings

• CMS rates this facility 1/5 stars (below average)

• Has 122 certified beds with an average of 84.3 residents per day (69% occupancy)

• Last health inspection found 14 deficiencies (inspected Nov 13, 2024)

• Has been fined a total of $21,530 across 1 fine(s)

• Total nursing staff: 2.82 hours per resident per day

• Staff turnover rate: 42.5%

• Part of the Creative Solutions in Healthcare chain (149 facilities)

Pecan Tree Rehab and Healthcare Center is a 1-star Medicare and Medicaid certified nursing home in Gainesville, Texas with 122 certified beds. It has been operating since 1995. The facility scored below average compared to Texas facilities.

Beds
122
Avg Residents/Day
84.3
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Nov 7, 1995
Sprinklers
Yes
Council
Resident
County
Cooke
Last Inspection
Nov 13, 2024
Deficiencies (Cycle 1)
14
Weighted Score
228.0
Infection Citations
0

Deficiency Citations (30)

F0580Potential for Harm

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Survey: Oct 18, 2025Corrected: NoCycle: 1
F0585Potential for Harm

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.

Survey: Oct 18, 2025Corrected: NoCycle: 1
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Oct 18, 2025Corrected: NoCycle: 1
F0684Immediate Jeopardy

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey: Oct 18, 2025Corrected: NoCycle: 1
F0689Immediate Jeopardy

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Oct 18, 2025Corrected: NoCycle: 1
F0755Potential for Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey: Oct 18, 2025Corrected: NoCycle: 1
F0760Potential for Harm

Ensure that residents are free from significant medication errors.

Survey: Oct 18, 2025Corrected: NoCycle: 1
F0558Potential for Harm

Reasonably accommodate the needs and preferences of each resident.

Survey: Nov 13, 2024Corrected: NoCycle: 1
F0644Potential for Harm

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Survey: Nov 13, 2024Corrected: NoCycle: 1
F0690Potential for Harm

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Survey: Nov 13, 2024Corrected: NoCycle: 1
F0755Potential for Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey: Nov 13, 2024Corrected: NoCycle: 1
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Nov 13, 2024Corrected: NoCycle: 1
F0584Potential for Harm

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.

Survey: Nov 13, 2024Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Nov 13, 2024Corrected: NoCycle: 1
F0635Potential for Harm

Provide doctor's orders for the resident's immediate care at the time the resident was admitted.

Survey: Sep 19, 2023Corrected: NoCycle: 2
F0679Potential for Harm

Provide activities to meet all resident's needs.

Survey: Sep 19, 2023Corrected: NoCycle: 2
F0684Potential for Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey: Sep 19, 2023Corrected: NoCycle: 2
F0689Potential for Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Sep 19, 2023Corrected: NoCycle: 2
F0693Potential for Harm

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.

Survey: Sep 19, 2023Corrected: NoCycle: 2
F0698Potential for Harm

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Survey: Sep 19, 2023Corrected: NoCycle: 2
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Sep 19, 2023Corrected: NoCycle: 2
F0842Potential for Harm

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Survey: Sep 19, 2023Corrected: NoCycle: 2
F0925Potential for Harm

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Survey: Sep 19, 2023Corrected: NoCycle: 2
F0550Potential for Harm

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Survey: Sep 19, 2023Corrected: NoCycle: 2
F0600Potential for Harm

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey: Sep 19, 2023Corrected: NoCycle: 2
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Sep 19, 2023Corrected: NoCycle: 2
F0755Potential for Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey: Jul 21, 2022Corrected: NoCycle: 3
F0849Potential for Harm

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

Survey: Jul 21, 2022Corrected: NoCycle: 3
F0908Potential for Harm

Keep all essential equipment working safely.

Survey: Jul 21, 2022Corrected: NoCycle: 3
F0925Potential for Harm

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Survey: Jul 21, 2022Corrected: NoCycle: 3
Total Fines
$21,530
Number of Fines
1
Payment Denials
0
Total Penalties
1

Penalty History

FineOct 18, 2025
$21,530

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide1.49 hrs
National avg: 2.35 hrs
LPN0.84 hrs
National avg: 0.86 hrs
RN0.49 hrs
National avg: 0.68 hrs
Total Nursing2.82 hrs
National avg: 3.89 hrs
Weekend Total2.36 hrs
National avg: 0.00 hrs
Physical Therapist0.02 hrs
National avg: 0.07 hrs
Total Turnover
42.5%
RN Turnover
22.2%
Administrators Left
0

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Corporation
Recent Change
No

Owners & Managers (7)

NameRoleTypeOwnership %Since
DECATUR HOSPITAL AUTHORITY5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%Mar 1, 2025
SOUTHWEST LTC - GAINESVILLE, LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AMar 1, 2025
DRIGGERS, WILLIAMOPERATIONAL/MANAGERIAL CONTROLIndividualN/AMar 1, 2025
SCROGGINS, BRIANCORPORATE OFFICERIndividualN/AMar 1, 2025
CARETRUST REIT INC5% OR GREATER MORTGAGE INTERESTOrganizationN/AMar 1, 2025
CTR PARTNERSHIP LP5% OR GREATER MORTGAGE INTERESTOrganizationN/AMar 1, 2025
GULF COAST BUYER 1, LLC5% OR GREATER MORTGAGE INTERESTOrganizationN/AMar 1, 2025

Nearby Nursing Homes

All Texas facilities

Renaissance Care Center

Gainesville, TX · 91 beds

For profit$70,372 in fines
Health
Staffing
Quality
1242 ft

Gainesville Convalescent Center

Gainesville, TX · 112 beds

For profit$127,532 in finesAbuse
Health
Staffing
Quality
4086 ft

River Valley Health & Rehabilitation Center

Gainesville, TX · 116 beds

Government
Health
Staffing
Quality
2.1 mi

Frequently Asked Questions

What is the CMS rating for Pecan Tree Rehab and Healthcare Center?▾
Pecan Tree Rehab and Healthcare Center has an overall CMS rating of 1 out of 5 stars, with a health inspection rating of 1/5, staffing rating of 2/5, and quality measures rating of 2/5. This facility is rated below average.
Has Pecan Tree Rehab and Healthcare Center had any health inspection violations?▾
Pecan Tree Rehab and Healthcare Center had 14 deficiency citations in its most recent health inspection (Nov 13, 2024). The facility has been fined a total of $21,530 across 1 fine(s).
What are the staffing levels at Pecan Tree Rehab and Healthcare Center?▾
Pecan Tree Rehab and Healthcare Center provides 2.82 total nursing staff hours per resident per day, including 0.49 RN hours, 0.84 LPN hours, and 1.49 nurse aide hours. The total staff turnover rate is 42.5%.
How many beds does Pecan Tree Rehab and Healthcare Center have?▾
Pecan Tree Rehab and Healthcare Center has 122 certified beds with an average of 84.3 residents per day, resulting in approximately 69% occupancy. The facility is For profit - Corporation owned and is part of the Creative Solutions in Healthcare chain.
Are there other nursing homes near Pecan Tree Rehab and Healthcare Center?▾
Yes, there are 3 other nursing homes in Gainesville, Texas with an average rating of 2/5. You can compare all facilities on the Gainesville nursing homes page.

Part of Creative Solutions in Healthcare

This chain operates 149 facilities. View all →