Nursing home report
GAINESVILLE, TX · Medicare-certified · 122 beds
Pecan Tree Rehab and Healthcare Center has a 1 out of 5 overall rating, with 1-star health inspection and staffing ratings and 2-star quality measures. It reports 2.57 nursing hours per resident day versus the 4.1 federal benchmark, has $16,595 in fines in the last 24 months, and is flagged for a recent federal penalty.
Health inspections
Staffing
2.5713 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.5713.
Hours per resident per day.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited October 2025 — limited pattern, immediate jeopardy to residents.
F-Tag 684 — 42 CFR §483.25 — S/S: K
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited October 2025 — isolated incident, immediate jeopardy to residents.
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The nursing home failed to make sure it had a pest control program to prevent or deal with mice, insects, and other pests. Cited September 2023 — widespread issue, potential for harm.
F-Tag 925 — 42 CFR §483.90 — S/S: F
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited February 2026 — limited pattern, potential for harm.
F-Tag 686 — 42 CFR §483.25(b) — S/S: E
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited February 2026 — limited pattern, potential for harm.
F-Tag 812 — 42 CFR §483.60(i) — S/S: E
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 1 health deficiency.
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 3 health deficiencies.
A federal fine of $16,595 was recorded.
A federal fine of $25,530 was recorded.
Health inspection found 7 health deficiencies.
Health inspection found 7 health deficiencies.
On record with Medicare: 1 fine · $16,595 in total fines.
Federal fine
Oct 18, 2025
Now operated by Decatur Hospital Authority, previously City of Ennis.
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.
