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Nursing homeFAID #14511

Fairfield Nursing & Rehabilitation Center

420 MOODY ST, FAIRFIELD, TX, 75840

(903) 389-1236

101 licensed beds

CMS rates Fairfield Nursing & Rehabilitation Center 4 out of 5 overall. Federal inspectors issued 22 citations across 9 inspections in the last three years, with no federal fines. Listing last updated 2026-11-06.

★★★★★4/5CMS Five-Star overall5/5 health inspections1/5 staffing4/5 quality measuresSource: CMS Care Compare

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Address

420 Moody St

Fairfield, TX 75840

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Public record summary

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Bed capacity

101

CMS facility ID

676123

Care type

Nursing home

County

Freestone

Facility name

Fairfield Nursing & Rehabilitation Center

Street address

420 MOODY ST

City / state / ZIP

Fairfield, TX 75840

Phone

(903) 389-1236

About this facility — Fairfield Nursing & Rehabilitation Center

Fairfield Nursing & Rehabilitation Center is a Medicare/Medicaid-certified skilled nursing facility in Fairfield, Texas. It is licensed for 101 beds — below the median for skilled nursing facilities in Texas (120 beds).

It is one of 3 senior care facilities in Fairfield and 1,179 skilled nursing facilities across Texas. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

It is listed as part of Creative Solutions in Healthcare, a group of 150 facilities on this site.

Federal inspectors have cited Fairfield Nursing & Rehabilitation Center 22 times across 9 inspections in the last three years, including 1 food-safety citation; no federal fines are on record. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company

Creative Solutions In Healthcare

Ownership type

Government - Hospital district

Registered owners & officers

Liberty County Hospital District No 1

Direct owner — 100% stake — since 2022

Blake, Gary

Operational control · Additional disclosable party — since 2022

Blake, Malisa

Operational control — since 2022

Fairfield I Enterprises, Llc

Operational control · Additional disclosable party — since 2022

Fregia, Milton

Governing body — since 2022

Gardner, Shannon

Governing body — since 2022

Gardzina, Margaret

Governing body — since 2024

Henry, Paul

Governing body — since 2009

Huggins, Linda

Officer — since 2022

Lewis, Betty

Additional disclosable party — since 2025

Stratton, Charles

Governing body · Officer — since 2005

White, Darryl

Additional disclosable party — since 2025

Willig, Zachary

Director — since 2025

Regulatory standing

Federal court records

4 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)

Licensed / certified since

2006-12-14

CMS overall rating

4 of 5 stars

Health deficiencies

2 at the last standard inspection

Federal fines

None on record

Last standard inspection

2025-12-18

Nurse staffing

3.0 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$214 per day (≈ $6,510/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

63% Medicaid · 7% Medicare · 30% private/other

Occupancy

77% (fiscal year 2023)

Vs. state median

23% below the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds

101

Medicare

Accepted

Medicaid

Accepted

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-11-06. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 1 food-safety citation on its three-year record — flagged below among the inspections.

2025-12-18Health inspection2 citations

F-0565

E · No harm found

Honor the resident's right to organize and participate in resident/family groups in the facility.

Corrected 2025-12-19

F-0812

E · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-12-19

2025-07-28Health inspectionComplaint-triggered2 citations

F-0552

D · No harm foundFrom a complaint

Ensure that residents are fully informed and understand their health status, care and treatments.

Corrected 2025-07-29

F-0842

D · No harm foundFrom a complaint

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2025-07-29

6 earlier / fire-safety inspections (18 citations)

2024-09-26Health inspectionComplaint-triggered2 citations

F-0609

D · No harm foundFrom a complaint

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2024-08-21

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2024-09-27

2024-08-14Health inspectionComplaint-triggered2 citations

F-0604

D · No harm foundFrom a complaint

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Corrected 2024-08-15

F-0609

D · No harm foundFrom a complaint

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2024-08-15

2023-07-26Health inspection2 citations

F-0755

E · No harm found

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2023-08-15

F-0759

E · No harm found

Ensure medication error rates are not 5 percent or greater.

Corrected 2023-08-15

2025-12-18Fire-safety inspection1 citation

K-0353

D · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2026-01-29

2024-09-26Fire-safety inspection9 citations

E-0039

F · No harm found

Conduct testing and exercise requirements.

Corrected 2024-10-23

K-0222

E · No harm found

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2024-09-25

K-0342

E · No harm found

Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.

Corrected 2024-09-25

K-0363

E · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2024-09-27

K-0374

E · No harm found

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2024-09-27

K-0741

E · No harm found

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2024-09-25

K-0917

E · No harm found

Ensure electrical receptacles or cover plates have distinctive color or marking.

