Pecan Tree Rehab and Healthcare Center
Nursing Home · Gainesville, TX
CMS certification number675550
Contact & location
1900 E California STGainesville, TX 76240
Cooke County
- Phone
- (940) 668-6263
- ZIP code
- 76240 – all care providers
Facility details
- Certified beds
- 122
- Residents per day
- 84.6 (69% occupied)
- Ownership
- Government - Hospital district
- Legal name
- Decatur Hospital Authority
- Chain
- Creative Solutions in Healthcare (149 facilities, avg 2.1★)
- Medicare certified since
- November 7, 1995
- Participates in
- Medicare and Medicaid
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 2.57 (state 3.39 · U.S. 3.86)
- Registered nurses (RN)
- 0.29 (state 0.43 · U.S. 0.69)
- Licensed practical nurses
- 0.97 (state 0.95 · U.S. 0.86)
- Nurse aides
- 1.31 (state 2.00 · U.S. 2.32)
- Weekend total
- 1.99 (state 2.98 · U.S. 3.42)
- Nursing staff turnover
- —
- RN turnover
- —
- Administrators who left
- 1 in the last year
Inspections
- Last standard inspection
- February 18, 2026
- Health deficiencies (last cycle)
- 11.0 (state 9.3 · U.S. 9.3)
- From complaints
- 8
- Citations on record (3 years)
- 30 health · 4 fire safety · includes immediate jeopardy
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-05-12 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-05-14 |
| 2026-02-18 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-02-19 |
| 2026-02-18 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-02-19 |
| 2026-02-18 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-02-19 |
| 2025-10-18 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection |
K Immediate jeopardy to resident health or safety |
Corrected 2025-10-19 |
| 2025-10-18 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2025-10-19 |
| 2025-10-18 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580 · Resident Rights Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-10-19 |
| 2025-10-18 | 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. F0585 · Resident Rights Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-10-19 |
| 2025-10-18 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-10-19 |
| 2025-10-18 | Ensure that residents are free from significant medication errors. F0760 · Pharmacy Service Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-10-19 |
| 2025-10-18 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-10-19 |
| 2024-11-13 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-12-09 |
| 2024-11-13 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-12-09 |
| 2024-11-13 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-12-09 |
| 2024-11-13 | Reasonably accommodate the needs and preferences of each resident. F0558 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-12-09 |
| 2024-11-13 | 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. F0584 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-12-09 |
| 2024-11-13 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. F0644 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-12-11 |
| 2024-11-13 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-12-09 |
| 2023-09-19 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. F0925 · Environmental Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2023-10-11 |
| 2023-09-19 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2023-10-11 |
| 2023-09-19 | Provide activities to meet all resident's needs. F0679 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-10-11 |
| 2023-09-19 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-10-11 |
| 2023-09-19 | Provide safe, appropriate dialysis care/services for a resident who requires such services. F0698 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-10-11 |
| 2023-09-19 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-10-11 |
| 2023-09-19 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2023-10-11 |
| 2023-09-19 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2023-10-11 |
| 2023-09-19 | Provide doctor's orders for the resident's immediate care at the time the resident was admitted. F0635 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-10-11 |
| 2023-09-19 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-10-11 |
| 2023-09-19 | 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. F0693 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-10-11 |
| 2023-09-19 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-10-11 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
1 penalty in the last three years, including $16,595 in fines.
| Date | Type | Amount |
|---|---|---|
| 2025-10-18 | Fine | $16,595 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Decatur Hospital Authority (organization) | 5%+ Direct Ownership Interest · 100% | |
| Caretrust Reit INC (organization) | 5%+ Mortgage Interest · NOT APPLICABLE | |
| CTR Partnership LP (organization) | 5%+ Mortgage Interest · NOT APPLICABLE | |
| Gulf Coast Buyer 1, LLC (organization) | 5%+ Mortgage Interest · NOT APPLICABLE | |
| Caretrust Reit INC (organization) | Administrator · NOT APPLICABLE | |
| CTR Partnership LP (organization) | Administrator · NOT APPLICABLE | |
| Driggers, William (individual) | Administrator · NOT APPLICABLE | |
| Gulf Coast Buyer 1, LLC (organization) | Administrator · NOT APPLICABLE | |
| Sears, Virgil (individual) | Administrator · NOT APPLICABLE | |
| Southwest LTC - Gainesville, LLC (organization) | Administrator · NOT APPLICABLE | |
| Scroggins, Brian (individual) | Corporate Officer · NOT APPLICABLE | |
| Baronet, Rod (individual) | Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE | |
| Brashier, Craig (individual) | Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE | |
| Moran, Dawn (individual) | Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE | |
| Payne, Ronald (individual) | Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE | |
| Driggers, William (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Southwest LTC - Gainesville, LLC (organization) | Operational/managerial Control · NOT APPLICABLE |
Frequently asked questions
What is the rating of Pecan Tree Rehab and Healthcare Center?
Pecan Tree Rehab and Healthcare Center has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.6-star average in Texas.
How many beds does Pecan Tree Rehab and Healthcare Center have?
It has 122 certified beds and cares for about 85 residents per day.
Has Pecan Tree Rehab and Healthcare Center been fined?
Yes. CMS lists 1 penalty totaling $16,595 in the last three years.
Who owns Pecan Tree Rehab and Healthcare Center?
It is part of Creative Solutions in Healthcare and is classified as government - hospital district. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of Pecan Tree Rehab and Healthcare Center?
(940) 668-6263. The facility is located at 1900 E California ST, Gainesville, TX 76240.
Other nursing homes in Gainesville
-
Avir at River Valley
Nursing Home · Gainesville, TX · 116 beds
★★★ -
Renaissance Care Center
Nursing Home · Gainesville, TX · 91 beds
★★★ -
Avir at Gainesville
Nursing Home · Gainesville, TX · 112 beds
★
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.