Nursing Homes · Gainesville, TX
Nursing Homes · Medicare certified
Pecan Tree Rehab and Healthcare Center
1900 E California St · Gainesville, TX 76240 · 122 certified beds
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About Pecan Tree Rehab and Healthcare Center
Pecan Tree Rehab and Healthcare Center is a nursing home in Gainesville, Texas. Its capacity is 122 beds, above the Texas median of 120 for nursing homes. It is run by a nonprofit operator and is part of Creative Solutions in Healthcare. It is Medicare certified. Its public inspection record shows 30 citations, the most recent on May 12, 2026. CMS also lists 1 fine or payment denial against it. Nurse staffing averages 2.84 hours per resident per day. It is one of 4 nursing homes listed in Gainesville. Residents and families can raise concerns with the Texas Long-Term Care Ombudsman Program at 1-800-252-2412. Its public records were last updated in October 2026.
Public record
CMS Care Compare, updated October 2026
Certification
Medicare-certified.
Ratings
Overall
1.0Staffing
1.0Quality measures
2.0CMS Care Compare, October 2026.
Inspection history (30)
Records from September 2023 to May 2026.
May 12, 2026
Tag F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 14, 2026.
February 18, 2026
Tag F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected February 19, 2026.
February 18, 2026
Tag F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected February 19, 2026.
February 18, 2026
Tag F0880Provide and implement an infection prevention and control program.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected February 19, 2026.
October 18, 2025
Tag F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected October 19, 2025.
October 18, 2025
Tag F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity K: pattern, immediate jeopardy. Corrected October 19, 2025.
October 18, 2025
Tag F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 19, 2025.
October 18, 2025
Tag F0585Honor 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.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected October 19, 2025.
October 18, 2025
Tag F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity J: isolated, immediate jeopardy. Corrected October 19, 2025.
October 18, 2025
Tag F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected October 19, 2025.
October 18, 2025
Tag F0760Ensure that residents are free from significant medication errors.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected October 19, 2025.
November 13, 2024
Tag F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 9, 2024.
November 13, 2024
Tag F0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 11, 2024.
November 13, 2024
Tag F0880Provide and implement an infection prevention and control program.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected December 9, 2024.
November 13, 2024
Tag F0558Reasonably accommodate the needs and preferences of each resident.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 9, 2024.
November 13, 2024
Tag F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected December 9, 2024.
November 13, 2024
Tag F0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 9, 2024.
November 13, 2024
Tag F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected December 9, 2024.
September 19, 2023
Tag F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected October 11, 2023.
September 19, 2023
Tag F0679Provide activities to meet all resident's needs.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected October 11, 2023.
Penalties (1)
Total fines: $16,595
October 18, 2025 · Fine
CMS recorded a civil money penalty of $16,595 against this nursing home on October 18, 2025.
Staffing
2.84 nurse hours per resident per day in Q2 2026, up from 2.45 in Q4 2025.
From the payroll records nursing homes file with CMS.
Ownership
Non profit
Part of Creative Solutions in Healthcare, a chain of 150 nursing homes.
Average CMS star ratings across the chain: 2.3 overall, 2.7 for health inspections, 1.4 for staffing, 3.4 for quality measures.
Typical cost
CareScout Cost of Care Survey, 2025
This provider's prices aren't public. Here is what the same care typically costs in Texas.
Nearby alternatives
Other licensed providers in Gainesville.
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