Gainesville, TX

Pecan Tree Rehab And Healthcare Center

1-star overall rating with 1-star inspections with $21,530 in total fines with 14 recent health deficiencies

1900 E California St, Gainesville, TX

(940) 668-6263

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

122

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Creative Solutions In Healthcare

Operator or chain grouping

Approved since

1995-11-07

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

149 facilities

Chain averages 3 overall / 3 health / 2 staffing / 4 quality stars

Changed ownership

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.49

Registered nurse staffing · state 0.44 · national 0.68

LPN hours / resident day

0.84

Licensed practical nurse staffing · state 0.95 · national 0.87

Aide hours / resident day

1.49

Nurse aide staffing · state 2.01 · national 2.35

Total nurse hours

2.82

All reported nurse hours · state 3.40 · national 3.89

Licensed hours

1.34

RN + LPN hours · state 1.38 · national 1.54

Weekend hours

2.36

Weekend nurse staffing · state 2.99 · national 3.43

Weekend RN hours

0.41

Weekend registered nurse coverage · state 0.34 · national 0.47

Physical therapist

0.02

Reported PT staffing · state 0.07 · national 0.07

Adjusted RN hours

0.54

CMS adjusted RN staffing hours

Adjusted total hours

3.08

CMS adjusted total nurse staffing hours

Case-mix index

1.25

Higher values indicate more complex resident acuity

RN turnover

22%

Annual RN turnover · state 52% · national 45%

Total nurse turnover

43%

Annual nurse turnover · state 52% · national 46%

SNF VBP

Value-based purchasing

Program rank

12,797

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

10.39

Composite VBP score used to determine payment impact.

Payment multiplier

0.9809

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Baseline 18.36% · Performance 22.02% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

4.15

Baseline 6.92% · Performance 6.59% · Measure score 4.15 · Achievement 4.15 · Improvement 1.19

Total nurse turnover

Baseline 53.33% · Performance 61.91% · Measure score 0 · Achievement 0 · Improvement 0

Adjusted total nurse staffing

Baseline 3.05 hours · Performance 2.98 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	12.57%	10.72% 1.8 pts worse	No Different than the National Rate · Eligible stays 161 · Observed rate 15.53% · Lower 95% interval 10.2%
Discharge to community	43.19%	50.57% 7.4 pts worse	No Different than the National Rate · Eligible stays 102 · Observed rate 39.22% · Lower 95% interval 33.25%
Medicare spending per beneficiary	0.93	1.02 0.1 pts better
Drug regimen review with follow-up	50.56%	95.27% 44.7 pts worse	Numerator 45 · Denominator 89
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 89
Discharge self-care score	30.77%	53.69% 22.9 pts worse	Numerator 20 · Denominator 65
Discharge mobility score	26.15%	50.94% 24.8 pts worse	Numerator 17 · Denominator 65
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 89 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	6.59%	7.12% 0.5 pts better	No Different than the National Rate · Eligible stays 91 · Observed rate 5.49% · Lower 95% interval 3.51%
Staff COVID-19 vaccination coverage	11.43%	8.2% 3.2 pts better	Numerator 12 · Denominator 105
Staff flu vaccination coverage	38.46%	42% 3.5 pts worse	Numerator 60 · Denominator 156
Discharge function score	23.08%	56.45% 33.4 pts worse	Numerator 15 · Denominator 65
Transfer of health information to provider	95.65%	95.95% 0.3 pts worse	Numerator 22 · Denominator 23
Transfer of health information to patient	96.67%	96.28% 0.4 pts better	Numerator 29 · Denominator 30
Resident COVID-19 vaccinations up to date	4.76%	25.2% 20.4 pts worse	Numerator 2 · Denominator 42

