Nursing home report
PALESTINE, TX · Medicare-certified · 120 beds
TRUCARE LIVING CENTERS (PALESTINE, TX) has an overall rating of 5 out of 5 stars, with 5-star health inspections, 4-star quality measures, and 3-star staffing; reported nurse staffing is 3.63 hours per resident per day, below the 4.1-hour federal benchmark. No fines were reported in the last 24 months, though recent inspection citations included care planning, resident assessment, and accident prevention issues.
Health inspections
Staffing
3.6292 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.6292.
Hours per resident per day.
How often residents experience these outcomes, with the direction over the past year.
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
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 develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited September 2024 — limited pattern, potential for harm.
F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: E
The nursing home failed to make sure each resident got an accurate assessment of their needs and condition. Cited September 2024 — limited pattern, potential for harm.
F-Tag 641 — 42 CFR §483.20(g) — S/S: E
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited September 2024 — limited pattern, potential for harm.
F-Tag 689 — 42 CFR §483.25(d) — S/S: E
The home failed to assess bed rail safety, review the risks and benefits, get informed consent, or properly install and maintain the rail. Cited September 2024 — limited pattern, potential for harm.
F-Tag 700 — 42 CFR §483.25(n) — S/S: E
The home failed to provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited December 2025 — isolated incident, potential for harm.
F-Tag 755 — 42 CFR §483.45 — S/S: D
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 3 health deficiencies.
Health inspection found 6 health deficiencies.
Health inspection found 1 health deficiency.
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.
