Pecan Tree Rehab And Healthcare Center
1900 E CALIFORNIA ST, Gainesville, TX, 76240
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
- 122 · avg 84 residents/day
- Total nursing staff turnover
- 42.5% — 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
- Fines (past 3 years)
- 1 fine · $21,530 total
State licensing & capacity
- License number
- 312417
- Service type
- Medicare/medicaid
- Licensed capacity
- 122 beds
- Bed type breakdown
- 24 Medicare-only · 98 Medicaid/Medicare
- Current license effective
- March 1, 2025
- Current license expires
- March 1, 2028
- Initial license date
- October 28, 1993
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Decatur Hospital Authority (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Gainesville Ii Enterprises, Llc
- Administrator
- Michael Carroll
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 (8 on record)
- Southwest Ltc - Gainesville, Llc
Adp of The Snf · since 2025
- Brian t Scroggins
Corporate Officer · since 2025
- Caretrust Reit IncREIT
5% or Greater Mortgage Interest · 100% · since 2025
- Ctr Partnership lp
Adp of The Snf · since 2025
- Decatur Hospital Authority
5% or Greater Direct Ownership Interest · 100% · since 2025
- Gulf Coast Buyer 1, Llc
5% or Greater Mortgage Interest · 100% · since 2025
+ 2 additional owners on the federal record.
Recent change of ownership
March 2025 (1 year ago) · acquired from Pecan Tree Rehab And Healthcare 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
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 30)
- E0760·Oct 18, 2025Complaint
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
- E0755·Oct 18, 2025Complaint
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- J0689·Oct 18, 2025Complaint
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- K0684·Oct 18, 2025Complaint
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D0656·Oct 18, 2025Complaint
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- E0585·Oct 18, 2025Complaint
Resident Rights Deficiencies
Honor 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.
- E0580·Oct 18, 2025Complaint
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- E0880·Nov 13, 2024Complaint
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Federal penalties
By year
- 20251 fine · $22K
Most recent events
- Oct 18, 2025Fine · $22K
Fire-safety citations
3 Life-Safety-Code citations on file. Most recent: Sep 19, 2023. 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
Pecan Tree Rehab And Healthcare Center is a 122-bed nursing home in Gainesville, Texas, operated under a hospital district license and managed by Gainesville II Enterprises, LLC. CMS rates it 1 star overall, with a 1-star health inspection rating and a 1-star short-stay quality rating. Staffing is rated 2 stars, and occupancy runs at about 69% of licensed beds. The facility holds one CMS fine of $21,530 and is part of the Creative Solutions In Healthcare chain.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here 2 stars. Each resident receives about 169 minutes of nursing care per day — roughly 72 minutes less than at a 4-star-staffing facility in Texas. Residents here need more hands-on care than at a typical facility — sicker, or less mobile on average — so the same staffing hours stretch thinner than the raw minutes suggest.
RN turnover is low: roughly 2 in 10 registered nurses left in the past year, better than about three-quarters of nursing homes in Texas. Total nursing staff turnover sits at 42.5%, just above Texas's 25th-percentile cutoff of 42%.
The facility received one CMS fine of $21,530 — just above the Texas median of $20,699 for facilities that received any fine at all. About 30% of Texas nursing homes had zero fines in the same period.
Occupancy runs at about 69% of licensed beds — 84 residents in a 122-bed facility. Paired with 1-star overall and health inspection ratings, the low census is a data point worth holding alongside the rest of the record.
The facility has a Resident Council but no Family Council. A Family Council provides a structured channel for relatives to raise concerns collectively; only one of those two channels exists here.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
What drives the 1-star inspection rating
Ask which deficiencies appeared most recently on health inspections, and what corrective steps have been completed since.
Short-stay outcomes rated 1 star
CMS rates short-stay quality 1 star — ask what the typical rehab discharge timeline looks like and what percentage of short-stay residents return home.
Staffing coverage on weekends
Reported weekend nursing hours are 2.36 minutes per resident per hour, below the already-low weekday figure — ask how staffing levels are maintained Saturday and Sunday.
Why occupancy is below 70 percent
The facility is running at roughly 69% of its 122 licensed beds — ask whether that reflects a recent shift in admissions, referral patterns, or something else.
No Family Council in place
There is a Resident Council but no Family Council — ask whether one is planned and how families currently raise concerns with management.
Management company's role day to day
The facility is licensed to Decatur Hospital Authority but managed by Gainesville II Enterprises — ask which entity sets staffing budgets and handles care complaints.
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.