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.9	2.1 0.8 pts worse	1.9 1 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.9 · Observed 2.7 · Expected 1.8 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	3.5	2.1 1.4 pts worse	1.8 1.7 pts worse	Long Stay · 20240701-20250630 · Adjusted 3.5 · Observed 3.3 · Expected 1.6 · Used in QM five-star
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 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	98.9%	97.9% 1 pts better	95.5% 3.4 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 98.9%
Percentage of long-stay residents experiencing one or more falls with major injury	2.7%	3.3% 0.6 pts better	3.3% 0.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.5% · Q2 2.4% · Q3 1.2% · Q4 3.7% · 4Q avg 2.7% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	3.5%	2.7% 0.8 pts worse	11.4% 7.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 4.2% · Q3 2.7% · Q4 4.6% · 4Q avg 3.5%
Percentage of long-stay residents who lose too much weight	2.7%	3.3% 0.6 pts better	5.4% 2.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 1.6% · Q3 5.6% · Q4 1.5% · 4Q avg 2.7%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	19.2%	18.9% 0.3 pts worse	19.6% 0.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 24.6% · Q2 18.9% · Q3 16.9% · Q4 16.7% · 4Q avg 19.2%
Percentage of long-stay residents who received an antipsychotic medication	5.2%	10.8% 5.6 pts better	16.7% 11.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.4% · Q2 8.8% · Q3 5.0% · Q4 3.3% · 4Q avg 5.2% · Used in QM five-star
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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	22.7%	15.4% 7.3 pts worse	16.3% 6.4 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 22.7% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	18.6%	16.1% 2.5 pts worse	14.9% 3.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 26.1% · Q2 19.7% · Q3 13.0% · Q4 15.5% · 4Q avg 18.6% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	1.5%	0.5% 1 pts worse	1.0% 0.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 1.6% · Q3 0.0% · Q4 0.0% · 4Q avg 1.5% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	1.3%	0.8% 0.5 pts worse	1.7% 0.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.2% · Q4 3.9% · 4Q avg 1.3% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	19.6%	15.0% 4.6 pts worse	19.8% 0.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 26.9% · Q2 18.3% · Q3 18.4% · Q4 15.5% · 4Q avg 19.6%
Percentage of long-stay residents with pressure ulcers	2.8%	4.2% 1.4 pts better	5.1% 2.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.3% · Q3 3.8% · Q4 3.9% · 4Q avg 2.8% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	98.7%	89.7% 9 pts better	81.7% 17 pts better	Short Stay · 2024Q4-2025Q3 · Q1 96.9% · Q2 98.5% · Q3 100.0% · Q4 100.0% · 4Q avg 98.7%
Percentage of short-stay residents who had an outpatient emergency department visit	16.1%	12.0% 4.1 pts worse	12.0% 4.1 pts worse	Short Stay · 20240701-20250630 · Adjusted 16.1% · Observed 16.5% · Expected 11.4% · Used in QM five-star
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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	92.8%	88.0% 4.8 pts better	79.7% 13.1 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 92.8%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	34.9%	25.9% 9 pts worse	23.9% 11 pts worse	Short Stay · 20240701-20250630 · Adjusted 34.9% · Observed 34.1% · Expected 23.3% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-11-13 · Fire 2024-11-13

14 health deficiencies

Top issue: Resident Rights (4 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2023-09-19 · Fire 2023-09-19

12 health deficiencies

Top issue: Quality of Life and Care (5 deficiencies)

2 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 3 Health 2022-07-21 · Fire 2022-07-21

4 health deficiencies

Top issue: Environmental (2 deficiencies)

1 fire-safety deficiencies

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

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2023-09-19

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2023-10-11

D · Potential for more than minimal harm 2023-09-19

K347 · Smoke Deficiencies

Fire Safety

Properly provide smoke detection systems in areas open to corridors.

Corrected 2023-10-11

F · Potential for more than minimal harm 2022-07-21

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2022-08-24

Inspection history

Recent health citations

K · Immediate jeopardy 2025-10-18

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-10-19

J · Immediate jeopardy 2025-10-18

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-10-19

E · Potential for more than minimal harm 2025-10-18

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2025-10-19

E · Potential for more than minimal harm 2025-10-18

F585 · Resident Rights Deficiencies

Health

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.

Corrected 2025-10-19

E · Potential for more than minimal harm 2025-10-18

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2025-10-19

E · Potential for more than minimal harm 2025-10-18

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2025-10-19

D · Potential for more than minimal harm 2025-10-18

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 2025-10-19

E · Potential for more than minimal harm 2024-11-13

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 2024-12-09

E · Potential for more than minimal harm 2024-11-13

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-12-09

E · Potential for more than minimal harm 2024-11-13

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-12-09

D · Potential for more than minimal harm 2024-11-13

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2024-12-09

D · Potential for more than minimal harm 2024-11-13

F584 · Resident Rights Deficiencies

Health

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2024-12-09

D · Potential for more than minimal harm 2024-11-13

F644 · Resident Assessment and Care Planning Deficiencies

Health

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2024-12-11

D · Potential for more than minimal harm 2024-11-13

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2024-12-09

F · Potential for more than minimal harm 2023-09-19