Nursing HomeInspections

Pecan Tree Rehab and Healthcare Center

Nursing home in Gainesville, TX

Medicare & Medicaid certified1★ overall (CMS)

Call (940) 668-6263Send a messageMap ↗

Public-record details

Address
1900 E California St, Gainesville, TX 76240
Phone
(940) 668-6263
Listed under
Government-owned
Medicare CCN
675550
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
1 of 5
Staffing rating
1 of 5
Quality measures rating
2 of 5
Certified beds
122
Average residents per day
85
Ownership
Government, hospital district
Legal business name
Decatur Hospital Authority
Chain
Creative Solutions in Healthcare (149 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Nov 7, 1995
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 675550. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Feb 18, 2026. CMS lists 30 health citations for this facility across its last three standard inspection cycles and complaint inspections (Sep 19, 2023 to May 12, 2026): 13 from complaint inspections, 2 at the “actual harm” level or higher, including 2 at “immediate jeopardy”.

InspectionCitationSeverity
May 12, 2026Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
Feb 18, 2026Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care		E
Potential for more than minimal harm, pattern
Feb 18, 2026Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		E
Potential for more than minimal harm, pattern
Feb 18, 2026Provide and implement an infection prevention and control program.
Infection Control		E
Potential for more than minimal harm, pattern
Oct 18, 2025Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning · complaint inspection		D
Potential for more than minimal harm, isolated
Oct 18, 2025Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights · complaint inspection		E
Potential for more than minimal harm, pattern
Oct 18, 2025Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Resident Rights · complaint inspection		E
Potential for more than minimal harm, pattern
Oct 18, 2025Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service · complaint inspection		E
Potential for more than minimal harm, pattern
Oct 18, 2025Ensure that residents are free from significant medication errors.
Pharmacy Service · complaint inspection		E
Potential for more than minimal harm, pattern
Oct 18, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection		J
Immediate jeopardy, isolated
Oct 18, 2025Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · complaint inspection		K
Immediate jeopardy, pattern
Nov 13, 2024Reasonably accommodate the needs and preferences of each resident.
Resident Rights		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 30. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $16,595 in the last three years.

Oct 18, 2025Fine: $16,595

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
2.57 hours
Registered nurse (RN) time per resident per day
0.29 hours
Nurse aide time per resident per day
1.31 hours
Total nurse staffing on weekends
1.99 hours
Administrators who left in the past year
1

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in Gainesville

Avir at River Valley1907 Refinery Rd · Gainesville, TX 76240 · (940) 665-0386 · For-profit20 health citations in 3 inspection cycles · last standard inspection May 19, 2026 · no CMS fines in 3 yrsMedicare & Medicaid certified3★ overall (CMS)Renaissance Care Center1400 Blackshill Dr · Gainesville, TX 76240 · (940) 665-5221 · For-profit30 health citations in 3 inspection cycles · last standard inspection Jun 4, 2026 · no CMS fines in 3 yrsMedicare & Medicaid certified3★ overall (CMS)Avir at Gainesville1900 O'Neal St. · Gainesville, TX 76240 · (940) 665-2826 · Government-owned51 health citations in 3 inspection cycles · last standard inspection Dec 11, 2025 · $99,075 in CMS fines (3 yrs)Medicare & Medicaid certified1★ overall (CMS)

All 4 in Gainesville →