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Pecan Tree Rehab And Healthcare Center

1900 E California St, Gainesville, TX 762409406686263Ownership: Government - Hospital districtCertified beds: 122Avg. daily residents: 85Chain: Creative Solutions In Healthcare (149 facilities)County: Cooke

The complete public record on Pecan Tree Rehab And Healthcare Center, a Medicare & Medicaid–certified nursing home in Gainesville, Texas, from the CMS Care Compare database (August 2026 release). Every figure below is published by federal regulators; ClearPath adds the state comparisons and the plain-English reading.

CMS Star Ratings

Overall rating
★☆☆☆☆
CMS’s composite of the three ratings below. Texas average: 2.6 stars.
Health inspection
★☆☆☆☆
Based on the last three years of on-site inspections and complaint investigations — the rating CMS weights most heavily.
Staffing
★☆☆☆☆
Nurse and aide hours per resident per day, adjusted for how much care residents need, plus staff turnover.
Quality measures
★★☆☆☆
Clinical outcomes CMS tracks, such as falls with injury, pressure ulcers and hospital readmissions.
Pecan Tree Rehab And Healthcare Center holds a 1-star overall rating, in the bottom two tiers CMS assigns. Federal regulators have fined this facility $16,595 in the last three years. None of this tells you whether a bed is open, whether your insurance is in network, or whether the facility will accept a given level of care — confirm those three directly with the facility before you commit.

Staffing

2.57 total nurse staff hours per resident per day
below the state average (3.39)
0.29 RN hours per resident per day
below the state average (0.43)
1.99 weekend nurse staff hours per resident per day
Not reported total nursing staff turnover
Not reported RN turnover
1 administrator left in the reporting period

Hours are per resident per day, from payroll-based journal data facilities submit to CMS. Turnover is the share of nursing staff who left over the past year.

Inspections & Penalties

February 18, 2026 most recent standard health inspection
11 health deficiencies cited in the most recent inspection cycle
above the state average (9.3)
10 health deficiencies in the two prior cycles combined
$16,595 in federal fines across 1 penalty (last 3 years)
below the state average ($45,542)
0 payment denials
CMS withholding Medicare/Medicaid payment for new admissions until problems were fixed

Recent Inspection Citations

30 citations on record across recent inspections, 2 at the actual-harm or immediate-jeopardy level. Showing the most recent inspection. Severity uses CMS’s A–L scope-and-severity scale; G and above means residents were actually harmed.

InspectionTagWhat was citedSeverity
May 12, 20260600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. ComplaintD · Potential for more than minimal harm
February 18, 20260686Provide appropriate pressure ulcer care and prevent new ulcers from developing.E · Potential for more than minimal harm
February 18, 20260812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with…E · Potential for more than minimal harm
February 18, 20260880Provide and implement an infection prevention and control program.E · Potential for more than minimal harm
October 18, 20250684Provide appropriate treatment and care according to orders, resident’s preferences and goals. ComplaintK · Immediate jeopardy
October 18, 20250689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. ComplaintJ · Immediate jeopardy
October 18, 20250580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the… ComplaintE · Potential for more than minimal harm
October 18, 20250585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and… ComplaintE · Potential for more than minimal harm
October 18, 20250755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. ComplaintE · Potential for more than minimal harm
October 18, 20250760Ensure that residents are free from significant medication errors. ComplaintE · Potential for more than minimal harm

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Source: CMS Care Compare (data.cms.gov), August 2026 monthly release. Figures are as published by CMS and change monthly; ClearPath refreshes automatically. ClearPath Senior Guide is an independent information service, accepts no referral fees or placement incentives from any facility, and does not recommend facilities. Verify current details with the facility.