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Nursing homeFAID #14624

Trucare Living Centers

2265 S SYCAMORE ST, PALESTINE, TX, 75801

(903) 723-2592

120 licensed beds

CMS rates Trucare Living Centers 5 out of 5 overall. Federal inspectors issued 10 citations across 6 inspections in the last three years, with no federal fines. Listing last updated 2026-11-06.

★★★★★5/5CMS Five-Star overall5/5 health inspections3/5 staffing5/5 quality measuresSource: CMS Care Compare

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Address

2265 S Sycamore St

Palestine, TX 75801

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Public record summary

What we can show you for free.

Bed capacity

120

CMS facility ID

676257

Care type

Nursing home

County

Anderson

Facility name

Trucare Living Centers

Street address

2265 S SYCAMORE ST

City / state / ZIP

Palestine, TX 75801

Phone

(903) 723-2592

About this facility — Trucare Living Centers

Trucare Living Centers 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.

Federal inspectors have cited Trucare Living Centers 10 times across 6 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

Ownership type

Government - Hospital district

Registered owners & officers

Fannin County Hospital Authority

Direct owner — 100% stake — since 2026

Burnam, Soon

Operational control — since 2026

Byrum, Joe

Governing body · Operational control · Additional disclosable party — since 2026

Ensign Services Inc

Additional disclosable party — since 2026

Keetch, Chad

Officer — since 2011

Peterson, Marco

Governing body · Operational control · Additional disclosable party — since 2018

Sanderson, Clark

Officer — since 2026

Sandstone Crest Healthcare Llc

Operational control · Additional disclosable party — since 2026

Standard Bearer Healthcare Op, Lp

Additional disclosable party — since 2026

Sycamore Street Health Holdings Llc

Additional disclosable party — since 2026

The Ensign Group Inc

Additional disclosable party — since 2026

Regulatory standing

Licensed / certified since

2010-07-22

CMS overall rating

5 of 5 stars

Health deficiencies

3 at the last standard inspection

Federal fines

None on record

Last standard inspection

2025-12-17

Nurse staffing

3.3 hours per resident per day

Cost & payer profile (FY2024 cost report)

Average billed charges

$264 per day (≈ $8,030/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

54% Medicaid · 11% Medicare · 35% private/other

Occupancy

68% (fiscal year 2024)

Vs. state median

5% below the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds

120

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.

2025-12-17Health inspection3 citations

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 2026-01-06

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 2026-01-06

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2026-01-06

2024-09-18Health inspection6 citations

F-0641

E · No harm found

Ensure each resident receives an accurate assessment.

Corrected 2024-10-02

F-0644

D · No harm found

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

Corrected 2024-10-02

F-0656

E · 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 2024-10-02

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 2024-10-02

F-0700

E · No harm found

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.

Corrected 2024-10-02

F-0813

D · No harm foundFood safety

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

Corrected 2024-10-02

1 earlier / fire-safety inspection (1 citation)

2023-08-16Health inspection1 citation

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 2023-08-21

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 676257.

Quality of care & staffing

How it compares in Texas.

Inspection citations, 3 years

Among the fewest 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

3.3

Higher than 55% of nursing homes in the state

State median: 3.3

Nursing staff turnover, annual

23%

Among the lowest 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 15 and worse on 3. 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	11.6%	15.8%	13.5%	Better than state
Lose too much weight	0.9%	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	0.4%	0.8%	1.5%	Better than state
Have depressive symptoms	1.9%	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	8.6%	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	5.9%	12.9%	12.7%	Better than state
Received an antianxiety or hypnotic medication	10.9%	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	13.8%	12.5%	18.3%	Worse than state
Received an antipsychotic medication	4.1%	9.8%	15.4%	Better than state
Hospitalizations per 1000 long-stay resident days	1.36	2.05	1.81	Better than state
Outpatient emergency department visits per 1000 long-stay resident days	2.12	1.97	1.69	Near state average

Short-stay residents	This facility	State	US	Compared with state
Assessed and appropriately given the pneumococcal vaccine	99.8%	88.7%	82.3%	Better than state
Newly received an antipsychotic medication	0.0%	1.4%	1.5%	Better than state
Were assessed and appropriately given the seasonal influenza vaccine	99.0%	85.4%	80.1%	Better than state
Were rehospitalized after a nursing home admission	31.8%	25.5%	23.4%	Worse than state
Had an outpatient emergency department visit	10.6%	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-0656 2 inspections. Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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

Fannin County Hospital Authority has an ownership stake on file at 54 nursing homes, averaging 2.8 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 0.3 miles. CMS rating 1 of 5.
Ut Health East Texas Jacksonville Hospital, about 26 miles.
Christus Mother Frances Hospital- Jacksonville, about 26 miles.

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

Nearby facilities with inspection records

Legacy At Town Creek, Palestine, about 1.7 miles. CMS rating 1 of 5.
Avir At Town Creek, Palestine, about 2.9 miles. CMS rating 3 of 5.
Greenbrier Nursing & Rehabilitation Center of Pale, Palestine, about 4.0 miles. CMS rating 4 of 5.
Avir At Elkhart, Elkhart, about 8.1 miles. CMS rating 3 of 5.
Avir At Jacksonville, Jacksonville, about 26 miles. CMS rating 5 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 10 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