Cycle 1
Health 2024-09-18 · Fire 2024-09-18
6 health deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Palestine, TX
Trucare Living Centers
4-star overall rating with 4-star inspections with 6 recent health deficiencies
2265 S Sycamore St, Palestine, TX
(903) 723-2592
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
120
Certified beds
Average residents
82
Average occupied residents
Ownership
Government
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2010-07-22
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Changed ownership
No
Within the last 12 months
Family council
No
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.27
Registered nurse staffing · state 0.44 · national 0.68
LPN hours / resident day
0.80
Licensed practical nurse staffing · state 0.95 · national 0.87
Aide hours / resident day
2.51
Nurse aide staffing · state 2.01 · national 2.35
Total nurse hours
3.58
All reported nurse hours · state 3.40 · national 3.89
Licensed hours
1.07
RN + LPN hours · state 1.38 · national 1.54
Weekend hours
3.13
Weekend nurse staffing · state 2.99 · national 3.43
Weekend RN hours
0.15
Weekend registered nurse coverage · state 0.34 · national 0.47
Physical therapist
0.07
Reported PT staffing · state 0.07 · national 0.07
Adjusted RN hours
0.29
CMS adjusted RN staffing hours
Adjusted total hours
3.87
CMS adjusted total nurse staffing hours
Case-mix index
1.26
Higher values indicate more complex resident acuity
RN turnover
20%
Annual RN turnover · state 52% · national 45%
Total nurse turnover
22%
Annual nurse turnover · state 52% · national 46%
SNF VBP
Value-based purchasing
Program rank
5,804
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
34.98
Composite VBP score used to determine payment impact.
Payment multiplier
0.9888
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
1.33
Baseline 20.46% · Performance 20.82% · Measure score 1.33 · Achievement 1.33 · Improvement 0
Healthcare-associated infections
0
Baseline 7.62% · Performance 7.78% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
10
Baseline 51.43% · Performance 19.30% · Measure score 10 · Achievement 10 · Improvement 9
Adjusted total nurse staffing
2.66
Baseline 3.74 hours · Performance 3.84 hours · Measure score 2.66 · Achievement 2.66 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.02% |
10.72%
1.7 pts better
|
No Different than the National Rate · Eligible stays 128 · Observed rate 7.03% · Lower 95% interval 6.68% |
| Discharge to community | 55.39% |
50.57%
4.8 pts better
|
No Different than the National Rate · Eligible stays 101 · Observed rate 48.51% · Lower 95% interval 46.76% |
| Medicare spending per beneficiary | 1.34 |
1.02
0.3 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 64 · Denominator 64 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 64 |
| Discharge self-care score | 65.31% |
53.69%
11.6 pts better
|
Numerator 32 · Denominator 49 |
| Discharge mobility score | 75.51% |
50.94%
24.6 pts better
|
Numerator 37 · Denominator 49 |
| Pressure ulcers or injuries, new or worsened | 4.69% |
2.29%
2.4 pts worse
|
Numerator 3 · Denominator 64 · Adjusted rate 4.21% |
| Healthcare-associated infections requiring hospitalization | 7.78% |
7.12%
0.7 pts worse
|
No Different than the National Rate · Eligible stays 73 · Observed rate 9.59% · Lower 95% interval 4.62% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 71 |
| Staff flu vaccination coverage | 81.4% |
42%
39.4 pts better
|
Numerator 70 · Denominator 86 |
| Discharge function score | 71.43% |
56.45%
15 pts better
|
Numerator 35 · Denominator 49 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 46 · Denominator 46 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 11.11% |
25.2%
14.1 pts worse
|
Numerator 4 · Denominator 36 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.7 |
2.1
0.6 pts worse
|
1.9
0.8 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.7 · Observed 2.0 · Expected 1.4 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 3.2 |
2.1
1.1 pts worse
|
1.8
1.4 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.2 · Observed 2.5 · Expected 1.3 · 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 | 100.0% |
97.9%
2.1 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 9.1% |
3.3%
5.8 pts worse
|
3.3%
5.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 9.6% · Q3 12.3% · Q4 11.6% · 4Q avg 9.1% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 3.3% |
2.7%
0.6 pts worse
|
11.4%
8.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.6% · Q2 1.4% · Q3 2.9% · Q4 1.4% · 4Q avg 3.3% |
| Percentage of long-stay residents who lose too much weight | 3.4% |
3.3%
0.1 pts worse
|
5.4%
2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 4.8% · Q3 3.4% · Q4 1.9% · 4Q avg 3.4% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 10.0% |
18.9%
8.9 pts better
|
19.6%
9.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.7% · Q2 10.9% · Q3 8.5% · Q4 10.9% · 4Q avg 10.0% |
| Percentage of long-stay residents who received an antipsychotic medication | 9.4% |
