2310 E BROADWAY, Gainesville, TX 76240
Assisted Living
Assisted living & personal care24-hour supervisionMedication management
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Prices not published
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Medicare-certifiedSkilled Nursing
Pecan Tree Rehab and Healthcare Center
Gainesville, TexasMedicare inspection record
About Pecan Tree Rehab and Healthcare Center
Pecan Tree Rehab and Healthcare Center brings skilled nursing and rehabilitation expertise to Gainesville, Texas families navigating recovery and healing. Our team focuses on personalized care plans that help patients regain independence and return home stronger.
Community at a glance
Capacity
122 residents
Location
Gainesville, TX
Status
Listed in a public registry
Care & services offered
Skilled Nursing
Contact & location
1900 E CALIFORNIA ST, Gainesville, Texas 76240
Medicare inspection record
From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov
At its most recent standard inspection, on February 18, 2026, state inspectors cited 11 health deficiencies (the Texas average is 9.4).
Nurses and nurse aides spend 2 hours 34 minutes with each resident a day, below the Texas average of 3 hours 23 minutes.
Medicare fined Pecan Tree Rehab and Healthcare Center once in the last three years, $16,879 in total.
Staffing
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 2 hours 34 minutesBelow the Texas average |
| Registered nurse time per resident, per day | 17 minutesBelow the Texas average |
1 administrator has left the home in the past year.
Inspections
18 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
May 12, 2026 · Complaint investigation · 1 citation
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected May 14, 2026
February 18, 2026 · Standard inspection · 3 citations
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected Feb 19, 2026Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a pattern (level E)Infection ControlCorrected Feb 19, 2026Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Feb 19, 2026
October 18, 2025 · Complaint investigation · 7 citations+
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Immediate danger to residents, a pattern (level K)Quality of Life and CareFrom a complaintCorrected Oct 19, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Immediate danger to residents, a few residents (level J)Quality of Life and CareFrom a complaintCorrected Oct 19, 2025Ensure that residents are free from significant medication errors.
Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceFrom a complaintCorrected Oct 19, 2025Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceFrom a complaintCorrected Oct 19, 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.
Risk of harm, no one hurt, a pattern (level E)Resident RightsFrom a complaintCorrected Oct 19, 2025Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Risk of harm, no one hurt, a pattern (level E)Resident RightsFrom a complaintCorrected Oct 19, 2025Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Oct 19, 2025
November 13, 2024 · Standard inspection · 7 citations+
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Dec 9, 2024Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected Dec 9, 2024Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a pattern (level E)Infection ControlFrom a complaintCorrected Dec 9, 2024Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Dec 9, 2024Reasonably accommodate the needs and preferences of each resident.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Dec 9, 2024Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Dec 11, 2024Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Dec 9, 2024
Fines and payment denials
1 fine totaling $16,879 in the last three years.
- October 18, 2025Fine: $16,879
About the home, per Medicare
- Ownership
- Government - Hospital district
- Legal business name
- Decatur Hospital Authority
- Medicare-certified beds
- 122
- Average residents per day
- 85
- Accepts
- Medicare and Medicaid
- First certified
- November 7, 1995
- Part of a chain
- Creative Solutions in Healthcare, 149 homes
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident or family council
- Resident
- Sprinklers in all required areas
- Yes
- CMS Certification Number
- 675550
Location
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1900 E CALIFORNIA STGainesville, TX 76240
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Questions about Pecan Tree Rehab and Healthcare Center
How did Pecan Tree Rehab and Healthcare Center do on its last inspection?+
State inspectors visited on February 18, 2026 and cited 11 health deficiencies, 8 of them from complaint investigations. The Texas average is 9.4.
How much nursing care does each resident get at Pecan Tree Rehab and Healthcare Center?+
Nurses and aides spend 2 hours 34 minutes with each resident per day, including 17 minutes from registered nurses.
Has Pecan Tree Rehab and Healthcare Center been fined by Medicare?+
Yes. Medicare fined Pecan Tree Rehab and Healthcare Center once in the last three years, totaling $16,879.
Does Medicare cover skilled nursing?+
Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.
How much does a nursing home cost?+
A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.
What is the CMS star rating?+
Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.