Greenbrier Nursing & Rehabilitation Center Of Palestine
2404 STATE HIGHWAY 155, Palestine, TX, 75803
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
- 120 · avg 49 residents/day
- Total nursing staff turnover
- 54.3% — near the Texas averageTexas 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
- 1 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
State licensing & capacity
- License number
- 312184
- Service type
- Medicare/medicaid
- Licensed capacity
- 120 beds
- Bed type breakdown
- 48 Medicare-only · 72 Medicaid/Medicare
- Current license effective
- October 1, 2024
- Current license expires
- October 1, 2027
- Initial license date
- January 12, 1976
Texas HHS licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Fannin County Hospital Authority (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Palestine I Enterprises, Llc
- Administrator
- Cynthia Pugh
Texas HHS licensing registry · as of April 16, 2026
About this community
Greenbrier Nursing & Rehabilitation Center of Palestine is a 120-bed nursing home in Anderson County, Texas, accepting both Medicare and Medicaid. CMS rates it 4 stars overall, with a 5-star health inspection rating — though staffing is rated 1 star, the lowest tier. The facility operates at roughly 41% of licensed capacity, with about 49 residents currently in place. It is managed by Palestine I Enterprises, LLC under a license active through October 2027.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here 1 star — the lowest tier, shared by about 38% of Texas nursing homes. Nursing-hours data was not submitted to CMS for this reporting period, so a per-resident daily minute count is not available; the 1-star rating reflects what CMS was able to calculate from available submissions.
RN turnover tells a different story than overall staffing. About 2 in 10 registered nurses left in the past year — below the state's 25th-percentile cutoff, meaning RN retention here is better than roughly three-quarters of nursing homes in Texas. Overall nursing staff turnover runs at 54.3%, which sits between the Texas median of 50% and the 75th percentile of 60%.
One administrator has turned over in the past year. The record shows a single change — less disruptive than facilities with two or more departures, but a transition nonetheless.
The facility is operating at roughly 41% of its 120 licensed beds, with about 49 residents on an average day. That is well below typical occupancy for Texas nursing homes. The facility has neither reported nor been flagged for safety or abuse issues in the current inspection cycle, and carries zero CMS fines.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Why staffing is rated 1 star
CMS gave staffing the lowest possible rating despite a 5-star health inspection score — ask what hours of nursing care each resident receives daily and why hours data wasn't submitted.
Current occupancy and waitlists
With roughly 49 residents in a 120-bed building, ask whether low census reflects a planned reduction, staffing constraints, or something else affecting admissions.
Recent administrator transition
One administrator changed in the past year — ask who currently holds that role, how long they have been in place, and what prompted the change.
Staffing hours per resident
Because nursing-hours data wasn't reported to CMS this cycle, ask for the facility's own records on daily nursing minutes per resident across all shifts.
Resident Council access and frequency
The facility has a Resident Council but no Family Council — ask how often the Resident Council meets and how family members can raise concerns in its absence.
Management company's role day to day
The licensee is Fannin County Hospital Authority, but day-to-day management falls to Palestine I Enterprises, LLC — ask which entity makes staffing and care decisions on site.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHS 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.