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Nursing homeFAID #14159

Pecan Tree Rehab and Healthcare Center

1900 E CALIFORNIA ST, GAINESVILLE, TX, 76240

(940) 668-6263

www.pecantreerehabandhealth.com

122 licensed beds

CMS rates Pecan Tree Rehab and Healthcare Center 1 out of 5 overall. Federal inspectors issued 34 citations across 9 inspections in the last three years, with $16,879 in fines. Listing last updated 2026-11-06.

★★★★★1/5CMS Five-Star overall1/5 health inspections1/5 staffing2/5 quality measuresSource: CMS Care Compare

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Photo of PECAN TREE REHAB AND HEALTHCARE CENTER

Photo via Google · Pecan Tree

Address

1900 E California St

Gainesville, TX 76240

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Public record summary

What we can show you for free.

Bed capacity

122

CMS facility ID

675550

Care type

Nursing home

County

Cooke

Facility name

Pecan Tree Rehab and Healthcare Center

Street address

1900 E CALIFORNIA ST

City / state / ZIP

Gainesville, TX 76240

Phone

(940) 668-6263

Website

www.pecantreerehabandhealth.com

About this facility — Pecan Tree Rehab and Healthcare Center

Pecan Tree Rehab and Healthcare Center is a Medicare/Medicaid-certified skilled nursing facility in Gainesville, Texas. It is licensed for 122 beds — close to the median for skilled nursing facilities in Texas (120 beds).

It is one of 6 senior care facilities in Gainesville 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 Pecan Tree Rehab and Healthcare Center 34 times across 9 inspections in the last three years, including 3 food-safety citations, and CMS has imposed $16,879 in fines. 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

Decatur Hospital Authority

Direct owner — 100% stake — since 2025

Baronet, Rod

Owner of a disclosable party — since 2025

Brashier, Craig

Owner of a disclosable party — since 2025

Caretrust Reit Inc

Mortgage holder · Additional disclosable party — since 2025

Ctr Partnership Lp

Mortgage holder · Additional disclosable party — since 2025

Driggers, William

Operational control · Additional disclosable party — since 2025

Gulf Coast Buyer 1, Llc

Mortgage holder · Additional disclosable party — since 2025

Moran, Dawn

Owner of a disclosable party — since 2025

Payne, Ronald

Owner of a disclosable party — since 2025

Scroggins, Brian

Officer — since 2025

Sears, Virgil

Additional disclosable party — since 2025

Southwest Ltc - Gainesville, Llc

Operational control · Additional disclosable party — 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

1995-11-07

CMS overall rating

1 of 5 stars

Health deficiencies

11 at the last standard inspection

Federal fines

$16,879 total

Last standard inspection

2026-02-18

Nurse staffing

2.8 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$230 per day (≈ $6,990/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

61% Medicaid · 8% Medicare · 31% private/other

Occupancy

69% (fiscal year 2023)

Vs. state median

17% below the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds

122

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

Federal surveyors inspect the kitchen at every standard visit. This facility has 3 food-safety citations on its three-year record — flagged below among the inspections.

2026-05-12Health inspectionComplaint-triggered1 citation

F-0600

D · No harm foundFrom a complaint

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2026-05-14

2026-02-18Health inspection3 citations

F-0686

E · No harm found

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2026-02-19

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 2026-02-19

F-0880

E · No harm found

Provide and implement an infection prevention and control program.

Corrected 2026-02-19

5 earlier / fire-safety inspections (30 citations)

2025-10-18Health inspectionComplaint-triggered7 citations

F-0580

E · No harm foundFrom a complaint

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2025-10-19

F-0585

E · No harm foundFrom a complaint

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.

Corrected 2025-10-19

F-0656

D · No harm foundFrom a complaint

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2025-10-19

F-0684

K · Immediate jeopardyFrom a complaint

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-10-19

F-0689

J · Immediate jeopardyFrom a complaint

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-10-19

F-0755

E · No harm foundFrom a complaint

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

Corrected 2025-10-19

F-0760

E · No harm foundFrom a complaint

Ensure that residents are free from significant medication errors.

Corrected 2025-10-19

2024-11-13Health inspectionComplaint-triggered7 citations

F-0558

D · No harm found

Reasonably accommodate the needs and preferences of each resident.

Corrected 2024-12-09

F-0584

D · No harm foundFrom a complaint

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.

Corrected 2024-12-09

F-0644

D · No harm found

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2024-12-11

F-0690

E · No harm found

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 2024-12-09

F-0755

D · No harm found

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

Corrected 2024-12-09

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 2024-12-09

F-0880

E · No harm foundFrom a complaint

Provide and implement an infection prevention and control program.

Corrected 2024-12-09

2023-09-19Health inspection12 citations

F-0550

E · No harm found

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2023-10-11

F-0600

D · No harm found

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2023-10-11

F-0635

D · No harm found

Provide doctor's orders for the resident's immediate care at the time the resident was admitted.

Corrected 2023-10-11

F-0679

E · No harm found

Provide activities to meet all resident's needs.