10.8%
1.4 pts better
|
16.7%
7.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.0% · Q2 8.2% · Q3 7.4% · Q4 6.0% · 4Q avg 9.4% · 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 | 6.5% |
15.4%
8.9 pts better
|
16.3%
9.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.5% · Q2 6.1% · Q3 3.2% · Q4 3.7% · 4Q avg 6.5% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 14.0% |
16.1%
2.1 pts better
|
14.9%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.3% · Q2 18.0% · Q3 8.9% · Q4 21.2% · 4Q avg 14.0% · Used in QM five-star |
| 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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.1% |
0.8%
0.3 pts worse
|
1.7%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.7% · Q4 1.5% · 4Q avg 1.1% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 13.2% |
15.0%
1.8 pts better
|
19.8%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 21.8% · Q2 13.3% · Q3 6.5% · Q4 11.5% · 4Q avg 13.2% |
| Percentage of long-stay residents with pressure ulcers | 3.3% |
4.2%
0.9 pts better
|
5.1%
1.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 4.9% · Q3 2.6% · Q4 3.4% · 4Q avg 3.3% · Used in QM five-star |
| 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 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 22.8% |
12.0%
10.8 pts worse
|
12.0%
10.8 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 22.8% · Observed 23.5% · Expected 11.5% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.9% |
1.5%
0.6 pts better
|
1.6%
0.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 2.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.9% · Used in QM five-star |
| 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 · 4Q avg 100.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 24.9% |
25.9%
1 pts better
|
23.9%
1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 24.9% · Observed 25.0% · Expected 23.9% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-08-16 · Fire 2023-08-16
1 health deficiencies
Top issue: Pharmacy Service (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2022-06-29 · Fire 2022-06-29
3 health deficiencies
Top issue: Quality of Life and Care (1 deficiency)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2022-06-29
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2022-06-29
Inspection history
Recent health citations
E · Potential for more than minimal harm
2024-09-18
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-10-02
E · Potential for more than minimal harm
2024-09-18
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 2024-10-02
E · Potential for more than minimal harm
2024-09-18
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 2024-10-02
E · Potential for more than minimal harm
2024-09-18
F700 · Quality of Life and Care Deficiencies
Health
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.
Corrected 2024-10-02
D · Potential for more than minimal harm
2024-09-18
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 2024-10-02
D · Potential for more than minimal harm
2024-09-18
F813 · Nutrition and Dietary Deficiencies
Health
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected 2024-10-02
D · Potential for more than minimal harm
2023-08-16
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 2023-08-21
E · Potential for more than minimal harm
2022-06-29
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 2022-06-30
D · Potential for more than minimal harm
2022-06-29
F561 · Resident Rights Deficiencies
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2022-06-30
D · Potential for more than minimal harm
2022-06-29
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2022-06-30
Penalties and ownership
What sits behind the stars
Ownership
Fannin County Hospital Authority
5% Or Greater Direct Ownership Interest · Organization
Palestine Development Group LLC
Operational/Managerial Control · Organization
Palestine Development Group LLC
5% Or Greater Mortgage Interest · Organization
Peterson, Marco
Operational/Managerial Control · Individual
Rye, Robert
Operational/Managerial Control · Individual
Rye, Robert
5% Or Greater Mortgage Interest · Individual
Sanderson, Clark
Corporate Officer · Individual
Stein, James
Operational/Managerial Control · Individual
Stein, James
5% Or Greater Mortgage Interest · Individual
Stein, Paul
Operational/Managerial Control · Individual
Stein, Paul
5% Or Greater Mortgage Interest · Individual
Nearby options
Other facilities in reach
#1
Legacy At Town Creek
Palestine, TX
2-star overall rating with 2-star inspections with $300,185 in total fines with 6 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#2
Avir at Town Creek
Palestine, TX
1-star overall rating with 1-star inspections with $76,268 in total fines with 6 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
#3
Greenbrier Nursing & Rehabilitation Center Of Pale
Palestine, TX
4-star overall rating with 5-star inspections with 5 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
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