Greenbrier Nursing & Rehabilitation Center of Pale
Nursing home in Palestine, TX
Medicare & Medicaid certified4★ overall (CMS)
Public-record details
- Address
- 2404 State Highway 155, Palestine, TX 75803
- Phone
- (903) 729-6024
- Listed under
- For-profit, 4–5 star overall rating, No fines in 3 years
- Medicare CCN
- 675816
- Overall star rating
- 4 of 5 ★★★★☆
- Health inspection rating
- 5 of 5
- Staffing rating
- 1 of 5
- Quality measures rating
- 3 of 5
- Certified beds
- 120
- Average residents per day
- 47
- Ownership
- For-profit, corporation
- Legal business name
- Fannin County Hospital Authority
- Chain
- Creative Solutions in Healthcare (149 facilities)
- Certified for
- Medicare and Medicaid
- First approved by Medicare/Medicaid
- Dec 21, 1999
- 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
Inspection record
Most recent standard health inspection: Jan 29, 2026. CMS lists 12 health citations for this facility across its last three standard inspection cycles and complaint inspections (Sep 20, 2023 to Apr 30, 2026): 9 from complaint inspections, 0 at the “actual harm” level or higher.
| Inspection | Citation | Severity |
|---|---|---|
| Apr 30, 2026 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D |
| Mar 4, 2026 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D |
| Mar 4, 2026 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D |
| Jan 29, 2026 | Provide and implement an infection prevention and control program. | E |
| Sep 10, 2025 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D |
| Sep 10, 2025 | Provide and implement an infection prevention and control program. | D |
| Jun 10, 2025 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D |
| Mar 12, 2025 | Provide and implement an infection prevention and control program. | D |
| Sep 20, 2023 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D |
| Sep 20, 2023 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D |
| Sep 20, 2023 | Provide and implement an infection prevention and control program. | D |
| Sep 20, 2023 | Keep all essential equipment working safely. | F |
Fines and payment denials
CMS records no fines or payment denials for this facility in the last three years.
Staffing
- Total nurse staffing per resident per day
- 3.18 hours
- Registered nurse (RN) time per resident per day
- 0.38 hours
- Nurse aide time per resident per day
- 1.66 hours
- Total nurse staffing on weekends
- 2.67 hours
- Nursing staff turnover (yearly)
- 98%
- RN turnover (yearly)
- 80%
- Administrators who left in the past year
- 1
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.