Corrected 2023-10-11

F-0684

D · No harm found

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2023-10-11

F-0689

E · No harm found

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2023-10-11

F-0693

D · No harm found

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.

Corrected 2023-10-11

F-0698

E · No harm found

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2023-10-11

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 2023-10-11

F-0842

D · No harm found

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

Corrected 2023-10-11

F-0880

E · No harm found

Provide and implement an infection prevention and control program.

Corrected 2023-10-11

F-0925

F · No harm found

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Corrected 2023-10-11

2026-02-18Fire-safety inspection2 citations

K-0223

E · No harm found

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Corrected 2026-03-14

K-0293

E · No harm found

Have properly located and lighted "Exit" signs.

Corrected 2026-03-14

2023-09-19Fire-safety inspection2 citations

K-0211

F · No harm found

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2023-10-11

K-0347

D · No harm found

Properly provide smoke detection systems in areas open to corridors.

Corrected 2023-10-11

Federal penalties

2025-10-18Fine$16,879

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 675550.

Quality of care & staffing

How it compares in Texas.

Inspection citations, 3 years

More than 50% of nursing homes in the state

State median: 33

Federal fines, 3 years

$16,879

More than 52% of nursing homes in the state

State median: $15,642

Nurse staffing, hours per resident per day

2.8

Higher than 9% of nursing homes in the state

State median: 3.3

Resident outcomes

On 21 federal quality measures, this facility does better than the Texas average on 9 and worse on 9. 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	24.3%	15.8%	13.5%	Worse than state
Lose too much weight	3.2%	2.9%	5.1%	Near state average
With a catheter inserted and left in their bladder	0.0%	0.3%	0.7%	Better than state
With a urinary tract infection	1.0%	0.8%	1.5%	Worse than state
Have depressive symptoms	1.8%	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	4.2%	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	23.9%	12.9%	12.7%	Worse than state
Received an antianxiety or hypnotic medication	14.7%	17.8%	19.5%	Better than state
Assessed and appropriately given the seasonal influenza vaccine	100.0%	97.0%	95.3%	Near state average
With pressure ulcers	2.8%	3.7%	4.5%	Better than state
With new or worsened bowel or bladder incontinence	15.9%	12.5%	18.3%	Worse than state
Received an antipsychotic medication	1.3%	9.8%	15.4%	Better than state
Hospitalizations per 1000 long-stay resident days	2.66	2.05	1.81	Worse than state
Outpatient emergency department visits per 1000 long-stay resident days	2.37	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	0.7%	1.4%	1.5%	Better 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	30.1%	25.5%	23.4%	Worse than state
Had an outpatient emergency department visit	16.6%	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-0812 3 inspections. Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F-0880 3 inspections. Provide and implement an infection prevention and control program.
F-0600 2 inspections. Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F-0684 2 inspections. Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F-0689 2 inspections. Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F-0755 2 inspections. Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

What its owners also hold

Decatur Hospital Authority has an ownership stake on file at 9 nursing homes, averaging 2.2 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

Muenster Memorial Hospital, about 15 miles.
Mercy Hospital Marietta, about 22 miles.
Wilson N Jones Regional Medical Center, about 29 miles. CMS rating 2 of 5.

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

Nearby facilities with inspection records

Renaissance Care Center, Gainesville, about 0.2 miles. CMS rating 3 of 5.
Avir At Gainesville, Gainesville, about 0.8 miles. CMS rating 1 of 5.
Avir At River Valley, Gainesville, about 2.1 miles. CMS rating 4 of 5.
Whitesboro Health and Rehabilitation Center, Whitesboro, about 13 miles. CMS rating 2 of 5.
Cedar Ridge Rehabilitation and Healthcare Center, Pilot Point, about 18 miles. CMS rating 3 of 5.

Visitor reviews

What people say on Google.

3.866 ratings on Google

★★Debbie Akins · 2026-05-17 · via Google
“I went there to visit my friend and I was told the food is horrible and they get in no hurry to make the patients feel at home. Especially when you have other patients coming in your room and harassing them. That goes for a screaming room mate. My friend is a Christian lady who's use to being in a quiet home but bc she lost her husband she had to go into this facility. I wouldn't recommend it. I …”

★ruby · 2026-05-01 · via Google
“Long term hall is terrible for our love one. He's been in the same cloths 4 days now. His diaper supposed to be change 3 times a day and the last few day's we have to drive over here and change his soiled diaper that he wears all day and night till one of us come over. It's not short staffed at this point it's neglect .”

★Savannah Holland · 2025-12-12 · via Google
“We would love it if y'all got in contact with our family about my grandmothers discharge papers. I had been in contact with the facility for over 2 months about taking her out of Pecan tree to move her closer to family in Colorado. All was great up until the day we went to get her out and Nicole the social worker took us on a wild goose hunt all the way down to Irving to go grab her oxygen which I…”

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

Inside your report

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Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

Locked

The 34 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

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Active civil suits

Federal dockets

CDC infection data

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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