Trucare Living Centers
2265 S SYCAMORE ST, Palestine, TX, 75801
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
- Government - Hospital district
- Certified beds
- 120 · avg 82 residents/day
- Total nursing staff turnover
- 21.7% — lower than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 20% — 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
State licensing & capacity
- License number
- 149687
- Service type
- Medicare/medicaid
- Licensed capacity
- 120 beds
- Bed type breakdown
- 11 Medicare-only · 109 Medicaid/Medicare
- Current license effective
- April 1, 2024
- Current license expires
- April 1, 2027
- Initial license date
- July 22, 2010
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Fannin County Hospital Authority (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Palestine Development Group Llc
- Administrator
- Wanda Lambright
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Disclosed owners (8 on record)
- Clark r Sanderson
Corporate Officer · since 2022
- Fannin County Hospital Authority
5% or Greater Direct Ownership Interest · 100% · since 2018
- James m Stein
5% or Greater Mortgage Interest · 25% · since 2018
- Marco Antonio Peterson
Operational/managerial Control · since 2018
- Palestine Development Group Llc
5% or Greater Mortgage Interest · 100% · since 2018
- Paul m Stein
5% or Greater Mortgage Interest · 25% · since 2018
+ 2 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners, as of April 2026.
Federal inspection record
Recent health-deficiency citations (most recent 8 of 10)
- D0813·Sep 18, 2024
Nutrition and Dietary Deficiencies
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
- E0700·Sep 18, 2024
Quality of Life and Care Deficiencies
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail…
- E0689·Sep 18, 2024
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E0656·Sep 18, 2024
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.
- D0644·Sep 18, 2024
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- E0641·Sep 18, 2024
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
- D0755·Aug 16, 2023
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D0695·Jun 29, 2022
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Fire-safety citations
1 Life-Safety-Code citation on file. Most recent: Jun 29, 2022. 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
Trucare Living Centers is a 120-bed nursing home in Palestine, Texas, licensed under Fannin County Hospital Authority and managed by Palestine Development Group LLC. CMS rates it 4 stars overall, with 4-star health inspection and quality-measure scores. Staffing comes in at 3 stars. About 82 of 120 beds are currently occupied — roughly 68% of licensed capacity.
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 215 minutes of nursing care per day — roughly 26 minutes less than at a 4-star-staffing facility in Texas. About 19% of Texas nursing homes share this staffing rating.
Nursing staff turnover is exceptionally low: roughly 2 in 10 nursing staff left in the past year, below the state's 25th-percentile cutoff — better than about three-quarters of nursing homes in Texas. RN turnover is similarly low, at about 2 in 10. A long-stay resident is unlikely to cycle through many primary caregivers here.
The facility is running at about 68% of its 120 licensed beds — 81 to 82 residents on an average day. That figure sits below typical occupancy levels for Texas nursing homes.
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
Weekend nursing hours average 3.1 per resident per day, below the weekday figure — ask how staffing levels are maintained on evenings and weekends.
Why occupancy sits at 68%
With roughly 39 beds empty on an average day, ask whether that reflects a recent admission pause, referral changes, or something else affecting operations.
Management company's role
Palestine Development Group LLC manages day-to-day operations under a public hospital authority license — ask what decisions the management company controls versus the hospital authority.
Resident and family council status
CMS has no council data on file for this facility; ask whether a resident council, family council, or both currently meet and how often.
Short-stay quality outcomes
CMS rates short-stay quality measures at 3 stars while long-stay measures rate 4 — ask which specific short-stay outcomes fall below the facility's long-stay performance.
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.