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Nursing homeFAID #14281

Greenbrier Nursing & Rehabilitation Center of Pale

2404 State Highway 155, PALESTINE, TX, 75803
(903) 729-6024
www.greenbrierofpalestine.com
120 licensed beds

CMS rates Greenbrier Nursing & Rehabilitation Center of Pale 4 out of 5 overall. Federal inspectors issued 20 citations across 11 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 staffing2/5 quality measuresSource: CMS Care Compare

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Photo of GREENBRIER NURSING & REHABILITATION CENTER OF PALE
Photo via Google · Greenbrier Nursing and Rehabilitation Center of Palestine

Address

2404 State Highway 155
Palestine, TX 75803
Get directions

Public record summary

What we can show you for free.
Bed capacity
120
CMS facility ID
675816
Care type
Nursing home
County
Anderson
Facility name
Greenbrier Nursing & Rehabilitation Center of Pale
Street address
2404 State Highway 155
City / state / ZIP
Palestine, TX 75803
Phone
(903) 729-6024
Website
www.greenbrierofpalestine.com

About this facility — Greenbrier Nursing & Rehabilitation Center of Pale

Greenbrier Nursing & Rehabilitation Center of Pale is a Medicare/Medicaid-certified skilled nursing facility in Palestine, Texas. It is licensed for 120 beds — close to the median for skilled nursing facilities in Texas (120 beds).

It is one of 7 senior care facilities in Palestine 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 Greenbrier Nursing & Rehabilitation Center of Pale 20 times across 11 inspections in the last three years; 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
For profit - Corporation

Registered owners & officers

Fannin County Hospital Authority
Direct owner — 100% stake — since 2024
Blake, Gary
Operational control · Additional disclosable party — since 2024
Blake, Malisa
Operational control · Additional disclosable party — since 2024
Hekimian, Khoren
Additional disclosable party — since 2025
Holt, Erin
Governing body · Director — since 2024
Honor X Enterprises, Llc
Indirect owner · Additional disclosable party — since 2024
Huggins, Linda
Director · Operational control · Additional disclosable party — since 2024
Johnson, Juanita
Operational control · Additional disclosable party — since 2024
Keeton, Wendy
Governing body · Director — since 2024
Kissling, Monica
Governing body · Director — since 2024
Mcbean, Patricia
Governing body · Director — since 2024
Palestine I Enterprises, Llc
Operational control · Additional disclosable party — since 2024
Sanderson, Clark
Governing body · Director — since 2024
Trompler, Kelly
Governing body · Officer — since 2024
Willig, Zachary
Operational control · Additional disclosable party — since 2024

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
1999-12-21
CMS overall rating
4 of 5 stars
Health deficiencies
4 at the last standard inspection
Federal fines
None on record
Last standard inspection
2026-01-29
Nurse staffing
2.9 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$231 per day (≈ $7,020/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
63% Medicaid · 6% Medicare · 31% private/other
Occupancy
41% (fiscal year 2023)
Vs. state median
17% below the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds
120
Medicare
Accepted
Medicaid
Accepted
Wheelchair accessible
entrance and parking
Visiting hours
Daily Open 24 hours
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-11-06. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

CleanNo food-safety or dietary citations in the last three years of federal inspections.
2026-04-30Health inspectionComplaint-triggered1 citation
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2026-05-01
2026-03-04Health inspectionComplaint-triggered2 citations
F-0550
D · No harm foundFrom a complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2026-03-05
F-0677
D · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2026-03-05
8 earlier / fire-safety inspections (17 citations)
2026-01-29Health inspection1 citation
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2026-01-30
2025-09-10Health inspectionComplaint-triggered2 citations
F-0690
D · No harm foundFrom a complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2025-09-11
F-0880
D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2025-09-11
2025-06-10Health inspectionComplaint-triggered1 citation
F-0690
D · No harm foundFrom a complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2025-06-11
2025-03-12Health inspectionComplaint-triggered1 citation
F-0880
D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2025-03-13
2023-09-20Health inspection4 citations
F-0609
D · No harm found
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-09-26
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-09-26
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2023-10-06
F-0908
F · No harm found
Keep all essential equipment working safely.
Corrected 2023-10-12
2026-01-29Fire-safety inspection2 citations
K-0321
E · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2026-01-30
K-0521
C · No harm found
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
2024-11-06Fire-safety inspection3 citations
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-12-13
K-0521
C · No harm found
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
K-0929
E · No harm found
Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
Corrected 2024-11-07
2023-09-20Fire-safety inspection3 citations
K-0372
F · No harm found
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-09-25
K-0511
F · No harm found
Have properly installed electrical wiring and gas equipment.
Corrected 2023-09-25
K-0521
C · No harm found
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
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 675816.

