★★★★★CMS 5/5120 bedsGovernmentMedicaid
- Nurse hours
- 3.59 /day
- Staff turnover
- 25%
- Serious cites
- 0
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.
★★★☆☆CMS 3/5102 bedsFor-profitMedicaid
- Nurse hours
- 3.76 /day
- Staff turnover
- 47%
- Serious cites
- 0
Avir At Town Creek runs 102 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.76 hours per resident day, just under the national average of 3.86. Weekends thin out about 10% below what the home staffs on weekdays, and annual turnover of 47.1% edges past the national 45.8%, so the people giving care keep changing. The inspection record carries 23 deficiencies, including three at the harm or jeopardy level and six tied to abuse, with two fines totaling $49,065. The most recent inspection was August 2025, so that record is current, not stale.
★☆☆☆☆CMS 1/5199 bedsGovernmentMedicaid
- Nurse hours
- 3.37 /day
- Staff turnover
- 54%
- Serious cites
- 0
Legacy At Town Creek runs 199 certified beds in Palestine under hospital district ownership, and the numbers raise real questions. Nurse staffing sits at 3.37 hours per resident day, roughly 13 percent under the national average, with weekends about 9 percent thinner than weekdays, meaning your family member gets the least coverage exactly when other help is hardest to find. Staff turnover is 53.8 percent against a national 45.8, so caregivers cycle through quickly. On top of that, the current record shows 38 deficiencies, including 5 at harm or jeopardy level and 5 tied to abuse, with $294,608 in fines. The last inspection was August 2025. Ask about weekend coverage and turnover directly before deciding.
★★★★☆CMS 4/5120 bedsFor-profitMedicaid
- Nurse hours
- 3.18 /day
- Staff turnover
- 98%
- Serious cites
- 0
Greenbrier's inspection record looks strong on paper, a five-star health inspection rating and no deficiencies at the harm or jeopardy level, out of 12 total. The trouble sits with staffing. At 3.18 nurse hours per resident day, this home runs about 18 percent under the national average, and weekends drop another 16 percent below its own weekday coverage. That gap matters more when you consider turnover: 97.9 percent of staff leave within a year, against a national rate of 45.8, which means the people showing up are often new to the building. One abuse-related deficiency also appears on the current record. Inspections can miss what thin, constantly changing coverage hides.