Nursing home
Trucare Living Centers
2265 S Sycamore St, Palestine, TX 75801 · Map
Government - Hospital district · 120 certified beds
Trucare Living Centers is a Medicare-certified nursing home in Palestine, Texas. CMS rates it 4 out of 5 stars overall (3/5 for staffing, 4/5 for health inspections). Nurse staffing is 3.58 hours per resident per day, above the Texas average of 3.40. Its most recent inspection on Sep 18, 2024 cited 6 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Trucare Living Centers 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) | 3.58 | 3.40 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 0.27 | 0.44 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.51 | 2.01 | 2.34 | above avg |
| Nursing staff turnover | 21.7% | 51.5% | 46.4% | below avg |
| Deficiencies cited, last inspection | 6.0 | 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 17, 2025 inspection was corrected by January 6, 2026
What inspectors found at Trucare Living Centers
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 · Dec 17, 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 · Dec 17, 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 · Dec 17, 2025 · Full report (PDF) - Potential for harm
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Quality of Life and Care Deficiencies · Sep 18, 2024 · Full report (PDF) - Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Sep 18, 2024 · Full report (PDF)
Show all 10 deficiencies
- 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 · Sep 18, 2024 · Full report (PDF) - Potential for harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Sep 18, 2024 · Full report (PDF) - Potential for harm
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Nutrition and Dietary Deficiencies · Sep 18, 2024 · Full report (PDF) - Potential for harm
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies · Sep 18, 2024 · 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 · Aug 16, 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
- 2265 S Sycamore St
Palestine, TX 75801 - CMS certification #
- 676257
- Ownership
- Government - Hospital district
- Certified beds
- 120
- Avg residents/day
- 81.5
- Provider type
- Medicare and Medicaid
- First certified
- 2010-07-22
- Setting
- Rural
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Trucare Living Centers using Google Maps.
Other public records
- Website says Respite stays, nurse 24 hours a day, works with hospice
Full public records, with dates and sources
Care and services
From the community’s website
What Trucare Living Centers says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Offers respite or short-term stays.
In addition to rehabilitative care, we also provide respite, palliative, and hospice care.
(page, checked Oct 12, 2026) - Nurse on site: 24 hours a day.
Our dedicated team of RNs, LPNs, and caregivers, along with medical professionals such as a medical director, physician assistants, and nurse practitioners, ensure around-the-clock medical support.
(page, checked Oct 12, 2026) - Offers hospice care on site or works with hospice providers.
In addition to rehabilitative care, we also provide respite, palliative, and hospice care.
(page, checked Oct 12, 2026) - Apartment types named: semi-private room.
We offer a range of room options, including private and semi-private, and our comprehensive therapy services are designed to meet your individual needs.
(page, checked Oct 12, 2026)
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.
DOL also concluded 1 case here with no violations found, most recently for a period ending Jun 29, 2021.
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
- Palestine Regional Medical Center, Palestine. 0.3 miles away, straight line. CMS overall hospital rating: 1 of 5 stars.
- Nearest Medicare nursing home
- Legacy at Town Creek, Palestine. 1.7 miles away, straight line.
- Nearest home health agency office
- Angels Care Home Health, Palestine. 0.6 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walgreens. 0.8 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 75801 as micropolitan (micropolitan core).
- Dialysis within 15 miles
- Fkc Palestine Home Therapies, Palestine, 0.2 miles away, straight line (CMS rating 4 of 5 stars)
Palestine Dialysis Center, Palestine, 4.5 miles away, straight line (CMS rating 3 of 5 stars) - Hospice
- 17 Medicare hospices tell CMS they serve ZIP code 75801.
- Nearest geriatric medicine practice
- South Limestone Hospital District, Groesbeck. 55.2 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
- 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 Palestine, TX, risk to homes is greater than 47% of communities in Texas and 75% 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 high. By hazard: hurricane relatively 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 | 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 | See above |
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Frequently asked questions
Is Trucare Living Centers a good nursing home?
CMS gives Trucare Living Centers an overall rating of 4 out of 5 stars, including 3/5 for staffing and 4/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Trucare Living Centers staffed?
Trucare Living Centers reports 3.58 total nurse hours per resident per day, compared with the Texas average of 3.40.
Has Trucare Living Centers had inspection problems?
Its most recent CMS inspection cited 6 deficiencies.
How many beds does Trucare Living Centers have?
Trucare Living Centers is certified for 120 beds.