57/100
Average
Pecan Tree Rehab And Healthcare Center
1900 E California St, Gainesville, TX 76240
- Certified beds
- 122
- Occupancy
- 69%
- Ownership
- Government
- Accepts
- Medicare + Medicaid
What to ask about before you visit
These are findings in the public CMS record for this home. They are not our opinion, each one comes straight from a federal inspection or enforcement file.
$16,879 in federal fines
CMS has fined this facility across 1 penalty action(s).
Our read on Pecan Tree Rehab And Healthcare Center
Pecan Tree runs on 2.57 nursing hours per resident day, roughly a third below the national average of 3.86, and weekends drop about 23% below what it manages on weekdays. That thin coverage sits behind a one-star staffing rating, and the inspection record is heavier still: 30 deficiencies, two of them serious enough to put residents in harm's way, plus two tied to abuse. The last full inspection was February 2026, so the findings are recent, not stale. Cooke County Hospital District owns the place, which means public ownership here hasn't translated into public accountability on care. One fine totaling $16,595 rounds out the record. If you're considering this home, ask directly how they staff weekends and what changed after those abuse citations.
Written from the CMS figures for this home shown further down this page. Nothing here is paid for or supplied by the home.
How this grade was calculated
Every point is shown. Nothing is weighted behind the scenes, the full formula is on How we grade.
A full pentagon is full marks. The shape shows what kind of good or bad a home is, two homes can share a score and look nothing alike.
Inspection safety
30/30Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
- →No citations recorded in the last 3 years
Staffing
6.5/30Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
- →2.45 total nurse hours per resident per day (national median 3.77)
- →0.29 RN hours per resident per day
- →Weekend staffing drops 23% against weekdays
Staff stability
7.5/15How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
- →No turnover figure reported, scored neutral
Resident outcomes
5/15The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
- →2 of 5 stars on the CMS quality-measure rating
Enforcement history
8/10Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
- →$16,879 in federal fines across 1 action(s)
Staffing, against the national average
Full detailHours of nursing care each resident receives per day. The marker on each bar is the national average.
RNs are the licence level most likely to catch a resident deteriorating.
The shift most families visit, and the one thinned first.
The share of nursing staff who left over the last year.
Recent inspection findings
Last standard health inspection: February 18, 2026 (8 months ago). No citations were recorded.
No health-inspection citations on record for this facility in the current CMS release.
Who owns this home
Full recordPart of CREATIVE SOLUTIONS IN HEALTHCARE, which operates 149 homes. Staffing budgets are usually set at chain level, not in the building.
What families say
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Common questions about Pecan Tree Rehab And Healthcare Center
What is the ElderGrade for Pecan Tree Rehab And Healthcare Center? +
Pecan Tree Rehab And Healthcare Center holds an ElderGrade of C (57 out of 100), which we describe as "average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.
How many nursing hours does each resident get at Pecan Tree Rehab And Healthcare Center? +
Residents receive an average of 2.57 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
Has Pecan Tree Rehab And Healthcare Center been cited for harming residents? +
No. None of the 0 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.
Does Pecan Tree Rehab And Healthcare Center accept Medicaid? +
Yes, Pecan Tree Rehab And Healthcare Center is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.
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