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A

85/100

Excellent

Trucare Living Centers

2265 S Sycamore St, Palestine, TX 75801

CMS 5/5 stars #1 of 5 in Anderson County (903) 723-2592
Certified beds
120
Occupancy
68%
Ownership
Government
Accepts
Medicare + Medicaid

Our read on Trucare Living Centers

Trucare Living Centers runs on a hospital district's license in Palestine, and the numbers suggest steady hands more than flash. Ten deficiencies on the current record sounds like a lot until you see none of them reached harm or jeopardy, and none involved abuse, that's a clean complaint history where it matters most. Staff turnover sits at 25%, well under the 45.8% national average, which means familiar faces on the floor. The tradeoff is coverage: 3.59 nurse hours per resident day lands about 7% under the national figure, and weekends dip roughly 11% below the home's own weekday pace. Inspectors visited in December 2025 and came away satisfied.

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.

Inspection30/30Staffing18/30Stability15/15Outcomes12/15Enforcement10/10

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

30/30

Citations 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

18/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • →3.88 total nurse hours per resident per day (national median 3.77)
  • →0.28 RN hours per resident per day
  • →Weekend staffing drops 11% against weekdays

Staff stability

15/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • →25% of nursing staff left in the last year

Resident outcomes

12/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • →4 of 5 stars on the CMS quality-measure rating

Enforcement history

10/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • →No federal fines on record

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day3.59 hrs
National average 3.86 hrsBelow average
Registered nurse (RN) hours0.28 hrs
National average 0.69 hrsBelow average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours3.20 hrs
National average 3.42 hrsBelow average

The shift most families visit, and the one thinned first.

Nursing staff turnover25.00%
National average 45.80%Better than average

The share of nursing staff who left over the last year.

Recent inspection findings

Last standard health inspection: December 17, 2025 (10 months ago). No citations were recorded.

No health-inspection citations on record for this facility in the current CMS release.

What families say

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Common questions about Trucare Living Centers

What is the ElderGrade for Trucare Living Centers? +

Trucare Living Centers holds an ElderGrade of A (85 out of 100), which we describe as "excellent". 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 Trucare Living Centers? +

Residents receive an average of 3.59 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Trucare Living Centers 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 Trucare Living Centers accept Medicaid? +

Yes, Trucare Living Centers 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.