Pecan Tree Rehab And Healthcare Center
1900 E California St, Gainesville, TX 76240 · Cooke County
Government · 122 certified beds · 69% occupancy · (940) 668-6263
The U.S. government (CMS) rates Pecan Tree Rehab And Healthcare Center 1 out of 5 stars overall — much below average. Its nurse staffing is 21% below the Texas median. Inspectors cited it for 2 immediate-jeopardy findings in recent inspection cycles.
CMS quality ratings
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-08-09. Stars are CMS's own five-star ratings.
Nurse staffing
Staffing is the single strongest predictor of nursing home quality — and the number pay-to-play referral sites rarely show you.
2.57 nurse hours per resident per day. 21% below the Texas median of 3.27.
Safety & compliance flags
No CMS warning flags on record.
Recent inspection findings
The specific problems state inspectors cited — the detail behind the star ratings, and what referral sites never show. Findings CMS records as corrected are marked.
- Immediate jeopardyTag F0684 · Oct 18, 2025ComplaintCorrected Oct 19, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
- Immediate jeopardyTag F0689 · Oct 18, 2025ComplaintCorrected Oct 19, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
- Potential for harmTag F0686 · Feb 18, 2026Corrected Feb 19, 2026
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
- Potential for harmTag F0812 · Feb 18, 2026Corrected Feb 19, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
- Potential for harmTag F0880 · Feb 18, 2026Corrected Feb 19, 2026
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
- Potential for harmTag F0580 · Oct 18, 2025ComplaintCorrected Oct 19, 2025
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies
- Potential for harmTag F0585 · Oct 18, 2025ComplaintCorrected Oct 19, 2025
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Resident Rights Deficiencies
- Potential for harmTag F0755 · Oct 18, 2025ComplaintCorrected Oct 19, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
- Potential for harmTag F0760 · Oct 18, 2025ComplaintCorrected Oct 19, 2025
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies
- Potential for harmTag F0600 · May 12, 2026ComplaintCorrected May 14, 2026
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Showing the 10 most recent and serious of 30 findings. See the full inspection history on Medicare.gov.
Ownership
Part of the Creative Solutions In Healthcare chain (149 facilities), chain average overall rating 2.2★.