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 & REHABILITATION CENTER OF PALE
PALESTINE, TX · Medicare-certified · 120 beds
In good standing
For-profitChain member
4 of 5 overall
Greenbrier Nursing & Rehabilitation Center of Pale has a 4 out of 5 overall rating, with strong health inspection and quality scores but very weak staffing. Reported nurse staffing is 3.24 hours per resident per day, below the federal benchmark of 4.1, and there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.2416 hrs/resident/day
Quality measures
Last inspection: March 4, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.2416.
Staffing detail
- Registered nurses
- 0.51
- Licensed practical nurses
- 0.94
- Nurse aides
- 1.79
- Weekend nursing
- 2.76
Hours per resident per day.
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
12.1%Improving
Residents with a fall causing major injury
2.3%Improving
Residents with pressure ulcers (bedsores)
3.6%Steady
Residents with a urinary tract infection
0%Steady
Residents who lost too much weight
0.7%Steady
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
16.2%Worsening
Residents whose ability to walk got worse
17.6%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
13.7%Improving
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
16.5%Improving
Residents with depressive symptoms
4.5%Worsening
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
100%Steady
Short-stay residents given the seasonal flu vaccine
100%Steady
Short-stay residents given the pneumonia vaccine
100%Steady
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.
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F-Tag 880 — 42 CFR §483.80(a) — S/S: E
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.
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F-Tag 677 — 42 CFR §483.24(a)(2) — S/S: D
The home failed to provide proper bladder and bowel care, including catheter care and steps to prevent urinary tract infections. Cited September 2025 — isolated incident, potential for harm.
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F-Tag 690 — 42 CFR §483.25(e) — 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 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
- Ownership
- For profit - Corporation
- Chain
- Part of CREATIVE SOLUTIONS IN HEALTHCARE · 149 homes · 2.3 stars avg
- Occupancy
- 46.1 residents on an average day (38% 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.