Trucare Living Centers

Nursing Home · Palestine, TX

CMS overall rating 5/5 Government - Hospital district

CMS certification number676257

Contact & location

2265 S Sycamore ST
Palestine, TX 75801
Anderson County
Phone
(903) 723-2592
ZIP code
75801 – all care providers

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Facility details

Certified beds
120
Residents per day
81.0 (68% occupied)
Ownership
Government - Hospital district
Legal name
Fannin County Hospital Authority
Medicare certified since
July 22, 2010
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 5/5
State avg 2.6
Health inspections★★★★★ 5/5
State avg 2.8
Staffing★★★★★ 3/5
State avg 1.9
Quality measures★★★★★ 4/5
State avg 3.7
Long-stay quality★★★★★ 4/5
Short-stay quality★★★★★ 3/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.59 (state 3.39 · U.S. 3.86)
Registered nurses (RN)
0.28 (state 0.43 · U.S. 0.69)
Licensed practical nurses
0.80 (state 0.95 · U.S. 0.86)
Nurse aides
2.51 (state 2.00 · U.S. 2.32)
Weekend total
3.20 (state 2.98 · U.S. 3.42)
Nursing staff turnover
25.0 (state 55.3 · U.S. 45.8)%
RN turnover
—
Administrators who left
0 in the last year

Inspections

Last standard inspection
December 17, 2025
Health deficiencies (last cycle)
3.0 (state 9.3 · U.S. 9.3)
From complaints
0
Citations on record (3 years)
10 health · 0 fire safety
DateCitationSeverityStatus
2025-12-17 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
D
No actual harm, potential for more than minimal harm
Corrected 2026-01-06
2025-12-17 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 2026-01-06
2025-12-17 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-01-06
2024-09-18 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-10-02
2024-09-18 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
E
No actual harm, potential for more than minimal harm
Corrected 2024-10-02
2024-09-18 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
E
No actual harm, potential for more than minimal harm
Corrected 2024-10-02
2024-09-18 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.
F0700 · Quality of Life and Care Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-10-02
2024-09-18 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 2024-10-02
2024-09-18 Have a policy regarding use and storage of foods brought to residents by family and other visitors.
F0813 · Nutrition and Dietary Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-10-02
2023-08-16 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 2023-08-21

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

No federal fines or payment denials in the last three years.

Ownership & management

NameRoleSince
Fannin County Hospital Authority (organization)5%+ Direct Ownership Interest · 100%
Byrum, Joe (individual)Administrator · NOT APPLICABLE
Ensign Services INC (organization)Administrator · NOT APPLICABLE
Peterson, Marco (individual)Administrator · NOT APPLICABLE
Sandstone Crest Healthcare LLC (organization)Administrator · NOT APPLICABLE
Standard Bearer Healthcare Op, LP (organization)Administrator · NOT APPLICABLE
Sycamore Street Health Holdings LLC (organization)Administrator · NOT APPLICABLE
The Ensign Group INC (organization)Administrator · NOT APPLICABLE
Keetch, Chad (individual)Corporate Officer · NOT APPLICABLE
Sanderson, Clark (individual)Corporate Officer · NOT APPLICABLE
Byrum, Joe (individual)Managing Control - Governing Body · NOT APPLICABLE
Peterson, Marco (individual)Managing Control - Governing Body · NOT APPLICABLE
Burnam, Soon (individual)Operational/managerial Control · NOT APPLICABLE
Byrum, Joe (individual)Operational/managerial Control · NOT APPLICABLE
Peterson, Marco (individual)Operational/managerial Control · NOT APPLICABLE
Sandstone Crest Healthcare LLC (organization)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Trucare Living Centers?

Trucare Living Centers has a 5-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 Trucare Living Centers have?

It has 120 certified beds and cares for about 81 residents per day.

Has Trucare Living Centers been fined?

CMS lists no federal fines or payment denials in the last three years.

What is the phone number of Trucare Living Centers?

(903) 723-2592. The facility is located at 2265 S Sycamore ST, Palestine, TX 75801.

Other nursing homes in Palestine

Compare all nursing homes in Palestine, TX →

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.