The nursing home failed to keep essential equipment working safely. Cited September 2023 — widespread issue, potential for harm.
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F-Tag 908 — 42 CFR §483.90 — S/S: F
Nursing home report
Greenbrier Nursing and Rehabilitation Center of Palestine
Registered name: GREENBRIER NURSING & REHABILITATION CENTER OF PALE
PALESTINE, TX · Medicare-certified · 120 beds
In good standing
For-profitChain member
Data as of July 1, 2026
4 of 5 overall
4 of 5 stars overall. Health inspections are strong at 5 stars and there were no fines in the last 24 months, but staffing is a major concern at 1 star with reported nurse staffing of 3.18 hours per resident per day, below the 4.1 federal benchmark.
Facility ratings
Health inspections
Staffing
3.1796 hrs/resident/day
Quality measures
Last inspection: April 30, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.1796.
Staffing detail
- Registered nurses
- 0.38
- Licensed practical nurses
- 1.14
- Nurse aides
- 1.66
- Weekend nursing
- 2.67
Hours per resident per day.
Total staff turnover: 98%
Registered nurse turnover: 80%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
19.2%11.5%Improving
Residents with a fall causing major injury
2.2%7.5%Worsening
Residents with pressure ulcers (bedsores)
3.2%1.8%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
0%0%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
16.2%25.8%Worsening
Residents whose ability to walk got worse
—14.6%—
Long-stay residents on antianxiety or sleep medication
14.6%15.2%Worsening
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
21.1%12.2%Improving
Residents with depressive symptoms
2.4%2.7%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—100%—
Short-stay residents given the pneumonia vaccine
100%100%No change
What the inspectors found
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited January 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: E
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited April 2026 — isolated incident, potential for harm.
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F-Tag 684 — 42 CFR §483.25 — S/S: D
The home failed to ensure residents were treated with dignity and could make their own choices and communicate freely. Cited March 2026 — isolated incident, potential for harm.
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F-Tag 550 — 42 CFR §483.10(a) — S/S: D
The nursing home failed to provide needed care and help with daily activities for residents who could not do them on their own. Cited March 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 677 — 42 CFR §483.24(a)(2) — S/S: D
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
Operator & ownership
Recent ownership change · Oct 1, 2024
Now operated by Fannin County Hospital Authority, previously Palestine I Enterprises, LLC.
- Ownership
- For profit - Corporation
- Chain
- Part of CREATIVE SOLUTIONS IN HEALTHCARE · 149 homes · 2.2 stars avg
- Occupancy
- 46.5 residents on an average day (39% of 120 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 26 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.