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Nursing home report

PECAN TREE REHAB AND HEALTHCARE CENTER

GAINESVILLE, TX · Medicare-certified · 122 beds

Needs attention
Government-runChain member
1 of 5 overall

1-star overall. PECAN TREE REHAB AND HEALTHCARE CENTER has 1-star health inspection and staffing ratings, 3-star quality measures, reported nurse staffing of 2.45 hours per resident per day versus the 4.1 federal benchmark, $25,530 in fines in the last 24 months, and a recent federal penalty.

Facility ratings

Health inspections

Staffing

2.4537 hrs/resident/day

Quality measures

Last inspection: February 18, 2026Penalties, last 24 months: $25,530recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.4537.

Staffing detail

Registered nurses
0.39
Licensed practical nurses
0.86
Nurse aides
1.21
Weekend nursing
2.17

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

0.5%Worsening

Residents with a fall causing major injury

2.8%Worsening

Residents with pressure ulcers (bedsores)

4%Worsening

Residents with a urinary tract infection

1.3%Steady

Residents who lost too much weight

3.5%Worsening

Residents who were physically restrained

0%Steady

Residents needing more help with daily activities

19.1%Worsening

Residents whose ability to walk got worse

18.5%Steady
Show all measures

Long-stay residents on antianxiety or sleep medication

16.6%Improving

Short-stay residents newly given an antipsychotic

0%Steady

Residents with a long-term catheter

0.4%Improving

Residents with new or worsening incontinence

17.5%Steady

Residents with depressive symptoms

3.3%Improving

Long-stay residents given the seasonal flu vaccine

98.9%Steady

Long-stay residents given the pneumonia vaccine

100%Steady

Short-stay residents given the seasonal flu vaccine

92.8%Steady

Short-stay residents given the pneumonia vaccine

99.6%Improving

What the inspectors found

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.

View the original federal record

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.

View the original federal record

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.

View the original federal record

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.

View the original federal record

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.

View the original federal record

F-Tag 812 — 42 CFR §483.60(i) — S/S: E

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 3 health deficiencies.

    See what inspectors found
  3. PENALTY

    A federal fine of $25,530 was recorded.

  4. INSPECTION

    Health inspection found 7 health deficiencies.

    See what inspectors found
  5. INSPECTION

    Health inspection found 7 health deficiencies.

    See what inspectors found

Penalties & enforcement

On record with Medicare: 1 fine · $25,530 in total fines.

  • Federal fine

    Oct 18, 2025

    $25,530

Operator & ownership

Ownership
Government - Hospital district
Chain
Part of CREATIVE SOLUTIONS IN HEALTHCARE · 149 homes · 2.3 stars avg
Occupancy
87.3 residents on an average day (72% of 122 beds)
Resident voice
Resident council
Medicare history
Certified for 30 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.