Nursing home · Top rated by CMS
Fairfield Nursing & Rehabilitation Center
420 Moody St, Fairfield, TX 75840 · Map
For profit - Corporation · Part of Creative Solutions In Healthcare (149 facilities) · 101 certified beds
Fairfield Nursing & Rehabilitation Center is a Medicare-certified nursing home in Fairfield, Texas. CMS rates it 5 out of 5 stars overall (3/5 for staffing, 5/5 for health inspections). Nurse staffing is 3.22 hours per resident per day, below the Texas average of 3.40. Its most recent inspection on Sep 26, 2024 cited 3 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Fairfield Nursing & Rehabilitation Center compares
This facility vs. the Texas and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Texas avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.22 | 3.40 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.48 | 0.44 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 1.60 | 2.01 | 2.34 | below avg |
| Nursing staff turnover | 45.5% | 51.5% | 46.4% | below avg |
| Deficiencies cited, last inspection | 3.0 | 9.1 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the December 18, 2025 inspection was corrected by December 19, 2025
What inspectors found at Fairfield Nursing & Rehabilitation Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Dec 18, 2025 · Full report (PDF) - Potential for harm
Honor the resident's right to organize and participate in resident/family groups in the facility.
Resident Rights Deficiencies · Dec 18, 2025 · Full report (PDF) - Potential for harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Jul 28, 2025 · Full report (PDF) - Potential for harm
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights Deficiencies · Jul 28, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Sep 26, 2024 · Full report (PDF)
Show all 11 deficiencies
- Potential for harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Sep 26, 2024 · Full report (PDF) - Potential for harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Aug 14, 2024 · Full report (PDF) - Potential for harm
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Aug 14, 2024 · Full report (PDF) - Potential for harm
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Jul 26, 2023 - Potential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Jul 26, 2023 - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Jun 23, 2023
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 420 Moody St
Fairfield, TX 75840 - CMS certification #
- 676123
- Ownership
- For profit - Corporation
- Certified beds
- 101
- Avg residents/day
- 66.1
- Provider type
- Medicare and Medicaid
- First certified
- 2006-12-14
- Chain
- Creative Solutions In Healthcare (149 facilities)
- Setting
- Rural
Part of Creative Solutions In Healthcare
Creative Solutions In Healthcare operates 149 nursing facilities across the United States. View all Creative Solutions In Healthcare facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Fairfield Nursing & Rehabilitation Center using Google Maps.
Other public records
- Staff pay 1 federal wage case with violations found, since 2010
Full public records, with dates and sources
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
Federal wage and hour cases
The Department of Labor checks that staff are paid minimum wage and overtime as the law requires.
- Findings for May 8, 2010 to May 7, 2012. Violations found: Overtime. Back wages: $3,835 owed to 1 employee. Employer as DOL recorded it: Fairfield and Nursing Rehabilitation Center (Fairfield I Enterprises LLC). Case 1637002.
Source: U.S. Department of Labor, Wage and Hour Division enforcement data, loaded Oct 15, 2026. Concluded cases only. The dates are the period in which DOL found violations, not when the case opened or closed. Back wages are what the employer agreed to pay; penalties are what DOL assessed. DOL does not publish a page for each case, so search the dataset by case number.
Location and nearby care
- Nearest hospital with an emergency room
- Freestone Medical Center, Fairfield. 0.5 miles away, straight line.
- Nearest Medicare nursing home
- Fairview Healthcare Residence, Fairfield. 1.1 miles away, straight line.
- Nearest home health agency office
- Elara Caring, Teague. 9.9 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- H-E-B Pharmacy. 18.6 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 75840 as rural (rural area).
- Hospice
- 12 Medicare hospices tell CMS they serve ZIP code 75840.
- Nearest geriatric medicine practice
- South Limestone Hospital District, Groesbeck. 25.9 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- FEMA has a flood map for this community (effective March 1, 1990), but it is not in FEMA's digital flood map data, so the zone at this address could not be read. FEMA's Map Service Center has the map. (FEMA flood map)
- Wildfire risk to homes
- In Fairfield, TX, risk to homes is greater than 53% of communities in Texas and 77% of communities nationwide. USDA rates the whole town or city, not this address. (USDA Forest Service, Wildfire Risk to Communities, April 2026)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: hurricane relatively low, inland flooding relatively moderate, wildfire relatively moderate, tornado relatively high, heat wave relatively moderate, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | See above |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | See above |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | No plain statements of services found |
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Frequently asked questions
Is Fairfield Nursing & Rehabilitation Center a good nursing home?
CMS gives Fairfield Nursing & Rehabilitation Center an overall rating of 5 out of 5 stars, including 3/5 for staffing and 5/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Fairfield Nursing & Rehabilitation Center staffed?
Fairfield Nursing & Rehabilitation Center reports 3.22 total nurse hours per resident per day, compared with the Texas average of 3.40.
Has Fairfield Nursing & Rehabilitation Center had inspection problems?
Its most recent CMS inspection cited 3 deficiencies.
How many beds does Fairfield Nursing & Rehabilitation Center have?
Fairfield Nursing & Rehabilitation Center is certified for 101 beds.