85/100
Excellent
2265 S Sycamore St, Palestine, TX 75801
Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.
Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
Hours 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.
Last standard health inspection: December 17, 2025 (8 months ago).
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
No actual harm, potential for more than minimal harm
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
No actual harm, potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
No actual harm, potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
No actual harm, potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
No actual harm, potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
No actual harm, potential for more than minimal harm
Quality of Life and Care Deficiencies
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) Cor...
No actual harm, potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
No actual harm, potential for more than minimal harm
| Owner | Type | Role | Since |
|---|---|---|---|
| BYRUM, JOE | Individual | MANAGING CONTROL - GOVERNING BODY | — |
| PETERSON, MARCO | Individual | MANAGING CONTROL - GOVERNING BODY | — |
| KEETCH, CHAD | Individual | CORPORATE OFFICER | — |
| SANDERSON, CLARK | Individual | CORPORATE OFFICER | — |
| SANDSTONE CREST HEALTHCARE LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — |
| BURNAM, SOON | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| BYRUM, JOE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| PETERSON, MARCO | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| ENSIGN SERVICES INC | Organization | ADP OF THE SNF | — |
| SANDSTONE CREST HEALTHCARE LLC | Organization | ADP OF THE SNF | — |
| STANDARD BEARER HEALTHCARE OP, LP | Organization | ADP OF THE SNF | — |
| SYCAMORE STREET HEALTH HOLDINGS LLC | Organization | ADP OF THE SNF | — |
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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.
Residents receive an average of 3.59 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
No. None of the 10 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.
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.