Nursing home
Pecan Tree Rehab and Healthcare Center
1900 E California St, Gainesville, TX 76240 · Map
For profit - Corporation · Part of Creative Solutions In Healthcare (149 facilities) · 122 certified beds
Pecan Tree Rehab and Healthcare Center is a Medicare-certified nursing home in Gainesville, Texas. CMS rates it 1 out of 5 stars overall (2/5 for staffing, 1/5 for health inspections). Nurse staffing is 2.82 hours per resident per day, below the Texas average of 3.40. Its most recent inspection on Nov 13, 2024 cited 14 deficiencies.
- 1 fine totaling $21,530In CMS records: 1 total penalty.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Pecan Tree Rehab and Healthcare 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) | 2.82 | 3.40 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.49 | 0.44 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 1.49 | 2.01 | 2.34 | below avg |
| Nursing staff turnover | 42.5% | 51.5% | 46.4% | below avg |
| Deficiencies cited, last inspection | 14.0 | 9.1 | 9.5 | above 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.
Penalties in CMS records: 1 fine totaling $21,530, 1 total penalty.
What inspectors found at Pecan Tree Rehab and Healthcare 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
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Feb 18, 2026 · Full report (PDF) - 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 · Feb 18, 2026 · Full report (PDF) - Potential for harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Feb 18, 2026 · Full report (PDF) - Immediate jeopardy
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Oct 18, 2025 · Full report (PDF) - Immediate jeopardy
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Oct 18, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Oct 18, 2025 · Full report (PDF) - 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 · Oct 18, 2025 · Full report (PDF) - Potential for harm
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 · Oct 18, 2025 · Full report (PDF) - Potential for harm
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 · Oct 18, 2025 · Full report (PDF) - Potential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Oct 18, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Nov 13, 2024 · Full report (PDF) - 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 · Nov 13, 2024 · Full report (PDF)
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
- 1900 E California St
Gainesville, TX 76240 - CMS certification #
- 675550
- Ownership
- For profit - Corporation
- Certified beds
- 122
- Avg residents/day
- 84.3
- Provider type
- Medicare and Medicaid
- First certified
- 1995-11-07
- 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 Pecan Tree Rehab and Healthcare Center using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- North Texas Medical Center, Gainesville. 4.0 miles away, straight line. CMS overall hospital rating: 4 of 5 stars. Location approximate.
- Nearest Medicare nursing home
- Renaissance Care Center, Gainesville. 0.2 miles away, straight line.
- Nearest home health agency office
- Choice Health At Home, Gainsville. 0.9 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Pharmacy. 8.6 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 76240 as micropolitan (micropolitan core).
- Dialysis within 15 miles
- Gainesville Star Dialysis, Gainesville, 1.4 miles away, straight line (CMS rating 1 of 5 stars)
Davita Dialysis Cottage, Gainesville, 2.4 miles away, straight line (CMS rating 3 of 5 stars) - Hospice
- 28 Medicare hospices tell CMS they serve ZIP code 76240.
- Nearest geriatric medicine practice
- University Of Texas Southwestern Medical Center At Dallas, Denton. 30.8 miles away, straight line. 3 geriatric medicine doctors 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
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- Wildfire risk to homes
- In Gainesville, TX, risk to homes is greater than 77% of communities in Texas and 86% 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 very low, inland flooding relatively high, wildfire relatively moderate, tornado very high, heat wave relatively high, earthquake relatively 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 | Nothing on record |
| 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 | Could not read the site |
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Frequently asked questions
Is Pecan Tree Rehab and Healthcare Center a good nursing home?
CMS gives Pecan Tree Rehab and Healthcare Center an overall rating of 1 out of 5 stars, including 2/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Pecan Tree Rehab and Healthcare Center staffed?
Pecan Tree Rehab and Healthcare Center reports 2.82 total nurse hours per resident per day, compared with the Texas average of 3.40.
Has Pecan Tree Rehab and Healthcare Center had inspection problems?
Its most recent CMS inspection cited 14 deficiencies.
How many beds does Pecan Tree Rehab and Healthcare Center have?
Pecan Tree Rehab and Healthcare Center is certified for 122 beds.