Palestine, TX

Greenbrier Nursing & Rehabilitation Center Of Pale

4-star overall rating with 5-star inspections with 5 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

2404 Hwy 155, Palestine, TX

(903) 729-6024

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

5 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

120

Certified beds

Average residents

49

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Creative Solutions In Healthcare

Operator or chain grouping

Approved since

1999-12-21

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.00

Registered nurse staffing

LPN hours / resident day

0.00

Licensed practical nurse staffing

Aide hours / resident day

0.00

Nurse aide staffing

Weekend hours

0.00

Weekend nurse staffing

RN turnover

20%

Annual RN turnover

Total nurse turnover

54%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	97.1% 2.9 pts better	93.4% 6.6 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	97.9% 2.1 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury	3.4%	3.3% 0.1 pts worse	3.3% 0.1 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms	4.5%	2.7% 1.8 pts worse	11.4% 6.9 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight	0.7%	3.3% 2.6 pts better	5.4% 4.7 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication	14.5%	18.9% 4.4 pts better	19.6% 5.1 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication	14.4%	10.8% 3.6 pts worse	16.7% 2.3 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who were physically restrained	0.0%	0.0% About the same	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose ability to walk independently worsened	21.2%	15.4% 5.8 pts worse	16.3% 4.9 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased	19.0%	16.1% 2.9 pts worse	14.9% 4.1 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	0.5% 0.5 pts better	1.0% 1 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection	0.0%	0.8% 0.8 pts better	1.7% 1.7 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	17.4%	15.0% 2.4 pts worse	19.8% 2.4 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers	4.1%	4.2% 0.1 pts better	5.1% 1 pts better	Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	89.7% 10.3 pts better	81.7% 18.3 pts better	Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who newly received an antipsychotic medication	0.0%	1.5% 1.5 pts better	1.6% 1.6 pts better	Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	100.0%	88.0% 12 pts better	79.7% 20.3 pts better	Short Stay · 2024Q3-2025Q2

Survey summary

Recent inspection cycles

Cycle 1 Health 2026-01-29 · Fire 2026-01-29

5 health deficiencies

Top issue: Infection Control (3 deficiencies)

2 fire-safety deficiencies

Top issue: Services (1 deficiency)

Cycle 2 Health 2024-11-06 · Fire 2024-11-06

0 health deficiencies

No concentrated health issue counts in this cycle.

3 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 3 Health 2023-09-20 · Fire 2023-09-20

4 health deficiencies

Top issue: Environmental (1 deficiency)

3 fire-safety deficiencies

Top issue: Services (2 deficiencies)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2026-01-29

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2026-01-30

C · Minimal harm 2026-01-29

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Not marked corrected

F · Potential for more than minimal harm 2024-11-06

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-12-13

E · Potential for more than minimal harm 2024-11-06

K929 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure precautions for handling oxygen cylinders and equipment are correctly followed.

Corrected 2024-11-07

C · Minimal harm 2024-11-06

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Not marked corrected

F · Potential for more than minimal harm 2023-09-20

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2023-09-25

F · Potential for more than minimal harm 2023-09-20

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2023-09-25

C · Minimal harm 2023-09-20

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Not marked corrected

Inspection history

Recent health citations

E · Potential for more than minimal harm 2026-01-29

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2026-01-30

D · Potential for more than minimal harm 2025-09-10

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2025-09-11

D · Potential for more than minimal harm 2025-09-10

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-09-11

D · Potential for more than minimal harm 2025-06-10

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2025-06-11

D · Potential for more than minimal harm 2025-03-12

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-03-13

F · Potential for more than minimal harm 2023-09-20

F908 · Environmental Deficiencies

Health

Keep all essential equipment working safely.

Corrected 2023-10-12

D · Potential for more than minimal harm 2023-09-20

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2023-09-26

D · Potential for more than minimal harm 2023-09-20

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2023-09-26

D · Potential for more than minimal harm 2023-09-20

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-10-06

Penalties and ownership

What sits behind the stars

Ownership

Fannin County Hospital Authority

5% Or Greater Direct Ownership Interest · Organization

100% 52 facilities 2024-10-01

Blake, Gary

Operational/Managerial Control · Individual

0% 136 facilities 2024-10-01

Blake, Malisa

Operational/Managerial Control · Individual

0% 135 facilities 2024-10-01

Holt, Erin