Quality of care & staffing

How it compares in Texas.
Inspection citations, 3 years
20
More than 14% of nursing homes in the state
State median: 33
Federal fines, 3 years
$0
No federal fines on record
State median: $15,642
Nurse staffing, hours per resident per day
2.9
Higher than 11% of nursing homes in the state
State median: 3.3
Nursing staff turnover, annual
44%
Higher than 32% of nursing homes in the state
State median: 50%

Resident outcomes

On 19 federal quality measures, this facility does better than the Texas average on 11 and worse on 5. Differences within 10% of the average are shown as near average.

Long-stay residentsThis facilityStateUSCompared with state
Need for help with daily activities has increased21.1%15.8%13.5%Worse than state
Lose too much weight1.5%2.9%5.1%Better than state
With a catheter inserted and left in their bladder0.0%0.3%0.7%Better than state
With a urinary tract infection0.0%0.8%1.5%Better than state
Have depressive symptoms5.4%2.3%13.5%Worse than state
Were physically restrained0.0%0.0%0.1%Better than state
Experiencing one or more falls with major injury3.6%3.2%3.2%Worse than state
Assessed and appropriately given the pneumococcal vaccine100.0%96.4%93.7%Near state average
Ability to walk independently worsened7.2%12.9%12.7%Better than state
Received an antianxiety or hypnotic medication13.9%17.8%19.5%Better than state
Assessed and appropriately given the seasonal influenza vaccine100.0%97.0%95.3%Near state average
With pressure ulcers3.1%3.7%4.5%Better than state
With new or worsened bowel or bladder incontinence12.6%12.5%18.3%Near state average
Received an antipsychotic medication8.2%9.8%15.4%Better than state
Short-stay residentsThis facilityStateUSCompared with state
Assessed and appropriately given the pneumococcal vaccine100.0%88.7%82.3%Better than state
Newly received an antipsychotic medication0.0%1.4%1.5%Better than state
Were assessed and appropriately given the seasonal influenza vaccine100.0%85.4%80.1%Better than state
Were rehospitalized after a nursing home admission34.7%25.5%23.4%Worse than state
Had an outpatient emergency department visit19.6%12.2%11.8%Worse 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-0880 4 inspections. Provide and implement an infection prevention and control program.
  • K-0521 3 inspections. Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
  • F-0690 2 inspections. Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

What its owners also hold

  • Fannin County Hospital Authority has an ownership stake on file at 54 nursing homes, averaging 2.8 of 5 on CMS's overall rating.
  • Honor X Enterprises, Llc has an ownership stake on file at 7 nursing homes, averaging 1.9 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

  • Palestine Regional Medical Center, about 3.7 miles. CMS rating 1 of 5.
  • Ut Health East Texas Jacksonville Hospital, about 24 miles.
  • Christus Mother Frances Hospital- Jacksonville, about 24 miles.
Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Visitor reviews

What people say on Google.
4.131 ratings on Google
★Jenny Gower · 2026-02-22 · via Google

“My mother had a prior fall due to her electrolytes being low. After 5 days at PRMC the doctor recommended a rehab facility to build up her strength. My mother was at Greenbrier only 4 days. On the fourth day she was told to get up and get dressed after breakfast that she was going to rehab. When she mentioned she was dizzy the aid told her maybe it was the coffee she drank (which was cold so she …”

★★★★★Chastity Wages · 2025-12-15 · via Google

“They took very good care of my mother. All the staff were very nice to her”

★★★★★William Benton · 2026-02-11 · via Google

“Wonderful caring compassionate staff. Amazing people.”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google

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 20 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
Unlock the full file
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
Google Business Profile
Photos, reviews & hours
Displayed with attribution · refreshed on re-run
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