CMS data snapshot: July 2026
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.
Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.
A side-by-side view of the two CMS inspection cycles included in the current dataset.
Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.
Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).
Swipe tabs for staffing, quality and ownership.
Trucare Living Centers is a 5-star Medicare and Medicaid certified nursing home in Palestine, Texas with 120 certified beds. It has been operating since 2010. Its overall CMS rating is 5 out of 5.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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.
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
No penalties on record.
Staffing hours per resident per day. The black line shows the national average.
Quality measures as percentages of residents. Lower is better for all measures.
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| FANNIN COUNTY HOSPITAL AUTHORITY | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | May 1, 2026 |
| BYRUM, JOE | MANAGING CONTROL - GOVERNING BODY | Individual | N/A | May 1, 2026 |
| PETERSON, MARCO | MANAGING CONTROL - GOVERNING BODY | Individual | N/A | May 1, 2026 |
| KEETCH, CHAD | CORPORATE OFFICER | Individual | N/A | Mar 1, 2011 |
| SANDERSON, CLARK | CORPORATE OFFICER | Individual | N/A | May 1, 2026 |
| SANDSTONE CREST HEALTHCARE LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | May 1, 2026 |
| BURNAM, SOON | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | May 1, 2026 |
| BYRUM, JOE | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | May 1, 2026 |
| PETERSON, MARCO | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | May 1, 2026 |
| ENSIGN SERVICES INC | ADP OF THE SNF | Organization | N/A | Feb 13, 2026 |
| SANDSTONE CREST HEALTHCARE LLC | ADP OF THE SNF | Organization | N/A | Apr 15, 2026 |
| STANDARD BEARER HEALTHCARE OP, LP | ADP OF THE SNF | Organization | N/A | May 1, 2026 |
| SYCAMORE STREET HEALTH HOLDINGS LLC | ADP OF THE SNF | Organization | N/A | May 1, 2026 |
| THE ENSIGN GROUP INC | ADP OF THE SNF | Organization | N/A | May 1, 2026 |
| BYRUM, JOE | ADP OF THE SNF | Individual | N/A | May 1, 2026 |
| PETERSON, MARCO | ADP OF THE SNF | Individual | N/A | Apr 1, 2018 |
Compare CMS ratings and recorded fines for Trucare Living Centers and nearby alternatives.
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.