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HomeTexasPecan Tree Rehab and Healthcare Center

Pecan Tree Rehab and Healthcare Center

1900 E California St, Gainesville, TX 762409406686263WebsiteGoogle Maps
4.0on Google(60 reviews)
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System

CMS data snapshot: July 2026

Health
1/5
Staffing
1/5
Quality
2/5
Beds
122
certified
1 fine(s) totaling $16,595

How Pecan Tree Rehab and Healthcare Center Compares in Texas

Facility results compared with averages for CMS-certified nursing homes in Texas. Ratings, staffing and turnover measure different parts of care and should be reviewed together.

CMS overall rating
1/5
TX average
2.7/5
Below state average
Health inspection rating
1/5
TX average
2.8/5
Below state average
Staffing rating
1/5
TX average
1.9/5
Below state average
Nursing hours per resident
2.57 hrs/day
TX average
3.39 hrs/day
Below state average
RN hours per resident
0.29 hrs/day
TX average
0.43 hrs/day
Below state average

Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.

What the Data Highlights

Its 1/5 overall CMS rating is below the Texas average of 2.7/5.
Its 1/5 health inspection rating is below the Texas average of 2.8/5.
Reported nursing time is 2.57 hours per resident per day, below the state average of 3.39.
Reported RN time is 0.29 hours per resident per day, below the state average of 0.43.

Health Inspection Trend

A side-by-side view of the two CMS inspection cycles included in the current dataset.

Previous cycle
10
deficiency citations
Inspected Nov 13, 2024
Most recent cycle
11
deficiency citations
Inspected Feb 18, 2026
The most recent cycle recorded 1 more deficiency citation than the previous cycle.

Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.

Cost & Demographics

Semi-Private Room
$5,996/mo
Texas median
Private Room
$7,300/mo
Texas median
Cooke County 65+
7,928
18.9% of county
County Population
41,860
Cooke County

Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).

Swipe tabs for staffing, quality and ownership.

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. Its overall CMS rating is 1 out of 5.

Beds
122
Avg Residents/Day
84.6
Ownership
Government - Hospital district
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Nov 7, 1995
Sprinklers
Yes
Council
Resident
County
Cooke
Last Inspection
Feb 18, 2026
Deficiencies (Cycle 1)
11
Weighted Score
213.0
Infection Citations
0

Deficiency Citations (30)

F0600Potential for Harm

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

Survey: May 12, 2026Corrected: NoCycle: 1
F0686Potential for Harm

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Survey: Feb 18, 2026Corrected: 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: Feb 18, 2026Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Feb 18, 2026Corrected: 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
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
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
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
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: 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: Nov 13, 2024Corrected: NoCycle: 2
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Nov 13, 2024Corrected: NoCycle: 2
F0558Potential for Harm

Reasonably accommodate the needs and preferences of each resident.

Survey: Nov 13, 2024Corrected: NoCycle: 2
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: 2
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: 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: Nov 13, 2024Corrected: 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: 3
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: 3
F0679Potential for Harm

Provide activities to meet all resident's needs.

Survey: Sep 19, 2023Corrected: NoCycle: 3
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: 3
F0698Potential for Harm

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

Survey: Sep 19, 2023Corrected: NoCycle: 3
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: 3
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Sep 19, 2023Corrected: NoCycle: 3
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: 3
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: 3
F0684Potential for Harm

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

Survey: Sep 19, 2023Corrected: NoCycle: 3
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: 3
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: 3
Total Fines
$16,595
Number of Fines
1
Payment Denials
0
Total Penalties
1

Penalty History

FineOct 18, 2025
$16,595

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

Nurse Aide1.31 hrs
National avg: 2.32 hrs
LPN0.97 hrs
National avg: 0.86 hrs
RN0.29 hrs
National avg: 0.69 hrs
Total Nursing2.57 hrs
National avg: 3.86 hrs
Weekend Total1.99 hrs
National avg: 0.00 hrs
Physical Therapist0.01 hrs
National avg: 0.07 hrs
Total Turnover
0.0%
RN Turnover
0.0%
Administrators Left
1

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

Ownership Type
Government - Hospital district
Recent Change
No

Owners & Managers (17)

