Nursing home report
PALESTINE, TX · Medicare-certified · 120 beds
TRUCARE LIVING CENTERS (PALESTINE, TX) has a 5 out of 5 overall rating, with 5-star health inspections, 4-star quality measures, and 3-star staffing. It reports 3.59 nurse staffing hours per resident per day versus the 4.1 federal benchmark, had $0 in fines in the last 24 months, and recent inspection citations involved care planning, accurate assessment, and accident prevention.
Health inspections
Staffing
3.5868 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.5868.
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 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.