Corrected 2024-09-25

K-0918

F · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-10-01

K-0923

E · No harm found

Have proper medical gas storage and administration areas.

Corrected 2024-09-25

2023-07-26Fire-safety inspection2 citations

K-0355

E · No harm found

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2024-05-22

K-0929

E · No harm found

Ensure precautions for handling oxygen cylinders and equipment are correctly followed.

Corrected 2024-05-22

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 676123.

Quality of care & staffing

How it compares in Texas.

Inspection citations, 3 years

More than 19% of nursing homes in the state

State median: 33

Federal fines, 3 years

No federal fines on record

State median: $15,642

Nurse staffing, hours per resident per day

3.0

Higher than 18% of nursing homes in the state

State median: 3.3

Nursing staff turnover, annual

42%

Higher than 26% of nursing homes in the state

State median: 50%

Resident outcomes

On 21 federal quality measures, this facility does better than the Texas average on 10 and worse on 7. Differences within 10% of the average are shown as near average.

Long-stay residents	This facility	State	US	Compared with state
Need for help with daily activities has increased	23.5%	15.8%	13.5%	Worse than state
Lose too much weight	0.0%	2.9%	5.1%	Better than state
With a catheter inserted and left in their bladder	0.0%	0.3%	0.7%	Better than state
With a urinary tract infection	0.0%	0.8%	1.5%	Better than state
Have depressive symptoms	0.4%	2.3%	13.5%	Better than state
Were physically restrained	0.0%	0.0%	0.1%	Better than state
Experiencing one or more falls with major injury	5.4%	3.2%	3.2%	Worse than state
Assessed and appropriately given the pneumococcal vaccine	100.0%	96.4%	93.7%	Near state average
Ability to walk independently worsened	12.7%	12.9%	12.7%	Near state average
Received an antianxiety or hypnotic medication	14.2%	17.8%	19.5%	Better than state
Assessed and appropriately given the seasonal influenza vaccine	97.0%	97.0%	95.3%	Near state average
With pressure ulcers	4.4%	3.7%	4.5%	Worse than state
With new or worsened bowel or bladder incontinence	15.7%	12.5%	18.3%	Worse than state
Received an antipsychotic medication	14.6%	9.8%	15.4%	Worse than state
Hospitalizations per 1000 long-stay resident days	1.95	2.05	1.81	Near state average
Outpatient emergency department visits per 1000 long-stay resident days	2.19	1.97	1.69	Worse than state

Short-stay residents	This facility	State	US	Compared with state
Assessed and appropriately given the pneumococcal vaccine	100.0%	88.7%	82.3%	Better than state
Newly received an antipsychotic medication	2.8%	1.4%	1.5%	Worse than state
Were assessed and appropriately given the seasonal influenza vaccine	100.0%	85.4%	80.1%	Better than state
Were rehospitalized after a nursing home admission	14.4%	25.5%	23.4%	Better than state
Had an outpatient emergency department visit	3.2%	12.2%	11.8%	Better than state

Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

F-0609 2 inspections. Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

What its owners also hold

Liberty County Hospital District No 1 has an ownership stake on file at 35 nursing homes, averaging 2.9 of 5 on CMS's overall rating.

Source: CMS ownership filings. Shows organizations with an ownership stake; people are left out.

Verify & compare

Where to check, and what's nearby.

Who to contact in Texas

Licensing: Texas Health and Human Services
File a complaint: 800-458-9858 · Online
Long-Term Care Ombudsman: 800-252-2412. A free advocate for residents and families.
Adult Protective Services: 800-252-5400. Some states send facility cases to licensing instead. In an emergency, call 911.
Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

Freestone Medical Center, about 0.5 miles.
Parkview Regional Hospital, about 19 miles.
Limestone Medical Center, about 25 miles.

Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Fairview Healthcare Residence, Fairfield, about 1.1 miles. CMS rating 4 of 5.
Teague Nursing and Rehabilitation, Teague, about 9.8 miles. CMS rating 5 of 5.
Skilled Care of Mexia, Mexia, about 19 miles. CMS rating 3 of 5.
The Manor Healthcare Residence, Mexia, about 20 miles. CMS rating 5 of 5.
Mexia Ltc Nursing and Rehabilitation, Mexia, about 20 miles. CMS rating 3 of 5.

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

Locked

The 22 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only

Active civil suits

Federal dockets

CDC infection data

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Citations, owner history, lawsuits — decoded into one PDF.

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-11-06

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

Pulled when a report is ordered