NameRoleTypeOwnership %Since
DECATUR HOSPITAL AUTHORITY5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%Mar 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
SCROGGINS, BRIANCORPORATE OFFICERIndividualN/AMar 1, 2025
SOUTHWEST LTC - GAINESVILLE, LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AMar 1, 2025
DRIGGERS, WILLIAMOPERATIONAL/MANAGERIAL CONTROLIndividualN/AMar 1, 2025
BARONET, RODINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFIndividualN/AMar 5, 2025
BRASHIER, CRAIGINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFIndividualN/AMar 27, 2025
MORAN, DAWNINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFIndividualN/AMar 27, 2025
PAYNE, RONALDINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFIndividualN/AMar 5, 2025
CARETRUST REIT INCADP OF THE SNFOrganizationN/AMar 1, 2025
CTR PARTNERSHIP LPADP OF THE SNFOrganizationN/AMar 1, 2025
GULF COAST BUYER 1, LLCADP OF THE SNFOrganizationN/AMar 1, 2025
SOUTHWEST LTC - GAINESVILLE, LLCADP OF THE SNFOrganizationN/AMar 5, 2025
DRIGGERS, WILLIAMADP OF THE SNFIndividualN/AMar 1, 2025
SEARS, VIRGILADP OF THE SNFIndividualN/AMar 1, 2025

Compare Nearby Nursing Homes

Compare CMS ratings and recorded fines for Pecan Tree Rehab and Healthcare Center and nearby alternatives.

All Texas facilities
Pecan Tree Rehab and Healthcare Center
Gainesville, TXCurrent facility
CMS
1/5
Health
1/5
Staffing
1/5
Recorded fines: $16,595
Renaissance Care Center
Gainesville, TX1,056 ft
CMS
3/5
Health
3/5
Staffing
1/5
Recorded fines: None
Gainesville Convalescent Center
Gainesville, TX4,224 ft
CMS
1/5
Health
1/5
Staffing
1/5
Recorded fines: $99,075
Avir at River Valley
Gainesville, TX2.1 mi
CMS
3/5
Health
4/5
Staffing
1/5
Recorded fines: None
Whitesboro Health and Rehabilitation Center
Whitesboro, TX13.4 mi
CMS
2/5
Health
3/5
Staffing
1/5
Recorded fines: $30,253
Cedar Ridge Rehabilitation and Healthcare Center
Pilot Point, TX18.0 mi
CMS
3/5
Health
3/5
Staffing
2/5
Recorded fines: None
Avir at Pilot Point
Pilot Point, TX18.3 mi
CMS
4/5
Health
4/5
Staffing
2/5
Recorded fines: None
FacilityDistanceCMSHealthStaffingRecorded fines
Pecan Tree Rehab and Healthcare Center
Gainesville, TX · Current facility
—1/51/51/5$16,595
Renaissance Care Center
Gainesville, TX
1,056 ft3/53/51/5None recorded
Gainesville Convalescent Center
Gainesville, TX
4,224 ft1/51/51/5$99,075
Avir at River Valley
Gainesville, TX
2.1 mi3/54/51/5None recorded
Whitesboro Health and Rehabilitation Center
Whitesboro, TX
13.4 mi2/53/51/5$30,253
Cedar Ridge Rehabilitation and Healthcare Center
Pilot Point, TX
18.0 mi3/53/52/5None recorded
Avir at Pilot Point
Pilot Point, TX
18.3 mi4/54/52/5None recorded

Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.

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 1/5, and quality measures rating of 2/5. This facility is rated below average.
How much does Pecan Tree Rehab and Healthcare Center cost per month?▾
While individual facility pricing is not publicly available, the median nursing home cost in Texas is $5,996/month for a semi-private room and $7,300/month for a private room (Genworth/CareScout 2024). Pecan Tree Rehab and Healthcare Center participates in Medicare and Medicaid, which may cover some or all costs depending on eligibility.
Has Pecan Tree Rehab and Healthcare Center had any health inspection violations?▾
Pecan Tree Rehab and Healthcare Center had 11 deficiency citations in its most recent health inspection (Feb 18, 2026). The current CMS dataset records 1 fine(s) totaling $16,595.
What are the staffing levels at Pecan Tree Rehab and Healthcare Center?▾
Pecan Tree Rehab and Healthcare Center provides 2.57 total nursing staff hours per resident per day, including 0.29 RN hours, 0.97 LPN hours, and 1.31 nurse aide hours.
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 84.6 residents per day, resulting in approximately 69% occupancy. The facility is Government - Hospital district owned and is part of the Creative Solutions in Healthcare chain.
Are there other nursing homes near Pecan Tree Rehab and Healthcare Center?▾
Yes. This page lists 6 nearby nursing homes in Texas, including 3 in Gainesville. Compare their CMS ratings, staffing, inspections and fines before choosing a facility.
What do patients and families say about Pecan Tree Rehab and Healthcare Center?▾
On Google Maps, Pecan Tree Rehab and Healthcare Center has a rating of 4.0 out of 5 based on 60 reviews. This is an independent rating from visitors and families, separate from the official CMS government rating of 1/5.

Part of Creative Solutions in Healthcare

This chain operates 149 facilities. View all →