Pecan Creek Healthcare Center
910 E PIERSON ST, Hamilton, TX, 76531
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: Nexion Health
- Certified beds
- 76 · avg 40 residents/day
- Total nursing staff turnover
- 70.6% — higher than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
State licensing & capacity
- License number
- 143946
- Service type
- Medicare/medicaid
- Licensed capacity
- 76 beds
- Bed type breakdown
- 32 Medicare-only · 44 Medicaid/Medicare
- Current license effective
- December 5, 2024
- Current license expires
- December 5, 2027
- Initial license date
- February 25, 1972
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Hamilton County Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Nexion Health At Pecan Creek, Inc
- Administrator
- Michael Beasley
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Nexion Health chain — 52 facilities across 3 states. Chain-wide average overall rating 2.3 / 5.
Disclosed owners (6 on record)
- Francis Kirley
Adp of The Snf · since 2024
- Michael Beasley
Adp of The Snf · since 2024
- Hamilton County Hospital District
5% or Greater Direct Ownership Interest · 100% · since 2022
- Grady Hooper
Corporate Director · since 2015
- Robert Witzsche
Corporate Director · since 1998
- Neil Muxworthy
Corporate Director · since 1996
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of April 2026.
Federal inspection record
Recent health-deficiency citations (most recent 6 of 6)
- D0880·Apr 30, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- E0812·Apr 30, 2025
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D0693·Mar 20, 2024
Quality of Life and Care Deficiencies
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
- D0690·Mar 20, 2024
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- E0761·Jan 30, 2023
Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- E0692·Jan 30, 2023
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Fire-safety citations
12 Life-Safety-Code citations on file. Most recent: Apr 30, 2025. 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 Creek Healthcare Center is a 76-bed nursing home in Hamilton, Texas, operated by Nexion Health under a hospital district license. CMS rates it 5 stars overall, with 5 stars on health inspections and 4 stars on staffing. The quality-of-care measures rating sits at 3 stars, and the facility is running at roughly 52% of licensed beds — about 40 residents on a typical day.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
Staffing rates 4 stars — roughly the top 9% of Texas nursing homes on staffing. Each resident receives about 225 minutes of nursing care per day. The resident mix here requires less hands-on care than at a typical facility, so those hours stretch further than the raw number suggests.
Turnover tells a different story. Roughly 7 in 10 nursing staff left in the past year — above Texas's 75th-percentile cutoff, meaning turnover is higher than at least three-quarters of nursing homes in the state. A long-stay resident will likely cycle through two or three primary caregivers over the course of a year.
The facility is operating at about 52% of its 76 licensed beds, with roughly 40 residents on a typical day. That figure alone doesn't indicate a problem, but paired with very high staff turnover, it raises a practical question about the facility's day-to-day stability.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
What drives staff turnover
About 70% of nursing staff left in the past year — ask what the facility identifies as the cause and what steps have been taken since.
Current staffing on nights and weekends
CMS weekend hours logged here run lower than weekday figures; ask how many nurses and aides are on the floor overnight and on Saturdays and Sundays.
Why occupancy is below half
The facility is running at roughly 52% of its licensed beds; ask whether admissions have slowed, beds have been taken offline, or referral patterns have changed.
Quality-measure improvement plans
Health inspections rate 5 stars but quality-of-care measures rate 3 stars — ask which specific measures are below target and what the clinical team is doing about them.
Role of the Resident Council
A Resident Council meets here but no Family Council exists; ask how family members surface concerns and how the facility responds.
Nexion Health management responsibilities
Day-to-day operations are managed by Nexion Health while the license is held by the Hamilton County Hospital District; ask which entity sets staffing budgets and clinical policy.
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.