Fairfield Nursing & Rehabilitation Center
420 MOODY STREET, Fairfield, TX, 75840
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Corporation · Chain: Creative Solutions In Healthcare
- Certified beds
- 101 · avg 66 residents/day
- Total nursing staff turnover
- 45.5% — lower than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 22.2% — lower than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Infection control citations
- 1
State licensing & capacity
- License number
- 308633
- Service type
- Medicare/medicaid
- Licensed capacity
- 101 beds
- Bed type breakdown
- 16 Medicare-only · 85 Medicaid/Medicare
- Current license effective
- May 1, 2025
- Current license expires
- May 1, 2028
- Initial license date
- December 14, 2006
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Liberty County Hospital District No 1 (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Fairfield I Enterprises, Llc
- Administrator
- Betty Benham
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Creative Solutions in Healthcare chain — 149 facilities. Chain-wide average overall rating 2.7 / 5.
Disclosed owners (13 on record)
- Betty Lewis
Adp of The Snf · since 2025
- Darryl g White
Adp of The Snf · since 2025
- Zachary Willig
Corporate Director · since 2025
- Margaret Gardzina
Managing Control - Governing Body · since 2024
- Shannon Gardner
Managing Control - Governing Body · since 2022
- Milton Fregia
Managing Control - Governing Body · since 2022
+ 7 additional owners on the federal record.
Recent change of ownership
May 2022 (4 years ago) · acquired from Fairfield Nursing & Rehabilitation Center
Transaction type: Change of Ownership
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures + Change of Ownership, as of April 2026.
Federal inspection record
Recent health-deficiency citations (most recent 8 of 11)
- D0842·Jul 28, 2025Complaint
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D0552·Jul 28, 2025Complaint
Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
- D0609·Sep 26, 2024Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D0880·Sep 26, 2024
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0609·Aug 14, 2024Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D0604·Aug 14, 2024Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
- E0759·Jul 26, 2023
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
- E0755·Jul 26, 2023
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Fire-safety citations
12 Life-Safety-Code citations on file. Most recent: Sep 26, 2024. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
Fairfield Nursing & Rehabilitation Center is a 101-bed nursing home in Fairfield, Texas, licensed through May 2028 and part of the Creative Solutions In Healthcare chain. CMS rates it 5 stars overall and 5 stars on health inspections — the top tier. Staffing earns 3 stars, and quality-of-care outcomes rate 2 stars. The facility operates at about 65% of licensed beds.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates this facility 3 stars on staffing. Each resident receives about 193 minutes of nursing care per day — roughly 48 minutes less than at a 4-star-staffing facility in Texas. About 19% of Texas nursing homes share this staffing rating.
RN turnover is low: roughly 2 in 10 registered nurses left in the past year, below the state's 25th-percentile cutoff — better than about three-quarters of nursing homes in Texas. Total nursing staff turnover runs at 45.5%, which sits just above the Texas median of 50% — but on the lower half of that range.
Despite a 5-star overall rating and 5-star health inspection score, quality-of-care outcomes rate 2 stars — both for long-stay and short-stay residents. That gap between inspection results and measured outcomes is a specific data point to explore.
The facility is operating at roughly 65% of its licensed beds. For a 101-bed facility, that means about 35 beds are currently unoccupied.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Staffing on nights and weekends
Reported weekend nursing hours run lower than weekday figures — ask how many nurses and aides are on the floor on a Saturday night.
Gap between inspection and outcomes ratings
Health inspections rate 5 stars, but measured resident outcomes rate 2 — ask how the facility tracks and responds to quality indicators between inspections.
Current occupancy and bed availability
At roughly 65% occupancy, about 35 beds are open — ask whether that reflects a recent change in admissions or a longer-term pattern.
RN coverage per shift
Reported RN hours come to about 29 minutes per resident per day — ask how many shifts have a registered nurse on-site versus on call.
Resident Council participation
A Resident Council meets here but no Family Council — ask how family members can formally raise concerns between visits.
Management company responsibilities
The licensed owner is a hospital district, but day-to-day management is run by Fairfield I Enterprises — ask which entity handles staffing decisions and complaint resolution.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.